title: The Lived Environment Life Quality Model for institutionalized people with dementia.
abstract: BACKGROUND
  There is a need for a conceptual practice model that explicates ecological complexities involved in using occupation to optimize the quality of life of institutionalized people with dementia.
  
  
  OBJECTIVE
  This study aimed to prepare the Lived Environment Life Quality Model, a dementia-specific conceptual practice model of occupational therapy in institutional facilities, for publication and application to practice.
  
  
  METHODS
  Interviews and focus groups with six expert occupational therapists were subjected to qualitative content analysis to confirm, disconfirm, and further develop the model.
  
  
  RESULTS
  The model's lived-environment domain as the focus of assessment and intervention was extensively confirmed, and its quality-of-life domain as the focus of intervention goals and outcomes was both confirmed and further developed.
  
  
  CONCLUSIONS
  As confirmed in this study, the Lived Environment Life Quality Model is a client-centred, ecologically valid, and occupation-focused guide to optimizing quality of life of institutionalized adults with dementia in present moments and progressively over time.
authors.forename: Wendy
authors.initials: W
authors.lastname: Wood
authors.forename: Jenna L
authors.initials: JL
authors.lastname: Lampe
authors.forename: Christina A
authors.initials: CA
authors.lastname: Logan
authors.forename: Amy R
authors.initials: AR
authors.lastname: Metcalfe
authors.forename: Beth E
authors.initials: BE
authors.lastname: Hoesly
mesh_terms: D000203:Activities of Daily Living; D003704:Dementia / Q000534:rehabilitation*; D004777:Environment; D017144:Focus Groups; D006801:Humans; D007326:Institutionalization; D008962:Models, Theoretical; D009735:Nursing Homes; D009788:Occupational Therapy; D018802:Patient-Centered Care; D036301:Qualitative Research; D011788:Quality of Life; D012931:Social Environment
keywords: Alzheimer disease; Client-centered; Nursing homes; Occupation; Quality of life; centré sur le client; maladie d’Alzheimer; occupation; qualité de vie; établissements de soins