Hospitals can be distressing places at the best of times. If you have dementia or other cognitive condition it can be a frightening and disorienting place whether a patient or a visitor. Stressed patients stay longer and need more medication.Taking a universal design approach can provide a better experience. Academic research and consumer input underpins this comprehensive guide to designing dementia-friendly hospitals from a universal design approach. In Ireland, where the guide was developed, they estimate almost one third of patients have dementia and as the population ages this will increase. Of course, dementia friendly design using a UD approach is good and inclusive for everyone. The guidelines are available to read online using Issuu software.
Below is a short video that provides an overview of the design factors that need to be considered in creating a dementia friendly hospital.
There is also a media release that provides an overview of the development of the guidelines and the project partners.
The word “sustainability” mostly conjures up notions of clean and green, but social sustainability – an aspect just as important – has been left out of mainstream discussions. This point is made in Universal Design as a Significant Component for Sustainable Life and Social Development. The authors argue that both home and neighbourhood need to be considered for a socially sustainable environment. An evolving criteria for social sustainability is access to facilities and amenities that are vital for people to run errands and do all the everyday things. Going to the shops, a medical appointment, or the cinema should be available to all no matter their age or circumstances. There are useful explanatory graphs in this in-depth paper that emphasises well-being, safety and accessibility. The authors sum up in the conclusion, “The social aspect of sustainability should be emphasized in the mainstream discussion on sustainability because it influences human behaviour and quality of life in many ways”. They also point out that it is environmentally unsustainable to build homes that need major modifications, “which causes pollution, hazardous construction equipment and material and inappropriate methods of wastage removal”. The article can also be found in Asian Journal of Environment-Behaviour Studies.
Abstract: Universally designed environment provides comfort, adaptability and flexibility that can help to reduce human life cycle impact and encourage residents’ participation in the community. With that, the purpose of this conceptual study is to explore the concept of Universal Design (UD) as a significant aspect of social sustainability, based on professional practitioners’ and scholarly views. UD implementation in built environment may cater the needs of diverse users over the changing abilities throughout lifespan. This study concludes that UD has evolved as a significant component for sustainable life and social development within the individual’s own dwelling and the community as well.
Michael Small’s Churchill Fellowship report tracks and compares discrimination laws and industry practice in relation to public buildings. He questions whether the control of the Access to Premises Standard is falling more into the hands of industry as Human Rights Commission resources are becoming increasingly constrained. Three of his recommendations are: that more training is needed for industry to help them understand the standards; more flexibility is needed for building upgrades; and better systems are needed for compliance enforcement and auditing. The title of his report is, Ensuring the best possible access for people with disability to existing buildings that are being upgraded or extended. The countries visited and compared are Canada, United States of America, Ireland and United Kingdom.
Ever wondered what the long term effects of a home modification are? A longitudinal study from the UK shows that household improvements in social housing can reduce risk of hospital stays, particularly in older people. While the study picks up major improvements in chest and heart health, it also found that falls and burns were reduced too. Over the ten years of the study, they found that homes that were modified and upgraded correlated with reduced hospital events. That means savings in the health budget or beds freed up for other patients. Obviously it is better for occupants too. It is not clear how poor the condition of the housing was prior to the upgrade or modification relative to Australian housing. This is an academic paper outlining the methods and comparing to other studies, but the discussion and conclusions give you the take-home message – health and the quality and design of housing quality are related and should be integrated in policy-making and planning.
One key finding was: “Using up to a decade of household improvements linked to individual level data, we found that social housing quality improvements were associated with substantial reductions in emergency hospital admissions for cardiovascular conditions, respiratory conditions, and fall and burn injuries.”
The title of the study is, “Emergency hospital admissions associated with a non-randomised housing intervention meeting national housing quality standards: a longitudinal data linkage study”. Sarah Rodgers et al. Journal of Epidemiology and Community Health.
