IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i8p1337-d222622.html
   My bibliography  Save this article

Characteristics and Challenges for the Development of Nature-Based Adult Day Services in Urban Areas for People with Dementia and Their Family Caregivers

Author

Listed:
  • Jan Hassink

    (Wageningen Plant Research, Agrosystems Research, Wageningen University& Research, P.O. Box 16, 6700AA Wageningen, The Netherlands)

  • Lenneke Vaandrager

    (Department of Social Sciences, Health and Society, Wageningen University & Research, P.O. Box 8130, 6700EW Wageningen, The Netherlands)

  • Yvette Buist

    (Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, The Netherlands)

  • Simone de Bruin

    (Center for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, The Netherlands)

Abstract

Nature-based adult day services (ADSs) for people with dementia (PwD) are well-known in rural areas. In recent years, a number of providers have started offering these services in urban contexts, e.g., in city farms and community gardens, where people with dementia participate in outdoor activities, such as gardening and caring for animals. At the moment, little is known about these services within an urban context, and the aim of this study is to characterize different types of nature-based ADSs in urban areas for PwD living at home, as well as to identify general and specific challenges with regard to the development of different types of ADSs. An inventory was carried out and 17 ADS providers in urban areas were interviewed about their initiatives, settings, client groups, motivations for starting their nature-based ADS, and their experiences with, competences for, and funding of urban nature-based ADS. The interviews were recorded, transcribed verbatim and thematically analyzed. Five types of nature-based ADSs were identified: (1) services offered by social entrepreneurs, (2) nursing homes opening their garden to people with dementia, (3) social care organization setting up nature-based, (4) community garden set up by citizens, and (5) hybrid initiatives. Common activities were gardening, preparing meals, and taking care of farm animals. The main activities organized by nursing homes included sitting and walking in the garden and attending presentations and excursions. General challenges included the availability of green urban spaces and acquiring funding for the nature-based services. Initiatives of social entrepreneurs depended strongly on their commitment. Challenges for nursing homes included a lack of commitment among nursing staff, involvement of PwD living at home and a lack of interaction with the neighborhood. Volunteers played a key role in the initiatives organized by social care organizations and in community gardens. However, it was a major challenge to find volunteers who know enough about care and gardening. Specific challenges for the hybrid types were related to differences in work culture between social entrepreneurs and care organizations. Different types of care-oriented and community-oriented nature-based adult day services in urban areas for people with dementia have been developed, facing different types of challenges. Care oriented initiatives like nursing homes opening their garden focus on risk prevention and their nature-based services tended to be less diverse and stimulating for people with dementia living at home. Collaboration between such care-oriented initiatives with initiatives of other types of organizations or social entrepreneurs can lead to more appealing community-oriented nature-based services.

