People and planet: towards healthy urbanism

Cities are expanding year on year and the design of urban environments needs to cope with this. That means urban planners and designers have to think about both people and planet. 

View from high building in Brisbane overlooking building roofs and the Brisbane river and bridges. Jacaranda trees can be seen in the street. It's about people and planet.

Environmental degradation and population inequalities require a shift in understanding the nature of healthy urbanism. We need policies and decisions that positively shape neighbourhoods and buildings. That’s what Helen Pineo argues in her paper on an urban design and a planning framework. 

The WHO and UN are working with property development and urban planning professionals on the topic of healthy urbanism. Pineo notes that not all built environment professionals accept responsibility for safeguarding health and sustainability. 

It appears that the architecture profession is divided on this topic. Some say it is not their responsibility and others say it is time for them to act. 

Pineo’s article discusses the state of play internationally and reports on her findings. Structural barriers to health and a reliance on “lifestyle choices” is not effective going forward. We need broader solutions, and we need them urgently. 

To the extent that it is possible, all design and policy decisions should be inclusive, equitable and sustainable.

Distant view across Sydney Harbour looking South. Probably taken from Tarongo Zoo

The THRIVES Framework

THRIVES is the acronym of Towards Healthy uRbanism: InclusiVe Equitable Sustainable. Pineo presents the Framework as a new way of conceptualising the connection between health and built environments. 

There are three core principles, inclusion, equity and sustainability.

The Framework links planet, environment and people. 

Circular graphic showing planetary, ecosystem and local health elements and how they are connected.

The title of the article is, Towards healthy urbanism: inclusive, equitable and sustainable (THRIVES) – an urban design and planning framework from theory to praxis. It’s open access. 

Abstract

This article promotes a new framework – Towards Healthy uRbanism: InclusiVe Equitable Sustainable (THRIVES) – that extends previous conceptualisations and reorients focus towards the existential threat of environmental breakdown and the social injustice created through inequitable and exclusive urban governance and design processes and outcomes.

The Framework was developed through synthesising knowledge from research and practice, and by testing this new conceptualisation in a participatory workshop. Ongoing research is exploring implementation of the Framework in practice.

If widely adopted, this Framework may contribute towards achieving the goals of sustainable development through a focus on increasing human health and wellbeing in urban development.

What’s next in urban design?

All aspects of urban design and development are undergoing technological change.  The pandemic has increased the speed of  some changes. For example, online shopping and parcel delivery, working from home and demand for green open space. The University of Oregon’s Urbanism Next Framework draws together key issues in answer to “What’s next for urban design?”

The three page framework lists the forces of change as new mobility, e-commerce, mobility as a service and urban delivery. These impact land use, urban design, building design, transportation, and real estate. The infographic below shows the kind of questions designers and policy-makers need to ask themselves. Click on the image for a better view of the infographic. 

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The framework poses key questions for the future. For example:

  • How will e-commerce impact the demand for industrial land?
    • How do we protect open space under pressure to expand cities?
    • What will happen to sprawling city footprints when people don’t need to live in cities?
    • How will the need for fewer parking lots impact urban form?
    • How can the interactions between pedestrians and vehicles be managed?
    • Will new mobility reduce the demand for vehicle ownership?
    • What will draw people to places in the future?

The Framework says all these things matter for equity, health, the environment and the economy. So it is up to designers and policy makers to remember to take a universal design approach and follow co-design processes. 

From the introduction:

“One of the key challenges cities face is understanding the range of areas that are being affected or will be affected by emerging technologies, and how these areas are related. The Urbanism Next Framework organizes impacts based on five key areas— land use, urban design, building design, transportation, and real estate—and relates those to the implications they have on equity, health and safety, the environment, and the economy. It then considers what we should do to ensure that emerging technologies help communities achieve their goals.

Easy English: Same as Easy Read?

Australian Easy English is for people with low or few literacy skills. It is not the same as Easy Read.

Girl sits with a book flicking pages and looking a little unhappy. She needs Books for Everyone.

According to Cathy Basterfield, Easy English is not the same as Easy Read. Her comparison of the two highlights some important differences.

Australian Easy English assumes almost no literacy skill. Material is presented with just three or four short sentences of 5 words on a page. Each sentence is accompanied by a relevant picture or graphic. This means there is a lot of white space which prevents visual confusion caused by lots of words. The aim of Easy English is to tell the reader what to do. It is not about conveying information.

