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] chi(2) (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.
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] chi(2) (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.
Authors: Mariya A Kovaleva; Elizabeth Bilsborough; Patricia C Griffiths; Joe Nocera; Melinda Higgins; Fayron Epps; Katie Kilgore; Allison Lindauer; Darby Morhardt; Raj C Shah; Kenneth Hepburn Journal: Res Nurs Health Date: 2018-02-05 Impact factor: 2.228
Authors: Pazit Levinger; Anita M Y Goh; Jeremy Dunn; Josephine Katite; Ritu Paudel; Adrian Onofrio; Frances Batchelor; Maya G Panisset; Keith D Hill Journal: Pilot Feasibility Stud Date: 2022-03-22
Authors: Ingrid Goudriaan; Leonieke C van Boekel; Marjolein E A Verbiest; Joost van Hoof; Katrien G Luijkx Journal: Clin Interv Aging Date: 2021-05-24 Impact factor: 4.458
Authors: Chern Yi Marybeth Chang; Waqaar Baber; Tom Dening; Jennifer Yates Journal: Int J Environ Res Public Health Date: 2021-06-11 Impact factor: 3.390
Authors: Clara Weber; Virna Monero Flores; Theresa Poppy Wheele; Elke Miedema; Emma Victoria White Journal: Front Psychiatry Date: 2022-01-03 Impact factor: 4.157