Journals / Mimarlık ve Yaşam / 2026 / Cilt: 11 Sayı: 2

The 'Sensory Matrix' as an Assessment Tool in Dementia-Friendly Living Environments

Demans Dostu Yaşam Ortamlarında Bir Değerlendirme Aracı Olarak “Duyusallık Matrisi”

Figen Gül Kafescioglu(MİMAR SİNAN GÜZEL SANATLAR ÜNİVERSİTESİ, MİMAR SİNAN ARAŞTIRMA VE UYGULAMA MERKEZİ)0000-0002-2657-9407
Pages
385–416
Publication Date
2026-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The comparative findings reveal that sterile designs—which address isolated individual senses or merely prevent visual overstimulation—are insufficient; space becomes an active component of care when supported by a holistic sensory experience that incorporates kinesthetic safety, tactile familiarity, and olfactory and auditory richness.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Architectural design and environmental characteristics in dementia care settings play a vital role in addressing the perceptual changes experienced by people living with dementia and in enhancing their quality of life.
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Key Findings & Data:This study aims to evaluate spatial organization through an analytical approach that considers the environmental needs of people living with dementia based on the concepts of “sensoriality” and “multisensory integration.” The study defines the concepts of aging and dementia, examines the relationship between sensoriality and the built environment, and emphasizes the importance of environmental design strategies that can address the sensory needs of individuals with dementia.
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Conclusion & Impact:The comparative findings reveal that sterile designs—which address isolated individual senses or merely prevent visual overstimulation—are insufficient; space becomes an active component of care when supported by a holistic sensory experience that incorporates kinesthetic safety, tactile familiarity, and olfactory and auditory richness.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Demans · Mimari tasarım · Duyusal algı

Abstract

Architectural design and environmental characteristics in dementia care settings play a vital role in addressing the perceptual changes experienced by people living with dementia and in enhancing their quality of life. This study aims to evaluate spatial organization through an analytical approach that considers the environmental needs of people living with dementia based on the concepts of “sensoriality” and “multisensory integration.” The study defines the concepts of aging and dementia, examines the relationship between sensoriality and the built environment, and emphasizes the importance of environmental design strategies that can address the sensory needs of individuals with dementia. Based on a comprehensive literature review, a novel Sensory Matrix was developed to examine architectural space across three spatial scales—structural elements, interior qualities, and fixtures and equipment—and five sensory domains: visual, auditory, tactile, kinesthetic, and olfactory. During the application phase of the study, three dementia village projects considered pioneering in the international literature (Furuset Hageby, Alzheimer’s Village, and Carpe Diem) were subjected to a sensory-spatial analysis using this matrix. The comparative findings reveal that sterile designs—which address isolated individual senses or merely prevent visual overstimulation—are insufficient; space becomes an active component of care when supported by a holistic sensory experience that incorporates kinesthetic safety, tactile familiarity, and olfactory and auditory richness. Consequently, this matrix—validated through the theoretical framework established in the literature and case study analyses—provides architects with a multidimensional, person-centered, and practical methodological tool to guide the design and evaluation of dementia-friendly living environments.

Özet

Demans bakım ortamlarında mimari tasarım ve çevresel faktörler, demansla yaşayan bireylerin algısal değişikliklerine uyum sağlamak ve onların yaşam kalitesini artırmak için hayati bir rol oynamaktadır. Bu çalışma, demanslı bireylerin çevresel ihtiyaçlarını “duyusallık” ve “çok-duyulu entegrasyon” kavramları çerçevesinde ele alarak, mekânsal kurguyu analitik bir yöntemle değerlendirmeyi amaçlamaktadır. Çalışmada yaşlılık ve demans tanımlanmış, duyusallığın mimariyle olan ilişkisi irdelenmiş ve demanslı bireylerin duyusal ihtiyaçlarına cevap verebilecek çevresel düzenlemelerin önemi vurgulanmıştır. Araştırma kapsamında yürütülen kapsamlı literatür taraması sonucunda; mimari mekânı yapısal ögeler, iç mekân nitelikleri ve donatılar/ekipman olmak üzere üç farklı ölçekte, beş temel duyu (görme, işitme, dokunma, kinestetik ve koku) üzerinden inceleyen özgün bir “Duyusallık Matrisi” geliştirilmiştir. Çalışmanın uygulama aşamasında, uluslararası literatürde öncü kabul edilen üç demans köyü projesi (Furuset Hageby, Alzheimer’s Village ve Carpe Diem) bu matris aracılığıyla duyusal-mimari analize tabi tutulmuştur. Elde edilen karşılaştırmalı bulgular; yalıtılmış tekil duyulara hitap eden veya yalnızca görsel aşırı uyarımı engelleyen steril tasarımların yetersiz kaldığını; mekânın ancak kinestetik güvenlik, dokunsal aşinalık ve kokusal/işitsel zenginliği barındıran bütüncül bir duyusallık ile desteklendiğinde aktif bir bakım elemanına dönüştüğünü göstermektedir. Sonuç olarak, literatürden elde edilen kuramsal veriler ve örnek analizleriyle doğrulanan bu matris, demans dostu yaşam alanlarının tasarımında ve değerlendirilmesinde mimarlara rehberlik edecek çok boyutlu, birey merkezli ve somut bir metodolojik araç sunmaktadır.

