Enriching opportunities for people living with dementia in nursing homes: An evaluation of a multi-level activity-based model of care
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This paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in nursing home care for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nursing homes in the UK. A repeated measures within-subjects design was employed, collecting quantitative and qualitative data at three points over a twelve-month period in each facility with follow-up 7 to 14 months later. Two-way ANOVAs revealed a statistically significant increase in levels of observed well-being and in diversity of activity following the intervention. There was a statistically significant increase in the number of positive staff interventions but no change in the number of negative staff interventions overall. There was a significant reduction in levels of depression. No significant changes in anxiety, health status, hospitalisations, or psychotropic medication usage were observed. The Enriched Opportunities Programme demonstrated a positive impact on the lives of people with dementia in nursing homes already offering a relatively good standard of care, in a short period of time. The refined programme requires further evaluation to establish its portability.
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The use of activities as nonpharmacological intervention for people with dementia has shown potential benefits in quality of life and in reducing agitation and depression.
“The use of activities as nonpharmacological intervention for people with dementia has shown potential benefits in quality of life and in reducing agitation and depression [37–39].”
From Nonpharmacological Interventions to Reduce Behavioral and Psychological Symptoms of Dementia: A Systematic Review (2015) · cites this paper as [38]
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Scerri, A., & Scerri, C. (2013) · OAR@UM (University of Malta)
Maintaining Meaningful Activities
Hobson, P. (2019) · Springer eBooks · doi:10.1007/978-3-030-20479-2_10
Serving Customers with Dementia: Lessons for Café Owners
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Current awareness in geriatric psychiatry
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Food, Aging, and Dementia: Exploring caterers’ rôles in elderly care homes nourishment
Dinsdale, N. (2022) · Sheffield Hallam University · doi:10.7190/shu-thesis-00574
Maintaining Meaningful Activities
Hobson, P. (2025) · Springer eBooks · doi:10.1007/978-3-032-03137-2_13
Evaluating the Implementation of a Toolkit With Meaningful Activities for Residents With Dementia
Houben, M. J., de Lange, C. A., Caljouw, M. A. A., & Smaling, H. J. A. (2026) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2026.106210
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- Authors
- Brooker, D. J., Woolley, R. J., & Lee, D.
- Affiliations
- University of Bradford (GB)
- Corresponding author
- Brooker, Dawn J.
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2007-07
- Volume
- 11
- Issue
- 4
- Pages
- 361-370
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2035569684
- Cited by
- 87
- References
- 39
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 14 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 4
- FWCI
- 7.87
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Bradford Scholars (University of Bradford) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- dementia, nursing homes, well-being, staff interventions, depression, anxiety, psychotropic drugs, hospitalization, mental illness, long-term care
- MeSH terms
- Aged, Aged, 80 and over, Dementia, Evaluation Studies as Topic, Female, United Kingdom, Humans, Male, Nursing Homes, Recreation, Program Development, Models, Organizational
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