Small-Scale Living Environments' Impact on Positive Behaviors and Quality of Life for Residents with Dementia

This study explored the relationship of the environment in small-scaled nursing homes and positive behaviors on the residents' quality of life (QOL). The Environmental Assessment Tool-Higher Care was used to evaluate unit environments. Dementia Care Mapping was used to observe 113 residents' positive behaviors. Hierarchical linear modeling analysis showed that residents living in a dementia-friendly environment showed a significant correlation between their positive behaviors and QOL. In contrast, a non-dementia-friendly environment showed no notable impact upon their QOL despite the high/low frequency of positive behaviors. It is crucial to prioritize a comprehensive facility environment review to support residents' QOL.