Australian Easy Read on the other hand has an average of 10 words in a sentence. The document includes information which can make if difficult to find the “what to do” instruction. This format assumes a reading level of Grade 4. Unlike Easy English, images are used without headings and there is little white space.

44% of Australian adults do not have the literacy skills for everyday reading tasks such as reading product labels.

Rows of snack food line the supermarket shelves.
Black and white logo for easy read, has a tick and a open book

Long documents often have an Easy Read version which makes it easier for competent readers as well. After all, why read a long and complex report when you can get the same information with less words?

Making a document easy to read and understand is not itself an easy process. The development of Easy English and Easy Read is a mix of language, sentence structure, images and user testing. It’s a design challenge to analyse each element to see what works best.

Comparing the two

The examples below show some of the differences between Easy English and Easy Read. Cathy Basterfield has a succinct three page comparison of the two styles with clear examples.

page from Access Easy English on COVID.
Example of Easy English
A screenshot of the homepage of the website.
Example of Easy Read

More resources

Cathy Basterfield has developed several free Easy English versions of important information. She has a blog page that explains Easy English and Easy Read if you want to know more. 

Editor’s note: Even as a person with good literacy skills, I find Easy English a quick and easy way to understand the key points. I think much of the confusion in the community is due to politicians and others using lots of words when fewer would do, and speaking quickly. When journalists ask questions of politicians they add to the confusion because the politician says the same thing again only using different words. 

Housing options in later age

Long term care, nursing homes, and residential care are names for care in a facility dedicated to supporting older adults. But how many people desire this option? Usually it is a place of last resort because staying put is no longer an option. But can we do better than this?

Residential aged care, not to be confused with retirement villages, is usually a last resort rather than a choice. We all need better housing options in later life.

Front Cover of the report. Staying put in later age. Housing options in later age.

A report from Canada looks at the issues of long term care, ageing in place with a brief mention universal design. The 14 page document takes a Canadian perspective of international solutions and options which are all specialist solutions.

The first recommendation is to encourage alternatives to long term care. The alternative recommendation is to develop housing and care models that incorporate universal design features into new builds. The second recommendation focuses on support services.

The report discusses seven different types of housing, five of which are based on segregation by age. Here is a brief overview:

Current housing options

Independent Living /Active Lifestyle Accommodation is for adults requiring minimal assistance. They are either detached homes or suites within apartment buildings. These solutions are best when offered within the existing neighbourhood.

Assistive Living / Supportive Housing is designed to provide safe and accessible homes for people requiring personal care and housekeeping services.

Retirement Living homes are usually privately owned and suit older adults with higher incomes.

Co-housing consists of private dwellings with kitchens, bathrooms, bedrooms and shared common areas such as gardens and walkways. This model is not exclusively for older adults and offers connectedness as well as privacy.

Naturally Occurring Retirement Communities (NORCs) develop overtime due to older adults remaining in their own homes as they age. This model is aimed at helping older adults to live as independently as possible. The concept of NORCs originated in the US.

Villages are member-based, grassroots organizations developed and governed by older adults in the US. Villages provide free and discounted services and staff and volunteers coordinate activities. This model helps reduce the risk of social isolation. Faith based organisations or private companies own villages in Australia.

Intergenerational housing is the fastest growing housing arrangement in Canada. A diverse range of individuals of different ages live together and share life experiences and skills. Multigenerational housing encourages older adults to remain engaged in the community.

The title of the report is Housing & Care Models to Support Older Adults to Remain in Their Communities. The report concludes with additional resources and references.

In Australia…

More people will have the choice to stay in their current home as more dwellings are built to the Livable Housing Design Standard mandated in the National Construction Code. However, only Queensland, ACT and Victoria have adopted the Standard in their building codes as of May 2024. Other states aim to adopt later in 2024 or 2025. However, NSW and WA have made a policy decision not to adopt the Standard.

Plug and Pray?: AI and inclusion

As we improve accessibility in the built environment, it is important to make sure we create and maintain accessible digital designs. A report from the EU, Plug and Pray? outlines the opportunities for emerging tech and people with disability. The report highlights the need to be inclusive and provides practical recommendations.

People with disability are often early adopters of new tech, but these new ideas can also come with unintended barriers for users.

Front cover of Plug and Pray report

The title of the report is, Plug and Pray? A disability perspective on artificial intelligence, automated decision-making and emerging technologies.

