Skip to main navigation menu Skip to main content Skip to site footer
ARSNET

Articles

Vol. 3 No. 1 (2023)

Perception of designers of an enabling environment for dementia care in Thailand

DOI
https://doi.org/10.7454/arsnet.v3i1.68
Published
2023-04-30
Article downloads
199
Submitted
2023-02-27
Accepted
2023-04-29

Abstract

This paper explores the perception of designers towards an enabling environment for dementia care in Thailand. The global number of people living with dementia has increased, and the number is growing in developing countries with the decline in the quality of care and the high turnover rates of formal caregivers. A dementia-friendly environment can support the challenging dementia symptoms, employing a specialised environment for quality care that is a significant therapeutic resource for supporting residents’ well-being, such as comfort, familiarity, and organised space. Thus, the salutogenic design approach becomes vital in supporting personalised narratives related to personality, lifestyles, and a decision-making process to enable the person-centred care to enrich their quality of life. The concept of salutogenic design has become a trend for people with dementia to live in small-scale and home-like care settings to enhance meaningful daily activities in familiar domestic settings. This study thematically analyses 15 semi-structured interviews of architects and therapists in Thailand about their perception towards the dementia environment and its relation towards salutogenic design and capabilities approach. Based on such analysis, an enabling environment for dementia care should balance functions and aesthetics for the positive affordances between users and the environment. Instead of perceiving design as a physical environment, the design of an enabling environment should have contextual factors of politics, urban-rural gaps, and education for the whole community.

References

  1. Alexander, R., Aragón, O. R., Bookwala, J., Cherbuin, N., Gatt, J. M., Kahrilas, I. J., Kästner, N., Lawrence, A., Lowe, L., Morrison, R. G., Mueller, S. C., Nusslock, R., Papadelis, C., Polnaszek, K. L., Richter, H. S., Silton, R. L., & Styliadis, C. (2021). The neuroscience of positive emotions and affect: Implications for cultivating happiness and wellbeing. Neuroscience and Biobehavioral Reviews, 121, 220–249. https://doi.org/10.1016/j.neubiorev.2020.12.002

  2. Antonovsky, A. (1991). The structural sources of salutogenic strengths. In C. L. Cooper & R. Payne (Eds.), Personality and stress: Individual differences in the stress process (pp. 67–104). John Wiley & Sons.

  3. Avellino, M. (2016). The Maltese gift: Tourist encounters with the self and the other in later life [Unpublished doctoral dissertation]. London Metropolitan University.

  4. Barnes, S. & The Design in Caring Environments Study Group. (2002). The design of caring environments and the quality of life of older people. Ageing and Society, 22(6), 775–789. https://doi.org/10.1017/S0144686X02008899

  5. Booth, T. (2011). The name of the rose: Inclusive values into action in teacher education. Prospects, 41, 303–318. https://doi.org/10.1007/s11125-011-9200-z

  6. Boscherini, G. (2017). A sense of coherence: Supporting the healing process. Architectural Design, 87(2), 108–113. https://doi.org/10.1002/ad.2159

  7. Bowes, A. M., & Dawson, A. (2019). Designing environments for people with dementia: A systematic literature review. Emerald Publishing Limited.

  8. Burton, E., & Sheehan, B. (2010). Care-home environments and well-being: Identifying the design features that most affect older residents. Journal of Architectural and Planning Research, 27(3), 237–256. http://www.jstor.org/stable/43030908

  9. Dahlin-Ivanoff, S., Lood, Q., Wilhelmson, K., Eklund, K., Barenfeld, E., Häggblom-Kronlöf, G., Westgård, T., & Hammar, I. A. (2022). The capability approach in research on ageing well at home for frail older people. In H. F. Erhag, U. L. Nilsson, T. R. Sterner, & I. Skoog (Eds.), A multidisciplinary approach to capability in age and ageing. International Perspectives on Aging, (Vol. 31, pp. 29–50). Springer, Cham. https://doi.org/10.1007/978-3-030-78063-0_8

