Skip to main content

Impact of Care Home Design on Wellbeing and Social Connections of People with Dementia During the COVID-19 Pandemic

  • Conference paper
  • First Online:
Dementia Lab 2022: The Residue of Design (D-Lab 2022)

Part of the book series: Design For Inclusion ((DFI,volume 3))

Included in the following conference series:

  • 357 Accesses

Abstract

The functionality, well-being, and quality of life of people living with dementia can be positively impacted by careful environmental design. As a consequence of the COVID-19 outbreak, sudden rearrangements were made in the social and physical environment of dementia care residents. The present study aimed to explore the lessons learned regarding the design and use of the built environment during the COVID-19 lockdown and to find how the built environment might contribute positively to improved well-being, and social and physical connection of dementia care residents in the future. In a mixed-method explorative study, social-physical aspects of the built environment that influence quality of life during the COVID-19 pandemic were explored. In general, buildings with a spacious layout and flexible use of spaces contribute to a higher quality of life and level of resident well-being, improved infection control, greater resilience, and enhances social and physical contact. Currently, the buildings of many care facilities are not designed to accommodate a severely infectious disease outbreak. Additionally, nursing staff have learned the importance of attending to the number of stimuli in the social and built environment and attuning these to individual, instead of group needs. Our findings indicate there is a need for designing and building spacious long-term dementia care facilities that allow for flexible, social and personalized appropriation of spaces.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ferdous F, Moore KD (2015) Field observations into the environmental soul: spatial configuration and social life for people experiencing dementia. Am J Alzheimer’s Dis Other Dement 30(2):209–218. https://doi.org/10.1177/1533317514545378

    Article  Google Scholar 

  2. Suárez-González A, Rajagopalan J, Livingston G, Alladi S (2021) The effect of Covid-19 isolation measures on the cognition and mental health of people living with dementia: a rapid systematic review of one year of quantitative evidence. EClinicalMedicine, 39. https://doi.org/10.1016/j.eclinm.2021.101047

  3. Cruz JS (n.d). Facility design improves dementia resident’s social-well-being. Retrieved from https://www.todaysgeriatricmedicine.com/news/ex_082117.shtml

  4. Ferdous F (2020) Positive social interaction by spatial design: a systematic review of empirical literature in memory care facilities for people experiencing dementia. J Aging Health 32(9):949–961. https://doi.org/10.1177/0898264319870090

    Article  Google Scholar 

  5. Woodbridge R, Sullivan MP, Harding E, Crutch S, Gilhooly KJ, Gilhooly M, McIntyre A, Wilson L (2018) Use of the physical environment to support everyday activities for people with dementia: a systematic review. Dementia (London, England) 17(5):533–572. https://doi.org/10.1177/1471301216648670

    Article  Google Scholar 

  6. Zeisel J, Silverstein NM, Hyde J, Levkoff S, Lawton MP, Holmes W (2003) Environmental correlates to behavioral health outcomes in Alzheimer’s special care units. Gerontologist 43(5):697–711. https://doi.org/10.1093/geront/43.5.697

    Article  Google Scholar 

  7. Kuboshima Y, McIntosh J, Thomas G (2018) The design of local-authority rental housing for the elderly that improves their quality of life. Buildings 8(5), 71:1–13. https://doi.org/10.3390/buildings8050071

  8. Marquardt G, Bueter K, Motzek T (2014) Impact of the design of the built environment on people with dementia: an evidence-based review. HERD 8(1):127–157. https://doi.org/10.1177/193758671400800111

    Article  Google Scholar 

  9. Dawson A, Berta WB, Morton-Chang F, Palmer L, Quirke M (2020) Long term care and the coronavirus pandemic: A new role for environmental design in a changing context. In: Fleming R, Zeisel J, Arch KKB (eds) World Alzheimer Report 2020: Design, Dignity, Dementia: Dementia-related design and the built environment, vol 1. Alzheimer’s Disease International, London, UK, pp 9–10

    Google Scholar 

  10. Inzitari M, Risco E, Cesari M, Buurman BM, Kuluski K, Davey V, Bennett L, Verela J, Bettger JP (2020) Nursing homes and long term care after COVID-19: a new era? J Nutr Health Aging 24:1042–1046. https://doi.org/10.1007/s12603-020-14478

