ORCID Profile
0000-0001-5190-7137
Current Organisations
University of Tasmania
,
Dementia Care & Environmental Design
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Publisher: Informa UK Limited
Date: 04-07-2023
Publisher: Cambridge University Press (CUP)
Date: 02-11-2018
DOI: 10.1017/S1041610217002241
Abstract: This scoping review explores the characteristics of the current built environment used to accommodate people with dementia in East and Southeast Asia. It is structured around the eight principles of design found in the Environmental Audit Tool High-Care. In addition, the review examines the level of knowledge and other influences contributing to the development of nursing homes in the region. The review was carried out utilizing the methodological framework recommended by Arksey and O'Malley. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses provided an overarching structural framework for the reporting process and the Population, Intervention, Comparison, Outcomes, and Context framework defined the scope of the review and focused on the research question. Six databases were accessed for the search, and 1,846 publications between 2001 and 2015 were retrieved. A total of 48 articles from 9 countries met the inclusion criteria. All articles presented discussions that fundamentally included at least one principle of design and with some including all principles. The most prevailing principle discussed, found in 59% of all the articles was the need for familiarity for residents in the environmental design of facilities. The review found that the eight principles of design, when applied with cultural sensitivity in countries in East and Southeast Asia can identify gaps in knowledge of the design for dementia enabling environments and suggest areas for improvement. An assessment tool based on the principles of design will be able to provide a guide for stakeholders in the design, development, or modification of nursing home environments.
Publisher: Wiley
Date: 12-2021
DOI: 10.1002/ALZ.049450
Abstract: The study uncovers the characteristics of the built environment that contribute to the well‐being of Singaporeans living with dementia. With the findings, the study plans to translate the knowledge into action by developing an acceptable, reliable, and culturally sensitive tool for Singapore. The study employed a sequential qualitative‐quantitative mixed method design. The study was structured into two phases. A scoping review was carried out in the first phase to understand the characteristics of nursing homes in East and Southeast Asia in relation to eight design principles. An investigation was carried out into the cultural characteristics and the acceptance of the principles of design through focus group discussions (FGD, n=150). Qualitative data and descriptive statistics were collected and analysed. The testing of the Singaporean Environmental Audit Tool (SEAT) made up the second phase and data via interviews on the barriers and facilitators and usability were obtained after participants (n=6) tested the tool in eight nursing homes. The scoping review found that the principles of design can be applied in nursing home environments in East and Southeast Asia when cultural sensitivities such as spaces for palliative care, technology, spirituality, and culturally familiar features were addressed. The successful outcome of the first phase of the study enabled research into the second phase of the study. Data echoed those of the scoping review, with the same cultural characteristics being identified as lacking in the Australian Environmental Assessment Tool High‐Care (EAT‐HC). The data indicated a high level of acceptance of the design principles. In the second phase, the tool was found to be culturally appropriate, reliable, and acceptable for use when undertaken by users with knowledge of dementia. This study maps the processes involved in the development of the SEAT and will aid researchers in the future to adapt the EAT to erse cultures across countries. The tool will be able to provide a measure of the application of the relevant principles of design for an environment for a person with dementia in a Singaporean high care facility.
Publisher: SAGE Publications
Date: 14-12-2021
Abstract: This article describes the development of the Singapore Environmental Assessment Tool (SEAT), a culturally appropriate, usable, reliable, and valid assessment tool designed to evaluate the extent to which the built environment in Singaporean aged care facilities is able to support the provision of high levels of care to people living with dementia. A multistage sequential mixed methods approach was carried out involving 16 raters in Stage 1 and six raters in Stage 2 using a culturally adapted English version of the Environmental Audit Tool–High Care (EAT-HC) in eight nursing homes. The first stage captured qualitative data on cultural sensitivities and usability of the tool. The SEAT was improved based on the findings, and in the second stage, the usability and psychometric properties of the modified tool were again assessed. Usability was determined by data collected via the System Usability Scale and the Questions to Assess Barriers and Facilitators survey. Psychometric properties were examined by the calculation of percentage agreement, item-level interrater agreement was measured using Fleiss’s κ, and Cronbach’s α was used to measure the internal consistency of the subscale scores. The culturally adapted SEAT was found to have an acceptable level of usability and moderate level of reliability among subscales. The study indicated that the tool is reliable and valid when completed by users with knowledge of dementia-enabling environments. For the tool to be used with confidence education in the application of principles of design to the design of environments for people living with dementia is recommended prior to its use.
