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Changes in interactive occupation and social engagement for people with Dementia: Comparing household to traditional nursing home environments in Ireland

Morgan-Brown, M 2013, Changes in interactive occupation and social engagement for people with Dementia: Comparing household to traditional nursing home environments in Ireland , PhD thesis, University of Salford.

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Abstract

AIM: To understand and evaluate the effect of a change from a Traditional Model Unit (TMU) to a Household Model Unit (HMU) for people with dementia, using social engagement and interactive occupation of residents, staff and relatives as outcome measures, in order to make recommendations for future nursing home development. Methods: A mixed methods approach was adopted. Residents, staff and relatives were observed using a snapshot observational method for 11 days pre renovation and 14 days post renovation. Pre renovation interviews with staff (n=25) and relatives (n=22) were contrasted with 19 staff and 14 relatives post renovation interviews. Results: Residents spent more time in the HMU communal living spaces (p≤.001). They were more independently active (p≤.001), more socially engaged (p≤.001) and more involved in interactive occupations (p≤.001). There were significant increases in the time that staff spent in the room (p≤.001), being socially engaged with residents (p≤.001), and performing their work tasks (p≤.001). The data set for relatives was smaller and significance was only achieved in an aggregated grouping engaged and interactive category (p≤.05). Qualitative interview data was used to elaborate on this quantitative data. The interview data was condensed into a multi-component typology of HMU features for future comparison and research. Conclusion: Adopting an HMU environment created behavioural changes in interactive occupation and social engagement of residents, staff and relatives utilizing the main sitting areas. The physical, operation and social environments which created these changes are described in detail. Recommendations are made for nursing home environments and future research.

Item Type: Thesis (PhD)
Uncontrolled Keywords: environment analysis, environment design, alzheimer's disease, residential care
Themes: Built and Human Environment
Schools: Schools > School of the Built Environment
Schools > School of the Built Environment > Centre for Urban Processes, Resilient Infrastructures & Sustainable Environments (UPRISE)
Funders: Non funded research
Depositing User: S Rafiq
Date Deposited: 08 Nov 2013 09:09
Last Modified: 30 Nov 2015 23:54
URI: http://usir.salford.ac.uk/id/eprint/30253

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