Housing quality improves health

A man in a bright yellow T shirt is painting and archway in a wall inside a home. The wall is grey and there are tools on the floor. Housing quality improves health.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.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.

Universal Design drives Housing Quality

Big houses are still being built without accessibility in mind. Universal design for housing quality.Although there have been fundamental changes in the building code and regulations in Norway, it seems that none of this has guaranteed improvements in quality on the usability of homes. Perhaps there are some lessons for Australia when it comes to implementing the new building code for housing in 2022. 

In a research study, the authors conclude that architects, more than any other group in the construction industry are trained to break conventional frameworks. How the regulations are applied by users is the key to success – this is where the education of architects and building designers comes in.

Architects are often willing to innovate, the authors claim. “One chief intention of the building code is to promote universal design in the built environment. It seems that the appending regulations may not follow up the intention as it could be expected. Amendments are probably needed and should be based on a broader view on the design process.”

The title of the article is, Universal Design as a Booster for Housing Quality and Architectural Practice. It seems we could learn from this experience – regulations are one thing, but applying them appropriately and for maximum effect is another. The abstract gives a good overview of the project. 

Mapping Norway’s Status of Accessibility

long view down a cobbled street to the Norwegian palace buildingHow do you know if your action plan for accessibility and universal design is actually being implemented? The Norwegian Government’s plan to be universally designed by 2025 now has a tool to monitor progress. A standardised method to collect and measure data nationally has been trialled. 

The first results show that Norway still “faces many challenges to meet the government’s goals for Universal Design”. Data were collected on buildings and major facilities such as transport hubs, walkways, cycleways and car parks. The techniques are discussed in the article, “Mapping Norway – a Method to Register and Survey the Status of Accessibility“. The authors conclude that while their system is not perfect due to the need to fully standardise and simplify complex data, they believe it will be valuable to municipal and recreational planners and developers. The article and others can be found in the Proceedings of the International Cartographic Association

2021 Update – next steps

Mapping accessibility in Norway – a Method to Register and Survey the Status of Accessibility in urban areas and recreational areas. You will need institutional access for a free read. 

From the abstract:

The Norwegian mapping authority has developed a standard method for mapping accessibility walking in urban and recreational areas. . All data are stored in a geospatial database, so they can be analysed using GIS software. By the end of 2020, more than 230 out of 356 municipalities are mapped using that method.

The aim of this project is to establish a national standard for mapping of accessibility and to provide a geodatabase that shows the status of accessibility throughout Norway. The data provide a useful tool for national statistics, local planning authorities and private users. The results show that accessibility is still low and Norway still faces many challenges to meet the government’s goals for Universal Design.

 

Universal Design: Social justice or just marketing?

Corning building in New York. A curved affair with a large plaza in front.Does universal design pursue social justice or is it a marketing strategy? Aimi Hamraie takes a look at universal design from a feminist perspective and claims that this is not a value-free notion and not without symbolic meaning. So, is universal design social justice or just marketing?

If disability is a product of the built and social environments rather than something intrinsic to the body, then universally designing should be the ideal outcome of disability politics. However, the physical environment alone is not enough to account for exclusion. Also, design professions grapple with the idea that universal design is “one-size-fits-all”, which it is not.

This philosophical essay challenges conventional wisdom about universal design. It has a distinctly North American approach underpinned by the civil rights movement. It charts the history of universal design, argues why design matters, and asks, “How can design be universal?” Hamraie concludes that collective access is the way forward – essentially arguing for participatory design, “shifting from value-explicit design for disability to design with and by misfitting bodies more generally.” The title of the article is, “Designing Collective Access: A Feminist Disability Theory of Universal Design”. 

Hamraie is also co-author of a new book, Building Access that brings together UD history and architectural history in designing and making built environments usable by all. The authors ask who counts as the everyone of universal design.

Universalism: who does it serve?

A graphic showing tall buildings and trees set on an architect drawingRob Imrie and Rachael Luck discuss universal design from the perspective of the lives and bodies of people with disability. Their philosophic offering is the introduction to a set of eight papers in a special issue of Disability and Rehabilitation. They ask, Universalism: who does it serve?

Some important questions are raised about the role of universalism and the embodiment of disability. For example, proponents of universal design say that users are crucial to the design process. But what does that mean for the skills of designers – will they be lost or discounted? Designers have the power and skills to design for the benefit of some groups and not others.

The focus of universal design is often on techniques and operational outcomes. Is this enough – are there other aspects to think about? Imrie and Luck provide a paragraph on each paper in the edition. It is an open access publication.

Imrie and Luck conclude:

“The papers, as a collective, are supportive of universal design, and see it as a progressive movement that is yet to realise its potential. The contributors provide insight into the tasks ahead, including need for much more theoretical development of what universal design is or ought to be in relation to the pursuit of design for all and not the few.  This includes development and deployment of concepts that enable non-reductive conceptions of design and disability to emerge, aligned to political and policy strategies that enable universal design to become a socio-political movement in its broadest sense.”

