Evidence map›Paper›PMID 34332762›Full record

ArticleNursing outlook

Implementation of the Evidence Integration Triangle for behavioral and psychological symptoms of dementia (EIT-4-BPSD) in care communities.

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

Open access · greenAbstract read
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Definitions of Person-Centeredness for Persons With Dementia in the United States: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  5. 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
    Article
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  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

9 authors at 2 institutions in 1 country.

Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, MD.
Kimberly Van HaitsmaPennsylvania State University, University Park, PA.
Ann KolanowskiPennsylvania State University, University Park, PA. Electronic address: Amk20@psu.edu.
Elizabeth GalikUniversity of Maryland School of Nursing, Baltimore, MD.
Marie BoltzPennsylvania State University, University Park, PA.
Shijun ZhuUniversity of Maryland School of Nursing, Baltimore, MD.
Jeanette EllisUniversity of Maryland School of Nursing, Baltimore, MD.
Liza BehrensPennsylvania State University, University Park, PA.
Karen EshraghiUniversity of Maryland School of Nursing, Baltimore, MD.
University of Maryland, Baltimore · USPennsylvania State University · US

Funding

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
Dissemination and Implementation of Function Focused Care for Assisted LivingR01AG050516 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2016 to 2020
$1.8M
NIA NIH HHS R01 AG050516NINR NIH HHS R01 NR015982
6 · The paper itself

Abstract

backgroundFederal regulations stipulate that behavioral interventions be used for behavioral and psychological symptoms of distress in dementia (BPSD). Care community staff have difficulty implementing these approaches. PURPOSE: This study tested an implementation strategy, the Evidence Integration Triangle for BPSD (EIT-4-BPSD), for assisting staff in the use of evidence-based behavioral approaches for BPSD.

methodsAbout 55 care communities were randomized to EIT-4-BPSD or usual care; 553 residents were enrolled. The implementation strategy was delivered by research facilitators, staff, stakeholders, and champions over 12 months. It involved four components: Environment and policy assessments; Staff education; Establishment of person-centered care plans; and Mentoring and motivating staff. The implementation strategy was evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance model.

findingsThere was no evidence for resident or care community effectiveness. There was evidence of adoption and implementation. DISCUSSION: EIT-4-BPSD was helpful as an implementation strategy and staff altered how care was provided.

Indexed as

Behavior TherapyDementiaDepressionHealth Plan ImplementationAged, 80 and overEvidence-Based NursingFemaleHumansMaleNursing HomesNursing StaffPsychomotor AgitationBehavioral symptomsCare communityDementiaImplementation research

Identifiers

PMID34332762
PMCPMC8678150
OpenAlexW3184873346

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.