  10. Dierdorff, E. C., Bell, S. T., & Belohlav, J. A., (2011). The power of "we": Effects of psychological collectivism on team performance over time. Journal of Applied Psychology, 96(2), 247–262. https://doi.org/10.1037/a0020929

  11. Diethelm, J. (2019). Embodied design thinking. She Ji: The Journal of Design, Economics, and Innovation, 5(1), 44–54. https://doi.org/10.1016/j.sheji.2019.02.001

  12. Dilani, A. (2009, February 6). Psychosocially supportive design: A salutogenic approach to the design of the physical environment [Conference Session]. 1st International Conference on Sustainable Healthy Buildings, Seoul, Korea. 

  13. Fazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia. Gerontologist,58, S10–S19. https://doi.org/10.1093/geront/gnx122

  14. Fleming, R., Bennett, K., Preece, T., & Phillipson, L. (2017). The development and testing of the dementia friendly communities environment assessment tool (DFC EAT). International Psychogeriatrics, 29(2), 303–311. https://doi.org/10.1017/S1041610216001678

  15. Førsund, L. H., Grov, E. K., Helvik, A. S., Juvet, L. K., Skovdahl, K., & Eriksen, S. (2018). The experience of lived space in persons with dementia: A systematic meta-synthesis. BMC Geriatrics, 18(33). https://doi.org/10.1186/s12877-018-0728-0

  16. Fries, C. J. (2020). Healing health care: From sick care towards salutogenic healing systems. Soc Theory Health,18, 16–32. https://doi.org/10.1057/s41285-019-00103-2

  17. Golembiewski, J. A. (2017). Salutogenic architecture in healthcare settings. In M. B. Mittelmark, S. Sagy, M. Eriksson, G. F. Bauer, J. M. Pelikan, B. Lindström, G. A. Espnes (Eds.). The handbook of salutogenesis [Internet]. Springer, Cham. https://doi.org/10.1007/978-3-319-04600-6_26

  18. Golembiewski, J. A., & Zeisel, J. (2022). Salutogenic approaches to dementia care. In M. B. Mittelmark, G. F. Bauer, L. Vaandrager, J. M. Pelikan, S. Sagy, M. Eriksson, B. Lindström, C. M. Magistretti (Eds), The handbook of salutogenesis [Internet]. Springer, Cham. https://doi.org/10.1007/978-3-030-79515-3_48

  19. Goudriaan, I., van Boekel, L. C., Verbiest, M. E. A., van Hoof, J., & Luijkx, K. G. (2021). Dementia enlightened?! A systematic literature review of the influence of indoor environmental light on the health of older persons with dementia in long-term care facilities. Clinical Intervention in Aging, 16, 909–937. https://doi.org/10.2147/CIA.S297865

  20. Halek, M., & Bartholomeyczik, S. (2011). Description of the behaviour of wandering in people with dementia living in nursing homes—a review of the literature. Scandinavian Journal of Caring Sciences, 26(2), 404–413. https://doi.org/10.1111/j.1471-6712.2011.00932.x

  21. Hamdani, D. A. (2015). Exploring students' learning style at a Gulf University: A contributing factor to effective instruction. Procedia - Social and Behavioral Sciences, 176, 124–128. https://doi.org/10.1016/j.sbspro.2015.01.452

  22. Hill, T. E. (1999). Happiness and human flourishing in Kant's ethics. Social Philosophy and Policy, 16(1), 143–175. https://doi.org/10.1017/s0265052500002284

  23. Hughes, J., Baseman, J., Hearne, C., Lie, M. L. S., Smith, D., & Woods, S. (2022). Art, authenticity and citizenship for people living with dementia in a care home. Ageing & Society,42(12), 2784–2804. https://doi.org/10.1017/S0144686X21000271

  24. Ivtzan, I., Sorensen, E., & Halonen, S. (2013). The effect of occupational meaningfulness on occupational commitment. International Journal of Psychological Research,6(2), 15–23. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-20842013000200003&lng=en&nrm=iso>

