| 1. |
- Elke Miedema, Elke, et al.
(författare)
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Health-promotive ambitions related to building design : The case of Angered Nearby Hospital
- 2017
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Ingår i: ARCH17. - 9788793585003 ; , s. 331-344
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Konferensbidrag (refereegranskat)abstract
- The potential of the built environment to mediate effects on patient and caregiver physical, cognitive and social health continues to be advocated. Evidence indicates that well-designed physical settings play an important role in making healthcare facilities safer and more healing for patients, and better working places for staff. Collaboration between researchers from varied disciplines is now adding to our understanding of the range of impacts on patient health and well-being. For instance, health architecture and interior designers are involving users of healthcare built environments in the design process using inclusive design or patient-centred care frameworks. Neuroscience researchers are exploring relationships between the environment and recovery from brain injury, often using a model of enriched environments. An overview of the range of theoretical frameworks used in empirical research to test built environment attributes is now warranted. In this paper, we present a mapping of the field showing the use of theories in built environment research. This would enable better selection of theoretical frameworks in order to evaluate the effect of specific design solutions on patient and care-giver health. Today, there are no comprehensive summaries of theories and conceptual frameworks applied in studies of healthcare architecture that could serve as a guide to future research. The aim of this scop- 378 ing review was to (i) identify theories and frameworks used in research of the physical environment in health care, (ii) describe their core constructs, assumptions, scientific utility, (iii) assess their applicability and feasibility for use in research. The basic principles of Arksey and O’Malley’s model of scoping review design were used to identify the theories and frameworks. 15 theories/frameworks were included and described in terms of general characteristics (purpose, country and year of development, discipline), core construct and applicability and feasibility.
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| 2. |
- Adelfio, Marco, 1980, et al.
(författare)
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London's King's Cross redevelopment: a compact, resource efficient and 'liveable' global city model for an era of climate emergency?
- 2021
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Ingår i: Urban Research and Practice. - : Informa UK Limited. - 1753-5069 .- 1753-5077. ; 14:2, s. 180-200
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Tidskriftsartikel (refereegranskat)abstract
- Cities have long been subject to urban containment policies against urban sprawl. Climate change concerns have recently added to the imperative to densify urban space. Urban compaction is often pursued through the creation of 'exemplar' urban developments that superficially implement 'best practice' ideas from elsewhere. In this paper, we abandon the notion of 'best practice' in favour of context-sensitive 'good practices'. Taking London's King's Cross redevelopment as a case study, this paper draws on qualitative methods to examine the contribution of context and path-dependency, as a product of local and non-local forces, to the emergence of King ' s Cross as 'good practice'.
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| 3. |
- Dumitrache, Oana, et al.
(författare)
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Active Care - Building Design for Habilitation Centers
- 2020
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Ingår i: IOP Conference Series: Earth and Environmental Science. - : IOP Publishing. - 1755-1307 .- 1755-1315. ; 588:3
-
Konferensbidrag (refereegranskat)abstract
- This paper explores the building design of a Habilitation Center that promotes healthy lifestyles of people with diverse abilities. Habilitation care moves the focus of healthcare from a disease curing approach to lifelong health development. Studies show that the design of healthcare buildings can contribute to improving care and by extension, it is expected that building design can contribute to improving habilitation care. However, in practice, there is limited experience in designing habilitation facilities, particularly concerning emerging healthcare approaches such as health promotion. This paper describes the outcomes of a master thesis that was part of a pre-study for a habilitation center that focused on design strategies and solutions that stimulate physical activity for diverse users. The main research question was: In what way can building design promote active behavior for all types of building users? The study adopted a research by design approach focused on (1) understanding user needs, (2) developing design strategies, and (3) proposing a design solution. The results list several design strategies for habilitation buildings and propose how these can be implemented. These guidelines include strategies for physical movement such as indoor and outdoor exercise areas, climbing walls and access to nature. These results may support the development of the new habilitation center, while also introducing theoretical ideas and design guidelines regarding active design. The study can be used to inspire and discuss the design and development of habilitation centers specifically, and more generally healthcare buildings that adopt new care approaches such as health promotion.
