Features of the social and built environment that contribute to the well-being of people with dementia who live at home: A scoping review

Sturge, Jodi; Nordin, Susanna; Patil, Divya Sussana; Jones, Allyson; Légaré, France; Elf, Marie; Meijering, Louise

doi:10.1016/j.healthplace.2020.102483

Cited by 41 publications

(25 citation statements)

References 67 publications

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“…The collective components of access to nature, meaningful outdoor activity, social interaction, and support are acknowledged as key to positive wellbeing within the review findings. Wider literature purports enhanced wellbeing appears evident through simply being present in nature (Orr et al, 2016;Sturge et al, 2021). Schwarz & Rodiek, (2007) theorise that access to the outdoors may in itself have substantial positive benefits, contributing to improved levels of independence, sense of freedom and self-esteem.…”

Section: Discussionmentioning

confidence: 99%

Me, myself, and nature: living with dementia and connecting with the natural world – more than a breath of fresh air? A literature review

2022

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Objective Despite growing awareness of the importance of engagement with the natural world for people living with dementia, little is known about the impact specifically for people living independently in their own home. This review identifies, analyses and synthesises existing research, incorporating first-person narrative accounts of the benefits and potential challenges experienced in forging meaningful connections with the natural world. Methods Six databases were searched from February 2000 to February 2021. Relevant organisations and authors were contacted, and a hand search of included study reference lists was conducted. The findings of included studies were synthesised using a thematic analysis approach. Findings Sixteen studies were included: 13 qualitative and three mixed methods. Eight themes and three sub-themes were identified, revealing how contact with the natural world held a significance for people living with dementia, associated with a sense of pleasure, comfort, stimulation, freedom and meaning. Support and the use of adaptive strategies afforded opportunities for continued engagement with meaningful outdoor activities and the promotion of identity, independence, social interaction, enhanced wellbeing and quality of life for people living independently with dementia. Conclusion Meaningful connections with the natural world offer far more than a ‘breath of fresh air’. When support mechanisms are in place, engaging with the natural world can be a valuable arena for enablement and continuity, providing a sense of connectedness to self, place and others.

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Section: Discussionmentioning

confidence: 99%

Me, myself, and nature: living with dementia and connecting with the natural world – more than a breath of fresh air? A literature review

2022

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“…To initiate this stimulus, staff usually turn on the radio, which represents a kind of dementia-specific intervention or serves as the beginning of a music group activity. The fact that these intersections between built and social environments have impacts and potential for people with dementia at home has already been explored [42]. Sun (2020) also reported that raters attribute or exclude different aspects of the built environment when testing the S-EAT [43].…”

Section: Built Vs Social Environmentmentioning

confidence: 99%

Feasibility, Interrater Reliability and Internal Consistency of the German Environmental Audit Tool (G-EAT)

Fahsold

Schmüdderich

Verbeek

et al. 2022

IJERPH

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Dementia-specific environmental design has the potential to positively influence capabilities for daily living and quality of life in people with dementia living in nursing homes. To date, no reliable instrument exists for systematically assessing the adequacy of these built environments in Germany. This study aimed to test the adapted version of the Environmental Audit Tool—High Care (EAT-HC)—the German Environmental Audit Tool (G-EAT)—with regard to its feasibility, interrater reliability and internal consistency. The G-EAT was applied as a paper-pencil version in the German setting; intraclass correlation coefficients at the subscale level ranged from 0.662 (III) to 0.869 (IV), and 42% of the items showed at least substantial agreement (Cohen’s kappa ≥ 0.60). The results indicate the need to develop supplementary material in a manual that illustrates the meaning of the items and practical implications regarding dementia-specific environmental design. Furthermore, the intersectionality of built and physical environments must be considered when interpreting G-EAT results in future research and applications to residential long-term care practice.

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“…Environmental design also complemented organisational objectives, achieving greater community engagement through spontaneous community interactions. The initiatives we visited conceptualised intergenerational care practice as an ongoing community project, a form of community building expressing the continuing abilities of people with dementia Plate 5 Kame Kitchen (Thang and Kaplan, 2013;Sturge et al, 2021). The intergenerational approaches adopted across all four organisations emphasise the continuing capabilities, capacities and competencies of people living with dementia, being both beneficiaries of intergenerational encounters as well as generating benefits for others (Ward et al, 2018).…”

Section: Promoting Intergenerational Activitiesmentioning

confidence: 99%

The role of environmental design in enabling intergenerational support for people with dementia – what lessons can we learn from Japan

Gibson

Quirke

Lovatt

2022

WWOP

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Purpose Japan, the world’s “oldest” society, has adopted intergenerational care programmes as one solution to the challenges of caring for its growing population of people living with dementia. Many countries are drawing inspiration from these intergenerational programmes, but research exploring factors influencing intergenerational care practice and how far these programmes can be translated in other countries is more limited. This paper aims to explore how environmental design features are used to support intergenerational initiatives in Japan. By examining four case studies, the paper illustrates how intergenerational engagement can be enabled and supported through environmental design. Design/methodology/approach The research adopts a qualitative methodology, using observations, workshops and photographic elicitations within four case study sites: two residential care facilities, a community centre and supported housing scheme and a restaurant staffed by people with dementia. Findings Two key themes emerge: encouraging community engagement through intergenerational shared spaces, and the role of intergenerationality in supporting social and economic participation. The paper concludes with a discussion of some of the key principles through which other countries can translate lessons gained from the Japanese experience of intergenerational programmes into their own health and social care systems. Originality/value This paper provides international evidence of the role environmental design plays in supporting the development of intergenerational relationships among people with dementia and the wider community. Intergenerational engagement is community engagement; therefore, promoting community engagement is essential to promoting intergenerational care practice. Environmental design can play a key role in providing affordances through which such relationships can develop.

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Features of the social and built environment that contribute to the well-being of people with dementia who live at home: A scoping review

Cited by 41 publications

References 67 publications

Me, myself, and nature: living with dementia and connecting with the natural world – more than a breath of fresh air? A literature review

Me, myself, and nature: living with dementia and connecting with the natural world – more than a breath of fresh air? A literature review

Feasibility, Interrater Reliability and Internal Consistency of the German Environmental Audit Tool (G-EAT)

The role of environmental design in enabling intergenerational support for people with dementia – what lessons can we learn from Japan

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