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Cite This Article

Mutlu, F. Z. K., Kafescioglu, F. G. (2026). The 'Sensory Matrix' as an Assessment Tool in Dementia-Friendly Living Environments. Mimarlık ve Yaşam, Cilt: 11 Sayı: 2, 385–416. https://doi.org/10.26835/my.1883559

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References (57)

  1. Alzheimer’s Association. (2026). 2026 Alzheimer’s disease facts and figures. Alzheimer's & Dementia, 22(4), e71345. doi: 10.1002/alz.71345
  2. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
  3. Beijer, S., Houben, M., IJsselsteijn, W., & Brankaert, R. (2025, April). Mano: Designing for Tactile Experiences in Advanced Dementia Care. In Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems içinde (s. 1-13). doi: 10.1145/3706598.3713938
  4. Braak, H., & Braak, E. (1991). Neuropathological stageing of Alzheimer-related changes. Acta neuropathologica, 82(4), 239-259. doi: 10.1007/BF00308809
  5. Brawley, E. C. (2004). Gardens of memories. Alzheimer's Care Today, 5(2), 154-164.
  6. Cerejeira, J., Lagarto, L., & Mukaetova-Ladinska, E. B. (2012). Behavioral and psychological symptoms of dementia. Frontiers in neurology, 3, 73. doi: 10.3389/fneur.2012.00073
  7. Cutler, L. J., & Kane, R. A. (2009). Post-occupancy evaluation of a transformed nursing home: The first four Green House® settings. Journal of Housing for the Elderly, 23(4), 304-334. doi: 10.1080/02763890903327010
  8. D'Andrea, F., Tischler, V., & Dening, T. (2020). The development of a multi‐sensory intervention for people with dementia living in care homes: Other innovative programs and practices. Alzheimer's & Dementia, 16. doi: 10.1002/alz.043522
  9. Day, K., Carreon, D., & Stump, C. (2000). The therapeutic design of environments for people with dementia: A review of the empirical research. The gerontologist, 40(4), 397-416. doi: 10.1093/geront/40.4.397
  10. Department of Health. (2009). Living well with dementia: a national dementia strategy. Department of Health, (s. 16).
  11. Fleming, R., Forbes, I., & Bennett, K. (2003). Adapting the ward for people with dementia. Sydney: NSW Department of Health.
  12. Fleming, R., Crookes, P., & Sum, S. (2008). A review of the empirical literature on the design of physical environments for people with dementia. Sydney: Primary Dementia Collaborative Research Centre, UNSW.
  13. Fleming, R., & Bennett, K. (2017). Environmental design resources for people with dementia and sight loss. Dementia Training Australia, University of Wollongong.
  14. Ghamari, M., Suvish, Dehkordi, A. A., See, C. H., Sami, A., Yu, H., & Sundaram, S. (2025). Dementia friendly buildings—Approach on architectures. Buildings, 15(3), 385. doi: 10.3390/buildings15030385
  15. Göksel, N. N., & Çelebi Şeker, N. N. (2025). Demans Köyleri Tasarımında Ölçekler Arası Parametrelerin Örnekler Üzerinden Değerlendirilmesi. Senectus, 3(1), 95-127. doi: 10.26650/senectus.2025.3.1.0755
  16. Götell, E., Brown, S., & Ekman, S. L. (2009). The influence of caregiver singing and background music on vocally expressed emotions and moods in dementia care. International journal of nursing studies, 46(4), 422-430. doi:10.1016/j.ijnurstu.2007.11.001
  17. Gresham, M., Taylor, L., Keyes, S., Wilkinson, H., McIntosh, D., & Cunningham, C. (2019). Developing evaluation of signage for people with dementia. Housing, Care and Support, 22(3), 153-161. doi: 10.1108/HCS-12-2018-0035
  18. Griffiths, S., Dening, T., Beer, C., & Tischler, V. (2019). Mementos from Boots multisensory boxes–Qualitative evaluation of an intervention for people with dementia: Innovative practice. Dementia, 18(2), 793-801. doi: 10.1177/1471301216672495
  19. Gürvit, H. (2010). Demans Sendromu, Alzheimer Hastalığı ve Alzheimer Dışı Demanslar. İstanbul Üniversitesi Nöroloji Anabilim Dalı. https://www.itfnoroloji.org/demans/demans.htm Erişim tarihi: 13/08/2026.
