International journal of environmental research and public health/International journal of environmental research and public health, Mar 5, 2024
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4... more This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for noncommercial purposes, subject to full attribution.
Contents The story Discussion of designing for people living with dementia may be facilitated by ... more Contents The story Discussion of designing for people living with dementia may be facilitated by a shared understanding of the role of principles, design approaches and design details in linking the overarching goal of affording dignity to people with dementia to the construction of enabling buildings. There is an extensive knowledge base to guide us but much of it is based on research and experience in residential care in high income countries. The knowledge that we have, owes much to the pioneers who began to change the treatment oriented paradigm to one focussed on wellness and engagement. Designing for people living with dementia is not only about the incremental accumulation of knowledge; individual flair, passion and inspiration play an important part. At this stage the available knowledge is not being applied in the great majority of countries planning to improve the care of people living with dementia. There is a strong case to have it included in National Dementia Plans.
Twenty-minute neighbourhoods highlight the importance of well-connected and mixed-used neighbourh... more Twenty-minute neighbourhoods highlight the importance of well-connected and mixed-used neighbourhoods and communities with proximate access to employment, essential services, public transport, and open spaces. Shorter distances together with re-prioritised public spaces encourage more active transport choices, resulting in public health benefits and reduced environmental pollution. Higher liveability brought about by mixed-use developments enables people to have equitable access to local facilities, amenities, and employment opportunities, promoting vibrancy, social cohesion, and intergenerational connections. The attributes of 20-minute neighbourhoods also combine to create places, that are acknowledged as friendly for all ages, address changing needs across the life course, and provide better support for the ageing population. Furthermore, there are indications that 20-minute neighbourhoods may be more resilient against many of the negative impacts of stringent public health proto...
This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4... more This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for noncommercial purposes, subject to full attribution.
The data consists of outputs from the network activity which describe the project and summarise t... more The data consists of outputs from the network activity which describe the project and summarise the lessons learned. Please check related resources.
The term ‘environmental design for dementia’ relates to both the process and outcomes of designin... more The term ‘environmental design for dementia’ relates to both the process and outcomes of designing to support or improve cognitive accessibility in physical environments. Environmental design for dementia is evidenced as an effective nonpharmacological intervention for treatment of the symptoms of dementia and is associated with higher levels of independence and wellbeing for people living with a variety of age-related cognitive, physical, and sensory impairments. Evidence-based dementia design principles have been established as a means of supporting both the design and evaluation of environmental design for dementia.
Contents The story Discussion of designing for people living with dementia may be facilitated by ... more Contents The story Discussion of designing for people living with dementia may be facilitated by a shared understanding of the role of principles, design approaches and design details in linking the overarching goal of affording dignity to people with dementia to the construction of enabling buildings. There is an extensive knowledge base to guide us but much of it is based on research and experience in residential care in high income countries. The knowledge that we have, owes much to the pioneers who began to change the treatment oriented paradigm to one focussed on wellness and engagement. Designing for people living with dementia is not only about the incremental accumulation of knowledge; individual flair, passion and inspiration play an important part. At this stage the available knowledge is not being applied in the great majority of countries planning to improve the care of people living with dementia. There is a strong case to have it included in National Dementia Plans.
It took more than three decades of championing the principles of environmental design for dementi... more It took more than three decades of championing the principles of environmental design for dementia and developing the research evidence base on how the physical environment can support the independence and wellbeing of people with dementia to reach a point where cognitively supportive design should be the default requirement for new and existing long term residential care facilities. It has taken a fraction of that time for an emerging coronavirus to displace concern with residents’ lived experience in favour of strict transmission and infection control measures, forcing a return to more institutionalised and medicalised environments and care practices.
Purpose The independence and well-being of people with dementia can be significantly influenced b... more Purpose The independence and well-being of people with dementia can be significantly influenced by the design of the physical environments around them. Several assessment tools exist to evaluate the dementia design quality of existing residential aged care facilities but, to date, none have been formally identified as suitable for use during the design process. This paper aims to examine the feasibility of re-purposing existing post-occupancy tools for use during the design process, while mapping the influence of design stages on resulting dementia design quality. Design/methodology/approach Literature searches identified audit tools for residential aged care settings. After reliability screening, three tools were analysed in-depth, mapping their suitability for use during the design process. Findings The study confirmed that existing tools can be re-purposed for design stage use and identified that early design stages have a larger influence on overall dementia design quality than ...
A growing majority of people living in Residential Care Facilities (RCFs) for older people have d... more A growing majority of people living in Residential Care Facilities (RCFs) for older people have dementia. Yet the implementation of evidence-based Dementia Design Principles (DDPs), known to reduce symptoms and improve wellbeing, remains limited. This paper reports on the development and application of Plan-EAT, a floorplan-based method of assessing dementia design quality in RCFs. Through the analysis of 34 published architectural exemplars, the method identifies strengths and weaknesses in the layouts of residential care buildings, across 39 assessment criteria organized under 9 DDPs. The paper concludes that the Plan-EAT could benefit architectural practice by providing an evidence-based means of assessing layout planning quality, in both existing cases and emerging RCF design proposals. The findings also highlight the need for care, where reliance is placed on published case studies, to inform the design of dementia supportive environments.
