Pilot Testing of the EIT-4-BPSD Intervention.
Behavioral and psychological symptoms of dementia are common in nursing home residents, and the Centers for Medicare and Medicaid Services now require that nonpharmacological interventions be used as a first-line treatment. Few staff know how to implement these interventions. The purpose of this study was to pilot test an implementation strategy, Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD), which was developed to help staff integrate behavioral interventions into routine care. The EIT-4-BPSD was implemented in 2 nursing homes, and 21 residents were recruited. A research nurse facilitator worked with facility champions and a stakeholder team to implement the 4 steps of EIT-4-BPSD. There was evidence of reach to all staff; effectiveness with improvement in residents' quality of life and a decrease in agitation; adoption based on the environment, policy, and care plan changes; and implementation and plans for maintenance beyond the 6-month intervention period.
School of Nursing, University of Maryland, Baltimore, MD, USA barbresnick@gmail.com.
Barbara
B
Resnick
Pennsylvania State University, University Park, PA, USA.
Ann
A
Kolanowski
Pennsylvania State University, University Park, PA, USA.
Kimberly
K
Van Haitsma
William F. Connell School of Nursing, Boston College, Boston, MA, USA.
Marie
M
Boltz
School of Nursing, University of Maryland, Baltimore, MD, USA.
Elizabeth
E
Galik
School of Nursing, Northeastern University, Boston, MA, USA.
Alice
A
Bonner
School of Nursing, University of Maryland, Baltimore, MD, USA.
Erin
E
Vigne
School of Nursing, University of Maryland, Baltimore, MD, USA.
Lauren
L
Holtzman
Pennsylvania State University, University Park, PA, USA.
Paula M
PM
Mulhall
D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000628:therapy*; D005260:Female; D006282:Health Personnel; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D011595:Psychomotor Agitation / Q000628:therapy; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life
behavioral symptoms; implementation research; nursing homes; psychotropics