As the needs of people living with dementia grow more complex, long-term care homes and memory support communities continue to search for methods that go beyond routine care and compliance. A new systematic review confirms broad benefits in residential aged care and compelling evidence that Montessori-based programs can deliver.
The goal?
- Engaged residents
- Empowered staff
- Dignified, person-directed support.
A newly published systematic review provides compelling evidence that Montessori-based programs can deliver exactly that.
📚 Study Source
Findings are drawn from a 2023 systematic review by Yan et al., published in Dementia (London). The review analyzed 15 studies on Montessori-based programs in residential aged care, with consistent themes of improvement in engagement, mental health, safety, and quality of life.
Note: The chart above was created to visually summarize key themes from the 2023 systematic review by Yan et al., published in Dementia (London). The percentages shown reflect the overall strength and consistency of positive outcomes reported across the 15 studies reviewed.
Key Findings: Montessori-Based Programs Deliver
- Residents Were More Engaged and Connected
Montessori-based programs significantly increased participation in activities. Residents were more likely to stay engaged, communicate with others, and maintain routines—leading to reduced social withdrawal and improved quality of life.
- Mental Health Outcomes Improved
Across multiple studies, residents showed fewer signs of depression, agitation, and anxiety. There was also a noted decrease in the use of psychotropic medications, highlighting the potential for non-pharmacological interventions to reduce distress in care settings.
- Feeding and Mealtime Independence Increased
Residents participating in Montessori-informed programs experienced fewer feeding difficulties, with greater independence and improved nutritional outcomes. Structured roles like utensil matching, table setting, and gentle guidance helped reduce resistance and promote dignity at mealtimes.
- Personalization Is Key
The review stressed that tailoring activities to individual preferences, histories, and current cognitive abilities was critical to achieving positive outcomes. This aligns with the Montessori Inspired Lifestyle® model’s emphasis on prepared environments, choice, and purposeful engagement.
What This Means for Care Leaders
This research reinforces what many homes practicing the Montessori Inspired Lifestyle® have already experienced:
When care teams shift from “doing for” residents to “enabling participation,” the results ripple through the entire organization.
Montessori-based approaches are more than activity programming—they are a framework for capability, respect, and identity.
For Executive Directors, Directors of Care, and program leads, this study provides the evidence base needed to support investment in training and implementation.
Better Care, Backed by Data
The review supports broader findings in the sector: that Montessori-based dementia care can lead to:
- Reduced responsive behaviors and agitation
- Fewer falls due to increased structure and engagement
- Better staff satisfaction through more meaningful interactions
- Lower reliance on medications
- Improved family trust and regulatory alignment
Final thought for leadership
This study confirms what many forward-looking care communities have already discovered:
Montessori-based dementia care works—and it works best when staff are trained, empowered, and supported in bringing it to life.
If your organization is considering a more person-directed approach, or simply wants to reduce incidents and improve engagement, the evidence is stronger than ever that Montessori is worth the investment.
