An integrated literature review of the current discourse around universal design in the built environment – is occupation the missing link?

Watchorn, Valerie; Hitch, Danielle; Grant, Cathryn; Tucker, Richard; Aedy, Kathryn; Ang, Susan; Frawley, Patsie

doi:10.1080/09638288.2019.1612471

Cited by 30 publications

(17 citation statements)

References 39 publications

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“…Design approaches that aim to be inclusive of the needs of the largest range of users possible are described by a range of terminologies in the literature, including 'Design for all', 'Barrier free design', Universal Design' (UD) and 'Inclusive design' (Deardorff & Birdsong, 2003;Persson et al, 2015). Most recently, UD has come to have the greatest currency in the context of built environments, a predominance reflecting the term's expansion from its original focus on accessibility for people with disabilities, to encompass design that addresses human diversity (such as body size, language and culture) that exists both within and beyond disability (Watchorn et al, 2019). The predominance of UD in current built environment policy and dialogue reflects both a broader understanding of diversity and the expansion of UD application and research into the fields of education, policy, architecture, occupational therapy, urban design, planning, law, social studies and advocacy (Hums et al, 2016).…”

Section: Accessibility and Inclusion In The Built Environmentmentioning

confidence: 99%

Housing at the fulcrum: a systems approach to uncovering built environment obstacles to city scale accessibility and inclusion

Tucker

Kelly

Johnson

et al. 2021

J Hous and the Built Environ

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In the context of rising numbers of people with disability in Australian cities, this paper describes a study determining actions to overcome unintended obstacles in the built environment to city-scale accessibility and inclusivity in a regional city in Australia. Prior studies have largely failed to connect social inclusion obstacles in the built environment with factors leading to social exclusion in other domains that have impact on, and are impacted by, the built environment. An approach based on systems thinking allowed a wide range of stakeholders, including many with lived-experience of disability, to exchange ideas in a short timeframe linking the built environment with other obstacles to accessible and inclusive cities. One hundred and nineteen actions were identified to overcome these obstacles, with 37 of these prioritised according to impact and feasibility. Nineteen of these 37 are imbedded in the built environment. Access to appropriate and affordable housing was identified as a key factor across all domains. Importantly, it was found that access for people with disability to appropriately designed and affordable housing was at the fulcrum of many other issues, across numerous city domains, that created obstacles to meaningful living and fulfilled lives. The process advanced understanding of how housing is impacted by, and has impacts on, a wide sphere of socio-political and physical contexts. Disability • Inclusion • Accessibility • Housing • Systems-thinking * Richard Tucker

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Section: Accessibility and Inclusion In The Built Environmentmentioning

confidence: 99%

Housing at the fulcrum: a systems approach to uncovering built environment obstacles to city scale accessibility and inclusion

Tucker

Kelly

Johnson

et al. 2021

J Hous and the Built Environ

Self Cite

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“…Why did you think your memory worsened? Findings on understandings of stroke and CI were reported elsewhere ( 42 , 43 ).…”

Section: Methodsmentioning

confidence: 76%

“…The study was located within a single village, and sought to examine the experiences of Malaysian-Chinese stroke survivors and their health seeking pathways, with a special focus on cognitive decline after stroke. The main study on stroke and CI had 18 participants ( 42 , 43 ). Three community-dwelling participants with salient cognitive and behavioural symptoms after stroke were sampled from this larger ethnographic study.…”

Section: Methodsmentioning

confidence: 99%

Challenges for Diagnostic Clarity for Post-stroke Cognitive Impairment and Behavioural Issues in Middle-Income Countries: Case Studies From Malaysia

et al. 2021

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Following stroke, individuals require ongoing screening, diagnosis and monitoring for cognitive impairment. Services and policies around these vary widely between settings, and reports from many countries highlight persistent under-diagnosis of cognitive impairment in the months and years after stroke. Missed and delayed diagnosis of post-stroke cognitive impairment, including dementia, are important factors in shaping the experiences of people so affected and their family members, especially in low- and middle-income countries. Drawing upon ethnographic research conducted in Malaysia, this article draws upon three case studies to examine the continued health-seeking behaviour after the appearance of salient cognitive and behavioural symptoms that occurred after stroke. Findings highlight the challenges in getting formal diagnostic clarity for cognitive and behavioural symptoms in a rural setting within a middle-income country. No study participants sought help for memory or cognitive problems, partly due to limited lay awareness of cognitive impairment but more significantly due to health service factors. Despite their elevated risk for dementia, participants were not monitored for cognitive impairment during any follow-up care in various health facilities. Furthermore, caregivers' attempts to seek help when behavioural issues became untenable were met with multiple health system barriers. The journey was complicated by the meanings attached to the reactions towards cognitive symptoms at the community level. We suggest that strategies seek to increase the awareness of post-stroke cognitive and behavioural symptoms, and incorporate clear treatment pathways into the long-term care plans of community-dwelling stroke survivors.

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“…In this study, UD and Design for All (DfA), which is design that aims for diversity, social inclusion, and equality [ 4 ], are considered equal since both are driven by the same objectives even though they come from the American and European contexts, respectively [ 5 ]. These design strategies aim to promote diversity and develop projects that overcome all kinds of impairments: physical (e.g.…”

Section: Introductionmentioning

confidence: 99%

Universal Design-Based Framework to Assess Usability and Inclusion of Buildings

Mosca

Capolongo

2020

Lecture Notes in Computer Science

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Universal Design (UD) offers different sets of principles that can be used as reference in design practice to meet the needs of the vast majority of a population. However, there is a lack of an accountable approach to measure and analyze the built environment through UD performance. This study aims to develop an evaluation framework to assess UD in public buildings to determine, in addition to accessibility requirements, the usability and inclusion of projects for different users. Multicriteria Decision Analysis (MCDA) was adopted as research methodology to systematically and scientifically develop the framework, which was structured based on knowledge derived from: an in-depth literature review on UD evaluation and workshops with stakeholders and experts. The selection and comparison of a pool of criteria is described including the cognitive mapping technique for translating information gathered by workshops. A hierarchical framework was created, consisting of three main categories of UD (i.e. physical-spatial quality, sensorial-cognitive quality, and social quality), eight criteria (i.e. usability, functionality, safety/security, wayfinding, understanding, environmental factors, well-being, and social inclusion), and 21 indicators. The proposed framework can be considered as an innovative approach in the field of accessible design evaluation since it explores the relation among a multiplicity of aspects, including human performance and social factors, to evaluate the quality of UD buildings.

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An integrated literature review of the current discourse around universal design in the built environment – is occupation the missing link?

Cited by 30 publications

References 39 publications

Housing at the fulcrum: a systems approach to uncovering built environment obstacles to city scale accessibility and inclusion

Housing at the fulcrum: a systems approach to uncovering built environment obstacles to city scale accessibility and inclusion

Challenges for Diagnostic Clarity for Post-stroke Cognitive Impairment and Behavioural Issues in Middle-Income Countries: Case Studies From Malaysia

Universal Design-Based Framework to Assess Usability and Inclusion of Buildings

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