Provision of outdoor nature-based activity for older people with cognitive impairment: protocol for a scoping review from the ENLIVEN project

The health and well-being benefits of outdoor nature-based activity are increasingly recognised, but older people with cognitive impairment face significant barriers to access. The ENLIVEN project aims to promote access by gathering evidence and coproducing guidance for activity providers. As part of this project, we conducted a scoping review to characterise the types of outdoor nature-based activity for older people with dementia and other forms of cognitive impairment for which research evidence is available and the range of outcomes is examined. The protocol is available online. We systematically searched relevant databases from 1st January, 2009, to 20th October, 2022, and screened articles against the following criteria: participants were older people aged 65 and above with cognitive impairment arising from dementia or another health condition. The study described the formal provision of outdoor nature-based activity away from the person’s usual place of residence, and at least one outcome of participation in the activity was evaluated. Twenty-eight articles met inclusion criteria, all focused on people with dementia. In most cases, participants were attending day care or living in residential care, and sample sizes ranged from 4 to 136. Activities fell into three groups: green day care (fifteen articles), equine-assisted interventions (seven articles), and community nature-based activities (six articles). Outcome domains explored were connection with nature, activity engagement, impacts on clinical symptoms, functional ability, physical, psychological and social health,, and quality of life. Outdoor nature-based activity can be offered as an opportunity for meaningful occupation to enrich daily life, as a framework for day care provision, or as an intervention to address clinical needs. The evidence base for green day care is relatively established, but the potential for addressing specific clinical needs remains to be explored. The paucity of evidence regarding community provision, especially for those not attending formal care settings, suggests the need for effective knowledge exchange to stimulate initiatives in this area.

show abstract

“…Te PRISMA checklist is available in Supplementary Material. Te review protocol is available online [33].…”

Section: Methodsmentioning

confidence: 99%

Provision of Outdoor Nature-Based Activity for Older People with Cognitive Impairment: A Scoping Review from the ENLIVEN Project

Collins

Owen

Opdebeeck

et al. 2023

Health & Social Care in the Community

Self Cite

View full text Add to dashboard Cite

show abstract

“…They emphasized public health implementation [30 ▪▪ ,31 ▪▪ ] for equity, access, and person-centred care [32 ▪ ,33 ▪ ,34 ▪▪ ,35 ▪▪ ,36 ▪ ,37,38 ▪ ,39 ▪▪ ]. Several frameworks highlighted the role of specific built environmental features, such as outdoor nature-based activity [40 ▪▪ ,41 ▪ ], community-integrated long-term care and housing options [42 ▪▪ ,43 ▪▪ ,44 ▪ ], or regional influences [45 ▪ ,46 ▪ ,47,48 ▪ ,49 ▪▪ ,50 ▪ ,51 ▪ ]. Others focused on the arts, digital technologies, and other cognitive stimuli in community settings [52 ▪ ,53 ▪▪ ,54 ▪ ,55 ▪ ,56 ▪ ].…”

Section: Resultsmentioning

confidence: 99%

Dementia care and prevention in community settings: a built environment framework for cognitive health promotion

Gan,

Mann,

Chaudhury

2023

Current Opinion in Psychiatry

View full text Add to dashboard Cite

Purpose of review Most people with dementia live in the community. As lifespan increases, one in three persons aged 85+ are expected to live with dementia. We conduct a systematic search to identify frameworks for dementia care and prevention in community settings. This is important to ensure quality of life for people living with cognitive decline (PLCD). Recent findings 61 frameworks are synthesized into the dementia care and prevention in community (DCPC) framework. It highlights three levels of provision: built environment and policy supports, access and innovation, and inclusion across stages of decline. Domains of intervention include: basic needs; built environment health and accessibility; service access and use; community health infrastructure; community engagement; mental health and wellbeing; technology; end-of-life care; cultural considerations; policy, education, and resources. Personhood is not adequately represented in current built environment frameworks. This is supplemented with 14 articles on lived experiences at home and social practices that contribute to PLCD's social identity and psychological safety. Summary Policy makers, health and built environment professionals must work together to promote “personhood in community” with PLCD. Clinicians and community staff may focus on inclusion, social identity and a sense of at-homeness as attainable outcomes despite diagnosis.

show abstract

References

2023

Occupational Therapy With Older People Into the Twenty-First Century

View full text Add to dashboard Cite

show abstract

Provision of outdoor nature-based activity for older people with cognitive impairment: protocol for a scoping review from the ENLIVEN project

Cited by 3 publications

References 12 publications

Provision of Outdoor Nature-Based Activity for Older People with Cognitive Impairment: A Scoping Review from the ENLIVEN Project

Provision of Outdoor Nature-Based Activity for Older People with Cognitive Impairment: A Scoping Review from the ENLIVEN Project

Dementia care and prevention in community settings: a built environment framework for cognitive health promotion

References

Contact Info

Product

Resources

About