Human experience in the natural and built environment : implications for research policy and practice

22nd IAPS conference. Edited book of abstracts. 427 pp. University of Strathclyde, Sheffield and West of Scotland Publication. ISBN: 978-0-94-764988-3

Healthy built environments: A review of the literature

The Healthy Built Environments Program has completed a major scholarly literature review examining the role of the built environment in supporting human health as part of everyday living. The principal aim of the Review is to establish an evidence base that supports the development, prioritisation and implementation of healthy built environment policies and practices. The Review identifies current gaps in the evidence to inform future research directions. It includes an annotated bibliography of key research articles and a glossary of terms to assist practitioners, policy makers and researchers working in this interdisciplinary realm.  The focus of the Review is on the three key built environment domains that support human health: The Built Environment and Getting People Active. The Built Environment and Connecting and Strengthening Communities. The Built Environment and Providing Healthy Food Options. These built environment domains address three of the major risk factors for contemporary chronic disease - physical inactivity, social isolation and obesity. The Literature Review is available for download as the whole document or its individual sections. Whole document (12MB) Cover and Acknowledgements (1.11MB)List of Abbreviations and Contents (2.11MB)The Healthy Built Environments Program Overview (291KB)Executive Summary (295KB)1.0 Introduction (255KB)2.0 Structure of this Review (2.46MB)3.0 Aims and Parameters (2.99MB)4.0 Scope and Methodology (3.20MB)5.0 The Evidence (200KB)5.1 The Built Environment and Getting People Active (653KB)5.2 The Built Environment and Connecting and Strengthening Communities (546KB)5.3 The Built Environment and Providing Healthy Food Options (416KB)6.0 Professional Development (284KB)7.0 Conclusion (114KB)References (490KB)Appendix 1: Diary of Database Searches (202KB)Appendix 2: Glossary (282KB)Appendix 3: Annotated Bibliography (2.57MB

Supporting evidence-based adaptation decision-making in South Australia: a synthesis of climate change adaptation research

This research synthesis provides policy-makers and practitioners with an understanding of the building blocks for effective adaptation decision-making, as evidenced through the NCCARF research program. It synthesised a portfolio of adaptation research for each Australian state and territory and addressing the complex relationships between research and policy development.   Each state and territory synthesis report directs users to research relevant identified priorities

The perception of the vertical dimension (3D) through the lens of different stakeholders in the property market of China

China has experienced fast urbanization with a growing urban population, which has inevitably led to the adoption of a vertical housing style with high-rise buildings. However, how people subjectively perceive the vertical dimension (3D) in the property market is neither adequately documented nor well understood. The 3D perception helps us to understand a myriad of social and psychological effects of living in high-rise buildings. We organized and conducted semi-structured expert interviews, focus groups, and the circulation and compilation of questionnaires in Xi’an, China, to investigate how different stakeholders in the property market perceive 3D. The results show that: (1) real estate developers do not adjust property prices for specific 3D factors, and the local government does not consider 3D in housing policies; (2) the current status of 3D modeling in Xi’an is still in the embryonic state; (3) 3D factors are highly valued by buyers but not well-understood by real estate developers and local government. In addition, 3D factors score higher than horizontal (2D) factors (1.12 to 0.88). Gender and age groups do not influence housing preferences concerning 2D and 3D factors. These findings provide valuable insights for real estate developers concerning pricing policies and the local government concerning housing policies. In the future, 3D perceptions and factors should be prioritized in order to improve urban infrastructure and ensure the increased availability of, and fair public access to welfare related to 3D in urban areas

Creating Excellence in Dementia Care: A Research Review for Ireland's National Dementia Strategy

Examines the prevalence and economic and social costs of dementia; policies, practices, and data on health and social care services in community-based, acute care, and long-term residential settings; and proposed elements for a new strategy

Pathways to climate adapted and healthy low income housing

AbstractThis report presents the findings from the “Pathways to Climate Adapted and Healthy Low Income Housing” project undertaken by the CSIRO Climate Adaptation Flagship in partnership with two organisations responsible for providing social housing in Australia.The project was based on the premise that interactions between people, housing, and neighbourhood are dynamic and best viewed as a complex, dynamic social-ecological system. Using social housing as a case study, the objectives of the project were to:Model vulnerability of housing and tenants to selected climate change impacts;Identify/evaluate engineering, behavioural and institutional adaptation options;Scope co-benefits of climate adaptation for human health and well-being; andDevelop house typologies and climate analogues for national generalisations.This project was developed with the rationale that a multi-level focus on the cross-scale interactions between housing, residents, neighbourhood, and regional climate was vital for understanding the nature of climate change vulnerability and options for adaptation. The climate change hazards that were explored were increasing temperatures and more frequent and severe heatwaves in the context of heat-related health risks to housing occupants, and changes in radiation, humidity, and wind, in relation to material durability and service life of housing components and the implications for maintenance.Please cite as:Barnett G, Beaty RM, Chen D, McFallan S, Meyers J, Nguyen M, Ren Z, Spinks A, and Wang, X 2013 Pathways to climate adapted and healthy low income housing, National Climate Change Adaptation Research Facility, Gold Coast, pp. 110.This report presents the findings from the \u27Pathways to Climate Adapted and Healthy Low Income Housing\u27 project undertaken by the CSIRO Climate Adaptation Flagship in partnership with two organisations responsible for providing social housing in Australia.The project was based on the premise that interactions between people, housing, and neighbourhood are dynamic and best viewed as a complex, dynamic social-ecological system. Using social housing as a case study, the objectives of the project were to:Model vulnerability of housing and tenants to selected climate change impacts;Identify/evaluate engineering, behavioural and institutional adaptation options;Scope co-benefits of climate adaptation for human health and well-being; andDevelop house typologies and climate analogues for national generalisations.This project was developed with the rationale that a multi-level focus on the cross-scale interactions between housing, residents, neighbourhood, and regional climate was vital for understanding the nature of climate change vulnerability and options for adaptation. The climate change hazards that were explored were increasing temperatures and more frequent and severe heatwaves in the context of heat-related health risks to housing occupants, and changes in radiation, humidity, and wind, in relation to material durability and service life of housing components and the implications for maintenance