The answer is simple: improve the design of your packages and images to make them more inclusive. But it seems corporates are slow to change their approaches to design, instead preferring to stay with “tried and true” methods. The Inclusive Design Team at the University of Cambridge has been working on this issue for 15 years. They have come up with a three key components that help persuade businesses to think about their product and label designs from a different perspective. The title of the paper is, “Using Inclusive Design to Drive Usability Improvements Through to Implementation”. The article can be found on ResearchGate. or a book chapter in Breaking Down Barriers, a SpringerLink publication. The image shows the rise in sales after changing the pack-shot with Mini-Magnums increasing by 24%.
Abstract: There are compelling reasons to improve usability and make designs more inclusive, but it can be a challenge to implement these changes in a corporate environment. This paper presents some ways to address this in practice based on over 15 years experience of inclusive design work with businesses. It suggests that a successful persuasive case can be built with three key components: a proof-of-concept prototype, an experience that enables the stakeholders to engage personally with the issues and quantitative evidence demonstrating the impact of a potential change. These components are illustrated in this paper using a case study that was conducted with Unilever to improve the images used in e-commerce. The ice cream brand, Magnum is one of Unilever’s billion-dollar brands that implemented these changes. During an 8-week live trial, comparing the old and new images, the new images experienced a sales increase of 24%.
Taking off for a new adventure or a new adventure taking off? The latest idea could make accessing aircraft so much easier for everyone, especially smaller ones. An article in the New Daily explains this sci-fi idea. Imagine boarding the aircraft body at a train station and then being transported to the wings of the aircraft sitting on the tarmac. Time would be saved as passengers could be processed on the go. There seems to be no shortage of ideas now that disrupt the way we think about everything we do. The article has a mock up video of this Link & Fly idea. You can see it below. There is no narration, only music, so no captions.
Futuristic flying trains could be on their way
As the digital age moves ahead we need to make sure we aren’t creating a digital divide between those who are up to date and those who aren’t or can’t be. The canaxess website has three on-line and downloadable fact sheets that provide some of the simplest but effective advice. For example, in Principles of accessible video – don’t set to the video to scroll on opening. In Principles of accessible forms – don’t use an asterisk to indicate a mandatory field – screen readers announce “star”. In Principles of accessible bots – placing in lower right of the screen is difficult for keyboard users. For people who upload information or documents to their website, there are some good tips. For others who know about coding there is really helpful information. There is more information on the canaxess website.
Coming to the conference and want to make a contribution? Why not present a poster on your topic. If you’ve got a good example of universal design and/or inclusion we’d all like to see it. Posters should be no larger than A1 paper size (841 x 594 mm). If you are interested, send a short abstract or summary of the poster to Jane Bringolf. Presenting a poster is also a good method of networking with others. It’s a good conversation starter!
Our keynote speakers offer a diverse set of topics to broaden our thinking in several areas of universal design and inclusion. Their biographies are now on the conference website, along with the concurrent speakers, and the program chart. Earlybird registrations are still open and CUDA members get an extra discount. Looking forward to seeing you in Brisbane!
A shiny floor may not be wet but it could look that way to someone with dementia. A black mat isn’t a hole in the ground either. And shadows of lattice through a window can look like steps. Mono coloured features are hard to distinguish too. These design details can easily be overcome with some extra thought about perception at the early design stage, or adapted in existing homes and buildings. The Guardian has an excellent article about these issues. It discusses how virtual reality software can bring more awareness to designers about these issues as well as the concepts of universal design.
Editor’s note: taking photos of places and seeing them in two dimensions instead of three really highlights the perception differences.
Explaining that universal design is more than accessibility is sometimes difficult for people who have heard of accessibility, but not universal design. A neat article from the US lists five points to help understanding. Briefly listed below are the five points:
- Accessibility is not always inclusive. Steps plus a ramp to a building means some people have to take a different route to get in.
- Accessibility puts burden on the individual. More planning is needed for every trip, even to a restaurant – not to make a reservation – but to find out if you can get in.
- Separate accessible features are not equal. Sometimes they create extra hurdles and more effort.
- Accessibility provides limited solutions to a broad problem. This is because it is often an “add-on”.
- Accessibility is not designed with style in mind. It is usually just designed to just serve a purpose.
The title of the blog article is, “5 Problems with Accessibility (And How Universal Design Fixes Them)”.
Note: the picture of the house with the ramp shows four out of the five points. Different route, separate, limited solution, no style.