A built environment response to the rising costs of dementia

Pantzartzis, Efthimia; Price, Andrew D.F.; Pascale, Federica

doi:10.1108/jfmpc-06-2015-0019

Cited by 7 publications

(4 citation statements)

References 60 publications

(63 reference statements)

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“…The development of peer relationships with meaningful engagement in the greater community has been reported to promote well-being (Henwood & Downs, 2014; Hirst, 2016; Rahman, 2014; Woods, 2012): “Ongoing family involvement and community connections are essential for the creation and sustainability of a dementia friendly environment” (Davis et al, 2009, p. 193). Examples of such engagement have included art programs, exercise programs, and memory cafes (ADI, 2016; Dementia Friendly America, 2017).…”

Section: Resultsmentioning

confidence: 99%

Dementia friendly initiatives: A state of the science review

2017

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Background Dementia friendly initiatives share similarities with the age-friendly movement in a focus on active engagement and creating a good quality of life for older adults. Dementia friendly initiatives offer a welcoming optimistic narrative in dementia studies by embracing dignity, empowerment, and autonomy to enable well-being throughout the dementia trajectory. Purpose The purpose of this review is to explore the current science of dementia friendly initiatives, identify gaps, and inform future research. Method Quantitative, qualitative, and conceptual/theoretical peer-reviewed dementia friendly research literature were evaluated for their current evidence base and theoretical underpinnings. Results The dementia friendly initiatives research base is primarily qualitative and descriptive focused on environmental design, dementia awareness and education, and the development of dementia friendly communities. Person-centered care principles appear in dementia friendly initiatives centered in care settings. Strong interdisciplinary collaboration is present. Research is needed to determine the effect of dementia friendly initiatives on stakeholder-driven and community-based outcomes. Due to the contextual nature of dementia, the perspective of persons with dementia should be included as dementia friendly initiatives are implemented. Theory-based studies are needed to confirm dementia friendly initiative components and support rigorous evaluation. Dementia friendly initiatives broaden the lens from which dementia is viewed.

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Section: Resultsmentioning

confidence: 99%

Dementia friendly initiatives: A state of the science review

2017

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“…Recommendations based predominantly on professional guidance include strategic use of signage, contrast and salient visual features, patterned flooring, glare, and clutter 2,19,23–25 . Lighting modulates contrast, perceived clutter, and visual saliency, factors particularly influencing object recognition and gaze location in PCA, 26,27 and lighting‐based interventions may promote functional outcomes and fall reductions in patients with all‐cause dementia 23,28 …”

Section: Introductionmentioning

confidence: 99%

Effects of lighting variability on locomotion in posterior cortical atrophy

Yong

McCarthy

Poole

et al. 2020

A&D Transl Res & Clin Interv

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Introduction Clinical reports describe patients with Alzheimer's disease (AD) exhibiting atypical adaptive walking responses to the visual environment; however, there is limited empirical investigation of such behaviors or factors modulating their expression. We aim to evaluate effects of lighting‐based interventions and clinical presentation (visual‐ vs memory‐led) on walking function in participants with posterior cortical atrophy (PCA) and typical AD (tAD). Methods Participants with PCA (n = 10), tAD (n = 9), and healthy controls (n = 12) walked to visible target destinations under different lighting conditions within two pilot repeated‐measures design investigations (Experiment 1: 32 trials per participant; Experiment 2: 36 trials per participant). Participants walked to destinations with the floorpath interrupted by shadows varying in spatial extent (Experiment 1: no, medium, high shadow) or with different localized parts of the environment illuminated (Experiment 2: target, middle, or distractor illuminated). The primary study outcome for both experimental tasks was completion time; secondary kinematic outcomes were proportions of steps identified as outliers (Experiment 1) and walking path directness (Experiment 2). Results In Experiment 1, PCA participants overall demonstrated modest reductions in time taken to reach destinations when walking to destinations uninterrupted by shadows compared to high shadow conditions (7.1% reduction [95% confidence interval 2.5, 11.5; P = .003]). Experiment 2 found no evidence of differences in task performance for different localized lighting conditions in PCA participants overall. Neither experiment found evidence of differences in task performance between conditions in tAD or control participants overall. Completion time in both patient groups was longer relative to controls, and longer in PCA relative to tAD groups. Discussion Findings represent a quantitative characterization of a clinical phenomenon involving patients misperceiving shadows, implicating dementia‐related cortico‐visual impairments. Results contribute to evidence‐based design guidelines for dementia‐friendly environments.

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“…The above issues presented play an important role in the resilience and sustainability of the built environment. Demographic changes and ageing populations will put more pressure on the need for service provision (Pantzartzis, Price and Pascale, 2016), which leave decision makers in urgent need to put in place actions to manage the built assets and deliver a resilient and sustainable response to changes in demographics, technologies, diseases and models of care.…”

Section: Discussionmentioning

confidence: 99%

Roadmap layers and processes: resilient and sustainable care facilities

Pantzartzis

Price

Edum‐Fotwe

2019

ECAM

Self Cite

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Purpose Health and social care facilities are usually complex buildings that require continuous effort to provide resilient and sustainable responses to changes in demographics, technologies, diseases and models of care. Despite resilience and sustainability concepts being frequently used by practitioners and researchers, ambiguities in their definitions often result in a lack of operational solutions to record, monitor and improve the resilience and sustainability of health and social care facilities. Although the importance and complexity of the issues are widely acknowledged, there is little strategic guidance as to how they should be achieved. The purpose of this paper is to assess the suitability of developing a roadmap for improving the resilience and sustainability of UK health and social care facilities, and to identify the layers and processes needed to construct such a roadmap. Design/methodology/approach A qualitative approach was adopted, starting with a literature review of different types of roadmaps and their suitability to support the desired improvement objectives. Layers and processes were thus developed using the key issues identified in three recent research streams, and the roadmap was structured. Findings The major findings have been captured within a three-layer, four-step process generic roadmap for improving the resilience and sustainability of health and social care facilities that can be used to monitor performance, plans future actions and implement response to change. Practical implications This paper targets decision makers, especially estate managers, but the proposed layers and processes can be modified for other stakeholders. Originality/value This paper suggests an original approach for the development of a roadmap for resilience and sustainability of health and social care facilities, and specifically of how to structure layers and processes, envisioning a more integrated development of service provision and infrastructure asset management.

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A built environment response to the rising costs of dementia

Cited by 7 publications

References 60 publications

Dementia friendly initiatives: A state of the science review

Dementia friendly initiatives: A state of the science review

Effects of lighting variability on locomotion in posterior cortical atrophy

Roadmap layers and processes: resilient and sustainable care facilities

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