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
Authors | Dyer, Suzanne M., Liu, Enwu, Gnanamanickam, Emmanuel, Harrison, Stephanie L., Milte, Rachel and Crotty, Maria |
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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. |
Keywords | nursing homes; cognitive impairment; built environment; quality of life; dementia |
Year | 2021 |
Journal | Annals of Long-Term Care |
Journal citation | pp. e1-e7 |
Publisher | HMP Communications |
ISSN | 1524-7929 |
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 scholarly | Research |
Page range | e1-e7 |
Funder | National Health and Medical Research Council (NHMRC) |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 12 Feb 2021 |
Publication process dates | |
Accepted | 04 Nov 2020 |
Deposited | 09 Sep 2021 |
Grant ID | NHMRC/9100000 |
https://acuresearchbank.acu.edu.au/item/8wqvw/associations-between-quality-of-life-and-outdoor-access-in-nursing-homes-a-cross-sectional-study
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