ArticleThe Gerontologist2025
"Anybody who has a heart is going to think that it's a good idea": Pre-Implementation of the Individualized Positive Psychosocial Interaction.
Article in The Gerontologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe purpose of this paper is to describe the pre-implementation process utilized to identify potential substantive barriers and facilitators to implementing the Individualized Positive Psychosocial Interaction (IPPI) across 9 nursing home communities prior to recruitment for an embedded pragmatic clinical trial. RESEARCH DESIGN AND
methodsWe conducted 9 focus groups with n = 65 staff during regularly scheduled interdisciplinary care team meetings. Sessions included a description of the IPPI program and utilized a premortem exercise to solicit feedback on all the reasons why implementation of the IPPI would fail or succeed. To include additional stakeholders, we conducted individual interviews with n = 56 staff, n = 37 residents, n = 17 family members, and n = 1 volunteer. Data were thematically coded for barriers and facilitators informed by the Inner Setting Domain of the Consolidated Framework for Implementation Research version 2.0.
resultsOverall, participants reported the human equality-centered culture, relative priority, and mission alignment of the IPPI with the organizational priorities as major facilitators. Potential barriers to IPPI implementation were related to structural characteristics, specifically staffing concerns around not having enough staff along with communication challenges with residents and finding appropriate space to conduct IPPIs as an available resource. DISCUSSION AND IMPLICATIONS: Utilizing the premortem exercise to engage staff, residents, and family was successful for relationship building between researchers and end users. Several substantive barriers and facilitators to IPPI implementation were identified, helping to inform implementation strategies for a future embedded pragmatic clinical trial.
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