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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.

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Abstract

Background/Rationale

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

Methods

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.

Results

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.

Conclusions

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:

6 citations in Scopus
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4 citations in Web of Science®

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ID Code: 37270
Item Type: Journal Article
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 12:05
Last Modified: 03 Feb 2014 08:54

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