New opportunities

New technologies are emerging every day and hold a promise of greater inclusion for people with disability. For example, devices and operating systems that automatically adjust to the behaviour needs of the user. This is most useful for people with sensory and cognitive conditions.

Many technologies are in early stage of development, so the promise of greater independence needs a note of caution. However, the speed of digitalisation and AI poses risks of creating barriers to use. Another issue is the potential for infringing human rights and widening the equality gap.

Some people have more than one functional disability. For example, speech recognition software not understanding commands by a person with Down syndrome. So design issues are multi-faceted.

Regulating AI

The European Disability Forum has a position paper on this topic. The Forum welcomes the EU’s proposal for regulating AI in the EU. Briefly, the important points to consider are:

  • Accessibility of AI-based technologies and practices;
  • Protect persons with disabilities from potential AI-induced harm;
  • Strong governance mechanisms, human rights impact assessment, and accessible feedback, complaints and redress mechanisms;
  • The same legal standards for European AI used outside of the EU;
  • Involvement of persons with disabilities and accessibility experts in the development of European and national AI policies, as well as promote their inclusion in AI  projects and technical development teams.

Artificial Intelligence: A framework

The European Disability Forum has several publications related to human rights and inclusion. However, the European Union failed to ensure binding accessibility requirements in their new Artificial Intelligence Act.

Infographic of the proportion of 272 different stakeholder groups.A discussion paper was released in 2019 to encourage conversations about AI ethics in Australia. This paper included a set of draft AI ethics principles. CUDA made a short submission to the discussion. The Australian AI Principles are ready for testing and are:

    • Human, social and environmental wellbeing
    • Human-centred values
    • Fairness
    • Privacy protection and security
    • Reliability and safety
    • Transparency and explainability
    • Contestability
    • Accountability

It is good to see human-centred values and human, social and environmental wellbeing now included. A closer look shows that older people, people with disability, people from diverse backgrounds and children are included in these principles by virtue of including human rights. The Fairness Principle includes mentions of Inclusion and Accessibility. You can find out more detail in a list of insights from the consultations

Inclusive Play guide from South Australia

Front cover of inclusive play guide.

Inclusive play enables everyone to connect with their surroundings, with other people and with themselves.

The South Australian Government has produced a practical guide making playspaces inclusive. Connection is a key element: Connect with place, Connect with each other, and Connect with self.

  • Connect with place: A place without barriers that is easy for everyone to acces and enhances the existing environment.
  • Connect with each other: Facilities and equipment that encourage everyone to interact and play with each other while feeling safe and welcome.
  • Connect with self: An experience that help every individual activate their senses, stimulate their imagination and challenge their limits.

The process

The first step in the design process is checking that everyone can get there and access the place. The second step is to make sure everyone can easily find their way around. The third step is to remember access to the fun stuff – is the equipment accessible? Environmental factors such as shade, natural features and nearby accessible facilities conclude the list.

The guide continues with advice on community consultation, encouraging intergenerational activities, and thinking about amenity – seating, toilets, lighting and safety.

The guide touches on aspects of play such as considering the senses and challenging activities across ages and levels of capability. The document concludes with some checklists for the preceding elements. These cover access, landscaping elements, layout, safety and location.

The guide is easy to follow and shares some similarities with the NSW Government’s Everyone Can Play guide.

You can download the guide from the South Australian Government website.
The document was found in a literature review of universal design play guidelines. The review is titled, Designing public playgrounds for inclusion: a scoping review of grey literature guidelines for Universal Design.

Public transport and dementia

It’s common for people with dementia to become less confident when using public transport and airports. The noise, the lights, and the crowds are distractions that can cause disorientation. Dementia Singapore found a way to help orientate and guide people through busy stations and interchanges through the “Find Your Way” initiative.

Noise, lights, crowds: public transport for people with dementia becomes increasingly challenging. People with autism/autistic people have similar experiences.

Long view of a Singapore bus interchange showing the different coloured directional arrows on the floor. Public transport and dementia.

The aim of the Find Your Way initiative is to help people with dementia use public transport independently. The Find Your Way project uses colour coding for district zones. The colour makes it easier to perceive the space and find information in a busy complex environment.

Working group

Dementia Singapore set up a working group of local dementia advocates, two members of Dementia Alliance International, and the major bus operator SBS Transit.

Brightly coloured icons guide all travellers in the right direction. Another example of “essential for some, good for others”.

A large purple icon is attached to a column making it highly visible. The same icon is used from the beginning to the end of the route through the interchange.

