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Indoor Environmental Conditions and Likelihood of Reported Violence and Aggression in a Purpose-Built Residential Dementia Hospital

Lookup NU author(s): Professor Neveen Hamza, Dr Leigh Townsend

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

This study, conducted on purpose-built NHS dementia wards, investigates correlations between patient aggression and indoor temperature and humidity. Temperature and humidity, measured at 3-minute intervals, on male and female wards, over 12-15 months, were compared against staff-recorded incidents (n=299; females n=100; males n=199). Linear regression was used to assess potential correlations. Binomial analysis measured relative risk of incidents outside comfortable thermal (22-24°C) and humidity (30% to 60%) ranges. Temperatures ranged from 17-27oC and humidity ranged from 16-70%. On the male ward, both extremes of temperature were correlated with increased incident likelihood (R2=0.473) and relative risk of incidents was 1.89 (p=0.0015) at temperatures <22oC and 1.73 (p<0.001) at temperatures >24oC. On the female ward, increasing temperature was correlated with increased incident likelihood (R2=0.568) and relative risk of incidents was 1.99 (p<0.001) at temperatures >24oC. Strong associations between relative humidity levels and incidents were not identified. Extreme temperatures were associated with significantly increased risk of incidents of agitation, suggesting relevance of environmental conditions in the formulation of agitation in dementia.


Publication metadata

Author(s): Hamza N, Reid K, Anderson D, Townsend L

Publication type: Article

Publication status: Published

Journal: Journal of Environmental Psychology

Year: 2024

Volume: 100

Pages: 102477

Print publication date: 01/12/2024

Online publication date: 06/11/2024

Acceptance date: 30/10/2024

Date deposited: 12/11/2024

ISSN (print): 0272-4944

ISSN (electronic): 1522-9610

Publisher: Elsevier

URL: https://doi.org/10.1016/j.jenvp.2024.102477

DOI: 10.1016/j.jenvp.2024.102477


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Funding

Funder referenceFunder name
Architectural Research Collaborative research group (ARC)
Wellcome Trust

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