Wandering and the physical environment

Algase, D.L., Beattie, E., Antonakos, C., Beel-Bates, C.A., & Yao, L. (2010) Wandering and the physical environment. American Journal of Alzheimer's Disease and Other Dementias, 25(4), pp. 340-346.

View at publisher



Guided by the need-driven dementia-compromised behavior (NDB) model, this study examined influences of the physical environment on wandering behavior.


Using a descriptive, cross-sectional design, 122 wanderers from 28 long-term care (LTC) facilities were videotaped 10 to 12 times; data on wandering, light, sound, temperature and humidity levels, location, ambiance, and crowding were obtained. Associations between environmental variables and wandering were evaluated with chi-square and t tests; the model was evaluated using logistic regression.


In all, 80% of wandering occurred in the resident’s own room, dayrooms, hallways, or dining rooms. When observed in other residents’ rooms, hallways, shower/baths, or off-unit locations, wanderers were likely (60%-92% of observations) to wander. The data were a good fit to the model overall (LR [logistic regression] χ2 (5) = 50.38, P < .0001) and by wandering type.


Location, light, sound, proximity of others, and ambiance are associated with wandering and may serve to inform environmental designs and care practices.

Impact and interest:

17 citations in Scopus
14 citations in Web of Science®
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 37270
Item Type: Journal Article
Refereed: Yes
Keywords: dimentia, model testing, wandering, observational methods, physical environment, NDB model
DOI: 10.1177/1533317510365342
ISSN: 1533-3175
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Deposited On: 08 Feb 2011 02:05
Last Modified: 02 Feb 2014 22:54

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page