The technical advice focused on designs that are intuitive and easy to understand. Emily Ong’s short article has more on the technical group, the Environmental Design Special Interest Group (ED-SiC) that worked on the project.

The incorporation of a childhood game is part of providing information in multiple formats. Large directional arrow markings on the floor also aid people in orientating themselves and finding their way. The photographs show how colour and icons are used.

An instructive floor plan of the stations showing key buildings and directions to buses and trains.
Floor plan showing the colour zoning and interchange layout

The title of the short article is, Designing public transit systems for accessibility and inclusion of people with cognitive impairments. It’s a quick overview of the project by Emily Ong, Project Lead and Co-Chair of DAI ED-SiG. You can find out more from Dementia Singapore website where there are more photos of the project.

SBS Transit staff give thumbs up to the wayfinding design at the Toa Payoh Bus Interchange.

Staff of SBS Transit give the thumbs up to the directional arrows on the flooring.

Airport travel guide for people with dementia

Airports are confusing places at the best of times, particularly for the first visit. The size, noise, and number of people don’t help. If the signs aren’t in a language you understand it can be bewildering. Knowing what to expect before you go is a great help. Brisbane Airport  airport travel guide for people with dementia is also good for first time visitors.

Front cover of the guide showing an aircraft overlaid with artistic coloured squares

The guide is titled, Ensuring a Smooth Journey: A Guide through the Brisbane Airport’s International Terminal for People Living with Dementia and their Travel Companions.

The guide is easy to follow. It covers preparing for the journey, getting to the airport, checking in and flying out. Coming home again addresses, passport, baggage claim, and domestic transfers among other things. There is a list of dementia friendly symbols at the end of the guide. As with most guides, this one is applicable to other airports.

Airports and autism

Autistic people/people with autism need similar design considerations to people with dementia. Vancouver airport has introduced a simulated rehearsal program to help families with the whole pre-flight process so it becomes more predictable. People who are likely to feel overwhelmed by the whole process like to know beforehand what is going to happen and how it all works. This could also include people who are new to air travel, especially now that most processes are automated.

The program includes the Vancouver Airport Resource Kit, which features a step-by-step storybook, interactive checklist, airport map and tips for travel. There is also a video series that helps travellers with autism prepare for the flight.

People in warm clothes push their baggage at an airport.

Vancouver airport has an “Autism Access Sticker” that can be placed on boarding passes. The sticker ensures a smooth transition through screening and customs. It also communicates the specific needs of passengers to airport employees. See the video series below. Very well done – a good model that can be applied to all airports.

Access Symbol Competition Winners

In January 2022, the International Union of Architects and Rehabilitation International launched an access symbol design competition.

The competition was open to architects, graphic designers to create a new international symbol of accessibility.

The winning entry by Ukrainian architect Maksym Holovko.

The winning entry features a white square embedded in a black circle. A black rectangle on the right hand side of the white square resembles an open door. The judges said it was easily recognisable, indicating openness using basic shapes.

Second and third prizes are simple and clear.

The second prize went a German graphic designer, Lena Seifert. The design of a black cross with a black dot within the arms of the cross indicated equality and inclusivity.

The third prize went to Czech architecture student Barbora Tucanova. The simple enveloping design of two curved shapes reflects some of the original wheelchair symbol.

The winning designs were submitted to the ISO/TC 145 “Graphical Symbols” working group for consideration. As at January 2024 we are still waiting for further information.

It’s been said many times that the current international access symbol is misleading. That’s because it makes people think of wheelchair users as the only people needing access considerations. However, it’s so well recognised it’s difficult to change. So we shall see if this competition works.

You can view the extensive gallery of entries to see how varied the ideas are.

Thanks to Ergonomics in Design for All Newsletter for this information.

TikTok and older adults

Hand holding a smartphone with the TikTok icon.

New research shows older adults are reframing ageing with TikTok.

TikTok has a reputation for being the playground of teenagers and younger adults. However, older adults are having fun with it too.

Compared to Facebook and Twitter, TikTok videos create opportunities for older adults to be influencers across all age groups. A new study from Singapore found that TikTok had both positive and negative aspects for older adults.

In trying to show that “oldies” can be “with it” they make fun of their conditions. But joking about one’s limitations brought about by the ageing process does little to dispel negative stereotypes. Negative stereotypes have an impact on how older adults feel about themselves as they grow older. So it’s not just how other people view them.

These feelings impact health and wellbeing and sense of self. However, the study showed such jokes are outnumbered by videos of older people defying stereotypes and embracing their ageing bodies.

