The effects of built environment design on opportunities for wellbeing in care homes

The built environment influences the wellbeing of older people in care homes. In order to design for enablement, physical activity, and social connectivity there are lessons to be learnt from current care home buildings. Uncovering this design information is key for the future improvement of environments for older people. To the field of architecture, this paper presents an analysis of ethnographic observations (utilising an adapted form of the AEIOU heuristic) from five urban care homes in the UK. Findings provide insight into the qualities of the built environment that have impact on the activity and potential wellbeing of older residents. Five significant qualities of the built environment are identified: Spatial Legibility, Spatial Interconnectedness, Spatial Traversability, Spatial Diversity, and Spatial Aesthetics

Buildings and users with visual impairment::uncovering factors for accessibility using BIT-Kit

In this paper, we report on the experiences of visually impaired users in navigating buildings. We focus on an investigation of the way-finding experiences by 10 participants with varying levels of visual ability, as they undertook a way-finding task in an unfamiliar public building. Through applying the BIT-Kit framework in this preliminary user study, we were able to uncover 54 enabling and disabling interactions within the case study building. While this building adhered to building legislation, our findings identified a number of accessibility problems including, issues associated with using doors, hazards caused by building finishes, and difficulty in knowing what to do in the case of an emergency evacuation. This user study has demonstrated a disparity between design guidance and the accessibility needs of building users. It has uncovered evidence to enable architects to begin to design for the real needs of users who have a range of visual impairment. Furthermore, it has instigated discussion of how BIT-Kit's evidence could be incorporated into digital modelling tools currently used in architectural practice

The Public Value of Child-Friendly Space: Reconceptualising the Playground

Purpose The playground is a commonly advised means to integrate children into the public realm of “child-friendly cities”, yet research has tended not to examine it in relation to adjacent public space. This paper aims to understand the extent to which the playground – a socio-spatial phenomenon – facilitates children's integration into the public realm, enabling critical examination of the “child-friendly space” concept. Design/methodology/approach An ethnographic study was carried out across three sites in Athens, Greece, where typical neighbourhood playgrounds replicate features common across the global north. Methods combined observation (167 h; morning, afternoon, evening), visual-mapping and 61 semi-structured interviews with 112 playground users (including adults and children from the playgrounds and surroundings). Rigorous qualitative thematic analysis, involving an iterative post-coding process, allowed identification of spatial patterns and emergent themes. Findings Findings reveal perceptions surrounding the protective and age-specific aspects of child-friendly design, limit the playgrounds' public value. However, a paradox emerges whereby the playgrounds' adjacency to public spaces designed without child-friendly principles affords children's engagement with the public realm. Research limitations/implications Reconceptualisation of the “child-friendly playground” is proposed, embracing interdependence with the public realm – highly significant for child-friendly urban design theory and practice globally. Researchers are encouraged to compare findings in other geographical contexts. Originality/value This original finding is enabled by the novel approach to studying the playground in relation to adjacent public realm. The study also offers the first empirical examination of child-friendly city principles – participation in social life and urban play – in a Greek context, addressing a geographical gap in literature on children's everyday spaces

A Rabat Co-(mmunity): Co-life: Co-living for the elderly. International Architecture Competition

A celebration of ageing, culture and wellbeing The architecture of home - to enhance and support life; inclusive of age, dignity and independence, is crucial for a thriving and empathetic community. This proposal presents a design pattern for a communal living space where age is a mindset and the elderly can live with dignity and independence

Tracking and Resisting Backlash Against Equality Gains in Sexual Offence Law

The authors document feminist efforts to expose, challenge, and eliminate direct, indirect, and systemic inequality in the substantive, evidentiary, and procedural laws proscribing sexual offences and in the enforcement and application of those laws have not only been consistently resisted by police, lawyers, judges, and juries, but have also consistently generated backlash against those responsible for and/or supportive of such egalitarian change. Actual and imagined social, economic, political and legal equality gains by women as a class-however unevenly distributed- have triggered a variety of types of backlash, including an escalation in actual or threatened violence against women accompanied by new equality-resistant strains of legal doctrine that effectively offset or bypass earlier reforms. The authors illustrate these forms of backlash by examining three decades of feminist reforms to sexual assault laws

