Evidence map›Paper›PMID 40460889›Full record

Trial reportJournal of the American Medical Directors Association2025

An Embedded Pragmatic Clinical Trial of the Individualized Positive Psychosocial Interaction (IPPI) Program.

Katherine M Abbott, Allison R Heid, Molly Noble, Amy Kotterman, Kathleen Unroe, Kimberly Van Haitsma

Registry-linked trialAbstract readPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05980299 (Testing the Feasibility of the Individualized Positive Psychosocial Intervention), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05980299 nacompletednot on this map

Testing the Feasibility of the Individualized Positive Psychosocial Intervention (IPPI)

TypeinterventionalSponsorMiami UniversityRan2023 to 2025Enrolled200ConditionsDementia, Depression, BehaviorArmsIndividualized Positive Psychosocial Interaction
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Katherine M AbbottScripps Gerontology Center, Miami University, Oxford, OH, USA; Department of Sociology and Gerontology, Miami University, Oxford, OH, USA. Electronic address: abbottkm@miamioh.edu.
Allison R HeidIndependent Research Consultant, Ardmore, PA, USA.
Molly NobleScripps Gerontology Center, Miami University, Oxford, OH, USA.
Amy KottermanUnited Church Homes, Marion, OH, USA.
Kathleen UnroeIndiana University School of Medicine, Indianapolis, IN, USA.
Kimberly Van HaitsmaProgram for Person Centered Living Systems of Care, Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, PA, USA; The Polisher Research Institute at Abramson Senior Care, Blue Bell, PA, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

objectivesWe implemented a pilot embedded pragmatic clinical trial of the evidence-based Individualized Positive Psychosocial Interaction (IPPI) program for people living with dementia (PLWD) in nursing homes. We sought to answer the following questions: Can staff consistently deliver IPPIs to enrolled residents over 6 months? How does IPPI completion impact the immediate outcome of resident mood? Can we track the impact of IPPI completion on a distal (3-month and 6-month) pragmatic clinical outcome (ie, symptoms of distress) recorded in the Minimum Dataset (MDS) 3.0?

designNursing home staff completed an online training on emotion-focused communication and were trained to deliver IPPIs, which are short (ie, 10-minute) protocol-guided, one-on-one preference-aligned, interactions with PLWD. Staff were instructed to complete 2 IPPIs per week per resident for 6 months. SETTING AND

participants130 residents from 7 nursing homes.

methodsPre- and post-IPPI observed emotion evaluations were completed and MDS 3.0 data were collected for all eligible residents in the nursing home community during the study period. Descriptive statistics and frequencies were computed for rates of IPPI completions, sample descriptives, endorsement of mood change, and symptoms of distress at baseline, 3 months, and 6 months.

resultsIPPI participants who did not die or discharge from the nursing home completed on average 45 IPPIs over 6 months. In 59% (n = 2813) of IPPIs, mood immediately improved from negative to neutral/positive or from neutral to positive, whereas in 42% (n = 1994) of cases, mood stayed stable. MDS 3.0 data were able to show change over time in symptoms of distress from baseline to 3 months and 6 months, with most improving during the intervention period. CONCLUSIONS AND IMPLICATIONS: The IPPI program is an effective person-centered intervention for PLWD in nursing homes. It can be integrated into care and improve resident mood, and symptoms of distress can be tracked in existing clinical data.

Indexed as

DementiaNursing HomesAgedAged, 80 and overFemaleHumansMalePilot Projectsdementianonpharmacologic interventionNursing homepsychosocial carequality of carequality of life

Identifiers

PMID40460889
PMCPMC12272948

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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.