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. 2016 Nov;31(7):570-579.
doi: 10.1177/1533317516662337. Epub 2016 Sep 8.

Pilot Testing of the EIT-4-BPSD Intervention

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Pilot Testing of the EIT-4-BPSD Intervention

Barbara Resnick et al. Am J Alzheimers Dis Other Demen. 2016 Nov.

Abstract

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.

Keywords: behavioral symptoms; implementation research; nursing homes; psychotropics.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Implementation of Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD).

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