‘It’s good to be useful’: activity provision on green care farms in Norway for people living with dementia

Sudmann, Tobba Therkildsen; Børsheim, Ingebjørg Træland

doi:10.19043/ipdj.7sp.008

Cited by 14 publications

(15 citation statements)

References 20 publications

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“…First, a substantial part of the time was spent on common meals where the attendees enjoyed good wholesome food together with the staff at both types of day care. This confirms studies describing communal meals as one of the main activities in both FDC (Sudmann & Borsheim, 2017) and regular day care (Strandenæs, Lund, & Rokstad, 2018). Another similarity between FDC and regular day care was that about a quarter of the time was used for sitting down.…”

Section: Discussionsupporting

confidence: 88%

“…(2017) also found that unlike regular day care attendees, FDC attendees were active in daily activities, which was understood to reflect the role of the physical and social environment in facilitating participation in activities and collaboration with staff. Another qualitative study found that FDC lead to a sense of community and identity for the attendees, as the everyday setting allowed them to participate in naturally occurring activities by taking on the role as a farm worker or a guest (Sudmann & Borsheim, 2017). This is in line with de Bruin et al.…”

Section: Introductionmentioning

confidence: 99%

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Comparing the care environment at farm‐based and regular day care for people with dementia in Norway—An observational study

Ellingsen-Dalskau

Boer

Pedersen

2020

Health Soc Care Community

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People with dementia should be able to live in the community, and day care services are recommended as a means for people to live in their own homes for as long as possible. In this study we wanted to compare the quality of care at one type of small‐scale day care situated at community farms to regular day care provided in connection with residential care facilities for elderly people. A total of 42 participants from 10 farm‐based day care offers and 46 participants from seven regular day care offers were included. A qualitative observational design using the validated Maastricht Electronic Daily Life Observation tool was used. The data were collected between March and June 2018. Ecological momentary assessments of the activities taking place, level of engagement, physical effort, location, social interaction and mood were conducted while the participants attended their day care offer. The results showed that familiar daily activities were common at farm‐based day care, and a linear mixed model analysis showed that farm‐based day care attendees used more physical effort, spent more time outdoors, had more social interaction and experienced more positive mood compared to regular day care attendees. These findings contribute with valuable information about care provided at different types of day care services, and indicate that farm‐based day care has more activities with the potential to meet the social and activity needs of people with dementia compared to regular day care. There are two main implication of this study. First, regular day care services should focus on including more familiar daily activities found to be important for attendees’ sense of identity and feelings of contributing. Second, regular day care services should utilise the potential of available outdoor areas as time spent outdoors has been found to facilitate physical activity, relaxation, health and well‐being.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Comparing the care environment at farm‐based and regular day care for people with dementia in Norway—An observational study

Ellingsen-Dalskau

Boer

Pedersen

2020

Health Soc Care Community

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“…As such, they differ from regular dementia care environments where lower levels of physical activity and activity engagement, less time spent outdoors, and fewer social interactions have been observed. [35][36]38,39,[42][43][44][45] Furthermore, participants and their family caregivers experience less stigmatizing because of dementia, since the care farm environment is a "normal" non-institutional kind of place. Instead, people with dementia may feel like a volunteer or employee rather than a patient with cognitive and functional impairments.…”

Section: What Are the Benefits Of Dementia Care Provision At Farms Inmentioning

confidence: 99%

“…The studies further reveal that care farms can also promote respite, more personal time, and fewer feelings of guilt among family caregivers. 39,45,46 Based on these studies, it can be concluded that care farms have a wide range of benefits that might affect the health and wellbeing of people with dementia and their family caregivers.…”

Section: What Are the Benefits Of Dementia Care Provision At Farms Inmentioning

confidence: 99%

<p>Care Farming for People with Dementia; What Can Healthcare Leaders Learn from This Innovative Care Concept?</p>