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| 4. |
- Elf, Marie, 1962-, et al.
(författare)
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A Systematic Review of Research Gaps in the Built Environment of Inpatient Healthcare Settings
- 2024
-
Ingår i: Health Environments Research & Design Journal. - 1937-5867 .- 2167-5112.
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Forskningsöversikt (refereegranskat)abstract
- OBJECTIVE: This study utilized the evidence-gap map method and critically examined the scope, methodologies, and focus of the studies that investigated the influence of the built environment on inpatient healthcare settings over a decade (2010-2021).METHODS: We conducted a systematic review per the preferred reporting items for systematic reviews and meta-analyses guidelines and surveyed 406 articles, primarily from North America and Europe.RESULTS: Our findings revealed a dominant focus on architectural features (73%), such as room design and ward layout. Comparatively, there was less emphasis on interior-, ambient-, social-, and nature-related features. Most previous studies explored multiple environmental features, which indicated the intricacy of this field. Research outcomes were diverse, with person-centered care (PCC) being the most frequently investigated, followed by safe care, emotional well-being, activity, and behavior. Furthermore, research methods varied considerably based on the study's outcomes and features. Clinical outcomes and safe care favored quantitative methods, activity and behavior favored mixed methods, and PCC favored qualitative research.CONCLUSION: This review provides an in-depth overview of the existing studies on healthcare design research and sheds light on the current trends and methodological choices. The insights garnered can guide future research, policy-making, and the development of healthcare facilities.
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| 5. |
- Forooraghi, Melina, 1989, et al.
(författare)
-
How Does Office Design Support Employees’ Health? A Case Study on the Relationships among Employees’ Perceptions of the Office Environment, Their Sense of Coherence and Office Design
- 2021
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 18:18
-
Tidskriftsartikel (refereegranskat)abstract
- This study investigated the current design circumstances of an office as well as employees’ perceptions of the office environment in relation to their perceived health, drawing on sense of coherence theory (comprehensibility, manageability, and meaningfulness). Previous studies have related the physical office environment to employee health. However, most studies have focused on alleviating negative effects, while health-promoting potential, including employee sense of coherence, has been overlooked. This study adopted a mixed method case study approach, combining semi-structured interviews with employees, structured observations, and analysis of architectural drawings. The results indicated that employees’ perceptions did not always align with the ideas behind the architectural design and that employees understood the environment differently. The study also highlighted the interrelations (and contradictions) among the different components of sense of coherence. The findings imply that organizations may need to prioritize which components of coherence should be supported most by the office environment. It also suggests that case-specific design aspects should play a more central role in studying and conceptualizing healthy office design and that design solutions should be continuously modified during the use phase, while ensuring employees’ participation. The study concluded that an ‘ideal’ office environment should not be the goal. Instead, office design should provide an environment in which employees are able to cope with challenges in comprehensible, manageable and meaningful ways.
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| 6. |
- Forooraghi, Melina, 1989, et al.
(författare)
-
Relationship between the design characteristics of activity-based flexible offices and users’ perceptions of privacy and social interactions
- 2023
-
Ingår i: Building Research and Information. - : Informa UK Limited. - 1466-4321 .- 0961-3218. ; 51:5, s. 588-604
-
Tidskriftsartikel (refereegranskat)abstract
- Activity-based flexible offices (AFOs) provide a variety of workspaces to meet the need for social interactions and privacy at work. This study investigates the relationship between the design characteristics of AFOs and users’ perceptions of visual and acoustic privacy and social interactions. This case study is based on post-occupancy evaluations in three AFO layouts at a public service organization in Sweden. A mixed-method approach is adopted that combines questionnaires and layout analysis. In general, the results showed that while aesthetics received the highest satisfaction scores, office functionality, task support, storage and visual and acoustic privacy received the lowest ratings. Key design characteristics for AFOs were operationalized, observed and exemplified: zone diversity, proportion, readability, spatial enclosure, sharing ratios and functionality of furniture and tools. These insights may contribute to better-informed decisions about the design characteristics that influence privacy and social interactions in AFOs.