  25. Kenning, G. (2018). Reciprocal design: Inclusive design approaches for people with late-stage dementia. Design for Health, 2(1), 142–162. https://doi.org/10.1080/24735132.2018.1453638

  26. Kitwood, T. (1997) Dementia reconsidered: The person comes first. BMJ Journals. https://doi.org/10.1136/bmj.318.7187.880a

  27. Knobel, C., & Bowker, G. C. (2011). Values in design. Communications of the ACM,54(7), 26–28. https://doi.org/10.1145/1965724.1965735

  28. Krys, K., Zelenski, J., Capaldi, C., Park, J., Tilburg, W., Osch, Y., Haas, B., Bond, M., Dominguez‐Espinoza, A., Xing, C., Igbokwe, D., Kwiatkowska, A., Luzniak‐Piecha, M., Nader, M., Rizwan, M., Zhu, Z., & Uchida, Y. (2019). Putting the "we" into well‐being: Using collectivism‐themed measures of well‐being attenuates well‐being's association with individualism. Asian Journal of Social Psychology, 22(3), 256–267. https://doi.org/10.1111/ajsp.12364

  29. Lee, S. Y., Hung, L., Chaudhury, H., & Morelli, A. (2021). Staff perspectives on the role of physical environment in long-term care facilities on dementia care in Canada and Sweden. Dementia, 20(7), 2558–2572. https://doi.org/10.1177/14713012211003994

  30. Li, X., Rastogi, P., Gibbons, J. A., & Chaudhury, S. (2014). Visuo-cognitive skill deficits in Alzheimer's disease and Lewy body disease: A comparative analysis. Annals of Indian Academy of Neurology, 17(1), 12–18. https://doi.org/10.4103/0972-2327.128530

  31. Mashour, G., Roelfsema, P., Changeux, J., & Dehaene, S. (2020). Conscious processing and the global neuronal workspace hypothesis. Neuron, 105(5), 776–798. https://doi.org/10.1016/j.neuron.2020.01.026

  32. MacCannell, D. (1973). Staged authenticity: Arrangements of social space in tourist settings. American Journal of Sociology, 79(3), 589–603. http://www.jstor.org/stable/2776259

  33. McMullin, C. (2023). Transcription and Qualitative Methods: Implications for Third Sector Research. Voluntas, 34, 140–153. https://doi.org/10.1007/s11266-021-00400-3

  34. Melander, C., Sävenstedt, S., Wälivaara, B. M., & Olsson, M. (2018) Human capabilities in advanced dementia: Nussbaum's approach. International Journal of Older People Nursing, 13(2), e12178. https://doi.org/10.1111/opn.12178

  35. Messe, A., Rudrauf, D., Benali, H., & Marrelec, G. (2014). Relating structure and function in the human brain: Relative contributions of anatomy, stationary dynamics, and non-stationarities. PLOS Computational Biology, 10(3), e1003530. https://doi.org/10.1371/journal.pcbi.1003530

  36. Mills, M. B. (2012). Thai mobilities and cultural citizenship. Critical Asian Studies, 44(1), 85–112. https://doi.org/10.1080/14672715.2012.644888

  37. Narata, P., & Rakpa, S. (2021). Translation strategies from English language to Thai language in the novel 'The Wizard of Oz'. Journal of MCU Humanities Review, 7(1), 363–378. https://so03.tci-thaijo.org/index.php/human/article/view/252570

  38. Nussbaum, M. C. (2001). Upheavals of thought : the intelligence of emotions. Cambridge University Press.

  39. O'Rourke, D. J., Lobchuk, M. M., Thompson, G. N., & Lengyel, C. (2022). Expanding the conversation: A person-centred communication enhancement model. Dementia,21(5), 1596–1617. https://doi.org/10.1177/14713012221080252

  40. Peters, R. (2006). Ageing and the brain. Postgrad Medical Journal, 82(964), 84-8. https://doi.org/10.1136/pgmj.2005.036665

