A New and Tidier Setting How Does Environmental Clutter Affect People With Dementia’s Ability to Perform Activities of Daily Living?

Journal article


Camino, J., Kishita, N., Trucco, Ana P. T., Khondoker, M. and Mioshi, E. (2021). A New and Tidier Setting How Does Environmental Clutter Affect People With Dementia’s Ability to Perform Activities of Daily Living? Alzheimer's disease & associated disorders. 35 (4), pp. 335-341. https://doi.org/10.1097/WAD.0000000000000469
AuthorsCamino, J., Kishita, N., Trucco, Ana P. T., Khondoker, M. and Mioshi, E.
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.

KeywordsEnvironment; dementia; ADLs; clutter
Year2021
JournalAlzheimer's disease & associated disorders
Journal citation35 (4), pp. 335-341
PublisherLippincott, Williams & Wilkins
ISSN1546-4156
Digital Object Identifier (DOI)https://doi.org/10.1097/WAD.0000000000000469
Publication dates
Print01 Oct 2021
Publication process dates
Deposited07 Nov 2022
Accepted author manuscript
License
File Access Level
Open
Additional information

This is a pre-copyedited, author-produced version of an article accepted for publication in Alzheimer's disease and associated disorders. The published version of record Camino, Julieta OT, BSc*; Kishita, Naoko PhD*; Trucco, Ana P. OT, MSc*; Khondoker, Mizanur PhD†; Mioshi, Eneida PhD*. A New and Tidier Setting: How Does Environmental Clutter Affect People With Dementia’s Ability to Perform Activities of Daily Living?. Alzheimer Disease & Associated Disorders: October-December 2021 - Volume 35 - Issue 4 - p 335-341 is available online at: https://doi.org/10.1097/WAD.0000000000000469

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