Understanding the Barriers and Enablers to Using Outdoor Spaces in Nursing Homes: A Systematic Review

Berg, Maayken E.L. van den; Winsall, Megan; Dyer, Suzanne M; Breen, Fidelma; Gresham, Meredith; Crotty, Maria

doi:10.1093/geront/gnz055

Cited by 42 publications

(31 citation statements)

References 48 publications

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“…Environmental features such as accessibility of activity rooms, the use of artwork, plants and windows can be important factors influencing physical activity [ 53 ]. Furthermore, the use of outdoor spaces can be facilitated by incorporating environmental features such as seasonal plants and outdoor seating [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

Boer

Bozdemir

Jansen

et al. 2020

IJERPH

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Alternative care environments for regular nursing homes are highly warranted to promote health and well-being of residents with dementia that are part of an age-friendly and dementia-friendly city and society. Insight is lacking on how to translate evidence-based knowledge from theory into a congruent conceptual model for innovation in current practice. This study reports on the co-creation of an alternative nursing home model in the Netherlands. A participatory research approach was used to co-create a conceptual framework with researchers, practitioners and older people following an iterative process. Results indicate that achieving positive outcomes for people with dementia, (in)formal caregivers, and the community is dependent on how well the physical, social and organizational environment are congruently designed. The theoretical underpinnings of the conceptual model have been translated into “the homestead,” which is conceptualized around three main pillars: activation, freedom and relationships. The Homestead Care Model is an illustrative example of how residential care facilities can support the development of age-friendly communities that take into consideration the needs and requirements of older citizens. However, challenges remain to implement radical changes within residential care. More research is needed into the actual implementation of the Homestead Care Model.

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Section: Resultsmentioning

confidence: 99%

The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

Boer

Bozdemir

Jansen

et al. 2020

IJERPH

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“…Based on the research aim, inclusion criteria were set a priori ( Table 1 ). In this study, nursing homes are defined as housing arrangements for older adults who are 65 years and older [ 77 , 78 ] and no longer able to live independently at home. Technology-based interventions are defined as “the use of technology to manage or support health promotion strategies that aim to produce accessible and affordable health solutions to a target audience” [ 79 ].…”

Section: Methodsmentioning

confidence: 99%

Technology-Based Interventions for Nursing Home Residents: Implications for Nursing Home Practice Amid and Beyond the Influence of COVID-19: A Systematic Review Protocol

Su¹,

Meyer²,

Li³

et al. 2020

Preprint

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Background: A growing number of technology-based interventions are used to support the health and quality of life of nursing home residents. The onset of COVID-19 and recommended social distancing policies that followed led to an increased interest in technology-based solutions to provide healthcare and promote health. Yet, there are no comprehensive resources on technology-based healthcare solutions that describe their efficacy for nursing home residents. This systematic review will identify technology-based interventions designed for nursing home residents and describe the characteristics and effects of these interventions concerning the distinctive traits of nursing home residents and nursing facilities. Additionally, this paper will present practical insights into the varying intervention approaches that can assist in the delivery of broad digital health solutions for nursing home residents amid and beyond the impact of COVID-19.Methods: Databases including PubMed, PsycINFO, CINAHL, and Scopus will be used to identify articles related to technology-based interventions for nursing home residents published between January 1st, 2020 to July 7th, 2020. Titles, abstracts, and full-texts papers will be reviewed against the eligibility criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process, and implications for existing interventions and research evaluated by a multidisciplinary research team.Results: NA—protocol studyConclusions: Our study will fill critical gaps in the literature by providing a review of technology-based interventions tested in the nursing home setting. As the older adult population grows, there is an urgent need to identify effective technology-based interventions that can address the distinctive characteristics and preferences of nursing home residents. Clear and comprehensive understanding of how available technology-based health solutions facilitate healthcare for nursing home residents will shed light on the approaches open to residents to fend off the negative health consequences amid and beyond the influence of COVID-19.Systematic Review Registrations: PROSPERO CRD 42020191880

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“…Safety of the residents is an important consideration in the feasibility of using spaces outside the RACF, and the need for supervision can restrict potential feelings of autonomy. 7 For example, in the gardening study, the participants required supervision and there was difficulty in caring for the participants at the same time even though group sizes were limited to two or three. 22 The size of the RACF, and the number of residents, are also factors in the potential for community-based activities to occur.…”

Section: Physiological Outcomesmentioning

confidence: 99%

“…Although it is established that being outdoors reduces stress and anxiety in people with dementia, 6 safe and regular access to meaningful activities outside of the RACF are typically not possible without assistance from family or care staff. 7 Recently, connecting people to their community and the outdoors is becoming an increased focus of aged care models as part of person-centred care principles and dementia-friendly communities. Activities outside of the care setting for older people and people with dementia have the potential to enable them to engage with the broader community, and have sense of community, contribution, belonging and social connectedness.…”

Section: Introductionmentioning

confidence: 99%

Activities outside of the care setting for people with dementia: a systematic review

et al. 2020

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ObjectivesTo summarise the evidence from interventions investigating the effects of out of care setting activities on people with dementia living in residential aged care.DesignA systematic review.MethodsA systematic search of electronic databases (PubMed, PsycINFO, Scopus, Web of Science and the Cochrane Library) was performed to identify intervention trials published from journal inception to January 2020. Controlled trials, or quasi-experimental trials, which measured pre-intervention, post-intervention or during-intervention outcomes, where the participants were required to leave the care setting to participate in an intervention, were eligible for inclusion. Quality appraisal of the studies was performed following the Cochrane Collaboration’s Risk of Bias or Newcastle-Ottawa Scale tools.ResultsOf the 4155 articles screened, 11 articles met the inclusion criteria from 9 different studies. The number of participants in the studies ranged from 6 to 70 people living with dementia and lasted for 3 weeks up to 5 months. The interventions were aquatic exercise, wheelchair cycling, art gallery discussion groups, an intergenerational mentorship programme, horse riding, walking and outdoor gardening. Overall, the studies indicated preliminary evidence of psychological (n=7), physical (n=4) and physiological (n=1) benefits, and all interventions were feasible to conduct away from the aged care facilities. However, the low number of participants in the included studies (n=177), the absence of a control group in all but three studies, and potential for selection bias, limits the generalisability of the findings.ConclusionsActivities outside of the residential aged care setting have the potential to be effective at providing a range of benefits for people living with dementia. Higher quality studies are required to encourage care providers to implement these type of activities in dementia care settings.PROSPERO registration numberCRD42020166518.

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Understanding the Barriers and Enablers to Using Outdoor Spaces in Nursing Homes: A Systematic Review

Cited by 42 publications

References 48 publications

The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

Technology-Based Interventions for Nursing Home Residents: Implications for Nursing Home Practice Amid and Beyond the Influence of COVID-19: A Systematic Review Protocol

Activities outside of the care setting for people with dementia: a systematic review

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