    Article  Google Scholar 

  11. Rajan S, Mckee M (2020) Learning from the impacts of COVID-19 on care homes: a pilot survey. LTCcovid. International Long-Term Care Policy Network, CPEC-LSE. Retrieved from https://ltccovid.org/wp-content/uploads/2020/06/Learning-from-the-Impactof-COVID-on-care-homes-in-England_a-pilot-study_Srajan_.pdf

  12. Roberts E, Carter HC (2020) Making the case for centralized dementia care through adaptive reuse in the time of COVID-19. J Health Care Organ, Provis, Financ 57:1–6. https://doi.org/10.1177/0046958020969305

    Article  Google Scholar 

  13. Calkins MP (2018) From research to application: supportive and therapeutic environments for people living with dementia. Gerontologist 58(1):114–128. https://doi.org/10.1093/geront/gnx146

    Article  Google Scholar 

  14. Chaudhury H, Cooke HA, Cowie H, Razaghi L (2018) The influence of the physical environment on residents with dementia in long-term care settings: a review of the empirical literature. Gerontologist 58(5):325–337. https://doi.org/10.1093/geront/gnw259

    Article  Google Scholar 

  15. Van Hoof J, Kort HSM, van Waarde H, Blom MM (2010) Environmental interventions and the design of homes for older adults with dementia: An overview. Am J Alzheimer’s Dis Other Dementia’s 25(3):202–232. https://doi.org/10.1177/1533317509358885

    Article  Google Scholar 

  16. De Boer B, Bozdemir B, Jansen J, Hermans M, Hamers JPH, Verbeek H (2021) The homestead: developing a conceptual framework through co-creation for innovating long-term dementia care environments. Int J Environ Res Public Health 18(1), 57:1–17. https://doi.org/10.3390/ijerph18010057

  17. Fleming R, Purandare N (2010) Long-term care for people with dementia: environmental design guidelines. Int Psychogeriatr 22(7):1084–1096. https://doi.org/10.1017/S1041610210000438

    Article  Google Scholar 

  18. Jao Y, Liu W, Chaudhury H, Parajuli J, Holmes S, Galik E (2021) Functionfocused person-environment fit for long-term care residents with dementia: impact on apathy. Gerontologist 61(3):413–424. https://doi.org/10.1093/geront/gnaa111

    Article  Google Scholar 

  19. Oswald F, Wahl H, Schilling O, Nygren C, Fänge A, Sixsmith A, Sixsmith J, Széman Z, Tomsone S, Iwarsson S (2007) Relationships between housing and healthy aging in very old age. Gerontologist 47(1):96–107. https://doi.org/10.1093/geront/47.1.96

    Article  Google Scholar 

  20. Cassidy T (1997) Environmental psychology: behaviour and experience in context. Psychology Press, East Sussex, UK

    Google Scholar 

  21. Whyte WH (1980) The social life of small urban spaces. Conservation Foundation, Washington, D.C.

    Google Scholar 

  22. Geboy L (2009) Linking person-centered care and the physical environment: 10 design principles for elder and dementia care staff. Alzheimer’s Care Today 10(4):228–231. https://doi.org/10.1097/ACQ.0b013e3181bef153

    Article  Google Scholar 

  23. Day K, Carreon D, Stump C (2000) The therapeutic design of environments for people with dementia: a review of the empirical research. Gerontologist 40(4):397–416. https://doi.org/10.1093/geront/40.4.397

    Article  Google Scholar 

  24. Chau H, Newton C, Woo CMM, Ma N, Wang J, Aye L (2018) Design lessons from three Australian dementia support facilities. Buildings 8(5), 67:1–14. https://doi.org/10.3390/buildings8050067

  25. Gleeson M, Timmins F (2004) Touch: a fundamental aspect of communication with older people experiencing dementia. Nurs Older People (through 2013) 16(2):18

    Google Scholar 

  26. IJsselsteijn W, Tummers-Heemels A, Brankaert R (2020) Warm technology: a novel perspective on design for and with people living with dementia. In: Brankaert R, Kenning G (eds) HCI and Design in the Context of Dementia. Springer, Cham, Switzerland, pp 33–47

