The Influence of Physical, Social, and Organizational Environments on Recreational Activities in Long-Term Care for Residents With Dementia: A Scoping Review.

Background: This scoping review explores how physical, social, and organizational factors influence recreational activity engagement for residents with dementia in long-term care settings.

Methods: A literature search in AgeLine, PsycINFO, CINAHL, Medline, and Web of Science identified studies on environmental factors affecting recreational activities for long-term care residents with dementia. A narrative approach was used to collate and summarize the findings from peer-reviewed English studies available until June 30, 2024.

Results: A total of 28 studies were reviewed, examining how physical, social, and organizational factors-such as homelike ambiance, staffing levels, and medicalized care culture-affect residents' engagement in recreational activities. The review also highlights the interrelationship among these factors.

Discussion and implications: The findings emphasize the importance of creating care environments that support activity participation. These insights can inform future assessments and the development of long-term care settings to improve activity experiences and outcomes for residents.