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Related Experiment Video

Updated: Jun 14, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Wandering and the physical environment.

Donna L Algase¹, Elizabeth R A Beattie, Cathy Antonakos

¹University of Michigan School of Nursing, Ann Arbor, 48109, USA. dalgase@umich.edu

American Journal of Alzheimer'S Disease and Other Dementias

|April 10, 2010

Summary

This summary is machine-generated.

Environmental factors like location, light, and sound significantly influence wandering behavior in individuals with dementia. Understanding these influences can help improve care practices and facility design for better resident well-being.

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Area of Science:

Gerontology
Environmental Psychology
Dementia Care Research

Background:

The need-driven dementia-compromised behavior (NDB) model provides a framework for understanding behaviors in dementia.
Wandering is a common and complex behavior observed in individuals with dementia.

Purpose of the Study:

To investigate the impact of the physical environment on wandering behavior in long-term care (LTC) residents.
To assess the fit of the NDB model in explaining environment-wandering associations.

Main Methods:

A descriptive, cross-sectional study involving 122 residents exhibiting wandering behavior across 28 LTC facilities.
Videotaping of residents (10-12 times each) to collect data on wandering, environmental factors (light, sound, temperature, humidity, location, ambiance, crowding).
Statistical analyses including chi-square tests, t tests, and logistic regression to evaluate associations and model fit.

Main Results:

Wandering predominantly occurred in residents' rooms, dayrooms, hallways, and dining rooms (80% of observations).
Specific locations like other residents' rooms, hallways, and off-unit areas were associated with increased wandering (60%-92% likelihood).
The NDB model demonstrated a good overall fit with the collected data, supporting its utility in this context (LR chi(2)(5) = 50.38, P < .0001).

Conclusions:

Environmental elements such as location, lighting, sound levels, proximity of other individuals, and ambiance are significantly associated with wandering behavior.
These findings suggest that environmental modifications and tailored care strategies can potentially mitigate problematic wandering.
The study supports the integration of environmental considerations into dementia care models and facility design.