    Google Scholar 

  27. De Boer B, Hamers JPH, Zwakhalen SMG, Beerens HC, Verbeek H (2016) Maastricht electronic daily life observation tool: Handleiding. In: Maastricht, The Netherlands: Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Universiteit Maastricht

    Google Scholar 

  28. De Boer B, Beerens HC, Zwakhalen SMG, Tan FES, Hamers JPH, Verbeek H (2016) Daily lives of residents with dementia in nursing homes: development of the Maastricht electronic daily life observation tool. Int Psychogeriatr 28(8):1333–1343. https://doi.org/10.1017/S1041610216000478

    Article  Google Scholar 

  29. De Boer B, Hamers JPH, Zwakhalen SMG, Tan FES, Beerens HC, Verbeek H (2017) Green care farms as innovative nursing homes, promoting activities and social interaction for people with dementia. J Am Med Dir Assoc 18(1):40–46. https://doi.org/10.1016/j.jamda.2016.10.013

    Article  Google Scholar 

  30. Coppelmans AAEM (2018) The effect of doorsteps and uneven floors on elderly with dementia at Ouderenlandgoed Grootenhout. [Unpublished undergraduate thesis]. Eindhoven University of Technology

    Google Scholar 

  31. Zeisel J (1984) Observing Physical Traces. In: Zeisel J (ed) Inquiry by design: Tools for environment-behavior research. Cambridge University Press, New York, NY, pp 89–136

    Google Scholar 

  32. Coppelmans AAEM (2021) The role of the built environment in quality of life of people living with dementia during the covid-19 pandemic. [Master’s thesis, Eindhoven University of Technology]. Eindhoven University of Technology Repository. https://research.tue.nl/en/studentTheses/the-role-of-the-built-environment-in-quality-of-life-of-people-li

  33. Boeije H (2005) Bijlage: Stappenplan kwalitatief onderzoek. In: H Boeije (ed), Analyseren in kwalitatief onderzoek. Amsterdam Boom Onderwijs, Amsterdam, The Netherlands, pp 1–15

    Google Scholar 

  34. Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101. https://doi.org/10.1191/1478088706qp063oa

    Article  Google Scholar 

  35. Barbarino P (2020) Foreword. In: Fleming R, Zeisel J, Arch KBB (eds) World Alzheimer Report 2020: Design, Dignity, Dementia: Dementia-related design and the built environment, vol 1. Alzheimer’s Disease International, London, UK, pp 9–10

    Google Scholar 

  36. McCormack B, McCance T (2010) Person-centered nursing: theory and practice. Wiley-Blackwell, Oxford, United Kingdom

    Google Scholar 

  37. Appleton J (1984) Prospects and refuges re-visited. Landsc J 3(2):91–103. Reprinted: Appleton J (1988) Prospects and refuges re-visited. In: Nasar JL (ed) Environmental aesthetics: Theory, research, and applications. Cambridge University Press, pp 27–44

    Google Scholar 

  38. Eijkelenboom A, Verbeek H, Felix E, van Hoof J (2017) Architectural factors influencing the sense of home in nursing homes: an operationalization for practice. Front Arch Res 6(2):111–122. https://doi.org/10.1016/f.foar.2017.02.004

    Article  Google Scholar 

  39. Van Hoof J, Janssen ML, Heesakkers CMC, van Kersbergen W, Severijns LEJ, Willems LAG, Marston HR, Janssen BM, Nieboer ME (2016) The importance of personal possessions for the development of a sense of home of nursing home residents. J Hous Elder 30(1):35–51. https://doi.org/10.1080/02763893.2015.1129381

    Article  Google Scholar 

  40. Olson NL, Albensi BC (2021) Dementia-friendly “design”: Impact on COVID-19 death rates in long-term care facilities around the world. J Alzheimer’s Dis 81(2):427–450. https://doi.org/10.3233/JAD-210017

    Article  Google Scholar 

  41. Ferdous F (2021) Redesigning memory care in the COVID-19 era: Interdisciplinary spatial design interventions to minimize social isolation in older adults. J Aging Soc Policy 33(4–5):555–569. https://doi.org/10.1080/08959420.2021.1924345

