The Gerontologist Copyright 2003 by The Gerontological Society of America
Vol.
43, No.
5, 697–711
Environmental Correlates to Behavioral Health
Outcomes in Alzheimer’s Special Care Units
John Zeisel, PhD,1
Nina M.
Silverstein, PhD,2
Joan Hyde, PhD,1
Sue...
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The Gerontologist Copyright 2003 by The Gerontological Society of America
Vol.
43, No.
5, 697–711
Environmental Correlates to Behavioral Health
Outcomes in Alzheimer’s Special Care Units
John Zeisel, PhD,1
Nina M.
Silverstein, PhD,2
Joan Hyde, PhD,1
Sue Levkoff, ScD,3
M.
Powell Lawton, PhD,4
and William Holmes, PhD5
Purpose: We systematically measured the associations between environmental design features of
nursing home special care units and the incidence
of aggression, agitation, social withdrawal, depression, and psychotic problems among persons living
there who have Alzheimer’s disease or a related
disorder.
Design and Methods: We developed and
tested a model of critical health-related environmental
design features in settings for people with Alzheimer’s
disease.
We used hierarchical linear modeling
statistical techniques to assess associations between
seven environmental design features and behavioral
health measures for 427 residents in 15 special care
units.
Behavioral h
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