Examining the Livability of a Day Program for Individuals with Alzheimer’s Disease and Other Memory-related Disorders: A Case Study of The Dotsa Bitove Wellness Academy
Notice bibliographique
Résumé
The number of people affected by Alzheimer’s disease and other memory-related disorders (ADMRD) is increasing at substantial rates. A specific challenge for planners is to build non-institutional environments that can accommodate the desire to age in place for this demographic. Planning initiatives that support ageing in place are embedded within broader healthy community objectives of creating livable communities. Livable communities are intended to positively influence the quality of life of all individuals. However, the inherent problem pervasive in literature is to understand how livability objectives overlap with ageing in place objectives (CMHC, 2008). \nAdult day programs have been identified as an effective type of community-based care to assist those with dementia to age in place. The focus of this study was to take the concept of livability and consider its applicability to an academy for those with dementia in Toronto. Through this, findings seek to provide information on how physical and social environmental characteristics influence livability of adult day programs for those with dementia. \nThis study was guided by the following research objectives: 1) to assess the role of physical and social environments when considering the livability of an academy; 2) to identify whether livability is an appropriate measure of small-scale environments such as the academy and whether the concept is appropriate for ADMRD populations; and 3) to determine if adult day programs are an effective solution for mitigating rising care needs for those with ADMRD. A mixed methods case study approach was used. Data collection techniques included a built environment audit, time-lapse mapping, an art-analysis, and covert-overt observations. \nResults from this study suggest the academy effectively incorporated both physical and social environmental elements, contributing towards a cohesive space. As well, livability can be measured in small-scale environments such as the academy and capture the needs of those with ADMRD. Livability is widely used in planning policy as a term to coin environments that are desirable, healthy, and enhance community well-being (Ontario Ministry of Infrastructure, 2006). Findings recommend for planners to retrofit and ensure that the concept of livability encompasses quality of living standards for all ages in order to make an integrated approach to decision-making. As well, adult day programs should be recognized in zoning by-laws as a stand-alone use, and regarded as an effective way to mitigate rising care needs for those with ADMRD. There are changes beginning to take place within the built form, such as the promotion of Smart Growth development, although a complete paradigm shift from the way environments were conventionally planned will take some time.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,017 | 0,003 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,002 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».