Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov;31(7):570-579.
doi: 10.1177/1533317516662337. Epub 2016 Sep 8.

Pilot Testing of the EIT-4-BPSD Intervention

Barbara Resnick  1 , Ann Kolanowski  2 , Kimberly Van Haitsma  2 , Marie Boltz  3 , Elizabeth Galik  4 , Alice Bonner  5 , Erin Vigne  4 , Lauren Holtzman  4 , Paula M Mulhall  2
Affiliations

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.

PubMed Disclaimer

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).
See this image and copyright information in PMC

References

    1. Kales H, Gitlin L, Lyketsos C; Detroit Expert Panel on Assessment and Management of Neuropsychiatric Symptoms of Dementia. Management of neuropsychiatric symptoms of dementia in clinical settings: recommendations from a multidisciplinary expert panel. J Am Geriatr Soc. 2014;62(4):762–769. - PMC - PubMed
    1. Galynker II, Roane DM, Miner C, Feinberg T, Watts B. Negative symptoms in patients with Alzheimer’s disease. Am J Geriatr Psych. 1995;3(1):52–59. - PubMed
    1. Wunderlich G, Kohler P. Improving the Quality of Long-Term Care. Washington, DC: National Academy Press; 2000. Web site. http://www.nap.edu/openbook.php?record_id=9611. Accessed January 2016. - PubMed
    1. Kales HC, Zivin K, Kim HM, et al. Trends in antipsychotic use in dementia 1999-2007. Arch Gen Psychiatry. 2011;68(2):190–197. - PubMed
    1. Dyer C, Pavlik V, Murphy K, Hyman D. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc. 2000;48(2):205–208. - PubMed