Publisher: SAGE Publications
Date: 09-2023
DOI: 10.1177/19375867221122936
Abstract: Assessing the built environment in nursing homes is part of several established instruments. Measurements are primarily published in English, so there is a need for cross-cultural adaptation to be able to use them in other countries. This procedure should be carried out alongside translation guidelines to ensure successful adaptation not only for assessments that capture complex constructs, such as the built environment, but also for assessments to be applied in healthcare in general. This article presents different approaches to adopt the Australian Environmental Assessment Tool—High Care (EAT-HC) based on the World Health Organization (WHO) guidelines for instrument translation. The comparison of these processes should provide implications for further adaptations of the instrument. The adaptation processes carried out in Germany, Japan, and Singapore were compared using thematic analysis. Steps taken to achieve linguistic validation and to adopt the tool were analyzed qualitatively in the context of overarching needs for adjustment. Every perspective adapted the WHO guidelines for their respective purposes of applying the EAT-HC. The order of steps varied, but elements to validate the results with the instruments’ creators and to ensure validity were included in all three countries. For items that might be challenging, we detected possible reasons that might help future adaptors manage this process more efficiently. The EAT-HC benefits from adaptation alongside the WHO guidelines in terms of enhancing the quality of translation and feasibility of application. In idual supplementary adaptation steps allow the identification of culture-specific needs for application in other countries.
Publisher: SAGE Publications
Date: 04-06-2020
Abstract: This study investigated the level of acceptance in Singapore of the eight principles of design underpinning the Environmental Assessment Tool–High Care (EAT-HC), which is commonly used in Australia to evaluate environments for the care of people living with dementia. A secondary goal was to identify topics particularly relevant to the Singaporean context, which are not included in the Australian EAT-HC. This study was undertaken in preparation for the development of a Singaporean version of the Australian EAT-HC. Discussions from 23 focus groups involving 150 family caregivers, aged care staff, administrators, and architects were recorded and thematically analyzed to identify the characteristics of the principles underpinning the EAT-HC that are unlikely to be relevant in a Singaporean version and to identify additional topics required to tailor it to reflect the Singaporean culture. The thematic analysis was supplemented with quantitative data obtained through the use of simple Likert-type scales measuring the appropriateness of each principle in the Singaporean context. The principles of design that underpin the EAT-HC were highly accepted by participants and provided a framework for a systematic exploration of Singaporean residential care for people with dementia. Some topics of particular relevance to Singapore were identified. These can be subsumed by the principles without the need for the principles to be changed. The results support the use of the design principles underpinning the EAT-HC as the foundation of a tool for the evaluation of Singaporean dementia facilities.
Publisher: Oxford University Press (OUP)
Date: 09-08-2016
Abstract: Japan is a super-ageing society that faces pressures on its aged care system from a growing population of older adults. Naturalistic observations were undertaken at eight aged care facilities in central and northern Japan to explore how aged care is configured. Four aspects of contemporary provision were identified that offer potential gains in quality of life and health. The Japanese government mandates that aged care facilities must employ a qualified nutritionist to oversee meal preparation, fostering optimal dietary intake. A concept of life rehabilitation seeks to maximise physical and cognitive performance, with possible longevity gains. Low staff to resident ratios are also mandated by the Japanese government to afford residents high levels of interpersonal care. Finally, Japanese facilities prioritise experiences of seasonality and culture, connecting frail older people to the world beyond their walls.
No related grants have been discovered for ShuZhen Joanna Sun.