{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:49:25Z","timestamp":1791568165229,"version":"4.3.4"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HERD"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To critically review the development and application of Person\u2013Environment Fit theory in dementia care environment evaluation and to assess how existing instruments capture multidimensional fit between residents\u2019 needs and environmental supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dementia is a major cause of disability, dependency, and long-term care use worldwide. As the dementia population grows, care settings must provide environments that support safety, orientation, autonomy, social interaction, and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This critical review synthesized theoretical and methodological literature on Person\u2013Environment Fit in dementia care and compared major environmental assessment instruments in terms of theoretical foundation, dimensional coverage, psychometric evidence, and practical utility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Dementia care environment assessment has shifted from safety- and risk-oriented approaches toward broader person-centered and household-model perspectives. Existing instruments provide relatively strong coverage of physical safety, wayfinding, and orientation support. However, they assess psychosocial interaction, emotional support, cultural adaptation, continuity of family roles, and staff well-being less consistently. Overall, current tools only partially capture the multidimensional need\u2013supply fit required for dementia-sensitive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Future assessment frameworks should move beyond physical safety and architectural auditing to incorporate psychosocial, cultural, and organizational dimensions. More contextually adapted and person-centered instruments are needed, particularly for non-Western long-term care settings such as China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19375867261490105","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:15:42Z","timestamp":1791389742000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dementia Care Environments and Person\u2013Environment Fit: A Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0163-5538","authenticated-orcid":false,"given":"Jingjing","family":"Jiang","sequence":"first","affiliation":[{"name":"Shengli Clinical College of Fujian Medical University"},{"name":"Fujian Key Laboratory of Geriatrics Diseases, Fujian Provincial Center for Geriatrics, Fuzhou, China"},{"name":"Department of Nursing, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Liu","sequence":"additional","affiliation":[{"name":"Shengli Clinical College of Fujian Medical University"},{"name":"Fujian Key Laboratory of Geriatrics Diseases, Fujian Provincial Center for Geriatrics, Fuzhou, China"},{"name":"Department of Nursing, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingfang","family":"Shao","sequence":"additional","affiliation":[{"name":"Fujian Key Laboratory of Geriatrics Diseases, Fujian Provincial Center for Geriatrics, Fuzhou, China"},{"name":"Department of Nursing, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1361-1561","authenticated-orcid":false,"given":"Jimin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1300\/J021v16n02_02"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx146"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12353"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw259"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317513488923"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.10.013"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/19375867211043073"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx122"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2010.00444.x"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12233"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt108"},{"issue":"2","key":"e_1_3_3_13_1","article-title":"Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: An analysis for the Global Burden of Disease Study 2019","volume":"7","author":"GBD 2019 Dementia Forecasting Collaborators","year":"2022","unstructured":"GBD 2019 Dementia Forecasting Collaborators. 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