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| 7. |
- Forooraghi, Melina, 1989, et al.
(författare)
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Scoping review of health in office design approaches
- 2020
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Ingår i: Journal of Corporate Real Estate. - 1463-001X .- 1479-1048. ; 22:2, s. 155-180
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Forskningsöversikt (refereegranskat)abstract
- Purpose: This paper aims to explore the literature on office design approaches (ODAs) in relation to employee health. The overall goal is to facilitate the practical use and theoretical development of design approaches to healthy offices. Design/methodology/approach: A scoping review of 7,432 papers collected from 4 electronic databases and 5 scientific journals resulted in the selection of 18 papers for content analysis. Findings: Various ODAs relating to building design features and health were identified. The findings highlight challenges for this emergent field, including a paucity of literature on ODAs, a lack of definitions of health and healthy offices, ambiguous design strategies and a lack of a holistic ODA. Originality/value: ODAs are potentially valuable resources but an under-considered topic for healthy office development. To the best of the authors’ knowledge, this study is the first scoping review to map and compare different design approaches in the context of office design and its main contribution is in encouraging researchers and practitioners to bring a salutogenic and holistic perspective to their design approaches.
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| 8. |
- Miedema, Elke, 1985, et al.
(författare)
-
Conceptualizing health promotion in relation to outpatient healthcare building design: a Scoping review
- 2019
-
Ingår i: HERD. - : SAGE Publications. - 2167-5112 .- 1937-5867. ; 12:1, s. 69-86
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Forskningsöversikt (refereegranskat)abstract
- Objective: This review explored different conceptualizations of health promotion in the context of, and in relation to, outpatient building design. Background: Today’s healthcare organizations are implementing holistic healthcare approaches such as health promotion, while simultaneously increasing their outpatient services. These health promotion approaches, focused on empowering people to take control of their health, are expected to have implications for the outpatient healthcare building design. Yet, there is limited knowledge on what these may be. A review of the literature on the current state of the art is thus needed to enable and support dialog on future healthcare building design. Method: A scoping review of 4506 papers, collected from 4 databases and 3 scientific journals in 2015, resulted in 15 papers relating health promotion to building design and outpatient healthcare. From the subsequent content analysis multiple common themes and subthemes emerged. Results: The review reveals diverse range of health promotion interpretations, three health promotion perspectives (health behavior, health equity and sense of coherence), associated design approaches, design objectives, health-related outcomes, building features and solutions. Conclusions: While diverse health promotion perspectives might merely represent variations in focus, these differences become problematic when relating to building design. To support further dialogs on development of health promotion in, and in relation to, the built environment, there is a need to strengthen the health promotion vocabulary. Further research is needed to compare different design approaches, and how these can be combined to minimize contradicting implications for building design.
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| 9. |
- Miedema, Elke, 1985
(författare)
-
Engaging stakeholders in Complex Design by using of Symbiosis in Development method.
