The influence of the built environment in enacting a household model of residential aged care for people living with a mental health condition: A qualitative post-occupancy evaluation

Carnemolla, Phillippa; Debono, Deborah; Hourihan, Fleur; Hor, Su-yin; Robertson, Hamish; Travaglia, Joanne

doi:10.1016/j.healthplace.2021.102624

Cited by 10 publications

(12 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, this solution seems to be quite widespread (21% of authors, such as [ 125 , 126 , 127 ]). Furthermore, in this case, some authors managed to collect a limited number of responses (e.g., [ 73 , 109 , 128 ], who worked with 8, 16 and 22 responses, respectively). In [ 129 ], they obtained 796 responses, in [ 39 ] they obtained 577, while in [ 55 ] they obtained 556.…”

Section: Resultsmentioning

confidence: 99%

Post-Occupancy Evaluation’s (POE) Applications for Improving Indoor Environment Quality (IEQ)

Lolli

Marinello

Coruzzolo

et al. 2022

Toxics

View full text Add to dashboard Cite

To improve buildings and their characteristics, the feedback provided directly by users is generally fundamental in order to be able to adapt the technical and structural functions to the well-being of users. The post-occupancy evaluation (POE) fits perfectly into this context. The POE, through qualitative and quantitative information on the interior environment, makes it possible to identify the differences between the performances modeled in the design phase and the real performances experienced by the occupants. This review of 234 articles, published between 2006 and 2022, aims to analyze and compare the recent literature on the application of the POE methodology. The aim was to provide both a qualitative and quantitative assessment of the main factors that comprise the indoor environmental quality (IEQ). The study highlighted the factors that comprise the quality of the indoor environment, as well as the variables that are usually analyzed to describe the well-being of the occupants. The results suggested which are the most common approaches in carrying out POE studies and will identify the factors that most influence the determination of the good quality of an indoor environment.

show abstract

Section: Resultsmentioning

confidence: 99%

Post-Occupancy Evaluation’s (POE) Applications for Improving Indoor Environment Quality (IEQ)

Lolli

Marinello

Coruzzolo

et al. 2022

Toxics

View full text Add to dashboard Cite

show abstract

“…Tools to plan and assess the physical environment have lagged theory and practice and are particularly deficient regarding best design practices. As noted by Carnemolla and colleagues (2021) , “While the quality of the built environment in aged care settings is beginning to be given greater consideration than in the past, little research has been undertaken example the design and the nature of newer aged care settings, including their built environments, and how these affect caregiving practices” (p. 1). The EASE tool represents the next generation of environmental assessment measures that capture an evidence-based approach for PCC priorities in long-term care living settings.…”

Section: Discussionmentioning

confidence: 99%

“…The architecture and interior features are scaled down and designed to focus primarily on replicating a residential environment with the goal of resident autonomy and quality of life ( Abushousheh et al, 2011 ; Proffitt et al, 2010 ; see Figure 2 ). Households (HHs) are defined as a small group of residents who live together in a clearly defined setting that has a front door and contains a functional kitchen, a dining room, and a living room ( Ahmed et al, 2019 ; Carnemolla et al, 2021 ; Shields & Norton, 2006 ). The composition of these living areas (LAs) can vary but one of the first distinctions as a HH (beyond the small size of 10–12) is the proximity of resident bedrooms to the social spaces ( Kaup, 2003 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…It is argued here that PCC, in general, and the HH design of long-term care settings, in particular, are interventions that are being implemented for individuals living with dementia and others in long-term care settings. To evaluate these interventions, it is necessary to have appropriate tools to assess the elements of the environmental design of the HH model, which embody the values of PCC ( Bozarth & Bradley, 1986 ; Carnemolla et al, 2021 ; Fazio et al, 2018 ). Thus, the proximal goal of this phase of the development of the EASE was to systematically assess the reliability and validity of the tool, which would be followed by a phase deriving the factorial structure of the tool.…”

Section: Statement Of the Problemmentioning

confidence: 99%

See 1 more Smart Citation

The Environmental Audit Screening Evaluation: Establishing Reliability and Validity of an Evidence-Based Design Tool

