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The Design of Health Promoting Outdoor Environments for People with Young-Onset Dementia—A Study from a Rehabilitation Garden

Author

Listed:
  • Nina Oher

    (Department of People and Society, Faculty of Landscape Architecture, Horticulture and Crop Production Sciences, Swedish University of Agricultural Sciences (SLU), Alnarp, P.O. Box 190, 234 22 Lomma, Sweden)

  • Jonna Tingberg

    (Memory Clinic, Skåne University Hospital, 205 02 Malmö, Sweden)

  • Anna Bengtsson

    (Department of People and Society, Faculty of Landscape Architecture, Horticulture and Crop Production Sciences, Swedish University of Agricultural Sciences (SLU), Alnarp, P.O. Box 190, 234 22 Lomma, Sweden)

Abstract

Health-promoting outdoor environments designed for people living with dementia (PLwD) has proved to be an effective non-pharmacological intervention for treatment of symptoms and improved well-being. However, for individuals with Young-Onset Dementia (YOD), who have particular symptoms and needs, the content and design of these environments are underexplored. This study aimed to explore the needs of individuals with YOD in a garden setting, to generate design-related knowledge for ‘dementia-friendly’ outdoor environments, while contributing to the field of Evidence-Based Design (EBD). An 8-week long nature-based program was carried out in Alnarp’s rehabilitation garden, a specifically developed garden based on research from e.g., landscape architecture, environmental psychology and medical science. The study used a triangulation of qualitative methods including six participants with YOD and a multidisciplinary team of five staff members. Content analysis was used for all gathered data, including 17 semi-structured interviews with participants with YOD and with staff. Data collection and analysis was performed based on the evidence-based Quality Evaluation Tool (QET). The study led to a target group adapted version of the QET for people with YOD containing 20 developed environmental qualities for designers to pursue in therapeutic gardens, including the additional quality of Calmness. A progression was noted, as a result of perceived positive effects during the intervention, indicating possible change and development of the group’s needs and preferences in the outdoors.

Suggested Citation

  • Nina Oher & Jonna Tingberg & Anna Bengtsson, 2024. "The Design of Health Promoting Outdoor Environments for People with Young-Onset Dementia—A Study from a Rehabilitation Garden," IJERPH, MDPI, vol. 21(8), pages 1-41, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1047-:d:1452949
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    References listed on IDEAS

    as
    1. Patrik Grahn & Anna María Pálsdóttir & Johan Ottosson & Ingibjörg H. Jonsdottir, 2017. "Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and/or Depression," IJERPH, MDPI, vol. 14(11), pages 1-17, October.
    2. Theresa L. Scott & Ying-Ling Jao & Kristen Tulloch & Eloise Yates & Oliver Kenward & Nancy A. Pachana, 2022. "Well-Being Benefits of Horticulture-Based Activities for Community Dwelling People with Dementia: A Systematic Review," IJERPH, MDPI, vol. 19(17), pages 1-20, August.
    3. Veronica Murroni & Raffaele Cavalli & Andrea Basso & Erika Borella & Chiara Meneghetti & Andrea Melendugno & Francesca Pazzaglia, 2021. "Effectiveness of Therapeutic Gardens for People with Dementia: A Systematic Review," IJERPH, MDPI, vol. 18(18), pages 1-25, September.
    4. Ulrik Sidenius & Patrik Karlsson Nyed & Victoria Linn Lygum & Ulrika K. Stigsdotter, 2017. "A Diagnostic Post-Occupancy Evaluation of the Nacadia® Therapy Garden," IJERPH, MDPI, vol. 14(8), pages 1-26, August.
    5. Gläser, Jochen & Laudel, Grit, 1999. "Theoriegeleitete Textanalyse? Das Potential einer variablenorientierten qualitativen Inhaltsanalyse," Discussion Papers, Working Group Transformation of Science Systems P 99-401, WZB Berlin Social Science Center.
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