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‘I want to make myself useful’: the value of nature-based adult day services in urban areas for people with dementia and their family carers

Published online by Cambridge University Press:  14 October 2019

Simone R. de Bruin Open the ORCID record for Simone R. de Bruin [Opens in a new window] ,
Yvette Buist ,
Jan Hassink  and
Lenneke Vaandrager
Simone R. de Bruin*
Affiliation:
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands Department of Social Sciences, Health and Society, Wageningen University & Research, Wageningen, The Netherlands
Yvette Buist
Affiliation:
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
Jan Hassink
Affiliation:
Wageningen Plant Research, Agrosystems Research, Wageningen University & Research, Wageningen, The Netherlands
Lenneke Vaandrager
Affiliation:
Department of Social Sciences, Health and Society, Wageningen University & Research, Wageningen, The Netherlands
*
*Corresponding author. Email: simone.de.bruin@rivm.nl
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Abstract

Nature-based adult day services (ADSs) in urban areas are relatively new services in the Netherlands. Since knowledge about these services is still scarce, this study aimed to elucidate their value for people with dementia and their family carers in terms of health and wellbeing. We interviewed 39 people with dementia attending nature-based ADSs in urban areas and their family carers, and 17 providers of these services. Respondents indicated that nature-based ADSs in urban areas positively affected the health and wellbeing of people with dementia. According to them, these services support contact with nature and animals, activity engagement, physical activity, structure, social interactions, healthy eating, a sense of meaning in life and a focus on normal daily life. Respondents further indicated that these services stimulate respite, reassurance and maintenance of family carers’ own activities and social contacts. We conclude that nature-based ADSs in urban areas have a wide range of benefits that might affect the health and wellbeing of people with dementia and their family carers. Worldwide, demand is growing for innovative practices in dementia care. It is therefore worthwhile monitoring the development of dementia care innovations, such as nature-based ADSs, and for countries to exchange lessons learned from these services.

Keywords

adult day servicescare farmdementiafamily carersgreen carenature-based services
Type
Article
Information
Ageing & Society , Volume 41 , Issue 3 , March 2021 , pp. 582 - 604
Copyright
Copyright © Cambridge University Press 2019

