Occupational therapists’ views of using a virtual reality interior design application within the pre-discharge home visit process

This article has been made available through the Brunel Open Access Publishing Fund.Background: A key role of Occupational Therapists (OTs) is to carry out pre-discharge home visits (PHV) and propose appropriate adaptations to the home environment, to enable patients to function independently after hospital-home discharge. However, research shows that more than 50% of specialist equipment installed as part of home adaptations is not used by patients. A key reason for this is that decisions about home adaptations are often made without adequate collaboration and consultation with the patient. Consequently, there is an urgent need to seek out new and innovative uses of technology to facilitate patient/practitioner collaboration, engagement and shared decision making in the PHV process. Virtual reality interior design applications (VRIDAs) primarily allow users to simulate the home environment and visualise changes prior to implementing them. Customised VRIDAs, which also model specialist occupational therapy equipment, could become a valuable tool to facilitate improved patient/practitioner collaboration if developed effectively and integrated into the PHV process. Objective: To explore the perceptions of occupational therapists with regards to using VRIDAs as an assistive tool within the PHV process. Methods: Task-oriented interactive usability sessions, utilising the think-aloud protocol and subsequent semi-structured interviews were carried out with seven Occupational Therapists who possessed significant experience across a range of clinical settings. Template analysis was carried out on the think-aloud and interview data. Analysis was both inductive and driven by theory, centring around the parameters that impact upon the acceptance, adoption and use of this technology in practice as indicated by the Technology Acceptance Model (TAM). Results: OTs’ perceptions were identified relating to three core themes: (1) perceived usefulness (PU), (2) perceived ease of use (PEoU), and (3) actual use (AU). Regarding PU, OTs believed VRIDAs had promising potential to increase understanding, enrich communications and patient involvement, and improved patient/practitioner shared understanding. However, it was unlikely that VRIDAs would be suitable for use with cognitively impaired patients. For PEoU, all OTs were able to use the software and complete the tasks successfully, however, participants noted numerous specialist equipment items that could be added to the furniture library. AU perceptions were positive regarding use of the application across a range of clinical settings including children/young adults, long-term conditions, neurology, older adults, and social services. However, some “fine tuning” may be necessary if the application is to be optimally used in practice. Conclusions: Participants perceived the use of VRIDAs in practice would enhance levels of patient/practitioner collaboration and provide a much needed mechanism via which patients are empowered to become more equal partners in decisions made about their care. Further research is needed to explore patient perceptions of VRIDAs, to make necessary customisations accordingly, and to explore deployment of the application in a collaborative patient/practitioner-based context

Expert systems and the emergence of teledesign

This paper considers the extent to which the amateur use of expert systems for home design challenges traditional views of the design process. The issues are examined in the context of competing definitions of design. The emergence of a design process characterised as ‘teledesign’ is then considered, wherein retailers provide a CAD/CAM service to consumers, allowing the latter to use expert systems to modify template designs and get products fabricated to their own specifications. Such a system may be seen to empower consumers as designers, rather than just selectors of products, and would differ considerably from established paradigms of design, manufacture and consumption, such as that given by Baudrillard

Thermal 3D CFD Simulation with Active Transparent Façade in Buildings

In recent years active façades have acquired greater importance given their capacity to improve the energy efficiency of buildings. One such type is the so-called Active Transparent Façade (ATF). A 3D numerical model based on computational fluid dynamics (CFD) and the Finite Element Method (FEM) has been generated to simulate the thermal performance of buildings equipped with this type of façade. This model is introduced for general application and allows the design parameters to be adapted for this system. The case study of Le Corbusier’s proposal for the City of Refuge in Paris, the clearest example of previous use of an ATF is examined. In addition, a proposal is presented for the energy improvement of Le Corbusier’s original solution. In order to do so, the conditions for the supply of air into the ATF cavity and in the mechanical ventilation system are assessed to guarantee comfort conditions

Thermal 3D CFD Simulation with Active Transparent Façade in Buildings

In recent years active façades have acquired greater importance given their capacity to improve the energy efficiency of buildings. One such type is the so-called Active Transparent Façade (ATF). A 3D numerical model based on computational fluid dynamics (CFD) and the Finite Element Method (FEM) has been generated to simulate the thermal performance of buildings equipped with this type of façade. This model is introduced for general application and allows the design parameters to be adapted for this system. The case study of Le Corbusier’s proposal for the City of Refuge in Paris, the clearest example of previous use of an ATF is examined. In addition, a proposal is presented for the energy improvement of Le Corbusier’s original solution. In order to do so, the conditions for the supply of air into the ATF cavity and in the mechanical ventilation system are assessed to guarantee comfort conditions

Reflectance Transformation Imaging (RTI) System for Ancient Documentary Artefacts

This tutorial summarises our uses of reflectance transformation imaging in archaeological contexts. It introduces the UK AHRC funded project reflectance Transformation Imaging for Anciant Documentary Artefacts and demonstrates imaging methodologies

Towards building information modelling for existing structures

The transformation of cities from the industrial age (unsustainable) to the knowledge age (sustainable) is essentially a ‘whole life cycle’ process consisting of; planning, development, operation, reuse and renewal. During this transformation, a multi-disciplinary knowledge base, created from studies and research about the built environment aspects is fundamental: historical, architectural, archeologically, environmental, social, economic, etc is critical. Although there are a growing number of applications of 3D VR modelling applications, some built environment applications such as disaster management, environmental simulations, computer aided architectural design and planning require more sophisticated models beyond 3D graphical visualization such as multifunctional, interoperable, intelligent, and multi-representational. Advanced digital mapping technologies such as 3D laser scanner technologies can be are enablers for effective e-planning, consultation and communication of users’ views during the planning, design, construction and lifecycle process of the built environment. For example, the 3D laser scanner enables digital documentation of buildings, sites and physical objects for reconstruction and restoration. It also facilitates the creation of educational resources within the built environment, as well as the reconstruction of the built environment. These technologies can be used to drive the productivity gains by promoting a free-flow of information between departments, divisions, offices, and sites; and between themselves, their contractors and partners when the data captured via those technologies are processed and modelled into BIM (Building Information Modelling). The use of these technologies is key enablers to the creation of new approaches to the ‘Whole Life Cycle’ process within the built and human environment for the 21st century. The paper describes the research towards Building Information Modelling for existing structures via the point cloud data captured by the 3D laser scanner technology. A case study building is elaborated to demonstrate how to produce 3D CAD models and BIM models of existing structures based on designated technique