The Multi Sensory Environment (MSE) in dementia care: the role of design

多感官环境 (MSE) 在痴呆症护理中的作用：设计的作用

• 批准号: AH/K003135/1
• 负责人: Anke Jakob
• 金额: $ 8.99万
• 依托单位: Kingston University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FK003135%2F1
• 关键词: Multi; Sensory; Environment; MSE; dementia

The proposal builds on previous research carried out by Kingston University's Designed Environment Research Group with its successful track record for investigating the environmental needs of people with dementia, and prior research undertaken by the Co-I exploring engagement strategies for the latter and the effect of MSEs on functional performance. This new project will conduct a focused investigation into the concept and design of MSEs and their current and future demanding role within homes caring for residents with dementia. The timely relevance of this research rests on a broader consideration of the rapid growth of an ageing population, the rising number of people affected by dementia, and the over-prescribed use of antipsychotic medication in dementia treatment. Cost-effective interventions supporting dementia care are urgently needed. Carers, therapists and designers are therefore keen to investigate the MSE in this context.The observed benefits of MSEs within dementia care are improved function and alleviated psychological and behavioural symptoms e.g. challenging behaviour, depression, increased appropriate communication, improved staff morale (Collier et al 2010). MSEs, incorporating sensory equipment which targets the primary senses, are now widely used and specified but evidence suggests that they often fail to succeed because of inadequate/poor design and haphazard arrangements (Dalke et al 2010). Conversely, there has been a lack of research into design innovations regarding the future development of MSEs for those living with dementia. The project will investigate to what extent the above criticisms can be substantiated via a study involving 15 care homes in Greater London with some type of MSE facility. The facilities will be examined and staff observed/interviewed (using a specifically designed questionnaire). The intention is to evaluate service and usage in relation to MSEs' joint function as both a resource for meaningful leisure activity and a therapeutic intervention for users with dementia. This study aims to establish whether the improved overall design of MSEs could add value to the experience on offer maximising the benefit for these particular users and their carers. More importantly, because little documented design guidance for MSEs for older people with dementia exists, the overall purpose of the proposed research is to establish new knowledge from which coherent, user-centred design solutions can be developed. The proposed study has the potential to inform the development of design ideas and recommendations for a MSE template tailored towards people with dementia, their physical and emotional needs. In order to improve the MSE experience the design development would not be confined to solutions that place additional technology in a room. It would involve designing the space as a whole to achieve aesthetically inspiring, stimulating environments which are sufficiently flexible and adaptable to the specific individual needs of users. Embracing an inclusive design approach, such spaces should generate a sense of wellbeing and engagement not only for people with dementia but also for staff and relatives sharing the experience of the service users. The research findings and results will be written up in a Design Sourcebook, and assist occupational therapists, activity co-ordinators, managers and designers of care homes by informing their practice and strategic planning, particularly when making improvements to existing MSE facilities or setting up new ones. Another main output will be an exhibition-related event at the end of the project where the research results will be presented to a wider audience of professionals in the field, policy makers and the general public. Societal and economic impacts would increase during the course of a follow-on research project linked to performing trials with focus groups and subsequently providing proof-of-concept and implementation strategies.

该提案建立在金斯顿大学设计环境研究小组先前进行的研究的基础上，该研究小组成功地调查了痴呆症患者的环境需求，以及Co-I探索后者的参与策略和MSE对功能表现的影响。这个新项目将对中小企业的概念和设计以及它们当前和未来在照顾痴呆症居民的家庭中所扮演的艰巨角色进行重点调查。这项研究的及时相关性取决于对人口老龄化的快速增长，受痴呆症影响的人数不断增加以及抗精神病药物在痴呆症治疗中的过度使用的更广泛考虑。迫切需要支持痴呆症护理的成本效益干预措施。因此，护理人员，治疗师和设计师热衷于在这种情况下研究MSE。观察到的痴呆症护理中MSE的好处是改善功能，减轻心理和行为症状，例如挑战性行为，抑郁症，增加适当的沟通，提高员工士气（Collier et al 2010）。包含针对主要感官的感官设备的MSE现在被广泛使用和指定，但有证据表明，由于设计不充分/不良和随意安排，它们通常无法成功（Dalke等人，2010）。相反，一直缺乏对设计创新的研究，为那些患有痴呆症的人未来发展的MSE。该项目将调查上述批评在多大程度上可以通过一项研究得到证实，该研究涉及大伦敦的15家护理院，这些护理院拥有某种类型的MSE设施。将对设施进行检查，并对工作人员进行观察/访谈（使用专门设计的问卷）。其目的是评估服务和使用有关的MSE的联合功能作为一个有意义的休闲活动的资源和痴呆症患者的治疗干预。本研究旨在确定改进的中小型企业的整体设计是否可以增加价值的经验提供最大限度地提高这些特定的用户和他们的照顾者的利益。更重要的是，因为几乎没有记录的设计指导为老年痴呆症患者的MSE存在，拟议的研究的总体目的是建立新的知识，从连贯的，以用户为中心的设计解决方案可以开发。拟议的研究有可能为针对痴呆症患者及其身体和情感需求的MSE模板的设计理念和建议提供信息。为了改善MSE体验，设计开发将不限于在房间中放置额外技术的解决方案。这将涉及对空间进行整体设计，以实现具有美学灵感和刺激性的环境，这些环境足够灵活，可适应用户的具体个人需求。这些空间采用包容性的设计方法，不仅为痴呆症患者，而且为分享服务用户经验的工作人员和亲属带来幸福感和参与感。研究结果和结果将被写入设计资料手册，并通过告知他们的实践和战略规划，特别是在改善现有MSE设施或建立新设施时，帮助职业治疗师，活动协调员，管理人员和护理院的设计师。另一项主要产出将是在项目结束时举办一次与展览有关的活动，向该领域的专业人员、决策者和一般公众等更广泛的受众介绍研究成果。社会和经济影响将在后续研究项目过程中增加，该项目与重点小组进行试验有关，随后提供概念验证和实施战略。

项目成果

Multisensory Environments (MSEs) in dementia care: the role of design - An interdisciplinary research collaboration between design and health care

痴呆症护理中的多感官环境（MSE）：设计的作用 - 设计与医疗保健之间的跨学科研究合作

• 发表时间: 2014
• 作者: Jakob A

How to make a Sensory Room for people with dementia

如何为痴呆症患者打造感官室

• 发表时间: 2014
• 作者: Jakob A

How to make a Sensory Room for People Living with Dementia: Developing design guidance for multisensory stimulation in dementia care

如何为痴呆症患者打造感官室：为痴呆症护理中的多感官刺激制定设计指南

• 发表时间: 2015
• 作者: Jakob A

Implementing Sensory Design for care-home residents in London

为伦敦疗养院居民实施感官设计

• 发表时间: 2019
• 作者: Jakob, A.

"How to make a Sensory Room for people living with dementia" - developing design guidance for health care practitioners

“如何为痴呆症患者打造感官室”——为医疗保健从业者制定设计指南

• 发表时间: 2015
• 作者: Jakob A