The vast majority of older adults want to remain living independently at home, with or without a sufficient amount of professional home care, even when overall health is starting to decline. The ageing of society and the increase in the number of very old elders goes together with an increase in the number of people with dementia. About two thirds of the diagnosed people in the Netherlands live at home. Dementia has severe implications to the quality of daily life, in particular to independent functioning. This sets extra demands to living environments. Older adults with dementia and their partners ask for living environments that support independence, compensate for declining vitality, and lower the burden of family care. For this purpose, a first concept of a design for a dementia dwelling is presented in this paper, which incorporates modifications in terms of architecture, interior design, the indoor environment, and technological solutions. These design features were derived from literature search and focus group sessions. Current design guidelines are frequently based on practical experience only, and therefore, more systematic field research should be carried out to find evidence for the various design modifications. Also, it needs to be studied how the design features of the dementia dwelling can be incorporated into the existing housing stock.
Aarts, M.P.J., & Westerlaken, A.C. (2005). Field study of visual and biological light conditions of independently-living elderly people. Gerontechnology, 4(3), 141-152.
2.
Abbott, A. (2003). Restless nights, listless days. Nature, 245(6961), 896-898.
3.
Adlam, T., Faulkner, R., Orpwood, R., Jones, K., Macijauskiene, J., & Budraitiene, A. (2004). The installation and support of internationally distributed equipment for people with dementia. IEEE Transactions on Information Technology in Biomedicine, 8(3), 253-257.
4.
van Berlo, A. (2005). Ethics in domotics. Gerontechnology , 3(3), 170.
5.
de Boer, A.H. (Ed) (2006). Rapportage ouderen 2006. Veranderingen in de leefsituatie en levensloop. The Hague: Sociaal en Cultureel Planbureau (in Dutch).
6.
Blom, M., Tjadens, F., & Withagen, P. (2000). Weten van vergeten. Utrecht : NIZW (in Dutch).
7.
Bjørneby, S., Topo, P., Cahill, S., Begley, E., Jones, K., Hagen, I., Macijauskiene, J., & Holthe, T. (2004). Ethical considerations in the ENABLE project. Dementia, 3(3), 297-312.
8.
Bjørneby, S., Topo, P. , & Holthe, T. (Eds) ( 1999). Technology, ethics and dementia: A guidebook on how to apply technology in dementia care. Oslo: Sem, Norwegian Centre for Dementia Research.
9.
Bowlby Sifton, C. (2007). Setting up surroundings for success and safety . Alzheimer's Care Today, 8(3), 286.
10.
Braudy Harris, P. (2006). The experience of living alone with early stage Alzheimer's disease. What are the person's concerns? Alzheimer's Care Quarterly, 7(2), 84-94.
11.
Calkins, M.P. (2005). Environments for late-stage dementia. Alzheimer's Care Quarterly, 6(1), 71-75.
12.
Cohen, U., & Day, K. (1993). Contemporary environments for people with dementia . Baltimore, MD: The Johns Hopkins University Press.
13.
Cohen-Mansfield, J., Werner, P., & Marx, M.S. (1990). The spatial distribution of agitation in agitated nursing home residents. Environment and Behavior, 22(3), 408-419.
14.
Day, K., Carreon, D., & Stump, C. (2000). The therapeutic design of environments for people with dementia: A review of the empirical research. The Gerontologist , 40(4), 397-416.
15.
Desai, A.K., & Grossberg, G.T. (2001). Recognition and management of behavioral disturbances in dementia. Primary Care Companion to the Journal of Clinical Psychiatry, 3(3), 93-109.
16.
Devlin, A.S., & Arneill, A.B. (2003). Health care environments and patient outcomes. A review of the literature. Environment and Behavior, 35(5), 665-694.
17.
Diaz Moore, K., Geboy, L.D., & Weisman, G.D. (2006). Designing a Better Day. Guidelines for adults and dementia day services centres. Baltimore, MD: The Johns Hopkins University Press.
18.
van Dijken, F., van Hoof, J., & Kort, H.S.M. (2006). Healthy buildings for older adults. In E. de Oliveira Fernandes, M. Gameiro da Silva, & J. Rosado Pinto (Eds) HB2006: Proceedings of the 8th International Conference Healthy Buildings (Vol. III, pp. 127-130). Lisbon.
19.
Duijnstee, M.S.H. (1992). De belasting van familieleden van dementerenden. Dissertation. Nijmegen: Katholieke UniversiteitNijmegen [in Dutch].
20.
Ebersole, P., Hess, P. , & Schmidt-Luggen, A. (Eds.). (2004). Toward healthy aging. 6th ed. St. Louis, MO: Mosby.
21.
Ferri, C.P., Prince, M., Brayne, C., Brodaty, H., Fratiglioni, L., Ganguli, M., Hall, K., Hasegawa, K., Hendrie, H., Huang, Y., Jorm, A., Mathers, C., Menezes, P.R., Rimmer, E., & Scazufca, M. (2005-2006). Global prevalence of dementia: A Delphi consensus study. The Lancet, 366(9503), 2112-2117.
22.
Fleming, R., Forbes, I., & Bennett, K. (2003). Adapting the ward - for people with dementia. Sydney: NSW Department of Health.
23.
Gitlin, L.N. (2003). Next steps in home modification and assistive technology research. In N. Charness, & K.W. Schaie (Eds.), Impact of technology on successful aging. (pp. 188-202). New York: Springer Publishing Company.
24.
Gitlin, L. (2007). Guidelines for environmental adaptations and safety at home. Alzheimer's Care Today, 8(3), 278-281.
25.
