Stephen J. Page’s research while affiliated with University of Hertfordshire and other places

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Publications (201)


Family member: sociodemographic characteristics and relationship with the person with dementia
The dementia–nature–inclusivity nexus and the needs of people living with dementia
  • Article
  • Full-text available

November 2024

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22 Reads

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1 Citation

Ageing and Society

Sally Stapley

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Stephen Page

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Understanding how to improve the physical and cognitive accessibility of visitor economy businesses and organisations wanting to offer nature-based outdoor pursuits for people with dementia is key to supporting their inclusion and agency. The aim of this qualitative study was to understand the experiences, needs and preferences of people with dementia participating in nature-based outdoor pursuits in their leisure time. Semi-structured interviews were conducted with 15 people with dementia and 15 family members and subjected to thematic analysis. Four themes related to inclusion for people with dementia and their family members reflected diversity in individual needs and preferences for engaging with nature-based outdoor pursuits, their own adaptations to maintain access including accommodating risk, how cognitive and physical accessibility can be supported by businesses, and which practical and psychosocial barriers prevent inclusion. Learning from people with dementia and their family members has helped bridge the gap to their inclusion in nature-based outdoor pursuits. Their insights will inform the development of such pursuits by businesses and organisations as well as future work into risk decision-making.

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Embodied leisure experiences of nature-based activities for people living with dementia

July 2024

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27 Reads

Dementia

Purpose This article adopts an embodiment lens to explore the individual leisure experiences of people living with dementia when engaging in nature-based pursuits. It focuses on how people living with dementia frame their everyday experiences of nature and how these are shaped by any cognitive challenges and/or other comorbidities affecting physical health. Design/methodology/approach Taking a phenomenological research approach, we interviewed 15 people living with dementia and 15 family carers of people with dementia to explore how people with dementia engage with nature as a subjective leisure experience. We analysed their accounts using reflexive thematic analysis. Findings The findings reveal how people living with dementia frame their experiences of nature-based pursuits through three interlinked themes of ‘bodily feelings and emotions’, ‘sense of self and identity’ and ‘connectivity to others’. Originality/value The paper contributes to knowledge by examining through the lens of embodiment a neglected and overlooked dimension of everyday leisure: how nature is encountered, negotiated and enjoyed. The paper illustrates how nature and the outdoors may help people living with dementia to continue to enjoy prior leisure pursuits and thus achieve a degree of continuity in their everyday lives.



Operationalizing Transformative Tourism: Creating Dementia-Friendly Outdoor and Nature-Based Visitor Experiences

December 2023

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33 Reads

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2 Citations

Journal of Travel Research

A values-based approach embedded in the transformative tourism research paradigm is used to examine dementia-friendly outdoor and nature-based experiences. Interview and site audits were conducted to explore the visitor economy-nature-well-being nexus. Using thematic analysis, researchers set out to understand how organizational change can improve the visitor journey through values and actions that create an accessible visitor experience for people suffering from dementia. The findings show that while the current practice of providing events and tailored sessions for the local community is a good start, further development is needed; this paper offers selected pathways to becoming a dementia-friendly business, including the importance of an organizational champion and an accessible site and a nature-based experience or event that appeals to a wide audience. Theoretically, this work operationalizes transformative tourism and provides a framework for future work.







Citations (28)


... In its application to the perception of residents, this approach was soon extended to other areas, such as culture and politics (Fredline and Faulkner 2000). The 21st century began with SET applications to mega sporting events, such as the Salt Lake City 2002 Winter Olympics (Deccio and Baloglu 2002) and the Sydney 2000 Olympic Games (Waitt 2003), a trend that continued over time, concentrating scientific production on this typology of events, thus creating a knowledge gap with respect to smaller sporting events (Parent and Chappelet 2015;Getz and Page 2024). ...

Reference:

Gender Bias in Residents’ Perceptions and Support of Rally Event Tourism: The Sierra Morena Rally of Córdoba, Spain
Event Studies: Theory and Management for Planned Events
  • Citing Book
  • November 2023

... Thus, this sector favors boosting regional economic vitality and improving life quality in many neglected areas [12]. It promotes the development of innovation through behavioral perspectives, breadth, and valuable knowledge [13], thereby showing a significant increase in regular production within the tourism sector [14]. ...

Progress in Tourism Management: Is urban tourism a paradoxical research domain? Progress since 2011 and prospects for the future
  • Citing Article
  • October 2023

Tourism Management

... Zieris et al. (2023) have reported the positive impacts of birdwatching on cognitive resources, mobility and wellbeing, although again this study has methodological limitations and was with residents in nursing homes only. Collins et al. (2023) found that research evidence on leisure activities for older people with cognitive impairment focused on three main areas: green day care, equine-assisted interventions and community nature-based activities which included horticulture but also walking and urban woodland activity programmes. For example, Noone et al. (2017) have highlighted the importance of horticulture to promote physical and mental wellbeing, as well as social connectedness for people with dementia living in the community, with a community gardening project demonstrating the potential of such interventions to support agency and social citizenship (Noone and Jenkins, 2018). ...