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References

Anderiesen, H, Scherder, EJ, Goossens, RH and Sonneveld, MH (2014) A systematic review – physical activity in dementia: the influence of the nursing home environment. Applied Ergonomics 45, 1678–1686.CrossRefGoogle ScholarPubMed
Anderson, KA, Chapin, KP, Reimer, Z and Siffri, G (2017) On fertile ground: an initial evaluation of green care farms in the United States. Home Health Care Services Quarterly 36, 1–15.CrossRefGoogle ScholarPubMed
Ausserhofer, D, Deschodt, M, De Geest, S, van Achterberg, T, Meyer, G, Verbeek, H, Sjetne, IS, Malinowska-Lipien, I, Griffiths, P, Schluter, W, Ellen, M and Engberg, S (2016) ‘There's no place like home’: a scoping review on the impact of homelike residential care models on resident-, family-, and staff-related outcomes. Journal of the American Medical Directors Association 17, 685–693.CrossRefGoogle Scholar
Boeije, H (2005) Analysing in Qualitative Research. The Hague: Boom Lemma. (in Dutch)Google Scholar
Bradley, E, Curry, L and Devers, K (2007) Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Services Research 42, 1758–1772.CrossRefGoogle ScholarPubMed
Buist, Y, Verbeek, H, de Boer, B and de Bruin, SR (2018) Innovating dementia care; implementing characteristics of green care farms in other long-term care settings. International Psychogeriatrics 30, 1057–1068.CrossRefGoogle ScholarPubMed
Chalfont, G (2008) Design for Nature in Dementia Care. London: Jessica Kingsley Publishers.Google Scholar
Clark, P, Mapes, N, Burt, J and Preston, S (2013) Greening Dementia – A Literature Review of the Benefits and Barriers Facing Individuals Living with Dementia in Accessing the Natural Environment and Local Green Space (Natural England Commissioned Report No. 137). Worcester, UK: Natural England and Other Parties.Google Scholar
Cohen-Mansfeld, J, Dakheel-Ali, M, Marx, MS, Thein, K and Regier, NG (2015) Which unmet needs contribute to behaviour problems in persons with advanced dementia. Psychiatry Research 228, 59–64.CrossRefGoogle Scholar
Cook, M (in press) Using urban woodlands and forests as places for improving the mental well-being of people with dementia. Leisure Studies. Available online doi:10.1080/02614367.2019.1595091.Google Scholar
Dabelko-Schoeny, H and King, S (2010) In their own words: participants’ perceptions of the impact of adult day services. Journal of Gerontological Social Work 53, 176–192.CrossRefGoogle ScholarPubMed
Day, K, Carreon, D and Stump, C (2000) The therapeutic design of environments for people with dementia: a review of the empirical research. The Gerontologist 40, 397–416.CrossRefGoogle ScholarPubMed
De Boer, B (2017) Living at a Green Care Farm: An Innovative Alternative for Regular Care in Nursing Homes for People with Dementia (PhD thesis). CAPHRI Care and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.Google Scholar
De Boer, B, Hamers, JP, Zwakhalen, SM, Tan, FE, Beerens, HC and Verbeek, H (2017) Green care farms as innovative nursing homes, promoting activities and social interaction for people with dementia. Journal of the American Medical Directors Association 18, 40–46.CrossRefGoogle ScholarPubMed
De Bruin, SR, De Boer, B, Beerens, H, Buist, Y and Verbeek, H (2017) Rethinking dementia care: the value of green care farming. Journal of the American Medical Directors Association 18, 200–203.CrossRefGoogle ScholarPubMed
De Bruin, SR, Oosting, SJ, Kuin, Y, Hoefnagels, ECM, Blauw, YH, De Groot, CPGM and Schols, JMGA (2009) Green care farms promote activity among elderly people with dementia. Journal of Housing for the Elderly 23, 368–389.CrossRefGoogle Scholar
De Bruin, SR, Oosting, SJ, Tobi, H, Blauw, YH, Schols, JMGA and De Groot, CPGM (2010 a) Day care at green care farms: a novel way to stimulate dietary intake of community-dwelling older people with dementia? Journal of Nutrition, Health & Aging 14, 352–357.CrossRefGoogle ScholarPubMed
De Bruin, SR, Oosting, SJ, van der Zijpp, AJ, Enders-Slegers, MJ and Schols, JMGA (2010 b) The concept of green care farms for older people with dementia: an integrative framework. Dementia 9, 79–128.CrossRefGoogle Scholar
De Bruin, SR, Stoop, A, Molema, CCM, Vaandrager, L, Hop, P and Baan, CA (2015) Green care farms: an innovative type of adult day service to stimulate social participation of people with dementia. Gerontology and Geriatric Medicine 1–10. https://doi.org/10.1177/2333721415607833.Google ScholarPubMed
