Trial Outcomes & Findings for Testing the Feasibility of the Individualized Positive Psychosocial Intervention (IPPI) (NCT NCT05980299)

NCT ID: NCT05980299

Last Updated: 2025-11-03

Results Overview

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)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

200 participants

Primary outcome timeframe

6 Months

Results posted on

2025-11-03

Participant Flow

Participant milestones

Participant milestones
Measure
experimental
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine. Individualized Positive Psychosocial Interaction: The intervention involves a brief positive interaction around a preferred activity or personal care routine.
Staff Care Partners
Staff delivering the IPPIs
Overall Study
STARTED
130
70
Overall Study
COMPLETED
93
60
Overall Study
NOT COMPLETED
37
10

Reasons for withdrawal

Reasons for withdrawal
Measure
experimental
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine. Individualized Positive Psychosocial Interaction: The intervention involves a brief positive interaction around a preferred activity or personal care routine.
Staff Care Partners
Staff delivering the IPPIs
Overall Study
Lost to Follow-up
0
10
Overall Study
Death
28
0
Overall Study
Discharged from Nursing Home
9
0

Baseline Characteristics

Results for each Arm/Group are presented in separate Rows

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
experimental
n=130 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Staff Care partner
n=70 Participants
staff care partners delivering the IPPI
Total
n=200 Participants
Total of all reporting groups
Age, Continuous
Resident
84.44 years
STANDARD_DEVIATION 8.21 • n=130 Participants • Results for each Arm/Group are presented in separate Rows
84.44 years
STANDARD_DEVIATION 8.21 • n=130 Participants • Results for each Arm/Group are presented in separate Rows
Age, Continuous
Staff Care Partner
40.35 years
STANDARD_DEVIATION 13.94 • n=70 Participants • Results for each Arm/Group are presented in separate Rows
40.35 years
STANDARD_DEVIATION 13.94 • n=70 Participants • Results for each Arm/Group are presented in separate Rows
Sex: Female, Male
Female
96 Participants
n=130 Participants
63 Participants
n=70 Participants
159 Participants
n=200 Participants
Sex: Female, Male
Male
34 Participants
n=130 Participants
7 Participants
n=70 Participants
41 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=130 Participants
5 Participants
n=70 Participants
6 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
117 Participants
n=130 Participants
64 Participants
n=70 Participants
181 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
12 Participants
n=130 Participants
1 Participants
n=70 Participants
13 Participants
n=200 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=130 Participants
0 Participants
n=70 Participants
0 Participants
n=200 Participants
Race (NIH/OMB)
Asian
0 Participants
n=130 Participants
0 Participants
n=70 Participants
0 Participants
n=200 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=130 Participants
1 Participants
n=70 Participants
1 Participants
n=200 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=130 Participants
4 Participants
n=70 Participants
4 Participants
n=200 Participants
Race (NIH/OMB)
White
117 Participants
n=130 Participants
61 Participants
n=70 Participants
178 Participants
n=200 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=130 Participants
2 Participants
n=70 Participants
4 Participants
n=200 Participants
Race (NIH/OMB)
Unknown or Not Reported
11 Participants
n=130 Participants
2 Participants
n=70 Participants
13 Participants
n=200 Participants
Marital Status
Never Married
9 Participants
n=130 Participants • We did not ask staff care partners about their marital status
0 Participants
n=70 Participants • We did not ask staff care partners about their marital status
9 Participants
n=200 Participants • We did not ask staff care partners about their marital status
Marital Status
Married
31 Participants
n=130 Participants • We did not ask staff care partners about their marital status
0 Participants
n=70 Participants • We did not ask staff care partners about their marital status
31 Participants
n=200 Participants • We did not ask staff care partners about their marital status
Marital Status
Widowed
70 Participants
n=130 Participants • We did not ask staff care partners about their marital status
0 Participants
n=70 Participants • We did not ask staff care partners about their marital status
70 Participants
n=200 Participants • We did not ask staff care partners about their marital status
Marital Status
Divorced
19 Participants
n=130 Participants • We did not ask staff care partners about their marital status
0 Participants
n=70 Participants • We did not ask staff care partners about their marital status
19 Participants
n=200 Participants • We did not ask staff care partners about their marital status
Marital Status
Missing
1 Participants
n=130 Participants • We did not ask staff care partners about their marital status
70 Participants
n=70 Participants • We did not ask staff care partners about their marital status
71 Participants
n=200 Participants • We did not ask staff care partners about their marital status
Length of Stay
16.79 Months
STANDARD_DEVIATION 22.18 • n=130 Participants • This variable is not applicable for staff care partners
16.79 Months
STANDARD_DEVIATION 22.18 • n=130 Participants • This variable is not applicable for staff care partners
Cognition
4.68 units on a scale
STANDARD_DEVIATION 3.64 • n=130 Participants • Variable not applicable for Staff Care Partners
4.68 units on a scale
STANDARD_DEVIATION 3.64 • n=130 Participants • Variable not applicable for Staff Care Partners

