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    The perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme

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    Publication date
    2021-09
    Author
    Wu, Y.T.
    Clare, L.
    Jones, I.R.
    Nelis, S.M.
    Quinn, Catherine
    Martyr, A.
    Victor, C.R.
    Lamont, R.A.
    Rippon, I.
    Matthews, F.E.
    Keyword
    People with dementia
    Quality of life
    Green spaces
    Blue spaces
    Perceived and objective environment measures
    Rights
    (c) 2021 The Authors. This is a Gold Open Access article distributed under the Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/)
    Peer-Reviewed
    Yes
    Open Access status
    Gold
    
    Metadata
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    Abstract
    The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors. This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups. Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95%CI: 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95%CI: 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.
    URI
    http://hdl.handle.net/10454/18350
    Version
    Published version
    Citation
    Wu Y-T, Clare L, Jones IR et al (2021) The perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme. Social Psychiatry and Psychiatric Epidemiology. 56: 1601-1610.
    Link to publisher’s version
    https://doi.org/10.1007/s00127-021-02030-y
    Type
    Article
    Collections
    Health Studies Publications

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