Background: The Individualized Positive Psychosocial Interaction (IPPI) is an evidence-based program that supports engaging people living with dementia in the nursing home (NH) and their care partners in brief, one-to-one, preference-based activities to improve well-being and decrease behavioral and psychosocial symptoms of dementia (BPSD).
Objective: The purpose of this study was to understand barriers and facilitators to implementing the IPPI program from the perspective of NH providers.
Methods: Semi-structured interviews (n=62) were completed with implementation champions (n=20) who led a quality improvement program (QIP) to implement the IPPI with 3 to 5 residents per NH. Interviews were audio recorded, transcribed verbatim and coded using the Innovation Domain of the updated Consolidated Framework for Implementation Research (CFIR). Constructs coded included costliness, design, complexity, adaptability, relative advantage, trialability, and evidence-base.
Results: Site champions spoke about the IPPI program’s relative advantage of effectively
reducing resident’s BPSD based on meaningful, personalized content. 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.
Discussion and Implications: Utilizing the CFIR allowed for the systematic identification of
facilitators and barriers to IPPI implementation. Champions voiced that the IPPI program was aligned with their organizational goals, adaptable to their local contexts, and provided staff with tools to provide comfort to residents experiencing distress. Future work is needed to understand needs for the IPPI program to be sustained beyond a QIP.
Author(s): Keiser, C., Noble, M., Van Haitsma, K., & Abbott, K.M.
Advisor(s): Katherine Abbott, Gerontology & Sociology
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