Going to sleep in the supine position is a modifiable risk factor for late pregnancy stillbirth; findings from the New Zealand multicentre stillbirth case-control study

Objective: Our objective was to test the primary hypothesis that maternal non-left, in particular supine going-to-sleep position, would be a risk factor for late stillbirth (≥28 weeks of gestation). Methods: A multicentre case-control study was conducted in seven New Zealand health regions, between February 2012 and December 2015. Cases (n=164) were women with singleton pregnancies and late stillbirth, without congenital abnormality. Controls (n=569) were women with on-going singleton pregnancies, randomly selected and frequency matched for health region and gestation. The primary outcome was adjusted odds of late stillbirth associated with self-reported going-to-sleep position, on the last night. The last night was the night before the late stillbirth was thought to have occurred or the night before interview for controls. Going to- sleep position on the last night was categorised as: supine, left-side, right-side, propped or restless. Multivariable logistic regression adjusted for known confounders. Results: Supine going-to-sleep position on the last night was associated with increased late stillbirth risk (adjusted odds ratios (aOR) 3.67, 95% confidence interval (CI) 1.74 to 7.78) with a population attributable risk of 9.4%. Other independent risk factors for late stillbirth (aOR, 95% CI) were: BMI (1.04, 1.01 to 1.08) per unit, maternal age ≥40 (2.88, 1.31 to 6.32), birthweight <10th customised centile (2.76, 1.59 to 4.80), and <6 hours sleep on the last night (1.81, 1.14 to 2.88). The risk associated with supine-going-to sleep position was greater for term (aOR 10.26, 3.00 to 35.04) than preterm stillbirths (aOR 3.12, 0.97 to 10.05). Conclusions: Supine going-to-sleep position is associated with a 3.7 fold increase in overall late stillbirth risk, independent of other common risk factors. A public health campaign encouraging women not to go-to-sleep supine in the third trimester has potential to reduce late stillbirth by approximately 9%

Psychological distress during pregnancy in a multi-ethnic community: findings from the born in Bradford cohort study

Purpose: Antenatal anxiety and depression are predictive of future mental distress, which has negative effects on children. Ethnic minority women are more likely to have a lower socio-economic status (SES) but it is unclear whether SES is an independent risk factor for mental health in pregnancy. We described the association between maternal mental distress and socio-demographic factors in a multi-ethnic cohort located in an economically deprived city in the UK. Methods: We defined eight distinct ethno-language groups (total N = 8,454) and classified a threshold of distress as the 75th centile of within-group GHQ-28 scores, which we used as the outcome for univariate and multivariate logistic regression for each ethnic group and for the sample overall. Results: Financial concerns were strongly and independently associated with worse mental health for six out of the eight ethnic groups, and for the cohort overall. In some groups, factors such as working status, education and family structure were associated with worse mental health, but for others these factors were of little importance. Conclusions: The diversity between and within ethnic groups in this sample underlines the need to take into consideration individual social, migration and economic circumstances and their potential effect on mental health in ethnically diverse areas

Construing the child reader: a cognitive stylistic analysis of the opening to Neil Gaiman’s The Graveyard Book

Neil Gaiman’s The Graveyard Book (2009) charts the story of Nobody Owens, a boy who is adopted by supernatural entities in the local graveyard after his family is murdered. This article draws on the notion of the “construed reader,” and combines two cognitive stylistic frameworks to analyse the opening section of the novel. In doing so, the article explores the representation and significance of the family home in relation to what follows in the narrative. The analysis largely draws on Text World Theory (Werth, 1999; Gavins, 2007), but also integrates some aspects of Cognitive Grammar (Langacker, 2008), which allows for a more nuanced discussion of textual features. The article pays particular attention to the way Gaiman frames his narrative and positions his reader to view the fictional events from a distinctive vantage point and subsequently demonstrates that a stylistic analysis of children’s literature can lay bare how such writing is designed with a young readership in mind