Keiser Cassandra, Noble Molly, VanHaitsma Kimberly, Abbott Katherine M
Scripps Gerontology Center, Miami University.
Ross and Carol Nese College of Nursing, Pennsylvania State University.
Psychol Serv. 2024 Nov 18. doi: 10.1037/ser0000920.
The Individualized Positive Psychosocial Interaction (IPPI) is an evidence-based program that supports engaging people living with dementia and their care partners in the nursing home (NH). IPPIs are brief, one-to-one, preference-based activities to improve well-being and decrease behavioral and psychological symptoms of dementia. The purpose of this study was to understand barriers and facilitators to implementing the IPPI program from the perspective of NH provider champions. Semistructured interviews ( = 62) were completed with implementation champions ( = 20) who led a quality improvement project to implement the IPPI with three to five residents per NH. Interviews were audio recorded, transcribed verbatim, and coded using the Innovation Domain of the updated Consolidated Framework for Implementation Research. Constructs coded included cost, design, complexity, adaptability, relative advantage, trialability, and evidence base. Implementation champions spoke about the IPPI program's relative advantage of effectively reducing resident's behavioral and psychological symptoms of dementia based on meaningful, personalized content. Champions voiced that the IPPI program was cost-effective, adaptable to their local contexts, and provided training to staff to support residents experiencing distress. Champions acknowledged the complexity of identifying implementation team members and completing initial education and training. In addition, they appreciated the chance to build capacity by trialing IPPIs with a small number of residents for initial efforts (e.g., trialability). Utilizing the Consolidated Framework for Implementation Research allowed for the systematic identification of facilitators and barriers to IPPI implementation. Overall, the IPPI program goals are aligned with nursing home organization goals, supporting staff in providing comfort to residents communicating distress, and can be feasibly implemented. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
个性化积极心理社会互动(IPPI)是一个基于证据的项目,旨在支持养老院中患有痴呆症的患者及其护理伙伴进行互动。IPPI是简短的、一对一的、基于偏好的活动,旨在改善幸福感并减少痴呆症的行为和心理症状。本研究的目的是从养老院提供者倡导者的角度了解实施IPPI项目的障碍和促进因素。对实施倡导者(n = 20)进行了半结构化访谈(n = 62),这些倡导者领导了一项质量改进项目,在每家养老院为三至五名居民实施IPPI。访谈进行了录音,逐字转录,并使用更新后的实施研究综合框架的创新领域进行编码。编码的结构包括成本、设计、复杂性、适应性、相对优势、可试验性和证据基础。实施倡导者谈到了IPPI项目的相对优势,即基于有意义的个性化内容有效减少居民的痴呆症行为和心理症状。倡导者表示,IPPI项目具有成本效益,能适应当地情况,并为工作人员提供培训以支持处于痛苦中的居民。倡导者承认确定实施团队成员以及完成初始教育和培训的复杂性。此外,他们赞赏有机会通过在少数居民中试行IPPI进行初步努力来建设能力(例如,可试验性)。利用实施研究综合框架有助于系统地确定IPPI实施的促进因素和障碍。总体而言,IPPI项目目标与养老院组织目标一致,支持工作人员为表达痛苦的居民提供安慰,并且可以切实可行地实施。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)