  20. Hardy, C. J., Marshall, C. R., Golden, H. L., Clark, C. N., Mummery, C. J., Griffiths, T. D., Bamiou, D. & Warren, J. D. (2016). Hearing and dementia. Journal of neurology, 263, 2339-2354. doi: 10.1007/s00415-016-8208-y
  21. Harris, D. D., & Detke, L. A. (2013). The role of flooring as a design element affecting patient and healthcare worker safety. HERD: Health Environments Research & Design Journal, 6(3), 95-119. doi: 10.1177/193758671300600308
  22. Hjetland, G. J., Pallesen, S., Thun, E., Kolberg, E., Nordhus, I. H., & Flo, E. (2020). Light interventions and sleep, circadian, behavioral, and psychological disturbances in dementia: A systematic review of methods and outcomes. Sleep medicine reviews, 52. doi: 10.1016/j.smrv.2020.101310
  23. Hwang, Y. R. (2014). Influence of building materials with directional textures on the visual perceptions of elderly with Alzheimer’s disease. International Journal of Gerontology, 8(3), 147-151. doi: 10.1016/j.ijge.2013.08.012
  24. Kirby, E., Bandelow, S., & Hogervorst, E. (2010). Visual impairment in Alzheimer's disease: a critical review. Journal of Alzheimer’s disease, 21(1), 15-34. doi: 10.3233/JAD-2010-080785
  25. Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer & M. P. Lawton (Eds.), The psychology of adult development and aging içinde (pp. 619–674). American Psychological Association. doi: 10.1037/10044-020
  26. Leung, M., Wang, C., & Chan, I.Y.S. (2019). A qualitative and quantitative investigation of effects of indoor built environment for people with dementia in care and attention homes. Building and Environment, 157, 89–100. doi: 10.1016/j.buildenv.2019.04.019
  27. Leung, M. Y., Wang, C., & Famakin, I. O. (2021). Integrated model for indoor built environment and cognitive functional ability of older residents with dementia in care and attention homes. Building and Environment, 195, 107734. doi: 10.1016/j.buildenv.2021.107734
  28. Ma, C., Guerra-Santin, O., & Mohammadi, M. (2024). Exploring the influence of indoor environment and spatial layout on changed behaviours of people with dementia in a nursing home. Building and Environment, 256, 111452. doi: 10.1016/j.buildenv.2024.111452
  29. Maneemai, O., Cujilan Alvarado, M. C., Calderon Intriago, L. G., Donoso Triviño, A. J., Franco Coffré, J. A., Pratico, D., Schwartz, K., Tesfaye, T. & Yamasaki, T. (2024). Sensory Integration: A Novel Approach for Healthy Ageing and Dementia Management. Brain Sciences, 14(3), 285. doi: 10.3390/brainsci14030285
  30. Marquardt, G. (2011). Wayfinding for people with dementia: a review of the role of architectural design. HERD: Health Environments Research & Design Journal, 4(2), 75-90. doi: 10.1177/193758671100400207
  31. Motealleh, P., Moyle, W., Jones, C., & Dupre, K. (2019). Creating a dementia-friendly environment through the use of outdoor natural landscape design intervention in long-term care facilities: a narrative review. Health & Place, 58, 102148. doi: 10.1016/j.healthplace.2019.102148
  32. Parke, B., Boltz, M., Hunter, K. F., Chambers, T., Wolf-Ostermann, K., Adi, M. N., Feldman, F. & Gutman, G. (2017). A scoping literature review of dementia-friendly hospital design. The Gerontologist, 57(4), e62-e74. doi: 10.1093/geront/gnw128
  33. Passini, R., Rainville, C., Marchand, N., & Joanette, Y. (1998). Wayfinding and dementia: Some research findings and a new look at design. Journal of Architectural and Planning Research, 15(2), ss. 133–151. https://www.jstor.org/stable/43030452
  34. Regnier, V. (1994). Assisted living housing for the elderly: Design innovations from the United States and Europe. New York: Van Nostrand Reinhold.
  35. Talebzadeh, A., Botteldooren, D., Van Renterghem, T., Thomas, P., Van de Velde, D., De Vriendt, P., Mynsbrugge, T. V., Hou, Y. & Devos, P. (2024). Sound augmentation for people with dementia: Soundscape evaluation based on sound labelling. Applied Acoustics, 215, 109717. doi: 10.1016/j.apacoust.2023.109717