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=18 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Physical Behavioral Symptoms Directed Toward Others
Symptoms stayed stable
4 Participants
Change in Physical Behavioral Symptoms Directed Toward Others
symptoms improved
13 Participants
Change in Physical Behavioral Symptoms Directed Toward Others
symptoms worsened
1 Participants

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=20 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Verbal Behavior Symptoms Directed Towards Others
Symptoms stayed stable
5 Participants
Change in Verbal Behavior Symptoms Directed Towards Others
symptoms improved
12 Participants
Change in Verbal Behavior Symptoms Directed Towards Others
symptoms worsened
3 Participants

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=18 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Other Behavioral Symptoms Not Directed Towards Others
Symptoms stayed stable
0 Participants
Change in Other Behavioral Symptoms Not Directed Towards Others
symptoms improved
18 Participants
Change in Other Behavioral Symptoms Not Directed Towards Others
symptoms worsened
0 Participants

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=13 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Rejection of Care
Symptoms stayed stable
5 Participants
Change in Rejection of Care
symptoms improved
8 Participants
Change in Rejection of Care
symptoms worsened
0 Participants

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=12 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Wandering
Symptoms stayed stable
3 Participants
Change in Wandering
symptoms improved
8 Participants
Change in Wandering
symptoms worsened
1 Participants

PRIMARY outcome

Timeframe: 6 Months

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)

Outcome measures

Outcome measures
Measure
experimental
n=18 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Little Interest or Pleasure in Doing Things
Symptoms stayed stable
3 Participants
Change in Little Interest or Pleasure in Doing Things
symptoms improved
15 Participants
Change in Little Interest or Pleasure in Doing Things
symptoms worsened
0 Participants

PRIMARY outcome

Timeframe: 6 Months

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.

Outcome measures

Outcome measures
Measure
experimental
n=23 Participants
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine.
Change in Feeling Down, Depressed or Hopeless
Symptoms stayed stable
2 Participants
Change in Feeling Down, Depressed or Hopeless
symptoms improved
20 Participants
Change in Feeling Down, Depressed or Hopeless
symptoms worsened
1 Participants

Adverse Events

experimental

Serious events: 28 serious events
Other events: 0 other events
Deaths: 28 deaths

Staff care partners

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
experimental
n=130 participants at risk
The experimental arm involves a brief positive interaction around a preferred activity or personal care routine. Individualized Positive Psychosocial Interaction: The intervention involves a brief positive interaction around a preferred activity or personal care routine.
Staff care partners
Staff completing an emotion-focused communication training and facilitating IPPIs with residents Staff Care Partners were not assessed for All-Cause Mortality, Serious, and Other \[Not Including Serious\] Adverse Events
General disorders
Advanced Dementia
21.5%
28/130 • Number of events 28 • 6 months
Definitions do not differ
0/0 • 6 months
Definitions do not differ

Other adverse events

Adverse event data not reported

Additional Information

Dr. Katherine Abbott

Miami University

Phone: 513-529-0869

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place