Evidence map›Paper›PMID 29485197›Full record

ArticleResearch in nursing & health2018

Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia: Protocol for a pragmatic trial.

Barbara Resnick, Ann Kolanowski, Kimberly Van Haitsma, Elizabeth Galik, Marie Boltz, Jeanette Ellis, Liza Behrens, Nina M Flanagan, Karen J Eshraghi, Shijun Zhu

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Research in nursing & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
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  6. Nursing Home Profit Status and Pain Among Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
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  11. Review
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  14. The Relationship Between Pain, Function, Behavioral, and Psychological Symptoms of Dementia and Quality of Life.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022
    Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Barbara ResnickSchool of Nursing, University of Maryland, Baltimore, Maryland.ORCID 0000-0002-2839-5783
Ann KolanowskiPennsylvania State University, University Park, Pennsylvania.
Kimberly Van HaitsmaPennsylvania State University, University Park, Pennsylvania.
Elizabeth GalikSchool of Nursing, University of Maryland, Baltimore, Maryland.
Marie BoltzPennsylvania State University, University Park, Pennsylvania.
Jeanette EllisSchool of Nursing, University of Maryland, Baltimore, Maryland.
Liza BehrensPennsylvania State University, University Park, Pennsylvania.
Nina M FlanaganDecker School of Nursing, Binghamton University, Binghamton, New York.
Karen J EshraghiPennsylvania State University, University Park, Pennsylvania.
Shijun ZhuSchool of Nursing, University of Maryland, Baltimore, Maryland.
Pennsylvania State University · USUniversity of Maryland, Baltimore · USBinghamton University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
The Impact of Gender Differences on Identification and Treatment of BPSD in Nursing Home Residents with DementiaR01NR015982 · NINR · UNIVERSITY OF MARYLAND BALTIMORE · PI KOLANOWSKI, ANN M, RESNICK, BARBARA · 2016 to 2020
$2.4M
NCATS NIH HHS TL1 TR002016NCATS NIH HHS UL1 TR002014NINR NIH HHS R01 NR015982
6 · The paper itself

Abstract

Behavioral and psychological symptoms of dementia (BPSD) include aggression, agitation, resistiveness to care, depression, anxiety, apathy, and hallucinations. BPSD are common in nursing home residents and can be ameliorated using person-centered approaches. Despite regulatory requirements, less than 2% of nursing homes consistently implement person-centered behavioral approaches. In a National Institute of Nursing Research-funded research protocol, we are implementing a pragmatic cluster randomized clinical trial designed to enable staff in nursing homes to reduce BPSD using behavioral approaches while optimizing function, preventing adverse events, and improving quality of life of residents. The implementation is based on use of the Evidence Integration Triangle (EIT), a parsimonious, community-engaged participatory framework that is well suited to the complexity and variability in the nursing home environment. A total of 50 nursing home communities will be randomized to EIT-4-BPSD or education only. Primary Aim 1 is to determine if communities exposed to EIT-4-BPSD demonstrate evidence of implementation evaluated by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) criteria. Primary Aim 2 is to evaluate the feasibility, utility, and cost of the EIT approach in EIT-4-BPSD communities.

Indexed as

Behavioral SymptomsDementiaHealth PersonnelPatient-Centered CareHumansNursing HomesPragmatic Clinical Trials as TopicPsychomotor AgitationQuality of LifeRandomized Controlled Trials as TopicAlzheimer's diseasebehavioral and psychological symptomsnursing homepragmatic trial

Identifiers

PMID29485197
PMCPMC6400658
OpenAlexW2789818302

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.