Gitlin, L.N., & Corcoran, M. (2000). Making homes safer: Environmental adaptations for people with dementia. Alzheimer's Care Quarterly, 1(1), 50-58.
26.
Hagen, I., Holthe, T., Gilliard, J., Topo, P., Cahill, S., Begly, E., Jones, K., Duff, P., Macijauskiene, J., Budraitiene, A., Bjørneby, S., & Engedal, K. (2004). Development of a protocol for the assessment of assistive aids for people with dementia. Dementia, 3(3), 281-296.
27.
Health Council of the Netherlands (2002). Dementia. Publication no. 2002/04. The Hague: Health Council of the Netherlands.
28.
van Hoof, J. & Hensen, J.L.M. (2006). Thermal comfort and older adults. Gerontechnology, 4(4), 223-228.
29.
van Hoof, J., & Kort, H.S.M. (2006). Healthy living environments for older adults with dementia. In E. de Oliveira Fernandes, M. Gameiro da Silva, & J. Rosado Pinto (Eds.) HB2006: Proceedings of the 8th International Conference Healthy Buildings (Vol. III, pp. 89-93). Lisbon.
30.
van Hoof, J., & Kort, H.S.M. (2008). Smart technology at home: a multidisciplinary challenge. In L. Odetti, V. Monaco, & B. Cesqui (Eds.) Proceedings of the 6th International Conference on Gerontechnology (Paper ID: 004). Pisa, Italy.
31.
van Hoof, J., Kort, H.S.M., Duijnstee, M.S.H., Schoutens, A.M.C., Hensen, J.L.M., & Begemann, S.H.A. (2008) The indoor environment in relation to people with dementia. In Indoor Air 2008: Proceedings of the 11th International Conference on Indoor Air Quality and Climate. Copenhagen.
32.
van Hoof, J., Kort, H.S.M., Markopoulos, P., & Soede, M. (2007) Ambient intelligence, ethics and privacy. Gerontechnology, 6(3), 155-163.
33.
van Hoof, J., Aarts, M.P.J., Rense, C.G., & Schoutens, A.M.C. (2009). Ambient bright light in dementia: effects on behaviour and circadian rhythmicity. Building and Environment , 44(1), 146-155.
34.
van Hoof, J. (2008). Forty years of Fanger's model of thermal comfort: comfort for all? Indoor Air, 18(3), 182-201.
35.
Hughes, P.C., & Neer, R.M. (1981). Lighting for the elderly: a psychobiological approach to lighting. Human Factors, 23(1), 65-85.
36.
Knopman, D.S., & Sawyer-DeMaris, S. (1990). Practical approach to managing behavioral problems in dementia patients. Geriatrics , 45(4), 27-30, 35.
37.
Lauriks, S., Reinersmann, A., van der Roest, H.G., Meiland, F.J.M., Davies, R.J., Moelaert, F., Mulvenna, M.D., Nugent, C.D., & Dröes, R.M. (2007). Review of ICT-based services for identified unmet needs in people with dementia. Ageing Research Reviews, 6(3), 223-246.
38.
Leikas, J., Salo, J., & Poramo, R. (1998). Security alarm system supports independent living of demented persons. In J. Graafmans, V. Taipale, N. Charness (Eds.), Gerontechnology; A sustainable investment in the future. (pp. 402-405). Amsterdam: IOS Press.
39.
Mann, W.C. (2003). Assistive technology. In N. Charness, & K.W. Schaie (Eds.), Impact of technology on successful aging. (pp. 177- 187). New York: Springer.
40.
Marx, L., Haschka, B., & Schnur, P. (2002). Mehr Lux - mehr Wohlbefinden. Die richtige Beleuchtung hat positiven Einfluss auf demente Bewohner. Altenheim, 41(5), 57-58, 60-61 (in German).
41.
Migita, R., Yanagi, H., & Tomura, S. (2005). Factors affecting the mental health of residents in a communal-housing project for seniors in Japan. Archives of Gerontology and Geriatrics, 41(1), 1-14.
42.
Orpwood, R., Bjørneby, S., Hagen, I., Mäki, O., Faulkner, R., & Topo, P. (2004) User involvement in dementia product development . Dementia, 3(3), 263-279.
43.
Ritchie, K., & Lovestone, S. (2002). The dementias. The Lancet360(9347), 1759-1766.
44.
Rubinstein, R.L. (1989). The home environments of older people: a description of the psychosocial processes linking person to place. Journal of Gerontology, 44(2), S45-53.
45.
van Someren, E.J.W., Kessler, A., Mirmiran, M., & Swaab, D.F. (1997). Indirect bright light improves circadian rest-activity rhythm disturbances in demented patients. Biological Psychiatry , 41(9), 955-963.
46.
Sweep, M., van Berlo, A., & Stoop, H. (1998). Technology for dementing persons: A relief for informal carers? In J. Graafmans, V. Taipale, N. Charness (Eds.), Gerontechnology; A sustainable investment in the future. (pp. 331-336). Amsterdam: IOS Press.
47.
van der Voordt, T.J.M. (1997) Housing and care variants for older people with dementia: Current trends in the Netherlands. American Journal of Alzheimer's Disease, 12(2), 84-92.
48.
Waterhouse, J.M., Minors, D.S., Waterhouse, M.E., Reilly, T., & Atkinson, G. (2002). Keeping in time with your body clock. Oxford: Oxford University Press.
49.
Zeisel, J., Silverstein, N.M., Hyde, J., Levkoff, S., Lawton, M.P., & Holmes, W. (2003). Environmental correlates to behavioral health outcomes in Alzheimer's special care units. The Gerontologist , 43(5), 697-711.
