TY - JOUR AB - Purpose The purpose of this paper is to improve understandings of environmental influences on participation in routine and familiar activities for people with intellectual disabilities and dementia from first-person and caregiver perspectives.Design/methodology/approach Four adults with intellectual disabilities and dementia participated in 2 nominal group technique sessions and 12 family and staff caregivers participated in 5 standard focus groups. Transcripts were analyzed utilizing thematic analysis centering the findings from nominal group technique sessions and an ecological systems lens.Findings Participants with intellectual disabilities and dementia identified six important themes: activity access, caregiver assistance, social interactions, responsibilities, privacy, and health and wellness. Their perspectives focused primarily at an immediate environment level, while caregiver input added additional understandings from broader ecological systems levels.Originality/value This study provides a beginning point to establishing a framework for creating supports and addressing barriers to participation for adults with intellectual disability and dementia based on direct input from potential service consumers and their caregivers. People with intellectual disabilities and dementia provide valuable insights into their experiences through engagement in accessible research. VL - 20 IS - 4 SN - 1471-7794 DO - 10.1108/QAOA-11-2018-0060 UR - https://doi.org/10.1108/QAOA-11-2018-0060 AU - Sheth Alisa Jordan PY - 2019 Y1 - 2019/01/01 TI - Intellectual disability and dementia: perspectives on environmental influences T2 - Quality in Ageing and Older Adults PB - Emerald Publishing Limited SP - 179 EP - 189 Y2 - 2024/04/26 ER -