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Wayfinding in People with Alzheimer’s Disease: Perspective Taking and Architectural Cognition—A Vision Paper on Future Dementia Care Research Opportunities

Author

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  • Saskia Kuliga

    (German Center for Neurodegenerative Diseases (DZNE) Witten site, 58453 Witten, Germany
    Department of Nursing Science, Faculty of Health, University of Witten/Herdecke, 58453 Witten, Germany)

  • Martin Berwig

    (German Center for Neurodegenerative Diseases (DZNE) Witten site, 58453 Witten, Germany
    Department of Nursing Science, Faculty of Health, University of Witten/Herdecke, 58453 Witten, Germany
    Clinic for Cognitive Neurology, Medical Faculty, University of Leipzig, 04103 Leipzig, Germany)

  • Martina Roes

    (German Center for Neurodegenerative Diseases (DZNE) Witten site, 58453 Witten, Germany
    Department of Nursing Science, Faculty of Health, University of Witten/Herdecke, 58453 Witten, Germany)

Abstract

Based on a targeted literature review, this vision paper emphasizes the importance of dementia-sensitive built space. The article specifically focuses on supporting spatial orientation and wayfinding for people living with dementia. First, we discuss types of wayfinding challenges, underlying processes, and consequences of spatial disorientation in the context of dementia of the Alzheimer’s type. Second, we focus on current efforts aimed at planning and evaluating dementia-sensitive built space, i.e., environmental design principles, interventions, evaluation tools, strategies, and planning processes. Third, we use our findings as a starting point for developing an interdisciplinary research vision aimed at encouraging further debates and research about: (1) the perspective of a person with dementia, specifically in the context of wayfinding and spatial orientation, and (2) how this perspective supplements planning and design processes of dementia-sensitive built space. We conclude that more closely considering the perspective of people with dementia supports the development of demographically sustainable future cities and care institutions.

Suggested Citation

  • Saskia Kuliga & Martin Berwig & Martina Roes, 2021. "Wayfinding in People with Alzheimer’s Disease: Perspective Taking and Architectural Cognition—A Vision Paper on Future Dementia Care Research Opportunities," Sustainability, MDPI, vol. 13(3), pages 1-24, January.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:3:p:1084-:d:484408
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    References listed on IDEAS

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    1. Golledge, Reginald G., 1992. "Place Recognition and Wayfinding: Making Sense of Space," University of California Transportation Center, Working Papers qt3s50w5bq, University of California Transportation Center.
    2. Matthias Stangl & Ingmar Kanitscheider & Martin Riemer & Ila Fiete & Thomas Wolbers, 2020. "Sources of path integration error in young and aging humans," Nature Communications, Nature, vol. 11(1), pages 1-15, December.
    3. Eliahu Stern, 2013. "Demographic sustainability and rural development policy," Journal of Maps, Taylor & Francis Journals, vol. 9(2), pages 154-160, June.
    4. Im Sik Cho & Zdravko Trivic & Ivan Nasution, 2015. "Towards an Integrated Urban Space Framework for Emerging Urban Conditions in a High-density Context," Journal of Urban Design, Taylor & Francis Journals, vol. 20(2), pages 147-168, April.
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    Cited by:

    1. Franziska Laporte Uribe & Oscar Arteaga & Walter Bruchhausen & Gary Cheung & Sarah Cullum & Alejandra Fuentes-García & Claudia Miranda Castillo & Ngaire Kerse & Ray Kirk & Marama Muru-Lanning & Rodrig, 2021. "Dementia and COVID-19 in Chile, New Zealand and Germany: A Research Agenda for Cross-Country Learning for Resilience in Health Care Systems," Sustainability, MDPI, vol. 13(18), pages 1-20, September.
    2. Ammar Al-Sharaa & Mastura Adam & Amer Siddiq Amer Nordin & Riyadh Mundher & Ameer Alhasan, 2022. "Assessment of Wayfinding Performance in Complex Healthcare Facilities: A Conceptual Framework," Sustainability, MDPI, vol. 14(24), pages 1-20, December.

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