  36. Tartarini, F., Cooper, P., Fleming, R., & Batterham, M. (2017). Indoor air temperature and agitation of nursing home residents with dementia. American Journal of Alzheimer's Disease & Other Dementias®, 32(5), 272-281. doi:10.1177/1533317517704898
  37. Türkiye Alzheimer Derneği. (2025). Demans ve Alzheimer hastalığı hakkında güncel veriler. https://www.alzheimerdernegi.org.tr/alzheimer-hastaligi-nedir/
  38. Ukai, K. (2019). Tactile hallucinations in dementia with Lewy bodies. Psychogeriatrics, 19(5), 435-439. doi: 10.1111/psyg.12407
  39. Van Hoof, J. H. S. M., Kort, H. S. M., Duijnstee, M. S. H., Rutten, P. G. S., & Hensen, J. L. M. (2010). The indoor environment and the integrated design of homes for older people with dementia. Building and Environment, 45(5), 1244-1261. doi: 10.1016/j.buildenv.2009.11.008
  40. Van Hoof, J., Kort, H. S. M., Duijnstee, M. S. H., Schoutens, A. M. C., Hensen, J. L. M., & Begemann, S. H. A. (2008). The indoor environment in relation to people with dementia. In Proceedings of the 11th International Conference on Indoor Air Quality and Climate içinde (s. 8).
  41. Vozzella, S. (2007). Sensory stimulation in dementia care: Why it is important and how to implement it. Topics in Geriatric Rehabilitation, 23(2), 102-113. doi: 10.1097/01.TGR.0000270179.23952.23
  42. Waller, S., & Masterson, A. (2015). Designing dementia-friendly hospital environments. Future Hospital Journal, 2(1), 63–68. doi:10.7861/futurehosp.2-1-63
  43. Waller, S., Masterson, A., & Finn, H. (2013). Improving the patient experience: developing supportive design for people with dementia: the King’s Fund’s Enhancing the Healing Environment Programme 2009–2012. London, UK: The King’s Fund. Evidence Level VI.
  44. World Health Organization. (2022). ICD-11: International classification of diseases (11th revision). Geneva, Switzerland: WHO. https://www.who.int/news-room/fact-sheets/detail/dementia Erişim tarihi: 06/06/2026, 12:30.
  45. Zeisel, J. (2006). Inquiry by Design: Environment/Behavior/Neuroscience in Architecture, Interiors, Landscape, and Planning. New York: W.W. Norton & Company.
  46. Zeisel, J., Hyde, J., & Levkoff, S. (1994). Best practices: An Environment Behavior (EB) model for Alzheimer special care units. The American Journal of Alzheimer's Care and Related Disorders & Research, 9(2), ss. 4-21. doi: 10.1177/153331759400900202
  47. Zuidema, S. U., de Jonghe, J. F., Verhey, F. R., & Koopmans, R. T. (2010). Environmental correlates of neuropsychiatric symptoms in nursing home patients with dementia. International journal of geriatric psychiatry, 25(1), ss. 14-22. doi: 10.1002/gps.2292
  48. URL-1: World Health Organization. (2023). Dementia. https://www.who.int/news-room/fact-sheets/detail/dementia Erişim tarihi: 06/06/2026, 12:30.
  49. URL-2: https://3rw.no/work/furuset-hageby/ Erişim tarihi: 06/06/2026, 14:00.
  50. URL-3: https://www.archdaily.com/1018351/furuset-hageby-dementia-village-nord-architects-plus-3rw-arkitekter Erişim tarihi: 06/06/2026, 14:05.
  51. URL-4: https://www.archdaily.com/973948/alzheimers-villa-nord-architects Erişim tarihi: 06/06/2026, 15:15.
  52. URL-5: https://www.nordarchitects.dk/projects/alzheimers-village-dax/ Erişim tarihi: 06/06/2026, 15:20. URL-6: https://archello.com/project/alzheimers-village Erişim tarihi: 06/06/2026, 17:15.
  53. URL-7: https://arquitecturaviva.com/works/le-village-landais-alzheimer-en-dax Erişim tarihi: 06/06/2026, 17:20.
  54. URL-8: https://www.youtube.com/watch?v=pg9sLKkTU2I Erişim tarihi: 06/06/2026, 18:00.
  55. URL-9: https://www.archdaily.com/955466/carpe-diem-dementia-village-nordic-office-of-architecture?ad_source=search&ad_medium=projects_tab Erişim tarihi: 06/06/2026, 18:30.
  56. URL-10: https://nordicarch.com/projects/carpe-diem-dementia-village Erişim tarihi: 06/06/2026, 18:40.
  57. URL-11: https://www.fagerhult.com/references/carpe-diem-dementia-village/ Erişim tarihi: 06/06/2026, 18:50.