Talmage Alexis, C Kunkel Miranda, Kasler Kamryn, Keiser Cassie, Akter Nahida, Van Haitsma Kimberly, Abbott Katherine M
Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
The Pennsylvania State University, Ross and Carol Nese College of Nursing, Program for Person Centered Living Systems of Care, University Park, PA, USA.
Aging Ment Health. 2025 Mar;29(3):506-513. doi: 10.1080/13607863.2024.2401960. Epub 2024 Sep 12.
This study assessed the readiness of The Individualized Positive Psychosocial Interaction (IPPI) program in the nursing home (NH) setting from the perspective of NH providers implementing the IPPI. The evidence-based IPPI program is designed to help remediate distress and improve mood for residents living with dementia. NH staff are trained to engage residents in brief (i.e. 10-min) one-to-one, preference-based activities to alleviate emotional distress and enhance quality of life.
NH providers ( = 15) who championed the IPPI implementation completed an exit interview based on the nine domains of the Readiness Assessment for Pragmatic Trials (RAPT). Interviews were audio-recorded, transcribed, and coded by RAPT domains, then scored by the research team to reflect an average for each domain.
Providers rated the IPPI program's readiness high on the domains of alignment, impact, risk, implementation protocol, evidence, cost, and acceptability. The domains of measurement and feasibility scored lower, likely due to broader contextual issues and require particular attention.
Results illustrate that the IPPI program successfully aligns with stakeholder priorities, is a safe intervention with minimal risk, and has beneficial outcomes. The IPPI's low cost, design, and alignment with organizational goals also facilitated implementation while measuring outcomes and staffing considerations impacted organizational capacity for implementation.
本研究从实施个性化积极社会心理互动(IPPI)项目的养老院提供者的角度,评估该项目在养老院环境中的准备情况。基于证据的IPPI项目旨在帮助缓解患有痴呆症居民的痛苦并改善其情绪。养老院工作人员接受培训,让居民参与简短(即10分钟)的一对一、基于偏好的活动,以减轻情绪困扰并提高生活质量。
支持实施IPPI项目的15名养老院提供者根据实用试验准备情况评估(RAPT)的九个领域完成了离职访谈。访谈进行了录音、转录,并按RAPT领域进行编码,然后由研究团队评分,以反映每个领域的平均值。
提供者在一致性、影响、风险、实施协议、证据、成本和可接受性等领域对IPPI项目的准备情况评价较高。测量和可行性领域的得分较低,可能是由于更广泛的背景问题,需要特别关注。
结果表明,IPPI项目成功地与利益相关者的优先事项保持一致,是一种风险最小的安全干预措施,并且具有有益的结果。IPPI的低成本、设计以及与组织目标的一致性也促进了实施,而结果测量和人员配置考虑因素影响了组织的实施能力。