Evidence map›Paper›PMID 34551782›Full record

Trial reportBMC health services research2021

Process evaluation of an implementation study in dementia care (EIT-4-BPSD): stakeholder perspectives.

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

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03014570 (Testing the Implementation of EIT-4-BPSD), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03014570 nacompletednot on this map

Testing the Implementation of EIT-4-BPSD

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2016 to 2021Enrolled553ConditionsDementia, Behavioral and Psychological Symptoms of Dementia (BPSD)ArmsEIT-4-BPSD, Education-only Control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Liza BehrensRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA. llb237@psu.edu.
Marie BoltzRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Kiernan RileyRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Karen EshraghiRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Barbara ResnickSchool of Nursing, University of Maryland, Baltimore, MD, USA.
Elizabeth GalikSchool of Nursing, University of Maryland, Baltimore, MD, USA.
Jeanette EllisSchool of Nursing, University of Maryland, Baltimore, MD, USA.
Ann KolanowskiRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Kimberly Van HaitsmaRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.

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
NINR NIH HHS R01 NR015982
6 · The paper itself

Abstract

backgroundBehavioral and psychological symptoms of distress in dementia (BPSD) are major drivers of poor quality of life, caregiver burden, institutionalization, and cost of care in nursing homes. The Evidence Integration Triangle (EIT)-4-BPSD in nursing homes was a pragmatic Hybrid III trial of an implementation strategy to help staff use evidence-based non-pharmacological interventions to prevent and manage BPSD. This study aimed to describe and explore the stakeholders' perceptions of the process to implement the EIT-4-BPSD strategy including its utility, and the barriers and facilitators to implementation in real-world settings.

methodsEIT-4-BPSD was a multi-layer implementation strategy that engaged nursing home stakeholder groups to define community specific goals towards reducing BPSD over a 12-month period. Stakeholder groups from nursing homes that completed all 12-months of the implementation strategy were invited to participate in this process evaluation study. Qualitative data from focus group transcripts were analyzed using a conventional content analysis. Emerging codes were sorted into categories, then organized in meaningful clusters based on the domains of the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.

resultsThe EIT-4-BPSD implementation strategy was completed in 21 nursing homes; 93 stakeholders participated in focus groups. Over half of participating nursing homes reported meeting their BPSD goals as expected or more. Challenges, facilitators, and contextual factors reported by stakeholder members explains variability in the implementation of EIT-4-BPSD strategy in 11 key categories: family; staff; organizational; staff, environmental, and resident outcomes; utility of EIT resources; adoption barriers and facilitators; care process adaptations; and future planning.

conclusionStakeholders offered guidance on salient factors influencing the feasibility and utility of EIT-4-BPSD adoption and implementation to consider in future implementation research that aims to improve behavioral well-being in NH residents living with dementia. Engagement of family and staff at all levels of the organization (Management, leadership, and direct care); and measurement of staff, environmental, and resident outcomes were perceived as critical for future implementation success. While regulations, finances, and competing demands on staff time were perceived as reducing implementation success.

trial registrationThe Testing the Implementation of EIT-4-BPSD study was registered in the ClinicalTrials.gov ( NCT03014570 ) January 9, 2017.

Indexed as

DementiaQuality of LifeBehavioral SymptomsFocus GroupsHumansNursing HomesBehavioral and psychological symptoms of dementiaImplementationNursing homeRE-AIMStaff training

Identifiers

PMID34551782
PMCPMC8458006

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.