Promoting Positive Care Interactions (PPCI) in Assisted Living

The overall aim of this study is to pilot test Promoting Positive Care Interactions (PPCI) with the goal of establishing a feasible and culturally responsive approach to optimize care interactions between staff (nursing, activity, housekeeping, and dining service staff) and residents with ADRD in assisted living facilities (ALFs), and further improve select resident, staff, and facility outcomes. PPCI is a non- pharmacological four-step approach consisting of (1) stakeholder engagement in developing facility specific goals; (2) environment and policy assessments; (3) flexible staff education; and (4) ongoing mentorship, motivation, and support (in-person visits and text messages) for staff to optimize care interactions.

Inclusion Criteria:Assisted Living Facility (ALF) will be included in the study if they:have at least 20 or more bedsare able to identify a facility champion, andexpress a willingness to actively partner in an initiative to change practice at their institutionStaff will be included in the study if they:are able to communicate in English, andwork at least 16 hours a week at the facility at the time of recruitment in nursing, activities, housekeeping, or dining service rolesResidents will be included in the study if they:are 65 years old or greaterare living at the facility at the time of recruitment, andhave a diagnosis of ADRD and Saint Louis University Mental Status Exam (SLUMS) score of 20 or less (high school education)/ 19 or less (less than high school education) suggesting ADRDExclusion Criteria:Assisted Living Facility (ALF) will be excluded from the study if they:have less than 20 bedsare unable to identify a facility champion, anddo not express a willingness to actively partner in an initiative to change practice at their institutionStaff will be included in the study if they:are unable to communicate in English, andwork less than16 hours a week at the facility at the time of recruitment in nursing, activities, housekeeping, or dining service rolesResidents will be included in the study if they:are less than 65 years oldare not living at the facility at the time of recruitment, anddo not have a diagnosis of ADRD and Saint Louis University Mental Status Exam (SLUMS) score of 20 or less (high school education)/ 19 or less (less than high school education) suggesting ADRD