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The influence of everyday acoustic environments on the challenging behavior in dementia : a participatory observation study in nursing homes

Arezoo Talebzadeh (UGent) , Ine Decoutere, Tara Vander Mynsbrugge, Dick Botteldooren (UGent) , Paul Devos (UGent) , Francesco Aletta (UGent) , Dominique Van de Velde (UGent) and Patricia De Vriendt (UGent)
(2023) INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 20(5).
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Abstract
Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their nursing homes with a specific focus on how people react to everyday environmental sounds. Thirty-five residents were included in the sample based on purposeful, homogeneous group characteristics and sampling. Empirical data were collected using 24/7 participatory observations. The collected data were analyzed using a phenomenological–hermeneutical method: a naïve understanding, a structural analysis and a comprehensive understanding. The result shows that the onset of CB depends on whether the resident feels safe and is triggered by an excess or lack of stimuli. The excess or shortage of stimuli and whether and when it affects a person is personal. It depends on various factors, the person’s state and the time of day, the nature of the stimuli, familiarity, or strangeness is also a determining factor for the onset and progression of CB. The results can form an essential basis for developing soundscapes to make the PwD feel safe and reduce CB.
Keywords
Health, Toxicology and Mutagenesis, Public Health, Environmental and Occupational Health

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MLA
Talebzadeh, Arezoo, et al. “The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia : A Participatory Observation Study in Nursing Homes.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 20, no. 5, 2023, doi:10.3390/ijerph20054191.
APA
Talebzadeh, A., Decoutere, I., Vander Mynsbrugge, T., Botteldooren, D., Devos, P., Aletta, F., … De Vriendt, P. (2023). The influence of everyday acoustic environments on the challenging behavior in dementia : a participatory observation study in nursing homes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 20(5). https://doi.org/10.3390/ijerph20054191
Chicago author-date
Talebzadeh, Arezoo, Ine Decoutere, Tara Vander Mynsbrugge, Dick Botteldooren, Paul Devos, Francesco Aletta, Dominique Van de Velde, and Patricia De Vriendt. 2023. “The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia : A Participatory Observation Study in Nursing Homes.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 20 (5). https://doi.org/10.3390/ijerph20054191.
Chicago author-date (all authors)
Talebzadeh, Arezoo, Ine Decoutere, Tara Vander Mynsbrugge, Dick Botteldooren, Paul Devos, Francesco Aletta, Dominique Van de Velde, and Patricia De Vriendt. 2023. “The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia : A Participatory Observation Study in Nursing Homes.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 20 (5). doi:10.3390/ijerph20054191.
Vancouver
1.
Talebzadeh A, Decoutere I, Vander Mynsbrugge T, Botteldooren D, Devos P, Aletta F, et al. The influence of everyday acoustic environments on the challenging behavior in dementia : a participatory observation study in nursing homes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 2023;20(5).
IEEE
[1]
A. Talebzadeh et al., “The influence of everyday acoustic environments on the challenging behavior in dementia : a participatory observation study in nursing homes,” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 20, no. 5, 2023.
@article{01GTG4B44AB041TEBVN3F0XGYZ,
  abstract     = {{Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their nursing homes with a specific focus on how people react to everyday environmental sounds. Thirty-five residents were included in the sample based on purposeful, homogeneous group characteristics and sampling. Empirical data were collected using 24/7 participatory observations. The collected data were analyzed using a phenomenological–hermeneutical method: a naïve understanding, a structural analysis and a comprehensive understanding. The result shows that the onset of CB depends on whether the resident feels safe and is triggered by an excess or lack of stimuli. The excess or shortage of stimuli and whether and when it affects a person is personal. It depends on various factors, the person’s state and the time of day, the nature of the stimuli, familiarity, or strangeness is also a determining factor for the onset and progression of CB. The results can form an essential basis for developing soundscapes to make the PwD feel safe and reduce CB.}},
  articleno    = {{4191}},
  author       = {{Talebzadeh, Arezoo and Decoutere, Ine and Vander Mynsbrugge, Tara and Botteldooren, Dick and Devos, Paul and Aletta, Francesco and Van de Velde, Dominique and De Vriendt, Patricia}},
  issn         = {{1660-4601}},
  journal      = {{INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}},
  keywords     = {{Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{16}},
  title        = {{The influence of everyday acoustic environments on the challenging behavior in dementia : a participatory observation study in nursing homes}},
  url          = {{http://doi.org/10.3390/ijerph20054191}},
  volume       = {{20}},
  year         = {{2023}},
}
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