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Related Experiment Video

Updated: Jul 13, 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

Designing for Dementia: A Multiple Case Study Approach to Explore How Care Home Environments May Influence Wandering.

Rosie Bamber¹, Emily Fisher¹, Bryony Waters-Harvey¹

¹School of Medicine and Population Health, University of Sheffield, Sheffield, UK.

Dementia (London, England)

|July 11, 2026

Summary

Wandering in dementia care homes is a meaningful activity influenced by the environment. This study developed a tool to map care home features, finding that adaptable elements like personalization can improve orientation and wellbeing for residents.

Keywords:

care home design environment environmental mapping independence orientation walking wandering

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Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

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Last Updated: Jul 13, 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

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Area of Science:

Gerontology
Environmental Psychology
Dementia Care Research

Background:

Wandering affects up to 60% of dementia patients in care homes, previously viewed negatively but now recognized as purposeful.
Care home environments significantly impact residents' orientation, autonomy, and overall wellbeing, influencing wandering behaviors.
Understanding environmental influences is crucial for supporting dementia patients' quality of life.

Purpose of the Study:

To identify and describe specific environmental features within care homes that influence residents' orientation and wandering.
To develop and apply an evidence-based tool for mapping these environmental features.

Main Methods:

Development and application of the 80-item 'Wayfinding Environmental Mapping Tool for Care Homes' (Wayfind Tool).
The tool integrated design criteria from literature and expert experience, focusing on orientation and wandering.
The study involved mapping seven diverse care homes in England, analyzing both modifiable and non-modifiable environmental features.

Main Results:

Significant heterogeneity was observed across care home environments, varying in size, layout, domesticity, and clinical appearance.
Accessible features like kitchens, laundry rooms, and gardens, along with clear signage, natural lighting, and visible routes, were noted.
Modifiable features such as personalization and accessible seating were identified as cost-effective ways to create supportive, home-like settings.

Conclusions:

The 'Wayfind Tool' revealed the critical role of environmental heterogeneity in dementia care.
Adaptable environmental features, particularly those promoting a 'home-like' atmosphere, can significantly aid orientation and wandering.
Environmental mapping methods should be integrated into future dementia care research and practice for auditing and improvement.