Kaup

Calkins

Davey

et al. 2023

Innovation in Aging

View full text Add to dashboard Cite

Background and Objectives Current assessment tools for long-term care environments have limited generalizability or ability to be linked to specific quality outcomes. To discriminate between different care models, tools are needed to assess important elements of the environmental design. The goal of this project was to systematically evaluate the reliability and validity of the Environmental Audit Screening Evaluation (EASE) tool to better enable identification of best models in long-term care design to maintain quality of life for persons with dementia and their caregivers. Research Design and Methods Twenty-eight living areas (LAs) were selected from 13 sites similar in organizational/operational commitment to person-centered care but with very different LA design. LAs were stratified into three categories (traditional, hybrid, and household) based primarily on architectural/interior features. Three evaluators rated each LA using the Therapeutic Environment Screening Scale (TESS-NH), Professional Environmental Assessment Protocol (PEAP), Environmental Audit Tool (EAT-HC) and EASE. One of each type of LA was reassessed approximately one month after the original assessment. Results EASE scores were compared against the scores of three existing tools to evaluate its construct validity. The EAT-HC was most closely related to the EASE r=0.88). The PEAP and the TESS-NH were less correlated to the EASE (r=0.82 and 0.71, respectively). Analysis of variance indicated that the EASE distinguished between traditional and homelike settings (0.016), but not hybrid LAs. Inter-rater and inter-occasion reliability and agreement of the EASE were consistently high. Discussion and Implications Neither of the two US-based existing environmental assessment tools (PEAP and TESS-NH) discriminated between the three models of environments. The EAT-HC was most closely aligned with the EASE and performed similarly in differentiating between the traditional and household models, but dichotomous scoring of the EAT-HC fails to capture environmental nuances. The EASE tool is comprehensive and accounts for nuanced design differences across settings.

show abstract

“…It can be a barrier or an enabler for people ( 17 ). The built environment can support purposeful activity and quality of life, especially for people with dementia ( 18 , 19 ). Examples include the design of the indoor and outdoor environment, the privacy of rooms or the furnishing of communal areas.…”

Section: Introductionmentioning

confidence: 99%

How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm

Rosteius

Boer

Staudacher

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

Green Care Farms (GCF) are innovative long-term care environments and an alternative to regular nursing homes in the Netherlands. Following a culture change movement, GCFs have radically altered the care environment. Research suggests positive effects on residents. However, knowledge is limited regarding their physical, social and organizational environment. This article explores the care environment of 24-h GCFs for people with dementia and its impact on residents and their daily life. An ethnographic study using mixed methods was carried out at a GCF in the Netherlands between June and October 2021. Researchers lived on the GCF and completed 28 days of participatory observations in three groups. During the day, informal conversations were held with residents (n = 48), staff and family members. Twenty four semi-structured interviews were conducted with residents, their family members, staff and the managers, complemented by a focus group with staff. The physical environment was additionally assessed with the OAZIS-dementia tool. Data collection methods informed each other. Qualitative data was thematically analyzed, quantitative data descriptively. Four themes were identified as crucial during daily life on the GCF: stimulating the senses, engaging in purposeful activities, sharing responsibilities and creating a community in a new home. Realizing these topics in practice, physical, social and organizational environmental components were highly interrelated. The physical environment encouraged and facilitated meaningful in-/outdoor activities and social encounters. The organizational environment supported the use of the physical environment by aligning processes and transporting the vision. The social environment focused on collaboration and creating a home-like atmosphere by including residents in household- and farm chores. This community-building led to more meaningful activities and social interaction. In conclusion, this study revealed the central influence of the management in paving the way for a new form of care delivery. As leaders shape the three environments, the organization influences the design of the physical environment and the actions taking place within it. By creating a community, the care home benefits residents, their families and staff equally. The conscious interrelation and harmonization of the physical, social and organizational components of a long-term care environment has the potential to improve the daily life of residents.

show abstract

The influence of the built environment in enacting a household model of residential aged care for people living with a mental health condition: A qualitative post-occupancy evaluation

Cited by 10 publications

References 42 publications

Post-Occupancy Evaluation’s (POE) Applications for Improving Indoor Environment Quality (IEQ)

Post-Occupancy Evaluation’s (POE) Applications for Improving Indoor Environment Quality (IEQ)

The Environmental Audit Screening Evaluation: Establishing Reliability and Validity of an Evidence-Based Design Tool

How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm

Contact Info

Product

Resources

About