- 2015
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Ingår i: Design 4 Health Conference, July 13-16, 2015 Sheffield UK..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The value of cross-disciplinary work and stakeholder involvement is recognized and implemented in healthcare related design processes of new environments. However, the process and results are often described as discontent (Stichler, 2008). Knowledge of the system has been described as a key factor for the success of a design project. A design process should therefore be a learning process together with stakeholders to generate knowledge of the system and design proposals. The changes needed in healthcare are complex to handle as they consist of care processes, delivery, supply processing and distribution, communication, management and the financial system. These complex systems are interrelated, and one change in one part affects the entire organizational systems' structure” (Stichler, 2011). The challenges in healthcare require new healthcare environments. Thus, the design process needs to be developed towards a collaborative design process in which the stakeholders are engaged, and not only involved. In addition, there is a need of more system knowledge as a base for decision-making in the process. This poster presents a methodology developed to deal with complexity and stakeholder engagement in design. By opening up challenges, and understanding complexity, the method attempts to address the root cause of a problem, rather than fighting the symptoms (Bosschaert, 2009). The method, Symbiosis in Development (SiD) consists of five cyclical steps; 1) setting goals, 2) mapping the system, 3) system understanding, 4) route mapping, and 5) evaluating the results. In each step different tools for stakeholder engagement can be used to facilitate cross- disciplinary work between the clients, users, and developers,stakeholders and thereby enabling multi-faceted sustainability innovations. On the poster the methodology and the appropriate tools are illustrated by the case of Zevenkamp, which is an residential care facility in Rotterdam. The result is a is a visual framework that provides designers a different perspective and approach to stakeholder engagement.
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| 10. |
- Miedema, Elke, 1985
(författare)
-
HEALTH PROMOTION AND HEALTHCARE ARCHITECTURE - Conceptualizations of Health Promotion in relation to Healthcare Building Design
- 2017
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Today's healthcare system is under development and reorienting and adapting to embrace a person centred and holistic perspective on health, including a focus on health promotion. This reorientation results in changes in the healthcare models, processes as well as it sets new requirements for healthcare building design. A vast majority of research has been devoted to the relation between inpatient healthcare building design and individual health, e.g. how our hospitals affects treatments and patient outcomes. Less attention has been paid to the relation between outpatient healthcare building design and public or population health and wellbeing, e.g. healthcare in the community to lessen the load on large hospitals. At the same time as the aforementioned development is happening there is a growing body of research emphasizing the importance of the built environment for public health. Objective: This licentiate thesis aim to explore conceptualizations of health promotion in the context of outpatient healthcare building design, the aim is to enable a broader platform to enable incorporation of several health promotion perspectives into future healthcare building design. The main research question is: How is health promotion conceptualized in the context of outpatient healthcare building design? In addition, several other questions emerged in the research process: What aspects of building design result in health-promoting building design? How is health-promoting building design conceptualized in the literature and in practice? What tools and outcomes are referred to when evaluating health-promoting building design? Methods: The research included two studies with an explorative approach: a scoping review and a content analysis of interviews. Results: The results present different conceptualizations of health promotion in the context of healthcare building design. In addition, the results provide an interpretation of health-promoting building design. The results also relate to health promotion strategies, perspectives on health-promoting building design and some aspects of building design that can contribute to, or prevent, health promotion. Discussion: The discussion emphasizes challenges related to developing health-promoting building design, such as vague and contradicting definitions and interpretations of core concepts as health promotion and itís interpretation in the built environment. In addition, the discussion highlights the challenges associated with evaluating health-promoting building design. Conclusions: Health promotion perspectives, have been shown to influence healthcare building design through altered implications for the built environment. As shown, healthcare building design thus seems to have the opportunity to promote the health and wellbeing of patients, staff, visitors and the community. However, the vocabulary used to address health promotion, the different perspectives and health-promotion is weak and inconsistent. The thesis therefore proposed definitions for health promotion and health-promoting building design, that might guide future research and discussions on health promotion vocabulary. Future research should focus on developing the health-promoting building design vocabulary, collecting examples of health-promoting building design, relating health promotion theory to existing architecture theory, and methods and outcomes to evaluate health-promotion building design.
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| 11. |
- Miedema, Elke, 1985, et al.
(författare)
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Health promotion and the built environment - views from Swedish healthcare organisations
- 2019
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Ingår i: ARCH19 - BUILDING for BETTER HEALTH Book of abstracts.
