Understanding research facilitators' perspectives on program implementation to reduce behavioral and psychological symptoms of dementia.

BACKGROUND AND OBJECTIVES: This study investigates the implementation process of the Evidence Implementation Triangle for behavioral and psychological symptoms of dementia (EIT-4-BPSD) from the perspective of Research Facilitators (RFs) in nursing homes. RESEARCH DESIGN AND METHODS: Semistructured qualitative interviews were conducted with RFs at 6-month and 12-month intervals over 3 years. We use the Consolidated Framework for Implementation Research (CFIR) to understand barriers and facilitators encountered by RFs in implementing EIT-4-BPSD. Content analysis was performed using CFIR's "Process" domain, comprising planning, engaging, executing, and reflecting and evaluating components. RESULTS: Ten RFs participated in the study, reporting on their experiences with EIT-4-BPSD implementation. Planning involved intensive goal-setting sessions addressing site-specific barriers. Engaging encompassed the identification of key team members involved in implementation and what made them successful in their role. Executing involved assessing environments and policies, educating staff, establishing person-centered care plans, and mentoring staff. Reflecting and Evaluating highlighted the importance of group dynamics and feedback mechanisms in fostering a collaborative implementation environment. DISCUSSION AND IMPLICATIONS: Research Facilitator perspectives provide unique insights into the implementation process of EIT-4-BPSD. Findings underscore the critical role of leadership support, effective communication, and staff engagement in successful implementation. Strategies such as team huddles, incentives, and knowledge-sharing networks contribute to enhancing implementation effectiveness and promoting person-centered care in nursing homes. Addressing organizational barriers and supporting staff learning and development are crucial for sustained improvements in dementia care quality and outcomes. Our findings contribute actionable strategies to enhance implementation effectiveness and promote person-centered care for residents with dementia.