International journal of environmental research and public health/International journal of environmental research and public health, Mar 5, 2024
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4... more This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for noncommercial purposes, subject to full attribution.
Contents The story Discussion of designing for people living with dementia may be facilitated by ... more Contents The story Discussion of designing for people living with dementia may be facilitated by a shared understanding of the role of principles, design approaches and design details in linking the overarching goal of affording dignity to people with dementia to the construction of enabling buildings. There is an extensive knowledge base to guide us but much of it is based on research and experience in residential care in high income countries. The knowledge that we have, owes much to the pioneers who began to change the treatment oriented paradigm to one focussed on wellness and engagement. Designing for people living with dementia is not only about the incremental accumulation of knowledge; individual flair, passion and inspiration play an important part. At this stage the available knowledge is not being applied in the great majority of countries planning to improve the care of people living with dementia. There is a strong case to have it included in National Dementia Plans.
Twenty-minute neighbourhoods highlight the importance of well-connected and mixed-used neighbourh... more Twenty-minute neighbourhoods highlight the importance of well-connected and mixed-used neighbourhoods and communities with proximate access to employment, essential services, public transport, and open spaces. Shorter distances together with re-prioritised public spaces encourage more active transport choices, resulting in public health benefits and reduced environmental pollution. Higher liveability brought about by mixed-use developments enables people to have equitable access to local facilities, amenities, and employment opportunities, promoting vibrancy, social cohesion, and intergenerational connections. The attributes of 20-minute neighbourhoods also combine to create places, that are acknowledged as friendly for all ages, address changing needs across the life course, and provide better support for the ageing population. Furthermore, there are indications that 20-minute neighbourhoods may be more resilient against many of the negative impacts of stringent public health proto...
This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4... more This author accepted manuscript is deposited under a Creative Commons Attribution Noncommercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for noncommercial purposes, subject to full attribution.
The data consists of outputs from the network activity which describe the project and summarise t... more The data consists of outputs from the network activity which describe the project and summarise the lessons learned. Please check related resources.
The term ‘environmental design for dementia’ relates to both the process and outcomes of designin... more The term ‘environmental design for dementia’ relates to both the process and outcomes of designing to support or improve cognitive accessibility in physical environments. Environmental design for dementia is evidenced as an effective nonpharmacological intervention for treatment of the symptoms of dementia and is associated with higher levels of independence and wellbeing for people living with a variety of age-related cognitive, physical, and sensory impairments. Evidence-based dementia design principles have been established as a means of supporting both the design and evaluation of environmental design for dementia.
Contents The story Discussion of designing for people living with dementia may be facilitated by ... more Contents The story Discussion of designing for people living with dementia may be facilitated by a shared understanding of the role of principles, design approaches and design details in linking the overarching goal of affording dignity to people with dementia to the construction of enabling buildings. There is an extensive knowledge base to guide us but much of it is based on research and experience in residential care in high income countries. The knowledge that we have, owes much to the pioneers who began to change the treatment oriented paradigm to one focussed on wellness and engagement. Designing for people living with dementia is not only about the incremental accumulation of knowledge; individual flair, passion and inspiration play an important part. At this stage the available knowledge is not being applied in the great majority of countries planning to improve the care of people living with dementia. There is a strong case to have it included in National Dementia Plans.
It took more than three decades of championing the principles of environmental design for dementi... more It took more than three decades of championing the principles of environmental design for dementia and developing the research evidence base on how the physical environment can support the independence and wellbeing of people with dementia to reach a point where cognitively supportive design should be the default requirement for new and existing long term residential care facilities. It has taken a fraction of that time for an emerging coronavirus to displace concern with residents’ lived experience in favour of strict transmission and infection control measures, forcing a return to more institutionalised and medicalised environments and care practices.
Purpose The independence and well-being of people with dementia can be significantly influenced b... more Purpose The independence and well-being of people with dementia can be significantly influenced by the design of the physical environments around them. Several assessment tools exist to evaluate the dementia design quality of existing residential aged care facilities but, to date, none have been formally identified as suitable for use during the design process. This paper aims to examine the feasibility of re-purposing existing post-occupancy tools for use during the design process, while mapping the influence of design stages on resulting dementia design quality. Design/methodology/approach Literature searches identified audit tools for residential aged care settings. After reliability screening, three tools were analysed in-depth, mapping their suitability for use during the design process. Findings The study confirmed that existing tools can be re-purposed for design stage use and identified that early design stages have a larger influence on overall dementia design quality than ...
A growing majority of people living in Residential Care Facilities (RCFs) for older people have d... more A growing majority of people living in Residential Care Facilities (RCFs) for older people have dementia. Yet the implementation of evidence-based Dementia Design Principles (DDPs), known to reduce symptoms and improve wellbeing, remains limited. This paper reports on the development and application of Plan-EAT, a floorplan-based method of assessing dementia design quality in RCFs. Through the analysis of 34 published architectural exemplars, the method identifies strengths and weaknesses in the layouts of residential care buildings, across 39 assessment criteria organized under 9 DDPs. The paper concludes that the Plan-EAT could benefit architectural practice by providing an evidence-based means of assessing layout planning quality, in both existing cases and emerging RCF design proposals. The findings also highlight the need for care, where reliance is placed on published case studies, to inform the design of dementia supportive environments.
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