Den Ouden, M, Bleijlevens, MH, Meijers, JM, Zwakhalen, SM, Braun, SM, Tan, FE and Hamers, JP (2015) Daily (in)activities of nursing home residents in their wards: an observation study. Journal of the American Medical Directors Association 16, 963–968.CrossRefGoogle Scholar
Dröes, R, Chattat, R, Diaz, A, Gove, D, Graff, M, Murphy, K, Verbeek, H, Vernooij-Dassen, M, Clare, L and Johannessen, A (2016) Social health and dementia: a European consensus on the operationalization of the concept and directions for research and practice. Aging & Mental Health 1–14.Google ScholarPubMed
Dröes, RM, Meiland, FJM, Evans, S, Brooker, D, Farina, E, Szcześniak, D, Van Mierlo, LD, Orrell, M, Rymaszewska, J and Chattat, R (2017) Comparison of the adaptive implementation and evaluation of the Meeting Centers Support Program for people with dementia and their family carers in Europe; study protocol of the MEETINGDEM project. BMC Geriatrics 17.CrossRefGoogle ScholarPubMed
Dröes, RM, Meiland, F, Schmitz, M and van Tilburg, W (2004) Effect of combined support for people with dementia and carers versus regular day care on behaviour and mood of persons with dementia: results from a multi-centre implementation study. International Journal of Geriatric Psychiatry 19, 673–684.CrossRefGoogle ScholarPubMed
Dröes, RM, Meiland, FJM, Schmitz, MJ and Van Tilburg, W (2006) Effect of the Meeting Centres Support Program on informal carers of people with dementia: results from a multi-centre study. Aging & Mental Health 10, 112–124.CrossRefGoogle ScholarPubMed
Evans, D, Robertson, J and Candy, A (2016) Use of photovoice with people with younger onset dementia. Dementia (London) 15, 798–813.CrossRefGoogle ScholarPubMed
Fields, NL, Anderson, KA and Dabelko-Schoeny, H (2014) The effectiveness of adult day services for older adults: a review of the literature from 2000 to 2011. Journal of Applied Gerontology 33, 130–163.CrossRefGoogle ScholarPubMed
Fleming, R, Goodenough, B, Low, LF, Chenoweth, L and Brodaty, H (2016) The relationship between the quality of the built environment and the quality of life of people with dementia in residential care. Dementia 15, 663–680.Google ScholarPubMed
Forsund, LH, Grov, EK, Helvik, AS, Juvet, LK, Skovdahl, K and Eriksen, S (2018) The experience of lived space in persons with dementia: a systematic meta-synthesis. BMC Geriatrics 18, 33.CrossRefGoogle ScholarPubMed
Gale, NK, Heath, G, Cameron, E, Rashid, S and Redwood, S (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology 13, 117.CrossRefGoogle ScholarPubMed
Garcia-Llorente, M, Rubio-Olivar, R and Gutierrez-Briceno, I (2018) Farming for life quality and sustainability: a literature review of green care research trends in Europe. International Journal of Environmental Research in Public Health 15, doi: 10.3390/ijerph15061282.CrossRefGoogle ScholarPubMed
Gonzalez, MT and Kirkevold, M (2014) Benefits of sensory garden and horticultural activities in dementia care: a modified scoping review. Journal of Clinical Nursing 23, 2698–2715.CrossRefGoogle ScholarPubMed
Hartig, T, Mitchell, R, De Vries, S and Frumkin, H (2014) Nature and health. Annual Review of Public Health 35, 207–228.CrossRefGoogle ScholarPubMed
Hassink, J, Salverda, I, Vaandrager, L, Van Dam, R and Wentink, C (2016) Relationships between green urban citizens’ initiatives and local governments. Cogent Social Sciences 2, 1250336. http://dx.doi.org/10.1080/23311886.2016.1250336.CrossRefGoogle Scholar
Hassink, J, Vaandrager, L, Buist, Y and De Bruin, SR (2019) Characteristics and challenges for the development of nature-based adult day services in urban areas for people with dementia and their family caregivers. International Journal of Environmental Research and Public Health 16, 1337.CrossRefGoogle ScholarPubMed
Hendriks, IH, van Vliet, D, Gerritsen, DL and Dröes, R-M (2016) Nature and dementia: development of a person-centered approach. International Psychogeriatrics 28, 1455–1470.CrossRefGoogle ScholarPubMed
Kok, JS, van Heuvelen, MJ, Berg, IJ and Scherder, EJ (2016) Small scale homelike special care units and traditional special care units: effects on cognition in dementia; a longitudinal controlled intervention study. BMC Geriatrics 16, 47.CrossRefGoogle ScholarPubMed
Manthorpe, J and Moriarty, J (2014) Examining day centre provision for older people in the UK using the Equality Act 2010: findings of a scoping review. Health and Social Care in the Community 22, 352–360.CrossRefGoogle ScholarPubMed
Milke, DL, Leask, J, George, C and Ziolkowski, S (2015) Eight years of data on residents in small dementia-care settings suggest functional performance is maintained. Journal of Housing for the Elderly 29, 298–328.CrossRefGoogle Scholar
