Soundscape Augmentation in Dementia Care Design; Need for a Guideline

We navigate through the environment using our sensory stimuli. Sound is significant in guiding us through space and making us aware of time. Soundscape is an acoustic environment as perceived and experienced by a person. While an unfamiliar and chaotic soundscape can increase anxiety and stress, a well-designed soundscape can make the experience pleasant and improve moods. People with dementia suffer from a neurodegenerative disorder, leading to a progressive decline in cognitive health. Behavioural and psychological symptoms of dementia (BPSD) refer to a group of noncognitive behaviours that affect the prediction and control of dementia. Reducing the occurrence of BPSD is one of the main goals of dementia care. People with severe dementia usually live in nursing homes, long-term care facilities or memory care units where sensory perception is unfamiliar. The strange sensory stimuli add to the anxiety and distress of residents as care facilities are often not customized based on individual needs. Research shows that incorporating pleasant sounds into the environment, known as an 'augmented soundscape,' positively impacts behaviour and reduces BPSD. Most design tools and guidelines include eliminating unwanted noise. To date, there are no guidelines for sound augmentation in dementia care design. The previous study of sound selection showed promising results in sound augmentation and identifying sounds that a person with dementia may prefer during a specific time of the day. The sharpness and high-pitch sounds, such as animal localization, had positive results. Cricket sounds showed positive feedback during nighttime and evening; either its tranquillity made it favourable, or the continuous sound masked other noises during the night (like white noise). These results can be used to introduce sound augmentation guidelines. The goal is to introduce sound as a positive design implementation to enhance mood, reduce apathy and depression, lower anxiety and stress, and promote health.