Bruin

Pedersen

Eriksen

et al. 2020

JHL

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There is growing recognition that traditional dementia care models fall short for people with dementia and their family caregivers. This has led to a call for new dementia care approaches. In response to this call, innovations in long-term dementia care are taking place both in the community and in residential care. One of these innovations is the care concept called "care farming." Care farms are farms that combine agricultural activities with care and support services for a variety of client groups, including people with dementia. Although the concept is being implemented in an increasing number of countries, the Netherlands and Norway are still front-runners in providing and researching this innovative dementia care approach. Over the last couple of years, several research projects have been carried out in these countries addressing a wide range of issues related to dementia care provision at care farms and using a wide range of research methods. This paper synthesizes the knowledge that has been generated in these research projects. By sharing the knowledge obtained in the Netherlands and Norway, we hope to inspire leaders in healthcare undertaking similar efforts to innovate care for the increasing number of people with dementia. By providing starting-points for future research, we additionally hope to contribute to a research agenda to further advance the field.

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“…Green care farms that offer nature-based ADS providing these opportunities distinguish themselves from conventional adult day service centers by their non-institutional, homelike character, diversity in activities, opportunities for social interaction and spending time outdoors, and by providing a healthy diet [5,6]. They can also provide relief and reduce feelings of guilt among family caregivers [5,6,7]. Because most people with dementia live in urban areas and transporting them to green care farms, which are usually situated in rural areas is often challenging and costly, it seems worthwhile to establish nature-based services for people with dementia in urban areas as well [3].…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Challenges for the Development of Nature-Based Adult Day Services in Urban Areas for People with Dementia and Their Family Caregivers

Hassink

Vaandrager

Buist

et al. 2019

IJERPH

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Nature-based adult day services (ADSs) for people with dementia (PwD) are well-known in rural areas. In recent years, a number of providers have started offering these services in urban contexts, e.g., in city farms and community gardens, where people with dementia participate in outdoor activities, such as gardening and caring for animals. At the moment, little is known about these services within an urban context, and the aim of this study is to characterize different types of nature-based ADSs in urban areas for PwD living at home, as well as to identify general and specific challenges with regard to the development of different types of ADSs. An inventory was carried out and 17 ADS providers in urban areas were interviewed about their initiatives, settings, client groups, motivations for starting their nature-based ADS, and their experiences with, competences for, and funding of urban nature-based ADS. The interviews were recorded, transcribed verbatim and thematically analyzed. Five types of nature-based ADSs were identified: (1) services offered by social entrepreneurs, (2) nursing homes opening their garden to people with dementia, (3) social care organization setting up nature-based, (4) community garden set up by citizens, and (5) hybrid initiatives. Common activities were gardening, preparing meals, and taking care of farm animals. The main activities organized by nursing homes included sitting and walking in the garden and attending presentations and excursions. General challenges included the availability of green urban spaces and acquiring funding for the nature-based services. Initiatives of social entrepreneurs depended strongly on their commitment. Challenges for nursing homes included a lack of commitment among nursing staff, involvement of PwD living at home and a lack of interaction with the neighborhood. Volunteers played a key role in the initiatives organized by social care organizations and in community gardens. However, it was a major challenge to find volunteers who know enough about care and gardening. Specific challenges for the hybrid types were related to differences in work culture between social entrepreneurs and care organizations. Different types of care-oriented and community-oriented nature-based adult day services in urban areas for people with dementia have been developed, facing different types of challenges. Care oriented initiatives like nursing homes opening their garden focus on risk prevention and their nature-based services tended to be less diverse and stimulating for people with dementia living at home. Collaboration between such care-oriented initiatives with initiatives of other types of organizations or social entrepreneurs can lead to more appealing community-oriented nature-based services.

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‘It’s good to be useful’: activity provision on green care farms in Norway for people living with dementia

Cited by 14 publications

References 20 publications

Comparing the care environment at farm‐based and regular day care for people with dementia in Norway—An observational study

Comparing the care environment at farm‐based and regular day care for people with dementia in Norway—An observational study

<p>Care Farming for People with Dementia; What Can Healthcare Leaders Learn from This Innovative Care Concept?</p>

Characteristics and Challenges for the Development of Nature-Based Adult Day Services in Urban Areas for People with Dementia and Their Family Caregivers

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