Moeller, C, King, N, Burr, V, Gibbs, GR and Gomersall, T (2018) Nature-based interventions in institutional and organisational settings: a scoping review. International Journal of Environmental Health Research 28, 293–305.CrossRefGoogle ScholarPubMed
Morrisby, C, Joosten, A and Ciccarelli, M (2017) Do services meet the needs of people with dementia and carers living in the community? A scoping review of the international literature. International Psychogeriatrics 1–10.Google ScholarPubMed
Nowak, SJM, Molema, CCM, Baan, CA, Oosting, SJ, Vaandrager, L, Hop, P and De Bruin, SR (2015) Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia. Ageing & Society 35, 704–724.CrossRefGoogle Scholar
Pedersen, I, Patil, G, Berget, B, Ihlebæk, C and Gonzalez, MT (2016) Mental health rehabilitation in a care farm context: a descriptive review of Norwegian intervention studies. Work 53, 31–43.CrossRefGoogle Scholar
Smit, D, de Lange, J, Willemse, B and Pot, AM (2012) The relationship between small-scale care and activity involvement of residents with dementia. International Psychogeriatrics 24, 722–732.CrossRefGoogle ScholarPubMed
Sudmann, TT and Borsheim, IT (in press) ‘It's good to be useful’: activity provision on green care farms in Norway for people living with dementia. International Practice Development Journal. Available online doi.org/10.19043/ipdj.7SP.008.Google Scholar
Tatangelo, G, McCabe, M, Macleod, A and You, E (2018) ‘I just don't focus on my needs.’ The unmet health needs of partner and offspring caregivers of people with dementia: a qualitative study. International Journal of Nursing Studies 77, 8–14.CrossRefGoogle ScholarPubMed
Tretteteig, S, Vatne, S and Rokstad, AMM (2017 a) The influence of day care centres designed for people with dementia on family caregivers – a qualitative study. BMC Geriatrics 17, 5.CrossRefGoogle ScholarPubMed
Tretteteig, S, Vatne, S and Rokstad, AMM (2017 b) Meaning in family caregiving for people with dementia: a narrative study about relationships, values, and motivation, and how day care influences these factors. Journal of Multidisciplinary Healthcare 10, 445.CrossRefGoogle ScholarPubMed
Van Der Roest, HG, Meiland, FJM, Maroccini, R, Comijs, HC, Jonker, C and Dröes, RM (2007) Subjective needs of people with dementia: a review of the literature. International Psychogeriatrics 19, 559–592.CrossRefGoogle ScholarPubMed
Van Haeften-van Dijk, AM, Meiland, FJ, Hattink, BJ, Bakker, TJ and Droes, RM (2016) Community day care with carer support versus usual nursing home-based day care: effects on needs, behavior, mood, and quality of life of people with dementia. International Psychogeriatrics 28, 631–645.CrossRefGoogle ScholarPubMed
Verbeek, H, Zwakhalen, SMG, Van Rossum, E, Ambergen, T, Kempen, GIJM and Hamers, JPH (2014) Effects of small-scale, home-like facilities in dementia care on residents’ behavior, and use of physical restraints and psychotropic drugs: a quasi-experimental study. International Psychogeriatrics 26, 657–668.CrossRefGoogle ScholarPubMed
Whear, R, Coon, JT, Bethel, A, Abbott, R, Stein, K and Garside, R (2014) What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? A systematic review of quantitative and qualitative evidence. Journal of the American Medical Directors Association 15, 697–705.CrossRefGoogle ScholarPubMed
Wiersma, EC (2011) Using photovoice with people with early-stage Alzheimer's disease: a discussion of methodology. Dementia 10, 203–216.CrossRefGoogle Scholar
Winblad, B, Amouyel, P, Andrieu, S, Ballard, C, Brayne, C, Brodaty, H, Cedazo-Minguez, A, Dubois, B, Edvardsson, D, Feldman, H, Fratiglioni, L, Frisoni, GB, Gauthier, S, Georges, J, Graff, C, Iqbal, K, Jessen, F, Johansson, G, Jonsson, L, Kivipelto, M, Knapp, M, Mangialasche, F, Melis, R, Nordberg, A, Rikkert, MO, Qiu, C, Sakmar, TP, Scheltens, P, Schneider, LS, Sperling, R, Tjernberg, LO, Waldemar, G, Wimo, A and Zetterberg, H (2016) Defeating Alzheimer's disease and other dementias: a priority for European science and society. Lancet Neurology 15, 455–532.CrossRefGoogle ScholarPubMed
World Health Organization (2017) Urban Green Space Interventions and Health: A Review of Impacts and Effectiveness. Copenhagen: World Health Organization Europe.Google Scholar
Yamazaki, S, Ura, C, Okamura, T, Shimmei, M, Ishiguro, T, Torishima, K and Kawamuro, Y (in press) Long-term effects of rice-farming care on cognitive function and mental health of elderly people with cognitive impairment: a follow-up study. Psychogeriatrics. Available online.Google Scholar