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Abstract This study explored the relationship of the environment in small-scaled nursing homes and positive behaviors on the residents' quality of life (QOL). The Environmental Assessment Tool-Higher Care was used to evaluate unit environments. Dementia Care Mapping was used to observe 113 residents' positive behaviors. Hierarchical linear modeling analysis showed that residents living in a dementia-friendly environment showed a significant correlation between their positive behaviors and QOL. In contrast, a non-dementia-friendly environment showed no notable impact upon their QOL despite the high/low frequency of positive behaviors. It is crucial to prioritize a comprehensive facility environment review to support residents' QOL.
Journal of Housing for the Elderly – Taylor & Francis
Published: Apr 3, 2023
Keywords: Dementia Care Mapping; Environmental Assessment Tool-Higher Care; hierarchical linear modeling; Japan; positive behavior; small-scale living nursing facility
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