Morgan-Brown and his colleagues have developed and used the Assessment Tool for Occupation and Social Engagement (ATOSE) to evaluate the sitting room experience in two nursing homes for people with dementia in ROI (Morgan-Brown et al 2011a), the levels of social and occ
upational engagement of staff (Morgan-Brown et al. 2011b
) and to compare the social engagement and interactive occupation of residents before and after conversion to a household model environment (Morgan-Brown, Newton and Ormerod, 2013
; Morgan-Brown and Chard, 2014
). In the traditionally designed nursing homes, high levels of non-active behaviour and very low levels of social engagement were the norm for people with dementia. Staff were frequently absent from the room and when present spent little time in social engagement or interactive occupation with residents. Conversion to the household model, which included a homemaker permanently allocated to the space, was linked to highly significant changes in the behaviour of residents in both nursing homes. The findings support the hypothesis that providing a household environment provides an opportunity to positively influence the behaviour of the residents with dementia.
An exploration of occupation in nursing home residents with dementia. British Journal of Occupational Therapy (2011 a)
Research Article: Social and Occupational Engagement of Staff in Two Irish Nursing Homes for People with Dementia (2011 b)
Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments (2013)