AN OVERVIEW OF THE IMPACT OF THE CULTURAL CHANGE MOVEMENT ON THE INTERIOR ARCHITECTURE OF LONG-TERM CARE FACILITIES

Allam, Ola Khaled Mamdouh; Hassanein, Hala Mohamed; EL Serogy, Amira Mouner

doi:10.47436/jaars.2025.369367.1244

AN OVERVIEW OF THE IMPACT OF THE CULTURAL CHANGE MOVEMENT ON THE INTERIOR ARCHITECTURE OF LONG-TERM CARE FACILITIES

Document Type : Articles and research extracted from theses

Authors

¹ Décor Department (Interior Architecture), Fine Arts Faculty, Helwan University,Cairo,Egypt.

² Decor Department (Interior Architecture),Fine Arts Faculty, Hewlan University,Cairo,Egypt.

10.47436/jaars.2025.369367.1244

Abstract

This research presents the impact of the philosophy of care (Care Model), on the design process of long-term care facilities, and in turn, its influence on the care recipients’ quality of life. The research includes a comparison of the most prominent differences that appeared in the interior design of those facilities before and after the emergence of the 'Cultural Change Movement', which originated in the United States, and called for a care model that respects the right of each individual to dignity, respect, comfort and welfare. The research is divided into several sections, starting by defining long -term care facilities, then clarifying the concept of quality of life, and then addressing the principles of the 'Cultural Change Movement', and finally a comparison to clarify the fundamental differences between the traditional design approach and the current design approach to those facilities. This research aims to examine some of the principles and practices of the 'Cultural Change Movement', which is characterized as a model of ' Person-Centered Care', which aims to create spaces that give the individuals a sense of comfort and joy, and enable them to live a normal life as much as possible, making them feel that they are competent individuals who control their lives and environment, despite their physical or mental disability.

Keywords

Main Subjects

Research in the fields Décor (Interior Architecture and Scenography).

References

Boggatz,T.(2020). Quality of Life and Person-Centered Care for Older People.Springer Nature.

Rowles,G., Teaster.,P.(2016). Long -Term Care in an Aging Society Theory and Practice. Springer.

Perkins Eastman. (2013). Building Type Basics for Senior Living. (2nd ed.). JohnWiley & Sons.

Noelker,L.& Harel,Z.(2001). Linking Quality of Long-Term Care and Quality of Life. Springer.

Rom, Y., Morag, I., Palgi, Y., & Isaacson, M. (2024). The Architectural Layout of Long-Term Care Units: Relationships between Support for Residents' Well-Being and for Caregivers' Burnout and Resilience. International journal of environmental research and public health, 21(5), 575. https://doi.org/10.3390/ijerph21050575

Chen, Y., Zhang, J., & Wang, C.(2024). Promoting Person-Centered Care for Older Adults: Development of the Long-Term Care Unit Environment Assessment Tool (LTCU-EAT). Buildings, 14(9), 2726. https://doi.org/10.3390/buildings14092726

Calkins,M.P.(2011).Ten senior living design innovations.Long-Term Living:NewYork .Vol(60)3. https://www.proquest.com/docview/857657744?sourcetype=Trade%20Journals

Calkins M. P. (2009). Evidence-based long term care design. NeuroRehabilitation, 25(3), 145–154.https://doi.org/10.3233/NRE-2009-0512

Sloane, P. D., Zimmerman, S., Williams, C. S., Reed, P. S., Gill, K. S., & Preisser, J. S. (2005). Evaluating the quality of life of long-term care residents with dementia. The Gerontologist, 45 Spec No 1(1), 37–49. https://doi.org/10.1093/geront/45.suppl_1.37

Calkins, M.P. (2003). Powell Lawton's Contributions to Long-Term Care Settings. Journal of Housing For the Elderly,17,67- 84. https://www.semanticscholar.org/paper/Powell-Lawton's-Contributions-to-Long-Term-Care-Calkins/2669e7fd3ba407649ad44f21fc2731f7db8af7c0

National Institute on Aging (NIA).(2023). Long-Term Care Facilities: Assisted Living, Nursing Homes, and Other Residential Care.Retrieved 12/1/2025 from: https://www.nia.nih.gov/health/assisted-living-and-nursing-homes/long-term-care-facilities-assisted-living-nursing-homes

New South Wales Department of Planning and Environment (NSW). (2023).Seniors housing design guide: November 2023.https://www.planning.nsw.gov.au/policy-and-legislation/housing/housing-sepp/seniors-housing

Australian Government Department of Health and Aged Care (ADHA). (2023). Residential aged care accommodation framework: Final report on the development of the draft national aged care design principles and guidelines. https://www.health.gov.au/resources/publications/draft-national-aged-care-design-principles-and-guidelines?language=en

World Health Organization (WHO).(2022).Rebuilding for sustainability and resilience: strengthening the integrated delivery of long-term care in the European Region.

https://iris.who.int/handle/10665/353912

World Health Organization (WHO).(2021).Framework for countries to achieve an integrated continuum of long-term care. https://iris.who.int/handle/10665/349911

Facility Guidelines Institute (FGI).(2018).Design Guide for Long Term Care Homes. https://www.fgiguidelines.org/resource/design-guide-long-term-care-homes/