Dementia · 2011 · 109 citations · 30 references
ArchitectureUrban StudiesDementiaPlace-makingPublic Space StudiesAccessible Public SpacesHome EnvironmentInclusive Public SpaceOpen SpacesPublic Space AccessibilitySpatial ExperienceAccessible Open SpacesAlzheimer Disease DementiaDementia-friendly EnvironmentsElderly Public SpaceGrounded Theory AnalysisGrounded Theory Interview AnalysisGrounded Theory InterviewingPublic Space Comfort
Most people with dementia remain at home as long as possible, so their lives include activities in public space. The study aimed to illuminate experiences of accessibility in public space among people with Alzheimer’s disease. A qualitative grounded‑theory approach with repeated in-depth interviews was employed. Accessibility in public space for people with Alzheimer’s is a constantly changing experience shaped by evolving relationships with places, familiarity, comfort, motives, planning, and environmental factors such as technology, crowds, noise, and landmark changes, which together reduce perceived accessibility and increase activity difficulties, offering guidance for community support.
Most people with dementia remain living at home as long as possible after being diagnosed, and hence their lives also include activities in the public space. The aim of this study was to illuminate experiences of accessibility in public space in people with Alzheimer’s disease. A qualitative grounded theory approach with repeated in-depth interviews was used. The core category, accessibility as a constantly changing experience, was characterized by changes in the relationship between informants and public space. Changes in the relationship took place in activities and use of place and related to familiarity and comfort, individual motives and interests, and planning and protecting. Other changes occurred in places and problematic situations related to everyday technologies, crowded places with high tempo and noise, and change of landmarks. These changes reduced feelings of accessibility and increased difficulties in carrying out activities in public space. These findings may be helpful when providing support, and supporting community living.
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Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh · Journal of Psychiatric Research · 1975 · 86.9K citations
Clinical diagnosis of Alzheimer's disease
Guy M. McKhann, David A. Drachman, Marshall Folstein et al. · Neurology · 1984 · 28K citations · Full text