The title of the editorial of the special edition of Disability and Rehabilitation is, “Designing inclusive environments: rehabilitating the body and the relevance of universal design“. Thought provoking reading for anyone interested in UD as a social movement as well as design thinking. 

Dementia Friendly Home

A turquoise background with a black owl graphic features on the front page of the appDementia Australia has produced an app for tablets and smartphones to help with creating a dementia-friendly home. It uses interactive 3D game technology which provides carers with ideas on how to make the home more suitable for people living with dementia. Most people with dementia live in the community and many enjoy everyday activities and stay engaged with their communities. Suitable home design is key to staying active and involved.

The App is based on the ten Dementia Enabling Environments Principles and prompts carers and others to think about many of the small inexpensive ideas that can make a big difference. Technology solutions such as sensors for lighting are also covered. Tips include removing clutter and changing busy patterned wall or floor coverings to help with perception and confusion. You can also see some of the research underpinning the Dementia Enabling Environments Principles. 

Wayfinding Design Guidelines

front cover of the wayfinding design guidelines.Wayfinding requires designers to organise and communicate the relationships of space in the environment. Basically, it is the naming and marking of places, identifying destinations, and providing directional information. The Cooperative Research Centre for Construction Innovation produced a comprehensive, if somewhat technical, set of wayfinding design guidelines.

The guidelines covers basic principles, and very detailed design solutions and strategies, covering topics such as arrival point, main entry, internal arrival point, graphic communication, restrooms and toilets, lifts, and signage design. Sign legibility, system design criteria, and viewing distance to signs are all covered, plus much more. Wayfinding is a key element of accessibility for everyone. Making signs and systems universally designed for everyone requires additional thought and planning. 

AS 1428.4.2 Wayfinding Standard, was published in 2018 by Standards Australia. 

Thinking cognition and signage

A sign post with one sign saying this way and the other saying that way. Which way is up
Signage can be confusing

Signalling the right way to go has to account for cognitive abilities, visual acuity, and spatial awareness. As people age some of these abilities decline. Consequently, considering the needs of this group in wayfinding design will make wayfinding easier for everyone. 

Mishler and Neider have identified five key points and explain them in detail in their article

    1. Distinctiveness: information should have cues informative to the route which can be distinguished from the surroundings.
    2. Consistency and standardisation: avoid information overload with the consistent placement, size, colour and shape of signage.
    3. Simplicity: limiting each sign to three or four units of information, because people tend to glance rather than read, and avoid visual clutter.
    4. Isolation: keep the signs away from other visual clutter to help focus attention in the right place.
    5. Reassurance: letting people know they are still on the correct route especially if the destination is a long way from the directional sign.

The title of the article is, “Improving Wayfinding for Older Users with Selective Attention Deficits”, in Ergonomics in Design. For a free read go to the article on ResearchGate. 

A grey marble wall has numbers embossed on it. It is difficult to see unless there is shadow on the embossing because the marbling effect disguises it.
How not to see a sign

Editor’s Note: I came across a designer who didn’t want signage to interfere with the design and decided to minimise their impact. This picture shows how one designer thought that disguising signage was a good idea. Architectural wayfinding strategies minimise the need for lots of signs. 

Universal design in signage placement

From the abstract

Intuition behind sign placement and wayfinding features rarely encompass the needs of a wide range of building users. To help in automating sign placement, recent research has combined the use of agent-based simulation with optimization algorithms for maximizing visibility and wayfinding throughout a building model.

As with many instances of machine learning applications, these are dominated by an assumed young, healthy, and perfectly sighted virtual human.

We present an analysis of virtual human agents exploring a digital space using a combined vision and modified A* algorithm across multiple postures and visual impairments.

We show how the inclusion of head angle and limited sights can change the results of what may be considered an optimal sign location.

The title of the paper is Universal Design of Signage Through Virtual Human Simulation. You will need institutional access for a free read. 

Why the NDIS needs universal design

Graphic with four circles: one each for exclusion, separation, integration and inclusion.Emily Steel has written a thoughtful piece about how the thrust of Australia’s National Disability Strategy is languishing while everyone focuses on one small part of it – the National Disability Insurance Scheme (NDIS). She argues that the NDIS runs the risk of further marginalising people because it is still treating people with disability as needing special (that is, separate non-mainstream) treatment. This is where the concepts of universal design come to the fore. Yes, some people will need specialised equipment as part of experiencing inclusion, but that equipment doesn’t make for inclusion unless the person can use the equipment to merge into the mainstream. For example, a person with paraplegia needs both a wheelchair and a step-free entry to buildings. One is no good without the other. The good thing is that a step-free entry is good for everyone – inclusive universal design. Only a small percentage of people with disability will qualify for the NDIS and this is also why we need universal design – for everyone, including people with and without NDIS packages. See Emily’s article for some good points on this issue. Emily will be speaking at the 3rd Australian Universal Design Conference.  She is Senior Lecturer, School of Health & Wellbeing at University of Southern Queensland. 