Suggested Citation

  • Jan Hassink & Lenneke Vaandrager & Yvette Buist & Simone de Bruin, 2019. "Characteristics and Challenges for the Development of Nature-Based Adult Day Services in Urban Areas for People with Dementia and Their Family Caregivers," IJERPH, MDPI, vol. 16(8), pages 1-15, April.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1337-:d:222622
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/8/1337/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/8/1337/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Viniece Jennings & Lincoln Larson & Jessica Yun, 2016. "Advancing Sustainability through Urban Green Space: Cultural Ecosystem Services, Equity, and Social Determinants of Health," IJERPH, MDPI, vol. 13(2), pages 1-15, February.
    2. Meiland, Franka J.M. & Droes, Rose-Marie & Lange, Jacomine de & Vernooij-Dassen, Myrra J.F.J., 2005. "Facilitators and barriers in the implementation of the meeting centres model for people with dementia and their carers," Health Policy, Elsevier, vol. 71(2), pages 243-253, February.
    3. Scott Shane & Rakesh Khurana, 2003. "Bringing individuals back in: the effects of career experience on new firm founding," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 12(3), pages 519-543, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Morgana Galardi & Marta De Santis & Roberta Moruzzo & Franco Mutinelli & Laura Contalbrigo, 2021. "Animal Assisted Interventions in the Green Care Framework: A Literature Review," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Erik Stam & Roy Thurik & Peter van der Zwan, 2010. "Entrepreneurial exit in real and imagined markets," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 19(4), pages 1109-1139, August.
    2. Jolanda Hessels & Peter van der Zwan, 2011. "Entrepreneurial exit, ability and engagement across countries in different stages of development," Scales Research Reports H201116, EIM Business and Policy Research.
    3. Mohamed Fomba & Zinash Delebo Osunde & Souleymane Sidi Traoré & Appollonia Okhimamhe & Janina Kleemann & Christine Fürst, 2024. "Urban Green Spaces in Bamako and Sikasso, Mali: Land Use Changes and Perceptions," Land, MDPI, vol. 13(1), pages 1-20, January.
    4. Jolien Roelandt & Petra Andries & Mirjam Knockaert, 2022. "The contribution of board experience to opportunity development in high-tech ventures," Small Business Economics, Springer, vol. 58(3), pages 1627-1645, March.
    5. Backman, Mikaela & Karlsson, Charlie, 2013. "Who says life is over after 55? Entrepreneurship and an aging population," Working Paper Series in Economics and Institutions of Innovation 325, Royal Institute of Technology, CESIS - Centre of Excellence for Science and Innovation Studies.
    6. A. Haven Kiers & Billy Krimmel & Caroline Larsen-Bircher & Kate Hayes & Ash Zemenick & Julia Michaels, 2022. "Different Jargon, Same Goals: Collaborations between Landscape Architects and Ecologists to Maximize Biodiversity in Urban Lawn Conversions," Land, MDPI, vol. 11(10), pages 1-18, September.
    7. Michael Fritsch & Stefan Krabel, 2012. "Ready to leave the ivory tower?: Academic scientists’ appeal to work in the private sector," The Journal of Technology Transfer, Springer, vol. 37(3), pages 271-296, June.
    8. Ding, Waverly & Choi, Emily, 2008. "Divergent Paths or Stepping Stones: A Comparison of Scientists’ Advising and Founding Activities," Institute for Research on Labor and Employment, Working Paper Series qt4907j25p, Institute of Industrial Relations, UC Berkeley.
    9. Zihe Wang & Gege Yan & Siyuan Wang, 2022. "Fairness Evaluation of Landscape Justice in Urban Park Green Space: A Case Study of the Daxing Part of Yizhuang New Town, Beijing," Sustainability, MDPI, vol. 15(1), pages 1-18, December.
    10. David B. Audretsch & Donald F. Kuratko & Albert N. Link, 2016. "Dynamic entrepreneurship and technology-based innovation," Journal of Evolutionary Economics, Springer, vol. 26(3), pages 603-620, July.
    11. Gianluca Fabiano & Andrea Marcellusi & Giampiero Favato, 2020. "Public–private contribution to biopharmaceutical discoveries: a bibliometric analysis of biomedical research in UK," Scientometrics, Springer;Akadémiai Kiadó, vol. 124(1), pages 153-168, July.
    12. Agarwal, Rajshree & Shah, Sonali K., 2014. "Knowledge sources of entrepreneurship: Firm formation by academic, user and employee innovators," Research Policy, Elsevier, vol. 43(7), pages 1109-1133.
    13. Toft-Kehler, Rasmus & Wennberg, Karl & Kim, Phillip H., 2014. "Practice makes perfect: Entrepreneurial-experience curves and venture performance," Journal of Business Venturing, Elsevier, vol. 29(4), pages 453-470.
    14. Jayajit Chakraborty & Timothy W. Collins & Sara E. Grineski, 2016. "Environmental Justice Research: Contemporary Issues and Emerging Topics," IJERPH, MDPI, vol. 13(11), pages 1-5, November.
    15. Qin, Fei & Wright, Mike & Gao, Jian, 2017. "Are ‘sea turtles’ slower? Returnee entrepreneurs, venture resources and speed of entrepreneurial entry," Journal of Business Venturing, Elsevier, vol. 32(6), pages 694-706.
    16. Foray, Dominique & Lissoni, Francesco, 2010. "University Research and Public–Private Interaction," Handbook of the Economics of Innovation, in: Bronwyn H. Hall & Nathan Rosenberg (ed.), Handbook of the Economics of Innovation, edition 1, volume 1, chapter 0, pages 275-314, Elsevier.
    17. Petra Boersma & Julia C M van Weert & Berno van Meijel & Rose‐Marie Dröes, 2017. "Implementation of the Veder contact method in daily nursing home care for people with dementia: a process analysis according to the RE‐AIM framework," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(3-4), pages 436-455, February.
    18. Grillitsch, Markus & Schubert, Torben, 2020. "Does the Timing of integrating new Skills affect Start-up Growth?," Papers in Innovation Studies 2020/9, Lund University, CIRCLE - Centre for Innovation Research.
    19. Newbery, Robert & Lean, Jonathan & Moizer, Jonathan & Haddoud, Mohamed, 2018. "Entrepreneurial identity formation during the initial entrepreneurial experience: The influence of simulation feedback and existing identity," Journal of Business Research, Elsevier, vol. 85(C), pages 51-59.
    20. Benjamin A. Campbell, 2013. "Earnings Effects of Entrepreneurial Experience: Evidence from the Semiconductor Industry," Management Science, INFORMS, vol. 59(2), pages 286-304, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1337-:d:222622. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.