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Konferensbidrag (refereegranskat)abstract
- Objective– The study examined the role and integration of the built environment in health promotion as perceived and described by representatives of Swedish health promotive healthcare organisations (HPHs). Background– A majority of Swedish healthcare organisations haveimplemented health promotion strategies in their plans and actions [1]. These HPHs engage in an ongoing reorientation from a disease focus to a health focus,which includes a person-centred approachthatconsiders people as active participants controlling their own health and care [2]. Swedish HPHs are supported by the Swedish HPHnetwork in introducing health promotion. The HPH network aims are guided by health promotion standards [3-6], which indicate the importance of creating health-promoting environments [4, 7]. These aims are confirmed in a letter of intent and membership contract. The aims are also expected to have implications for the planning of healthcare buildings [8]. However, knowledge of the relationship between HPH strategies and the built environment is limited [9, 10]. Additionally, health promotion, when used by building designers, often seems to be reduced to a focus on the enhancement of health [11]. To continue developing health promotion and fulfilling the intentions of the letter of intent as a driver for HPHs, it is important to understand and actively include the built environment in analysis, planning and design [12, 13]. Research question– How do Swedish HPH representatives perceive and describe the relationship between HPHs and the built environment? Methods– An explorative study including both qualitative and quantitative data was carried out. First, data were collected through a survey with county representatives of Swedish HPHs (n=17). Then,qualitative datawere obtained from interviews with the Swedish HPH network committee members. The combined data wereanalysed through descriptive statistics and content analysis. Results– The resultsshowed varied and limited perspectives on the relationship between the built environment and health promotion and diverse HPH intentions related to health equity, health, empowerment, population health, and preventive measures. The results indicated that the documentation meant to support HPHs was not used or well known. Surprisingly, representatives who worked on healthcare building projects did not necessarily consider the built environment to be related to design strategies or characteristics or to their health promotion work within the framework of their HPHs. Conclusion– The results indicate the need to recognise the diverse dimensions and interpretations of health promotion to be able to integrate the built environment in HPHs.
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| 12. |
- Miedema, Elke, 1985, et al.
(författare)
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Health promotive ambitions related to building design – the case of Angered Nearby Hospital
- 2017
-
Ingår i: ARCH 17 - 3rd international conference on architecture, research, care and health. ; 1 edition, s. 331-344
-
Konferensbidrag (refereegranskat)abstract
- The healthcare system in Sweden is re-orienting and transforming to embrace a holistic perspective on health, which includes a focus on Health Promotion. This development has led to new ambitions and processes in healthcare and has thus changed the requirements for related building design. This explorative study, based on a content analysis of 9 semi-structured interviews with stakeholders involved in the planning and design process of Angered Nearby Hospital (Närsjukhus), investigates how the building design was influenced by Health Promotion ambitions. Questions focused on expectations and challenges for the new building. The results illustrate how Health Promotion was interpreted in the design process and how expectations were described, e.g., as a “welcoming environment” or “active environment”. It is found that the understanding of how to interpret Health Promotion in design is vague and performed without any guidelines other than at the policy level. This lack of clarity is also related to the difficulty of finding studies on the topic. The results also point to a need for clarification of how Health Promotion can be interpreted in design, the need for Health Promotion-related design guidelines, and the need for definitions of requirements at the project level to measure health-promotive effects.
