As the global population ages and the prevalence of dementia and Alzheimer's disease rises, the need for cognitive accessibility in everyday environments has become increasingly critical. Lighting, contrast, clutter, signage, and wayfinding can either support dignity and independence or contribute to confusion and stress for those with cognitive impairments. While families and care teams often prioritize medication and monitoring, the physical environment is frequently overlooked as a component of care.
Nadim Adi, PhD, Assistant Professor of Interior Design at Texas State University, is addressing this gap through his research, a pioneering university course, and the development of NuroNest, an early-stage AI platform designed to identify environmental risks in interior spaces. Grounded in over a decade of research in dementia-supportive design and environmental psychology, NuroNest is intended to support—not replace—designers, healthcare professionals, occupational therapists, and caregivers.
“If we design for physical accessibility, why should we not also design for cognitive accessibility?” Adi said. “Homes, clinics, senior living communities, and public spaces can unintentionally create risk when they are visually confusing, poorly lit, or hard to navigate. The built environment itself can—and should—be part of the care equation.”
NuroNest analyzes images of interior spaces to flag features that may affect people living with dementia or aging-related cognitive changes. These features include low contrast between furniture and floors or walls, unclear pathways, visual clutter, and weak wayfinding cues. The long-term vision is to make dementia-supportive design more accessible to families, caregivers, and organizations that sense a space “doesn't feel right” but lack ready access to a specialist.
The tool is still in its early stages. Adi and his team are refining the technology, gathering feedback, and exploring research validation and partnerships. The goal is to raise awareness and guide better conversations, rather than replace professionals in the field.
Adi's research and teaching underpin the product vision. With Dr. Mais Aljunaidy, assistant professor of psychology at Texas State, he co-authored An Introduction to Architectural Psychopathology, a textbook focusing on how interior design can support people with mental disorders, including dementia. The pair also developed Texas State's interdisciplinary architectural psychopathology course, offered beginning fall 2025, which trains students to design spaces that support individuals with conditions such as autism, dementia, depression, schizophrenia, and anxiety disorders. The course has been covered by Texas State News, Texas Public Radio, and Community Impact.
Adi's peer-reviewed work includes a systematic study of architecture and mental disorders in HERD: Health Environments Research & Design Journal, research on using virtual reality to assess elderly and dementia-friendly hospital design, and writing on artificial intelligence and mental disorder art therapy. He has also spoken publicly on aging-ready environments, including a TEDx Texas State University talk on preparing buildings for an aging population, and hosts conversations on design and mental health through Mental Design Labs.
Dr. Adi and the NuroNest team are actively seeking research collaborators, pilot partners, and organizations—including community groups, senior living providers, healthcare organizations, dementia care advocates, researchers, designers, and technology partners—interested in validating and advancing the technology. By improving environments for older adults and people living with dementia, this initiative has the potential to transform how we approach interior design and care, making cognitive accessibility a standard consideration in the built environment.
