Human Factors for Dementia: Evidence-Based Design

  • Charlotte Jais
  • Sue HignettEmail author
  • Eef Hogervorst
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 826)


Designing care environments for people living with dementia is a complex challenge as the key stakeholder may have difficulty communicating their capabilities, limitations and preferences. This paper describes the use of evidence-based design personas in a multi-disciplinary team with architects and chartered human factors specialists. Four individual personas (Alison, Barry, Christine and David) and a couple persona (Chris and Sally) were used to bring the voices of the people living with different stages of dementia to the design process. Their changing/fluctuating symptoms were communicated in two formats (wheel and matrix) within an inclusive design process to adapt a Victorian semi-detached house. The demonstrator house presents evidence-based design, adaptation and support solutions to support people living with dementia to age well at home.


Dementia Human factors/ergonomics Care Environment 



Design Star Doctoral Consortium funded the development of the Design Personas (AHRC PhD studentship). Loughborough University Enterprise Project Group funded the design development work with Building Research Establishment.


  1. 1.
    Prince M, Wimo A, Guerchet M, Ali G-C, Wu Y-T, Prina M et al (2015) World Alzheimer Report 2015 The Global Impact of Dementia An Analysis of Prevalence, Incidence, Cost and Trends.
  2. 2.
    Jais C, Hignett S, Hogervorst E (2016) Developing personas for use in the design of dementia care environments. In: Proceedings of the healthcare ergonomics & patient safety (HEPS) conference, Toulouse, 5–7 October, pp 210–216Google Scholar
  3. 3.
    Jais C, Hignett S, Habell M, Brown A, Hogervorst E (2016) Defining activities of daily living for the design of dementia care environment. In: Sharples S, Shorrock S, Waterson P (eds) Contemporary ergonomics 2016. Proceedings of the annual conference of the chartered institute of ergonomics & human factors. Taylor & Francis, LondonGoogle Scholar
  4. 4.
    Cioffi JM, Fleming A, Wilkes L, Sinfield M, Le Miere J (2007) The effect of environmental change on residents with dementia: the perceptions of relatives and staff. Dementia 6(2):215–231CrossRefGoogle Scholar
  5. 5.
    Day K, Carreon D, Stump C (2000) The therapeutic design of environments for people with dementia: a review of the empirical research. Gerontologist 40(4):397–416CrossRefGoogle Scholar
  6. 6.
    Fleming R, Purandare N (2010) Long-term care for people with dementia: environmental design guidelines. Int Psychogeriatr IPA 22(7):1084–1096CrossRefGoogle Scholar
  7. 7.
    Taylor BJ, Donnelly M (2006) Risks to home care workers: professional perspectives. Health Risk Soc 8(3):239–256CrossRefGoogle Scholar
  8. 8.
    WHO (2008) The solid facts: homecare in Europe. Accessed 11 June 2015
  9. 9.
    Duke M, Botti M, Hunter S (2012) Effectiveness of pain management in hospital in the home programs. Clin J Pain 28(3):187–194CrossRefGoogle Scholar
  10. 10.
    Dul J, Bruder R, Buckle P, Carayon P, Falzon P, Marras WS et al (2012) A strategy for human factors/ergonomics: developing the discipline and profession. Ergonomics 55(4):377–395CrossRefGoogle Scholar
  11. 11.
    Adlin T, Pruitt J (2010) The essential persona lifecycle - your guide to building and using personas. Morgan Kaugman, BurlingtonGoogle Scholar
  12. 12.
    Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state: a practical method for grading the cognitive state of the patient for the clinician. J Psychiatr Res 12(3):189–198CrossRefGoogle Scholar
  13. 13.
    Nasreddine Z, Phillips N, Bédirian V, Charbonneau S, Whitehead V, Colllin I et al (2005) The montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 53(4):695–699CrossRefGoogle Scholar
  14. 14.
    Hsieh S, Schubert S, Hoon C, Mioshi E, Hodges JR (2013) Validation of the Addenbrooke’s cognitive examination III in frontotemporal dementia and Alzheimer’s disease. Dement Geriatr Cogn Disord 36:242–250CrossRefGoogle Scholar
  15. 15.
    Hodkinson HM (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1(4):233–238CrossRefGoogle Scholar
  16. 16.
    Jais C, Hignett S, Galindo Estupiñan Z, Hogervorst E (2017) Evidence based dementia personas: human factors design for people living with dementia. In: Proceedings of 18th research-technical international conference: ergonomics for people with disabilities, 21–22 November 2017, Lodz, PolandGoogle Scholar
  17. 17.
    Khachiyants N, Trinkle D, Son SJ, Kim KY (2011) Sundown syndrome in persons with dementia: an update. Psychiatry Investig 8:275–287CrossRefGoogle Scholar
  18. 18.
    Hignett S, Edmunds Otter M, Keen C (2016) Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. Int J Nurs Stud 59:1–14CrossRefGoogle Scholar
  19. 19.
    Calkins M (2001) Creating successful dementia care settings. Health Professions Press, BaltimoreGoogle Scholar
  20. 20.
    Moore KD, Geboy LD, Weisman GD (2006) Designing a better day: guidelines for adult and dementia day services centers. The Johns Hopkins University Press, BaltimoreGoogle Scholar
  21. 21.
    Fisk AD, Roger WA, Charness N, Czaja S, Sharit J (2009) Designing for older adults: principles and creative human factors approaches, 2nd edn. CRC Press, Boca RatonCrossRefGoogle Scholar
  22. 22.
    Department of Health (2015) Health building note 08-02 dementia friendly health and social care environments. The Stationary Office, LondonGoogle Scholar
  23. 23.
    Grey T, Pierce M, Cahill S, Dyer M (2015) Universal design guidelines dementia friendly dwellings for people with dementia, their families and carers. National Disability Authority, Dublin.
  24. 24.
    Halsall B, McDonald R (2016) Volume 1 - design for dementia - a guide with helpful guidance in the design of exterior and interior environments. Halsall Lloyd Partners, Liverpool.
  25. 25.
    Halsall B, McDonald R (2016) Volume 2 - design for dementia - research projects, outlines the research projects and describes the participatory approach. Halsall Lloyd Partners, Liverpool.
  26. 26.
    British Standards Institute (2005) BS 7000-6 design managements systems - part 6: managing inclusive design. British Standards Institute, LondonGoogle Scholar
  27. 27.
    Calkins MP (1988) Design for dementia. Planning environments for the elderly and the confused. National Health Publishing, BaltimoreGoogle Scholar
  28. 28.
    Chaâbane F (2007) Falls prevention for older people with dementia. Nurs Stand 22(6):50–55CrossRefGoogle Scholar
  29. 29.
    Namazi KH, Johnson BD (1991) Physical environmental cues to reduce the problems of incontinence in Alzheimer’s disease units. Am J Alzheimer’s Care Relat Disord Res 6(6):22–28Google Scholar
  30. 30.
    Author F (2016) Article title. Journal 2(5), 99–110Google Scholar
  31. 31.
    Author F, Author S (2016) Title of a proceedings paper. In: Editor F, Editor S (eds) Conference 2016, LNCS, vol 9999. Springer, Heidelberg, pp 1–13Google Scholar
  32. 32.
    Author F, Author S, Author T (1999) Book title. 2nd edn. Publisher, LocationGoogle Scholar
  33. 33.
    Author F (2010) Contribution title. In: 9th International proceedings on proceedings. Publisher, Location, pp 1–2Google Scholar
  34. 34.
    LNCS Homepage. Accessed 21 Dec 2016

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Loughborough Design SchoolLoughborough UniversityLoughboroughUK

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