  41. Pratt, G., & Johnston, C. (2021). Dementia, infrastructural failure, and new relations of transnational care in Thailand. Transactions of the Institute of British Geographers, 46(3), 526–539. https://doi.org/10.1111/tran.12445

  42. Preyawanit, N. (2016). Controlling A Fast-Growing Urban Region: A Case Study in the Bangkok Metropolitan Region. NAJUA: Architecture, Design and Built Environment, 23, 219. https://so04.tci-thaijo.org/index.php/NAJUA-Arch/article/view/45111

  43. Richardson, S., Sinha, A., Vahia, I., Dawson, W., Kaye, J., Reynolds, C. F., Smith, E., Cummings, J., Berk, M., Lavretsky, H., Eyre, H. A. (2021). Brain health living labs. The American Journal of Geriatric Psychiatry, 29(7), 698–703. https://doi.org/10.1016/j.jagp.2020.11.010

  44. Rifaioglu, M. N., & Sahin Güçan, N. (2008). Understanding and preserving spirit of place by an integrated methodology in historical urban contexts. ICOMOS Open Archive: EPrints on Cultural Heritage.https://openarchive.icomos.org/id/eprint/64/

  45. Sage, C. (2011). Heal beneath the surface: Become your own best healer using true healing. Author House.

  46. Sallis, J. F., Floyd, M. F., Rodríguez, D. A. & Saelens, & B. E. (2012). Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation, 125(5), 729–737. https://doi.org/10.1161/CIRCULATIONAHA.110.969022

  47. Scannell, L., & Gifford, R. (2014). The psychology of place attachment. In R. Gifford (Ed.), Environmental Psychology: Principles and Practices (5th ed.) (pp. 272–300).Optimal Books.

  48. Shapoval, V., Hägglund, P., Pizam, A., Abraham, V., Carlbäck, M., Nygren, T., & Smith, R. M. (2021). The COVID-19 pandemic effects on the hospitality industry using social systems theory: A multi-country comparison. International Journal Hospitality Management, 94(102813). https://doi.org/10.1016/j.ijhm.2020.102813

  49. Smebye, K. L., Kirkevold, M., & Engedal, K. (2012). How do persons with dementia participate in decision making related to health and daily care? A multi-case study. BMC Health Services Research, 7(12), 241. https://doi.org/10.1186/1472-6963-12-241

  50. Smebye, K. L., Kirkevold, M. & Engedal, K. (2016). Ethical dilemmas concerning autonomy when persons with dementia wish to live at home: A qualitative, hermeneutic study. BMC Health Services Research,16, 21. https://doi.org/10.1186/s12913-015-1217-1

  51. Spence, C. (2020). Senses of place: architectural design for the multisensory mind. Cognitive Research: Principles and implications, 5, 46. https://doi.org/10.1186/s41235-020-00243-4

  52. Super, S., Wagemakers, M. A., Picavet, H. S. J., Verkooijen, K. T., & Koelen, M. A. (2016). Strengthening sense of coherence: opportunities for theory building in health promotion. Health Promotion International, 31(4), 869–878. https://doi.org/10.1093/heapro/dav071

  53. Triandis, H. C. (1995). Individualism & collectivism. Westview Press. https://psycnet.apa.org/record/1995-97791-000

  54. Tyler, D. A., & Parker, V. A. (2011). Nursing home culture, teamwork, and culture change. Journal of Research in Nursing, 16(1), 37–49. https://doi.org/10.1177/1744987110366187

  55. Vorng, S. (2011). Beyond the urban-rural divide: Complexities of class, status and hierarchy in Bankok. Asian Journal of Social Science, 39(5), 674–701. http://www.jstor.org/stable/43497848

  56. Xanthopoulou, P., & McCabe, R. (2019). Subjective experiences of cognitive decline and receiving a diagnosis of dementia: Qualitative interviews with people recently diagnosed in memory clinics in the UK. BMJ Open, 9(8), e026071. https://doi.org/10.1136/bmjopen-2018-026071

Downloads

Download data is not yet available.