{"id":{"repo_id":"vt","oai_identifier":"oai:vtechworks.lib.vt.edu:10919/32956"},"canonical_url":"https://search.dev.ndltd.org/etd/vt/oai:vtechworks.lib.vt.edu:10919/32956","repository":{"repo_id":"vt","name":"Virginia Tech","base_url":"https://vtechworks.lib.vt.edu/oai/request"},"display":{"title":"An Integrative Approach to Therapeutic Outdoor Spaces in Dementia-Care Units","abstract":"There is an evident gap in the research regarding the environmental needs of older adults with Alzheimer's disease and related dementias (ADRD) and the design of therapeutic outdoor spaces for these persons. With the rapid growth of the aging population, appropriate outdoor spaces will become essential to improved quality of life for older adults with ADRD. This study explores nonpharmacological treatment approaches for persons with ADRD that can be facilitated in the outdoor environment. The study presents an examination of the literature, including theoretical frameworks and treatment approaches, interviews with professionals in the fields of landscape architecture and gerontology, and an assessment of case studies. Design guidelines identify the necessary landscape elements that can be incorporated in outdoor environments to reduce maladaptive behaviors and improve positive affect and the overall quality of life for persons with dementia. This study concludes with an example of a prototypical wander garden design that responds to the design guidelines and addresses the physical and mental capabilities of persons with ADRD.","abstract_html":"There is an evident gap in the research regarding the environmental needs of older adults with Alzheimer's disease and related dementias (ADRD) and the design of therapeutic outdoor spaces for these persons. With the rapid growth of the aging population, appropriate outdoor spaces will become essential to improved quality of life for older adults with ADRD. This study explores nonpharmacological treatment approaches for persons with ADRD that can be facilitated in the outdoor environment. The study presents an examination of the literature, including theoretical frameworks and treatment approaches, interviews with professionals in the fields of landscape architecture and gerontology, and an assessment of case studies. Design guidelines identify the necessary landscape elements that can be incorporated in outdoor environments to reduce maladaptive behaviors and improve positive affect and the overall quality of life for persons with dementia. This study concludes with an example of a prototypical wander garden design that responds to the design guidelines and addresses the physical and mental capabilities of persons with ADRD.","abstract_has_math":false,"creators":["Caniano, Gina Marie"],"institution":"Virginia Tech","degree_name":"Master of Landscape Architecture","degree_level":"masters","degree_discipline":"Landscape Architecture","degree_department":"Landscape Architecture","school":null,"contributors":[],"advisors":[],"committee_chairs":["Jacobson, Wendy R."],"committee_members":["Jarrott, Shannon E.","Miller, Patrick A."],"year":2006,"date_issued":"2006-05-08","date_published":"2006-05-08","updated_at":"2026-07-24T05:56:42Z","subjects":["Dementia","Alzheimer's Disease","Theory of Environmental Press","Horticulture Therapy","Emotion-Oriented Approaches"],"languages":[],"rights":["In Copyright"],"rights_urls":["http://rightsstatements.org/vocab/InC/1.0/"],"identifier_entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["etd-05182006-175357"],"render_values":[{"text":"etd-05182006-175357","href":null,"code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/10919/32956","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.committeechair","label":"Committee Chair","values":["Jacobson, Wendy R."]},{"key":"dc:contributor.committeemember","label":"Committee Member","values":["Jarrott, Shannon E.","Miller, Patrick A."]},{"key":"dc:contributor.department","label":"Department","values":["Landscape Architecture"]},{"key":"dc:creator","label":"Author","values":["Caniano, Gina Marie"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2014-03-14T20:37:30Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2014-03-14T20:37:30Z","2006-07-26"]},{"key":"dc:date.issued","label":"Date","values":["2006-05-08"]},{"key":"dc:publisher","label":"Institution","values":["Virginia Tech"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Landscape Architecture"]},{"key":"thesis:degree_level","label":"Degree Level","values":["masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Landscape Architecture"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Virginia Polytechnic Institute and State University"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Dementia","Alzheimer's Disease","Theory of Environmental Press","Horticulture Therapy","Emotion-Oriented Approaches"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]},{"key":"dc:rights.uri","label":"Rights URI","values":["http://rightsstatements.org/vocab/InC/1.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["etd-05182006-175357"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/10919/32956"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["There is an evident gap in the research regarding the environmental needs of older adults with Alzheimer's disease and related dementias (ADRD) and the design of therapeutic outdoor spaces for these persons. With the rapid growth of the aging population, appropriate outdoor spaces will become essential to improved quality of life for older adults with ADRD. This study explores nonpharmacological treatment approaches for persons with ADRD that can be facilitated in the outdoor environment. The study presents an examination of the literature, including theoretical frameworks and treatment approaches, interviews with professionals in the fields of landscape architecture and gerontology, and an assessment of case studies. Design guidelines identify the necessary landscape elements that can be incorporated in outdoor environments to reduce maladaptive behaviors and improve positive affect and the overall quality of life for persons with dementia. 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