Associations between quality of life and outdoor access in nursing homes : A cross-sectional study

Journal article


Dyer, Suzanne M., Liu, Enwu, Gnanamanickam, Emmanuel, Harrison, Stephanie L., Milte, Rachel and Crotty, Maria. (2021). Associations between quality of life and outdoor access in nursing homes : A cross-sectional study. Annals of Long-Term Care. pp. e1-e7. https://doi.org/10.25270/altc.2021.02.00001
AuthorsDyer, Suzanne M., Liu, Enwu, Gnanamanickam, Emmanuel, Harrison, Stephanie L., Milte, Rachel and Crotty, Maria
Abstract

Associations between provision of independent access to outdoor areas and frequency of Australian nursing home (NH) residents going outdoors with health-related quality of life (HR-QoL, EQ-5D-5L) are examined in a cross-sectional study (541 participants, 17 homes, 84% with cognitive impairment) using multilevel models. After adjustments for potential confounders (including comorbidities and home location), independent access to outdoor areas was not associated with HR-QoL (β=-0.01, 95% CI, -0.09–0.07). Going outdoors daily (β=0.13, 95% CI 0.06–0.21), but not multiple times a week (β=0.03; 95% CI, -0.03–0.09), was associated with better HR-QoL. Residents living in small-scale, clustered, homelike facilities had greater odds of going outdoors daily (odds ratio 15.1; 95% CI, 6.3–36.2). Provision of independent access to outdoor areas alone may be insufficient to achieve HR-QoL benefits of NH residents venturing outdoors, in a pre-COVID era. Staffing structures, organizational attitudes, environmental design, and activities to support residents of NHs venturing outdoors frequently, despite any COVID-19-related restrictions, are needed.

Keywordsnursing homes; cognitive impairment; built environment; quality of life; dementia
Year2021
JournalAnnals of Long-Term Care
Journal citationpp. e1-e7
PublisherHMP Communications
ISSN1524-7929
Digital Object Identifier (DOI)https://doi.org/10.25270/altc.2021.02.00001
Web address (URL)https://www.hmpgloballearningnetwork.com/site/altc/articles/associations-between-quality-life-and-outdoor-access-nursing-homes-cross-sectional-study
Research or scholarlyResearch
Page rangee1-e7
FunderNational Health and Medical Research Council
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusIn press
Publication dates
Online12 Feb 2021
Publication process dates
Accepted04 Nov 2020
Deposited09 Sep 2021
Grant IDNHMRC/9100000
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