An older woman with white hair and dressed in bright yellow and wearing sunglasses is singing into a microphone enthusiatically on TikTok.

Older adults are challenging stereotypes on TikTok.

The title of the article is, Not Too Old for TikTok: How Older Adults are Reframing Aging. The researchers compiled the most viewed videos of users aged 60 years and older with at least 100,000 followers. From a base of 1382 videos, they found 348 that had ageing content and these were used for analysis.

Three themes on ageing

Three themes emerged from the videos. Most fell under the theme of defying age stereotypes (71%). These videos were about embracing their ageing bodies. Making light of age-related vulnerabilities was present in 18% of the uploads. These videos joked about age stereotypes about such things as dementia. Calling out ageism (11%) revolved around older people condemning ageist practices.

The authors recommend encouraging older adults to create their own social media content. This is one way to counter some of the negative stereotypes about older people being technophobes. It will also encourage them to share the experiences of later life and become more active in age-based advocacy.

Accessible graphic design

The text box reads Graphic design can be described as the language of vision but is this exclusionary in nature?

Graphic design is an essential element of communication.

Pictures, photos, infographics, icons – they all convey messages. It is often said that images say more than words. A bar graph gives a visual representation of statistics making it easier to understand. A photo of a landscape in a tourist brochure piques interest in a place. Readily recognised icons send instant messages, such as this is a train station or this is a toilet.

The way text is presented also sends messages. For example, a tiny faint font sends the message to people with low vision that they are not included. A busy page with tightly compressed text is readable but uncomfortable.

Images and text are essential elements in visual communication. The importance of accessible and inclusive communication is the subject of a masters thesis from Canada. The title is, Equitable access to public information and the role of the graphic designer. The author is Christine Woolley.

The text reads, appropriate measures must be taken to ensure people with disabilities can access information on an equal basis with others.

When graphic designers consider accessibility and inclusivity in their work, the result is a better experience for all…

Woolley’s research explores how graphic designers learn about, interpret and implement accessibility standards into practice. She used participatory research methods, often referred to as co-design. The outcome is a framework and a set of recommendations for supporting the graphic design industry in Canada.

The thesis discusses many aspects of accessible and inclusive design, and it’s role in equitable access to public information. Woolley has three main pillars of discussion.

  • Understanding the importance of access – the moral angle
  • Understanding industry standards and guidelines – the responsibility angle
  • Understanding accessibility legislation – the legal angle

The text reads, inclusive design recognizes people as individuals who are not all the same and prioritizes the needs of individuals who are often not acknowledged in current systems.

The framework and recommendations were designed through a collaborative process with participants and represent a collective need for industry support.

Findings

The findings identify opportunities on how the design industry can be supported in their accessible design journey, and in building capacity and motivation to go beyond the minimum requirements, to think critically about accessible design and pursue opportunities for innovation.

 

Universal design as ‘symbiosis’

Symbiosis is not a word usually associated with universal design, but it’s another way of looking at it. Symbiosis means interaction between two different organisms living in close physical association to the advantage of both.

An article from Malaysia uses symbiosis in the context of designs for the disabled body advantage the non-disabled body – it’s a win-win.

The article covers the usual introductory material about universal design and then moves into a discussion on indoor spaces. The research questions focus on the application of universal design to achieve integration.

The paper recounts three case studies to show how people with disability can get the same sense of belonging as non-disabled people. The use of materials, space function and space planning each have a role to play.

Case studies

Bill and Melinda Gates Discovery Center showing people looking at exhibits.

Bill and Melinda Gates Discovery Centre

The first case study is the Bill and Melinda Gates Discovery Center in Seattle. The centre fosters a collaborative working environment to educate people about global issues including disability.

The second case study is the Cooper Hewitt Smithsonian Design Museum. This building is a studio of visual and accessible sensory experiences.

The third case study is Hazelwood School in the UK which transformed a school for children with disability into one for all children.

Hazelwood School

All three projects posed challenges to designers to find ways in which everyone could feel welcome and use the spaces. The article provides more detail on each case study and useful references.

The authors conclude that universal design played an important function in aiding architects to design for people with and without disability.

The purpose of universal design is to create symbiotic relationships between people

The title of the article is, Universal design (UD) in indoor space: Symbiosis between disabled bodies and abled bodies. The abstract uses some confusing language and terms, but the article follows universal design thinking. The links to the case studies are also worth a look.


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