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Factors to make the VIPS practice model more effective in the treatment of neuropsychiatric symptoms in nursing home residents with dementia


Røsvik, Janne, Engedal, Knut, Kirkevold, Øyvind


Dementia and Geriatric Cognitive Disorders, Volume: 37, No.: 5-6, Pages.: 335-346

Year of Publication



Background/Aims: A recent cluster-randomized controlled study showed that the VIPS practice model (VPM) for person-centred care had a significant effect on neuropsychiatric symptoms in nursing home residents with dementia. The randomized controlled trial (RCT) indicated that a substantial proportion of the total variance of the effects was related to conditions in the particular unit (ward). We have explored which factors explain the variance of the effect of the VPM. Methods: The VPM subset of data from the RCT was explored using multilevel linear regression. The dependent variables were the change in scores on the Neuropsychiatric Inventory Questionnaire (NPI-Q) and the Cornell Scale for Depression in Dementia (CSDD). Results: The unit in which the resident was living explained 22% of the VPM’s total variance of the effect on the NPI-Q and 13% of that on the CSDD. The intraclass correlation coefficient at the unit level was explained mainly by unit size on both scales and was considerably higher than at the institutional level. Conclusion: The unit is the most influential level when implementing person-centred dementia care by use of the VPM. The unit size explains most of the variance of the effect of the VPM, and the effects were best in the small units. (PsycINFO Database Record (c) 2014 APA, all rights reserved). (journal abstract)

Bibtex Citation

@article{Rosvik_2014, doi = {10.1159/000357773}, url = {}, year = 2014, publisher = {S. Karger {AG}}, volume = {37}, number = {5-6}, pages = {335--346}, author = {Janne Rosvik and Knut Engedal and {O}yvind Kirkevold}, title = {Factors to Make the {VIPS} Practice Model More Effective in the Treatment of Neuropsychiatric Symptoms in Nursing Home Residents with Dementia}, journal = {Dementia and Geriatric Cognitive Disorders} }


care, centred, client centered therapy, dementia, neuropsychiatric symptoms, nursing homes, person, person centered care, psychiatric symptoms, vips practice model

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Behaviour, Depression and Anxiety


Nursing Homes

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Case management / Care navigator