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| 13. |
- Miedema, Elke, 1985
(författare)
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Health-Promotive Building Design - Exploring perspectives on building design for health promotion in healthcare settings
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis explores perspectives on health promotion in healthcare settings from a building design perspective, i.e., health-promotive building design (HPBD). The results may contribute to discussions of the role of healthcare building design to support health promotion in healthcare (HPH) and thereby contribute to the development of healthier and more equitable communities. Currently, healthcare organisations are encouraged to introduce health promotion approaches and develop HPH. The research suggests that the introduction of new healthcare procedures, such as health promotion, can lead to new demands for the built environment. The previous research also shows that the design aspects of healthcare buildings can actively support treatment, protect health, and prevent disease for diverse building users. However, there is limited research with a particular focus on healthcare building design in relation to health promotion or HPH. It is thus crucial that those involved in the design process become familiar with health promotion and HPH and be able to design high-quality healthcare buildings. Health promotion can be defined as ‘the process of enabling people to increase control over and improve their health’. Nevertheless, there are many definitions and interpretations of health promotion that depend on the context in which it is used as well as the disciplines of the people involved. While health promotion has gained attention from healthcare architects, it is unclear how health promotion is actually understood by those involved in the healthcare building design process and how they translate health promotion goals into design objectives. The first two studies in this thesis therefore explored descriptions of health promotion in the context of the healthcare building design literature (study 1) and practice (study 2). Health promotion in healthcare settings generally refers to organisations expanding their traditional focus on the treatment of disease to include a focus on the health development of all building users, the local population and the environment. The development of HPH involves diverse practices such as changes in the built environment. However, a small number of studies have focused particularly on the built environment in relation to HPH. The last two studies in this thesis therefore focused on exploring descriptions of the built environment in the context of HPH. For this thesis, an explorative research design was adopted based upon a multi-perspective approach including (1) a literature perspective, (2) a design practice perspective, (3) an HPH network perspective and (4) an HPH organisation perspective. The data were collected through literature reviews, documentation, semi-structured interviews and online surveys. The combined work revealed diverse descriptions of health promotion in relation to healthcare building design in terms of (1) definitions of health promotion, (2) health-promotive perspectives, and (3) different targeted populations. The results also showed multiple descriptions of the built environment as a factor for health promotion including (4) expressions related to the built environment, (5) indications of places where health promotion can happen, (6) design features characterising HPBDs, and (7) design strategies to develop HPBDs. The findings show that the research on the design of health-promotive built environments is in its early stage of development. The results indicate that the vocabulary for describing building design, health promotion and healthcare settings is diverse and inconsistent and that none of the health-promotive perspectives considers all dimensions of health promotion or HPH. What is more problematic is that the diverse health-promotive descriptions have led to different, even conflicting, demands for building design. Based on the results, I suggest that project groups should specify and reflect upon their interpretation of the built environment, health promotion, HPH and HPBD. I recommend that HPBD should (1) focus on individuals and (vulnerable) communities; (2) focus on the different factors that improve health, not only those that prevent illness and disease; (3) consider environmental impacts; (4) involve collaboration with others; and (5) utilise the best available research. More research is needed to explore solutions in other countries, in other settings, or with other stakeholders, and it should include analysis of best-practices.
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| 14. |
- Miedema, Elke, 1985, et al.
(författare)
-
Healthcare architecture for health and well-being From hospital to neighbourhood care (PROARCH)
- 2015
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: PROARCH will study how, and in what way, healthcare architecture can influence health-promotion. An understudied but highlighted e.g. by the International Network of Health Promoting Hospitals (HPH), initiated by the World Health Organization's (WHO). Health-promotion has been defined as the process of enabling people to increase control over their health and its determinants (WHO, 2005). Although resources have been allocated to prevent illness, such as health information and support for behavioural risk factors (Wilson, 2015), healthcare tends to primarily focus on treating diseases when they occur (Wilson, 2011). More up-stream and proactive solutions are wanted i.e. Identifying people at risk of illness and built in health-promotion in all policy interventions (Wilson, 2015). Aim: The overall aim is to explore how healthcare architecture can contribute to health and well-being in an outpatient healthcare context. The research-questions are: How can health-promoting architecture be defined and measured? How can new healthcare environments support health and well-being in the neighbourhood? A further aim is to identify the key factors of the architecture and how they interact with contextual factors in order to increase the understanding of how and what supports health promoting.Methods: PROARCH has started with a systematic review on how health-promotion architecture can be defined and measured. Further on, a full-scale study of Angered Nearby hospital in Sweden (finished 2015) is planned. Angered, outside of Gothenburg, is a part of the Swedish Million Programs with a weak socio-economic status. Data collection corresponds to mixed methods, with clinical outcomes and interviews, in addition to process and outcome data from non-participant observations and semi-structured interviews. The findings will be compared to the design intentions, developed in the planning process of the Angered Nearby hospital. The results will be used in a design project in which we will conduct experience based co-design in Angered.