    Article  Google Scholar 

  42. Torrington J (2006) What has architecture got to do with dementia care? Explorations of the relationship between quality of life and building design in two EQUAL projects. Qual Ageing Older Adults 7(1):34–48. https://doi.org/10.1108/14717794200600006

    Article  Google Scholar 

  43. Ministerie van Volksgezondheid, Welzijn en Sport (2021) Wet zorg en dwang (Wzd). Retrieved from https://www.dwangindezorg.nl/wzd

  44. Douglas C (2021) A world of touch in a no-touch pandemic: living with dementia in a care facility during COVID-19. Anthropology in Action 28(1):8–15

    Article  Google Scholar 

  45. McGlone F, Vallbo AB, Olausson H, Loken L, Wessberg J (2007) Discriminative touch and emotional touch. Can J Exp Psychol 61(3):173–183. https://doi.org/10.1037/cjep2007019

    Article  Google Scholar 

  46. McGlone F, Wessberg J, Olausson H (2014). Discriminative and affective touch: sensing and feeling. Neuron. Cell Press. https://doi.org/10.1016/j.neuron.2014.05.001

  47. Anderson DC, Grey T, Kennelly S, O’Neill D (2020) Nursing home design and COVID-19: Balancing infection control, quality of life, and resilience. J Am Med Dir Assoc 21(11):1519–1524. https://doi.org/10.1016/j.jamda.2020.09.005

    Article  Google Scholar 

  48. Luijkx K, Janssen M, Stoop A, Van Boekel L, Verbiest M (2021) Involve residents to ensure person-centered nursing home care during crises like the COVID-19 outbreak. In: Aarts E, Fleuren H, Sitskoorn M, Wilthagen T (eds) The new common: How the COVID-19 pandemic is transforming society. Springer, Cham, Switzerland, pp 145–151

    Chapter  Google Scholar 

  49. Van Buuren L, Mohammadi M, Guerra-Santin O (2019) Evaluating three validation methods for an architectural intervention for seniors with dementia in the empathic design framework: a case study. In: Brankaert R, IJsselsteijn W (eds) Dementia Lab 2019. Making Design Work: Engaging with Dementia in Context—4th Conference, D-Lab 2019, Proceedings (Communications in Computer and Information Science), vol 1117. Springer, pp 24–34. https://doi.org/10.1007/978-3-030-33540-3_3

  50. Zimmerman S, Dumond-Stryker C, Tandan M, Preisser JS, Wretman CJ, Howell A, Ryan S (2021) Nontraditional small house nursing homes have fewer COVID-19 cases and deaths. J Am Dir Assoc 22(3):489–493. https://doi.org/10.1016/j.jamda.2021.01.069

    Article  Google Scholar 

  51. Heerwagen JH, Orians GH (1993) Humans, habitats, and aesthetics. In: Kellert SR, Wilson EO (eds) The Biophilia Hypothesis. Island Press, Washington, D.C., pp 138–172

    Google Scholar 

  52. Kaplan R, Kaplan S (1989) The experience of nature: a psychological perspective. Cambridge University Press, New York

    Google Scholar 

  53. Ulrich RS (2002) Health benefits of gardens in hospitals. In: Paper for conference, Plants for People International Exhibition Floriade, vol 17, 5th edn, p 2010

    Google Scholar 

  54. Fitzpatrick G, Huldtgren A, Malmborg L, Harley D, IJsselsteijn W (2015) Design for agency, adaptivity and reciprocity: reimagining AAL and telecare agendas. In: Wulf V, Schmidt K, Randall D (eds) Designing socially embedded technologies in the real-world. Springer, London, UK, pp 305–338

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ans Tummers-Heemels .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Tummers-Heemels, A., Coppelmans, A., de Kort, Y., IJsselsteijn, W. (2023). Impact of Care Home Design on Wellbeing and Social Connections of People with Dementia During the COVID-19 Pandemic. In: Houben, M., Brankaert, R., Hendriks, N., Wilkinson, A., Morrissey, K. (eds) Dementia Lab 2022: The Residue of Design. D-Lab 2022. Design For Inclusion, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-031-14466-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-14466-0_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14465-3

  • Online ISBN: 978-3-031-14466-0

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics