Person-Environment Exchange Processes in Transition into Dementia: A Scoping Review

Area of Science:

• Gerontology
• Environmental Psychology
• Dementia Studies

Background:

• The environment significantly impacts older adults' lives.
• Limited understanding exists regarding person-environment interactions in early dementia stages.

Purpose of the Study:

• To review person-environment processes in early dementia.
• To explore the relationship between early dementia and life space dimensions.

Main Methods:

• Scoping review conducted following the Johanna Briggs Institute Manual.
• Searched 3 databases for research on early dementia and environment.
• Screened 1,358 records, selecting 102 sources for analysis.

Main Results:

• Identified person-environment exchange processes related to agency, belonging, and stress.
• Individuals with dementia actively modify, use, and avoid environments based on abilities and barriers.
• Feelings of connectedness and familiarity are vital for well-being.

Conclusions:

• An environmental gerontology and transition perspective enhances understanding of early dementia experiences.
• People with dementia actively shape their environment and desire belonging, which can be reinforced.
• Further research is needed on person-environment dynamics, quantitative data, and socioeconomic factors.