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| 15. |
- Miedema, Elke, 1985
(författare)
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On Being a PhD student at Chalmers
- 2017
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- short introduction video developed for PhD stduents at Chalmers by the Chalmer Doctoral Student Guild.
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| 16. |
- Miedema, Elke, 1985
(författare)
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Popular Science Podcast - Should Architects wear doctors' coats?
- 2018
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- #67 Chalmers short stories What´s the science behind self driving cars, hospital entry architecture and faster computers? In this episode we meet eight PhD-students presenting five minutes stories about their research projects at Chalmers University of Technology. We also talk to Dr. Raychelle Burks from St. Edwards University in Texas and Professor Lars Öhrström from Chalmers, about how they work to get science out to the society. Come along with RadioScience to a workshop on science communication, a warm and sunny day in June. We went to Gothenburg to give tips and tricks on recording and editing a podcast. In return we got eight really interesting short stories within the field of technology. The Podcast on Healthcare Architcture starts after 10min.
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| 17. |
- Miedema, Elke, 1985, et al.
(författare)
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The Swedish Health Promoting Healthcare network and the built environment
- 2022
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Ingår i: Health Promotion International. - : Oxford University Press (OUP). - 0957-4824 .- 1460-2245. ; 37:1, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- The Health Promoting Hospitals (HPH) networks, founded by the World Health Organisation, support the introduction of health promotion in healthcare. This development involves the creation of a health promoting built environment. However, few studies have explored the HPH in relation to the built environments, and it is unclear how HPH-networks incorporate the built environment in their work. The study therefore examined the Swedish HPH-Network in relation to the built environment. The mixed-method study included data from (i) key online material from the Swedish network, (ii) a survey with open-ended questions of representatives of the networks’ workgroups and (iii) semi-structured interviews with the built environment workgroup. The study showed that the built environment is unevenly and incoherently incorporated in the network. Moreover, there is more attention for healing and healthy rather than health-promotive strategies, indicating a knowledge gap. Descriptions of the health promoting built environment are diverse, and address design features, design strategies or indicate places for health promotion interventions. The descriptions of the built environment are combined with various HPH goals and population groups. To utilize the built environment as a resource for HPHs, the networks should consider incorporating the built environment in documents and action plans at all organizational levels.
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| 18. |
- Roupé, Mattias, 1975, et al.
(författare)
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Exploring diffrent design spaces - VR as a tool during building design
- 2019
-
Ingår i: Proceedings of the 19th International Conference on Construction Applications of Virtual Reality (CONVR2019) - Enabling digital technologies to sustain construction growth and efficiency. ; 19, s. 94-102
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Konferensbidrag (refereegranskat)abstract
- During the design process of a building different medias are often used to depict the design. Traditional media, especially 2D requires high spatial skill and cognitive demand on the designers. For inexperienced designers, this process can be demanding, be difficult and can cause potential biased design perceptions that are significantly different from the reality. However, studies have also shown that different media and representation facilitates different cognitive reasoning processes about the design. Immersive Virtual Reality (VR) is assumed to give another level of understanding and perception of design space from an egocentric perception than 2D plan drawings or bird-eye views, which have been argued to provide opportunities for better pattern and object recognition that is suitable when studying spatial organization in an allocentric reasoning process. This paper investigates, the different design medias and spatial space explorations further, by studying how students used the different representations and medias (e.g. sketches, 3d-models and VR) during their design process. By combining and using both of these two design space representations, (e.g. egocentric and allocentric) in the design process, it gives a possibility to achieve a more developed design outcome. The methods used in this study were observations and un-structured interviews during the design process and a follow up questionnaire at the end of the design project. The result show, by combining and using both VR and traditional design sketching tools that it is possible to support the two design space representations together and give the designer the possibilities to explore, understand, discuss and work with the design in a more elaborate way from both an egocentric and allocentric perspective. The paper also presents in what way VR can contribute to the Evidence Based Design (EBD) criteria and how the students used different design spaces representations for design and spatial reasoning about the healthcare design of the psychiatric facility they were designing.