Provision of Outdoor Nature-Based Activity for Older People with Cognitive Impairment: A Scoping Review from the ENLIVEN Project

... The policy emphasis on regional economic growth and infrastructure development, while important, is seen as insufficient to address the deeper, underlying causes of socioeconomic disparities [3]. These causes often include complex, systemic issues such as inequality in education, healthcare and employment opportunities, which cannot be fully addressed by infrastructure alone. ...

Economic performance amongst English seaside towns

... Genoe, 2010;Genoe and Dupuis, 2014) as researchers recognise the leisure context within which a great deal of therapeutic interventions and activities associated with living well with dementia occur (Martyr et al., 2018;Bjørkløf et al., 2019). These issues must be set against the theoretical debates over the paradoxical nature of the ability to access leisure or engage in leisure pursuits, at the same time as potential constraints also increase (Nimrod and Shrira, 2014;Connell and Page, 2021). Although complex, leisure is non-work-related activity, vital for our wellbeing, where 'enjoying the activities we pursue in our leisure time gives us personal enjoyment, relaxation, personal fulfilment and a sense of pleasure to make us satisfied and complete human beings' (Page and Connell, 2010: 1). ...

Dementia, tourism and leisure: making the visitor economy dementia friendly
  • Citing Chapter
  • September 2021

... For example, progress reports of age-friendly initiatives in the United States have been found to offer examples of multi-sector collaboration, often with public sector entities (Black et al., 2022a). Additionally, the gray literature on age-friendly efforts is often written by municipal employees or commissioned by public sector entities (Black et al., 2022b;Page & Connell, 2023). Notably, although both of these dimensions of involvement in AFCC work are reflected in the present framework, it is possible that gray literature could have enhanced the richness of our findings. ...

Developing Age-Friendly Communities in the UK: Re-creating Places and Spaces
  • Citing Book
  • December 2022

... To date, mainstream leisure research has offered few theoretical advances in understanding the leisure-dementia nexus at a holistic level, with most studies of leisure activities unconnected with the wider leisure behaviour delivered or managed by the visitor economy. Yet the leisure literature on ageing (Page and Connell, 2022) indicates that in older age, a degree of continuity and change exists in people's leisure. From the existing dementia literature, we may posit that the condition acts as a disruptive, adaptive or constraining influence on the leisure time of those with dementia and their carers that occurs alongside previous leisure habits and behaviour. ...

Ageing and the Visitor Economy: Global Challenges and Opportunities
  • Citing Book
  • February 2022

... The interactions in, and value of, the largely neglected visitor economy concept within dementia studies is important as businesses and organizations that manage and promote place-based experiences and activities can enrich the lives of people with dementia, and their families and carers. This is relevant not only to visitors to a locale, but also to local residents, who also use and benefit from visitor economy businesses and services (Connell and Page, 2021). According to Smith and Taylor (2006), culture can be understood as: -General process of intellectual, spiritual and aesthetic development; -a particular lifestyle, a certain typology of individuals, a period or a group; -Practice of an intellectual but mainly artistic activity. ...

Dementia, tourism and leisure:: making the visitor economy dementia friendly
  • Citing Chapter
  • September 2021

... Indeed some tourism researchers draw a distinction between safety and security, where the latter is restricted to deliberate harmful acts ( (Sonmez and Graefe 1998a). In the latter case, while the threat of crime on vacation has been considered (Alleyne and Boxill 2003;Schroeder et al. 2013), far more attention has been paid to risk of being caught up in a terrorist incident (Agarwal et al. 2021;Brunt and Cousins 2002;Henderson 2003;Korstanje and Clayton 2012;Mansfeld and Pizam 2006;Pizam 1999;Pizam and Fleischer 2002;Pizam and Smith 2000;Sonmez and Graefe 1998a;. But of course political unrest is much broader than this and may include industrial/labour disputes, campaigns against government policies (such as the Stop Oil campaign in the UK) and campaigns against tourism development, the current Spanish protests being a case in point. ...

Tourist security, terrorism risk management and tourist safety
  • Citing Article
  • July 2021

Annals of Tourism Research

... Most relevant work has relied on correlation-based techniques such as gravity models (Bi & Lehto, 2018;Yang & Wong, 2012), variance tests (Huang & Crotts, 2019), and econometric models (Huang, Shao, et al., 2021;Huang, Zheng, et al., 2021;Liu et al., 2021). Others have adopted statistical regression models such as linear regression (Ahn & McKercher, 2015), multivariate regression (Kumar & Dhir, 2020;Manosuthi et al., 2020), and latent class regression (Wei et al., 2023), which use restrictive assumptions and linearly estimate the net effects of independent variables (Fiss, 2011;Gligor et al., 2019;Kim & Hyun, 2024;Phillips et al., 2020). Despite several revelations, correlation-based analyses ignore the nuanced functional relationship between culture and tourism. ...

Achieving research impact in tourism: Modelling and evaluating outcomes from the UKs Research Excellence Framework
  • Citing Article
  • June 2020

Tourism Management