Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Morgan-Brown, M
Languages: English
Types: Doctoral thesis
Subjects: built_and_human_env
AIM: To understand and evaluate the effect of a change from a Traditional Model Unit \ud (TMU) to a Household Model Unit (HMU) for people with dementia, using social \ud engagement and interactive occupation of residents, staff and relatives as outcome \ud measures, in order to make recommendations for future nursing home development.\ud Methods: A mixed methods approach was adopted. Residents, staff and relatives were \ud observed using a snapshot observational method for 11 days pre renovation and 14 days \ud post renovation. Pre renovation interviews with staff (n=25) and relatives (n=22) were \ud contrasted with 19 staff and 14 relatives post renovation interviews.\ud Results: Residents spent more time in the HMU communal living spaces (p≤.001). They \ud were more independently active (p≤.001), more socially engaged (p≤.001) and more \ud involved in interactive occupations (p≤.001). \ud There were significant increases in the time that staff spent in the room (p≤.001), being \ud socially engaged with residents (p≤.001), and performing their work tasks (p≤.001). \ud The data set for relatives was smaller and significance was only achieved in an aggregated \ud grouping engaged and interactive category (p≤.05). \ud Qualitative interview data was used to elaborate on this quantitative data. The interview \ud data was condensed into a multi-component typology of HMU features for future \ud comparison and research. \ud Conclusion: Adopting an HMU environment created behavioural changes in interactive \ud occupation and social engagement of residents, staff and relatives utilizing the main sitting \ud areas. The physical, operation and social environments which created these changes are \ud described in detail. Recommendations are made for nursing home environments and future \ud research.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Weenig, M. W., & Staats, H. (2010). The impact of a refurbishment of two communal spaces in a care home on residents subjective well-being. Journal of Environmental Psychology, 30(4), 542-552.
    • Weisman, G. D., Calkins, M., & Sloane, P. (1994). The environmental context of special care. Alzheimer's Disease and Associated Disorders, 8(1), S308-S320.
    • Weisman, G. D., Cohen, U., & Day, K. (1991). Architectural Planning and Design for Dementia Care Units. In D. H. Coons (Ed.), Specialized Dementia Care Units. Baltimore: The Johns Hopkins University Press.
    • Werezak, L. J., & Morgan, D. G. (2003). Creating a therapeutic psychosocial environment in dementia care. Journal of Gerontological Nursing, 29(12), 18-25.
    • Weyerer, S., Schaufele, M., & Hendlmeier, I. (2010). Evaluation of special and traditional dementia care in nursing homes: Results from a cross-sectional study in Germany. International Journal of Geriatric Psychiatry, 25(11), 1159-1167.
    • Willemse, B. M., de Lange, J., & Pot, A. M. (2011). Nursing home care for people with dementia and residents' quality of life, quality of care and staff well-being: Design of the Living Arrangements for people with Dementia (LAD) study. BMC Geriatrics, 11(11). doi:10.1186/1471-2318-11-11 Wood, W., Harris, S., & Snider, M. P. (2005). Activity situations on an Alzheimer's disease special care unit and resident environmental interactions, time use, and affect. American Journal of Alzheimer's Disease and Other Dementias, 20(2), 105-117.
    • Wood, W., Womack, J., & Hooper, B. (2009). Dying of boredom: An exploratory case study of time use, apparent affect, and routine activity situations on two Alzheimer's Special Care Units. The American Journal of Occupational Therapy, 63(3), 337-350.
    • Yin, R. K. (2003). Case Study Research Design and Methods (3rd ed.). London: Sage Publications.
    • Zarit, S. H., & Leitsch, S. (2001). Developing and evaluating community based intervention programs for Alzheimer's patients and their caregivers. Aging & Mental Health, 5(1), S84- S98.
    • Zeisel, J. (2005). Environment, neuroscience, and Alzheimer's Disease. Alzheimer's Care Quarterly, 6(4), 273-279.
    • Zeisel, J. (2006). Inquiry by Design: Environment / Behavior / Neuroscience in Architecture, Interiors, Landscape, and Planning. Revised Edition. London: W.W. Norton & Company.
    • Zeisel, J., Silverstein, N. M., Hyde, J., Levkoff, S., Lawton, M. P., & Holmes, W. (2003). Environmental correlates to behavioral health outcomes in Alzheimer's Special Care Units. The Gerontologist, 43(5), 697-711.
    • Zimmerman, S. I., & Sloane, P. D. (1999). Optimum residential care for people with dementia. Generations, Fall, 62-68.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article