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

NCT05980299 | Completed Results

• 3 other identifiers: FY22_Pilot5_AbbottU54AG063546403853
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 7

Brief Summary

The goal of this clinical trial is to test the feasibility of the Individualized Positive Psychosocial Interaction (IPPI) with 108 nursing home residents living with dementia and distress or depressive symptoms. The main questions it aims to answer are: •is it feasible to deliver the IPPI and track impact through data collected in the electronic medical records. Care partners will engage eligible residents in 2 brief preference-based IPPIs per week over the course of 6 months.

Conditions

Dementia; Depression; Behavior

Keywords

dementia; depressive symptoms; psychosocial intervention; feasibility; emotion

Outcome Measures

Primary Outcomes (7)

• Change in Physical Behavioral Symptoms Directed Toward Others

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

• Change in Verbal Behavior Symptoms Directed Towards Others

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

• Change in Other Behavioral Symptoms Not Directed Towards Others

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

• Change in Rejection of Care

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

• Change in Wandering

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

• Change in Little Interest or Pleasure in Doing Things

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress: Minimum Data Set (MDS) Section E (E0200A, B or C; or E0800) or MDS Section D (Patient Health Questionnaire (PHQ-9)

  6 Months

• Change in Feeling Down, Depressed or Hopeless

  The investigators are using a person-centered outcome measure. If the participant has an indicate of 1 or more on any of the following items that indicate distress at baseline: Minimum Data Set (MDS) Section E or MDS Section D (Patient Health Questionnaire (PHQ-9). The investigators looked at the same variable 6 months later to see if the symptom remained stable, improved, or worsened.

  6 Months

Study Arms (1)

experimental

EXPERIMENTAL

The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.

Behavioral: Individualized Positive Psychosocial Interaction

Interventions

Individualized Positive Psychosocial Interaction BEHAVIORAL

The intervention involves a brief positive interaction around a preferred activity or personal care routine.

Also known as: Individualized Positive Psychosocial Intervention

experimental

Eligibility Criteria

• Age: 18 Years - 110 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Eligibility for Individualized Positive Psychosocial Interaction (IPPI)
• Be a long-term resident in a nursing home
• Have a score of 0-12 on the Brief Inventory for Mental Status (BIMS)
• Either (could be both) on their most recent Minimum Data Set (MDS) 3.0 assessment A score of 1 or higher on any of the 5 behavior items from MDS Section E (i.e., physical, verbal, other behavior, rejection of care, wandering) A score of 1 or higher on one of 5 MDS section D items (i.e., anhedonia, sad mood, poor self-esteem, poor appetite, restlessness)

Sponsors & Collaborators

• Miami University: lead
• United Church Homes: collaborator
• Penn State University: collaborator
• Virginia Polytechnic Institute and State University: collaborator
• National Institute on Aging (NIA): collaborator

Study Sites (7)

The Trinity Community at Beavercreek

Beavercreek, Ohio, 45440, United States

Location

The Chapel Hill Community

Canal Fulton, Ohio, 44614, United States

Location

The Trinity Community at Fairborn

Fairborn, Ohio, 45324, United States

Location

The Four Winds Community

Jackson, Ohio, 45640, United States

Location

The Harmar Place Community

Marietta, Ohio, 45750, United States

Location

SEM Haven

Milford, Ohio, 45150, United States

Location

The Parkvue Community

Sandusky, Ohio, 44870, United States

Location

Related Publications (2)

• Van Haitsma KS, Curyto K, Abbott KM, Towsley GL, Spector A, Kleban M. A randomized controlled trial for an individualized positive psychosocial intervention for the affective and behavioral symptoms of dementia in nursing home residents. J Gerontol B Psychol Sci Soc Sci. 2015 Jan;70(1):35-45. doi: 10.1093/geronb/gbt102. Epub 2013 Dec 4.

  PMID: 24304555 BACKGROUND

• Abbott KM, Heid AR, Noble M, Kotterman A, Unroe K, Van Haitsma K. An Embedded Pragmatic Clinical Trial of the Individualized Positive Psychosocial Interaction (IPPI) Program. J Am Med Dir Assoc. 2025 Aug;26(8):105700. doi: 10.1016/j.jamda.2025.105700. Epub 2025 Jun 12.

  PMID: 40460889 RESULT

Related Links

• IPPI program

MeSH Terms

Conditions

Dementia; Depression; Behavior

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Behavioral Symptoms

Results Point of Contact

• Title: Dr. Katherine Abbott
• Organization: Miami University

abbottkm@miamioh.edu

513-529-0869

Study Officials

• Katherine Abbott, PhD

  Miami University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 20, 2023
• First Posted: August 7, 2023
• Study Start: July 10, 2023
• Primary Completion: August 1, 2024
• Study Completion: March 1, 2025
• Last Updated: November 3, 2025
• Results First Posted: November 3, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)