Purpose: Aimed to explore more practical interventions for handwashing compliance (HWC) and protect the minor’ health with the pandemic background, this study tested whether micro architectural interventions would promote HWC of adolescents through active experience. Background: Despite the well-documented benefits of handwashing (HW), low compliance is common among adolescents. HW space in schools has always been treated as attached spaces of little matter, which is unfavorable to public health. According to environment behavior perspective, personal motivation of HWC may be motivated by active environment. Method: A school-based investigation and a 30-week environmental behavior experiment were conducted when students returned to school after the COVID-19 pandemic closure in 2020 in China to evaluate the effects of active environment interventions selected by previous survey on promoting adolescents’ HW rate. Digital infrared counters were used to unobtrusively document their behavior. Results: Results in summer revealed a positive effect on all intervention groups. The effects of combined interventions were higher than the effect of any single intervention. However, HW rates of all groups declined sharply in the coldest month and the between-group differences decreased. Significant correlations were found between HW rates and satisfaction with the intervention schemes. Conclusions: Findings suggest that architectural environmental intervention may potentially be a positive, friendly, and one-time investment mean to expand the HWC intervention scope from passive policies to positive experience, and HW space design for adolescents should be treated as a public health strategy.

Heavy schoolwork and overpopulated classrooms have made high schools overstressed environments. Previous investigations have identified a wide body of naturally restorative elements. However, evidence regarding the relationship between spatial typology and its perceived restorativeness (PR) for adolescents is limited. This paper explores the connection between spatial characteristics and PR by linking their restorative quality to how they are actually used. A high school with multiple types of outdoor spaces is used as a case study and typical spatial characteristics (area, distance, and openness) are quantified. A revised perceived restorativeness scale (RPRS) is exploited to assess the restorative quality of different spaces, and a self-reported questionnaire is used to map the actual usage. The obtained results reveal that: (1) the restorativeness of the selected spaces varied considerably, with a natural garden being more restorative than a built environment; (2) the area and openness were positively correlated to the PR, but the distance was negatively correlated; (3) the theoretical dimensions of “getting away” at high school are primarily psychological, not physical; (4) the actual use of outdoor spaces during breaks does not match the students’ favorite places or their PR. These findings expand our understanding of the role of spatial characteristics in PR in high schools and indicate direct links between campus design and restorative quality.

Rising childhood myopia rate has detrimental health consequences that pose a considerable challenge to health systems. The school spatial environment, which is where students are for the longest period of time, has a high health value for myopia systematic intervention. While research has demonstrated associations between physical daylight environments, medical gene and visual health, the literature currently lacks a synthesis of evidence that will act as a spatially-organized resource for school designers. This study is based on literature from the period 2000–2022 and has been taken from the Web of Science, scopus, Medline and CNKI core collection database. Collaboration, literature co-citation and quantitative and qualitative analysis, in addition to keyword co-occurrence are adopted to conduct a visual health research review. The results indicate that intensive near work activity (as a risk factor) and longer time spent outdoors (as a protective factor), are involved in visual health factors. Two main research themes are obtained and relate to: (1) The environment of visual work behavior (especially the near work learning environment) and adaptable multimedia learning environment; and (2) the environment of outdoor exposure behavior. Furthermore, with the variation of educational demands, models and concepts, there are different demands for near work behavior, and this study makes an important contribution by pointing to two future research directions, including the accurate and controllable environment of near work behavior, which operate in accordance with various educational mode requirements and the active design of the environment of outdoor exposure behavior. In referring to differences between regions and countries, as well as the development of the educational environment, it provides insight into how these demands can be controlled.