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Environments for Wellbeing: building an evidence base, Dr Ricardo Codinhoto

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Thu 27 June, 2013
University of Salford

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Environments for Wellbeing: building an evidence base, Dr Ricardo Codinhoto

  1. 1. University of Salford Environments for Wellbeing: building an evidence base Dr Ricardo Codinhoto
  2. 2. Evidence-Based Design
  3. 3. Does the built environment impact health?
  4. 4. Intelligibility Intelligibility Intelligibility Intelligibility Normal person + Good environment Unwell person + Good environment Normal person + Bad environment Unwell person + Bad environment
  5. 5. Systematic Review - almost • Pre-knowledge • Well defined research question • Expert advisory panel • Keywords • Data bases • Inclusion criteria • Exclusion criteria • Protocol for data compilation • Analysis method • A lot of pacience
  6. 6. Data-bases 293Journalsindifferentdomains
  7. 7. Multidiscipline Artists Physicians Psychologists Architects Nurses Engineers Sociologists Ergonomists
  8. 8. No Theoretical Consensus ? ? ? ? ? ? ? Environmental load Proxemics Le Modulor Arousal Stress & Adaptation Privacy regulation
  9. 9. Biological and physiological var iables Symptom status Functional status Gener al health per ceptions Over all quality of life Char acter istics of the envir onment Non-medical factor s Char acter istics of the individual Symptom amplification Per sonality motivation Values pr efer ences Psychologic al suppor ts Social and economic suppor ts Social and psychologic al suppor ts Demogr aphic char acter istics Developmental stages Psychological factor s Biological factor s Fer r ans et al., 2005 ConditionTr eatment Disease or injur y specialist type building car e unit setting functionssub-systems equipment fur nitur ecomponent char acter istics Wilson and Clear y, 1995 Codinhoto et al., 2008 Measures and Characteristics
  10. 10. For different groups… Different reactions
  11. 11. Buildings Composed of Built Environment Characterisation Atomistic View
  12. 12. smell light colour texture nature
  13. 13. Psychological Physical Micro Macro + - Effects
  14. 14. Characteristics of the environment Characteristics of the individual Measures of Wellbeing Descriptive View ComparativeView Overall Evidence Map Sources of evidence
  15. 15. 1 Obese Adults Pharmacologic Agents Effect on Weight Effect on Abdominal Visceral Fat Adverse Effects Adverse Symptoms Effect on Lipoproteins Effect on Glucose Tolerance Effect on Blood Pressure Cardiovascular Morbidity Cardiovascular and Total Mortality Adverse Morbid and Mortal Events (e.g. Primary Pulmonary hypertension valvular heart disease 2 3 4, 5, 6 7, 8, 9 10 11 12 13 14 15 16 17 18 2423 21 2220 19 An evidence model for the pharmacologic treatment of obesity (Source: Mulrow et al., 1997) Overall Evidence Map
  16. 16. COLOUR TEXTURE LIGHT NOISE TEMPERATURE HUMIDITY PRIVACY NATURE ART PAIN DEPRESSION BLOOD PRESSURE Evidence Models ANXIETY HEART RATE FEAR HALLUCINATION SLEEPLESSNESS Under Construction
  17. 17. The Built Environment Does Impact on Us!

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