Purpose: The aim of this study was to clarify the outcomes associated with continued implementation of progressive muscle relaxation program in group homes and small multifunctional satellite home-care services.

Methods: The mutual collaborative approach was used by researchers and the facility staff. Facility staff interviews conducted by researchers and notes maintained by the facility staff pertaining to program implementation were inductively analyzed. Survey data on the behavioral and psychological symptoms of dementia (BPSD) in elderly residents were quantitatively analyzed.

Results and Conclusions: Group home and small-scale multifunctional facility staff began to conduct initiatives on their own following continuous implementation of the progressive muscle relaxation program. This program appeared to reduce BPSD among elderly residents with dementia. In addition, the program had a positive meaning and a possible synergistic effect on the facility staff and elderly residents with dementia.