An accessible campus is part of sustainability

Edifice of a federation stone building with arched entrance with step leading to it.Linking “sustainability” with universal design is not a new idea, especially when thinking about social sustainability. A new book, Towards Green Campus Operations, includes a chapter that moves away from “green” to social sustainability. The argument is that an accessible campus is part of sustainability. The more accessible the campus is, the more likely the students are to enroll and, more importantly, finish their course. This is good for the university and sustains their student intake and retention.

The authors also argue that academics need to be educated about this issue too. The chapter, titled, “Educational Institutions and Universal Accessibility: In Search of Sustainability on University Campus”, is available through Springer Link. You will need institutional access for a free read from SpringerLink. 

Abstract

The paper reports proposals and solutions of the design and implementation for universal accessibility at the university campus, complying with current legislation and community demands. It addresses the challenges of raising academic awareness about the subject and of the accessible route project overcoming the campus large dimensions, urbanized areas and rugged topography. It is the result of a project and an accessible route shared through pedestrian and motorized routes and with its implantation overcoming barriers in the implementation.

The theme was conducted with a focus on social sustainability, as it is a requirement to obtain the universal and legitimate right to higher education and the benefits of the university campus as a community educational, environmental and leisure urban equipment.

The results of the article demonstrate that universal accessibility, more than a legal requirement for educational institutions, contributes to social sustainability. The spatial adequacies allow the universalization of the possibility of entry and stay of persons with disabilities or reduced mobility in the university campus, expanding their training at an higher level. 

UDL: An Indigenous perspective

Placed in a rural setting a wooden barn type building displays the cultural icons and two totem poles of the Alaskan Natives. UDL an Indigenous perspective.The education system in Alaska is an interesting place to research the potential for applying universal design for learning (UDL) in a culturally diverse and indigenous context. Indeed, UDL and indigenous approaches to education have much in common. An article by Krista James explores examples of implementation of the Alaska Cultural Standards for Educators within a UDL Indigenous perspective.

Similarly to Australia, Alaska’s indigenous population has experienced loss of culture and forced assimilation with Western educational systems taking over the education of their children. James concludes that the Standards and the UDL framework are easy to connect. That’s because many of the Standards are already ingrained in the core principles of UDL. You don’t have to be an educator to appreciate this article.

The title of the article is: “Universal Design for Learning as a Structure for Culturally Responsive Practice”, in the Northwest Journal of Teacher Education. 2018. There is a link to a 30 minute video at the end of the article.

From the abstract

Alaska is rich with cultural and ethnic diversity. In fact, it is one of the three most diverse parts of the country. Culturally relevant practice is both needed and required in Alaskan schools. Universal Design for Learning (UDL) is a framework that may assist educators in this endeavor.

The Alaska Cultural Standards for Educators tell us what best practice looks like for our diverse student population, especially our Alaska Native students. This article explores examples of implementation of the Standards within a UDL framework.

Out and About with Universal Design

Pedestrians are walking towards the camera. They are on a wide walkway. Some people are looking at their phones. They are dressed for warm weather. There are buildings on each side of the walkwayGetting out and about is part of staying active and connected within the community, but some people find that more difficult than others. Inner Sydney Voice has an article explaining the 8 Goals of Universal Design and how they can be applied in the urban environment. The examples given are not exhaustive, but do help with thinking about including everyone. The 8 Goals of Universal Design extend the concepts of the classic 7 Principles of Universal Design that are most often quoted in academic articles. You can download the PDF of the article.  

The 8 goals are: Body Fit, Comfort, Awareness, Understanding, Wellness, Social Integration, Personalisation, Cultural Appropriateness. They were devised by Steinfeld and Maisel (2012).

Housing for Life Guidelines

Front cover of handbook showing a drawing of a house. Housing for Life Guidelines.Although more than ten years old, Housing for Life the principles still hold. That’s because universal design principles are timeless. There’s the usual attention to access, circulation spaces, and fittings. It also includes thermal comfort, security, lighting, operating controls and maintenance. Lots of diagrams and drawings help with explanations from a builder/designer perspective. There is also a handy metric conversion chart for people still using imperial measures. Master Builders Association ACT developed the guide with funding from Commonwealth Department of Veteran Affairs.

Other handbooks include:

Go to the Housing Design Guidelines section on this website for more about kitchens, bathrooms, lighting and other aspects of home design.  

Editor’s Note: Housing for Life is not readily available online. The link to this copy is from my files.  It is available through the National Library of Australia (Trove) if you want hard copy. Or you can try the MBA ACT.  The references to the Adaptable Housing Standard are less relevant now – see more recent guidelines.

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