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| 19. |
- Sturge, Jodi, et al.
(författare)
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Socially sustainable housing and built environments to support the health and social inclusion of older adults : protocol for a scoping review and stakeholder consultation
- 2023
-
Ingår i: BMJ Open. - 2044-6055. ; 13:12
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Housing and the ageing population are issues that pose challenges for social, health and economic policies. Therefore, there is a need for more knowledge on how to design housing and public infrastructure to improve the social engagement and well-being of older adults who age in place. This project aims to provide an overview of the existing literature on design features that support socially sustainable living environments for older adults.METHODS AND ANALYSIS: A systematic scoping methodology was used to identify and summarise the findings. Four databases were searched (CINAHL (Cumulative Index to Nursing and Allied Health Literature), Scopus, Medline and Embase) to identify the articles. Articles were included if published in English in the last 15 years (eg, from January 2008 to June 2023) without restricting the study location or country. Articles were included if they were based on empirical qualitative, quantitative and mixed-method data. The results of the review will be discussed with a panel of 15 stakeholders (n=15) from Canada, Sweden and the Netherlands (five per country). The interdisciplinary stakeholders will have expertise in housing, architecture, engineering and social and health services. The consultations will provide content expertise to the literature findings and an opportunity to build evidence-based solutions that support the design of socially sustainable living environments for older persons.ETHICS AND DISSEMINATION: Ethical clearance for this project has been granted by the Swedish Ethical Review Authority for Dalarna University (dnr 2023-01543-01) and the Natural Sciences and Engineering Sciences (NES) Ethics Committee at the University of Twente in the Netherlands (dnr 230407) has approved this project. Stakeholders will be asked to provide signed consent to participate in the study. The results of this project will be disseminated through web seminars, community advisory groups, peer-reviewed journals and policy documents to support the development of housing and public health policy.TRIAL REGISTRATION NUMBER: OSF, https://doi.org/10.17605/OSF.IO/PR2NC.
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| 20. |
- Weber, Clara, et al.
(författare)
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Patients' Health & Well-Being in Inpatient Mental Health-Care Facilities: A Systematic Review
- 2022
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Ingår i: Frontiers in Psychiatry. - : Frontiers Media SA. - 1664-0640. ; 12
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Forskningsöversikt (refereegranskat)abstract
- Background: Previous research indicates that the physical environment of healthcare facilities plays an important role in the health, well-being, and recovery outcomes of patients. However, prior works on mental healthcare facilities have incorporated physical environment effects from general healthcare settings and patient groups, which cannot be readily transferred to mental healthcare settings or its patients. There appears to be a specific need for evidence synthesis of physical environmental effects in mental healthcare settings by psychopathology. Purpose: This review evaluates the state (in terms of extent, nature and quality) of the current empirical evidence of physical environmental on mental health, well-being, and recovery outcomes in mental healthcare inpatients by psychopathology. Method: A systematic review (PRISMA guidelines) was performed of studies published in English, German, Dutch, Swedish, and Spanish, of all available years until September 2020, searched in Cochrane, Ovid Index, PsycINFO, PubMed, and Web of Science and identified through extensive hand-picking. Inclusion criteria were: Adult patients being treated for mental ill-health (common mental health and mood disorders, Cochrane frame); inpatient mental health care facilities; specifications of the physical and socio-physical environment (e.g., design features, ambient conditions, privacy); all types of empirical study designs. Quality assessment and data synthesis were undertaken. Results: The search retrieved 1,068 titles of which 26 met the inclusion criteria. Findings suggest that there is only indicative evidence of the impact of the physical healthcare environment on patients' mental health, well-being, and recovery outcomes. There is significant lack of pathology-specific evidence. Methodological shortcomings and empirical scarcity account for the poor evidence. Conclusion: This review highlights the need for more research using advanced study designs.
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