Electronic Information Sharing to Improve Post-Acute Care Transitions

Hospitals frequently transfer patients to skilled nursing facilities (SNFs) for post-acute care; information sharing between these settings is critical to ensure safe and effective transitions. Recent policy and payer initiatives have encouraged hospitals and SNFs to work together towards improving these care transitions, and associated patient outcomes such as avoidable re-hospitalizations. Exchanging information electronically, through health information exchange (HIE), can help facilitate information transfer, and has shown benefits to patient care in other contexts. But, it is unclear whether this evidence translates to the post-acute care context given the vulnerability of this patient population and complexities specific to coordination between acute and post-acute care settings. Chapter One estimates the national prevalence of hospital’s engagement in HIE with post-acute providers, and explores potential factors prompting this investment. 56% of hospitals report some level of HIE with post-acute care providers. This investment appears strategically to be more incidental than intentional; hospitals’ overall level of sophistication and investment in electronic health records and HIE strongly predicts whether HIE is occurring in the post-acute transition context. However, we see some evidence of association between participation in delivery and payment reforms and hospital use of HIE with post-acute providers. This suggests that HIE may increasingly be considered part of a comprehensive strategy to improve coordination between hospitals and post-acute care providers, though may lack the necessary customization to achieve meaningful value in this context. Chapter Two utilizes a difference-in-differences approach to assess HIE impact on patient outcomes in the post-acute context, exploiting one focal hospital’s selective implementation of HIE with just three partnering local SNFs. I find no measurable effect of HIE implementation on patient likelihood of re-hospitalization, relative to patients discharged to SNFs without HIE. However, log files that capture when and how these SNF providers use available HIE technology reveal significant variation in usage patterns. HIE was more often utilized following discharge situations where transitional care workflows may not be particularly robust, such as discharge from the ED or observation rather than an inpatient unit. However, the system was less likely to be used for more complex patients, and for patients discharged on the weekend – when SNFs operate at reduced staffing and may not have the bandwidth to leverage available technology. When we connect variation in usage patterns to likelihood of readmission, realizing patient care benefits depended on the timing (relative to patient transfer) and intensity (depth of information retrieved) of use. Chapter Three employs qualitative methods – semi-structured interviews with the focal hospital and five proximate SNFs – to better understand hospital-to-SNF transitions, and perceived opportunities and challenges in using HIE functionality to address information gaps. We capture five specific dimensions of information discontinuity; utilizing IT to address these issues is hindered by lack of process optimization from a sociotechnical perspective. Some SNFs lacked workflows to connect those with HIE access to the staff seeking information. Further, all facilities struggled with physician-centric transition processes that restricted availability of critical nursing and social work documentation, and promoted organizational changes that strengthened physician-to-physician handoff while unintentionally weakening inter-organizational transitional care processes. HIE has the potential to address information discontinuity that compromises post-acute transitions of care. These findings facilitate targeted efforts to help hospitals and SNFs pursue HIE in ways that are most likely to result in improved care quality and patient outcomes.PHDHealth Services Organization & PolicyUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/146031/1/dacross_1.pd

Virtual reality therapy takes greenspace to older nursing home residents : a pilot study

Older nursing home (NH) residents receiving antidepressant, anxiolytic, or sedative-hypnotic medications for depression or anxiety are at increased risk of falling, sustaining injury, social isolation, and dying. Virtual reality (VR) therapy may provide a safe alternative or adjunct to the traditional pharmacological approach for managing depressive and anxiety symptoms, but the use of VR technology has not been studied in the NH setting. Preliminary work for this study indicated that a fully immersive VR intervention was feasible in a similar population and identified barriers that might hinder success in a subsequent trial. Two main barriers identified were usability of the head-mounted display system and content within the VR application. Modifications were made to the intervention with the intent of reducing or eliminating these problems. For this study, a quasi-experimental, pretest-posttest design was used to pilot test ViRT-Ta-GO: Virtual Reality Therapy Takes Greenspace to Older NH residents on depressive and anxiety symptoms. Findings demonstrate the usefulness of the intervention within the NH population, suggesting that it will be advantageous to evaluate the application of ViRT-Ta-GO through controlled clinical trials.Includes bibliographical references