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Camino, Julieta, Kishita, Naoko 
ORCID: https://orcid.org/0000-0001-8453-2714, Trucco, Ana P., Khondoker, Mizanur ORCID: https://orcid.org/0000-0002-1801-1635 and Mioshi, Eneida
(2021)
A new and tidier setting: how does environmental clutter affect people with dementia’s ability to perform activities of daily living?
Alzheimer Disease and Associated Disorders, 35 (4).
pp. 335-341.
ISSN 0893-0341
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Abstract
Background: The relationship between the physical environment and the person with dementia’s (PwD) activities of daily living (ADLs) task performance is controversial. Although the general assumption is that this population benefits from their home environment when performing ADLs, very few experimental studies have been conducted to date. Objectives: The aim was to investigate the influence of the environment (home vs. Research-lab) and the role of clutter on ADL performance. Methods: Sixty-five PwD were evaluated with a performance-based ADL assessment (at home and clutter-free Research-lab). Paired t tests compared ADL performance and level of clutter in both environments. Multiple regression analysis investigated factors associated with better ADL performance. Results: Overall, PwD performed better at home even though clutter was significantly lower in the Research-lab. When stratified by dementia stage, PwD in the moderate stage of the disease performed better at home. Conclusion: Absence of clutter in the Research-Lab did not appear to play a beneficial role in ADLs. When stratified by dementia stage, only PwD in the moderate stage appeared to benefit from their home environment when performing ADL tasks. Future studies are required to elucidate the wider role of the environment in supporting engagement in daily activities in different dementia stages.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: This work was supported in part by an Alzheimer's Society project grant to EM (AS-SF-241). This work was also part-funded by the National Institute of Health Research (NIHR) Applied Research Collaboration East of England (ARC EoE) programme. The views expressed are those of the authors, and not necessarily those of the NIHR, NHS or Department of Health and Social Care. |
| Uncontrolled Keywords: | activities of daily living,clutter,dementia,environment,clinical psychology,gerontology,geriatrics and gerontology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3200/3203 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 21 Jul 2021 01:51 |
| Last Modified: | 09 Apr 2024 03:05 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/80660 |
| DOI: | 10.1097/WAD.0000000000000469 |
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