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.