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Challenging behaviour (CB), such as aggression towards oneself, others, or objects, arises in interaction with the environment and is shown in order to escape, increase attention, adjust sensory stimulation, or receive material rewards. CB may prevent individuals from participating in society and enjoying a high quality of life (QoL). Literature suggests that architects can enable prevention, by helping to mitigate CB before rather than after its occurrence. This raises the question how architecture can contribute to creating environments that help reducing such behaviour. By conducting a case study at a Dutch very-intensive-care facility, we explore how architecture can contribute to the QoL of intellectually impaired (and autistic) individuals showing CB. The case study is based on interviews with the residents and their family and care providers, direct observations of their daily life, and incident reports, and their personal files. This allowed for multiple triangulation: a resident-centred mix of data sources, methods, and investigators provides nuanced insight into residents’ life. Findings confirm the relevance of architecture for CB reduction. Individuals showing CB are dependent on the (visual) connection with the care provider and may experience stress from the behaviour of fellow residents. The self-regulation of interpersonal distance, nearness to the care provider and distance from frightful encounters with fellow residents, is crucial for their QoL. Architecture can support this choice in interpersonal distance, for instance, by generous floorplans, various spaces in vicinity of communal rooms, and escape possibilities. Future research is required to substantiate the findings, and to investigate whether a built environment with ample choice in interpersonal distance - designed for individuals showing CB - may also benefit other users. no ISSN ispartof: pages:160-166 ispartof: Proceedings of the 6th International Conference on Design4Health vol:3 pages:160-166 ispartof: Design4Health 2020 location:Amsterdam date:1 Jul - 3 Jul 2020 status: published

Challenging behaviour, such as aggression towards oneself, others, or objects, arises in interaction with the environment and may prevent individuals from participating in society and compromise their quality of life (QoL). Literature suggests that architects can contribute to prevention, by influencing challenging behaviour before rather than after its occurrence. By conducting a case study at a very-intensive-care facility, we explore how architecture can contribute to the QoL of intellectually impaired (and autistic) individuals showing challenging behaviour. The case study is based on interviews with residents and care providers, and direct observations of their daily life. Preliminary findings confirm the relevance of architecture in influencing challenging behaviour. They suggest that the residents are dependent on the (visual and auditory) connection with the care provider. Also, care providers confirm the importance of this connection for the quality of the care they provide. At the same time, residents may experience anxiety triggered by fellow residents and their challenging behaviour. Residents may also feel stress when faced with unexpected situations and this may lead to an onset of challenging behaviour. Sensory sensitivity, specifically to noise and heat is also relevant for their QoL. The findings will be further substantiated through multiple triangulation with available data (personal files, incident reports, photographs). Future research, specifically focused on intellectually impaired individuals showing challenging behaviour, is needed to better understand the similarities and differences between their needs and the needs of autistic people.

We live in a wonderful world of Facility Management. How fortunate we are. A strong community and an interwoven system of research, education, and practice. What can be our next smart move? In his keynote Mark discusses research with societal impact and uses these to sketch a resilient way forward.

Algemene ledenvergadering Vereniging van Lectoren

De noordzijde van het Groninger hoofdstation zou het visitekaartje van de stad moeten worden als de meest leefbare kennisstad van Nederland. Groninger kennisinstellingen kunnen er een bijdrage aan leveren.

Backgroundand aim – In this study, it is pre-supposed that the indoor environmental conditions of classrooms can contribute to the quality of the educational process. Thermal, acoustic and visual conditions and indoor air quality (IAQ) may be extremely supportive in order to support the in-class tasks of teachers and students. This study explores the influence of these conditions on the perceived comfort and quality of learning of students in higher education. Methodology– In a case study design, the actual IEQ of 34 classrooms which are spread over four school buildings in North Netherlands and 276 related student perceptions were collected. The measurements consisted of in situ physical measurements. At the same moment the perceived indoor environmental quality(PIEQ) and the perceived quality of learning (PQL) of students were measured with a questionnaire. Results – Observedare high carbon dioxide concentrations and high background noise levels. Arelation was observed between perceived acoustic and visual conditions, IAQ,and the PQL indicating that a poor IEQ affects the PQL. A linear regressionanalyses showed that in this study the perceived impact on the quality oflearning was mainly caused by perceived acoustic comfort. Originality– With the applied innovative measuring instrument it is possible to measure both the actual IEQ as well as the PIEQ and PQL. This method can alsobe used to assess a reference and intervention condition. Practical or social implications – The applied measuring instrument provides schoolmanagement with information about the effectiveness of improved IEQ and students’ satisfaction, which can be the basis for further improvement. Type ofpaper – Research paper.

Het is algemeen bekend dat het binnenmilieu in gebouwen zoals in woningen, scholen en kantoren de gezondheid en het welzijn van de gebruikers beïnvloedt. Een slecht binnenmilieu leidt tot discomfort, verminderde alertheid, vermindering van de prestaties van gebruikers en veroorzaakt zelfs absenties als gevolg van gezondheidsklachten en ziektes. Helaas komen klachten met betrekking tot het binnenmilieu vaak voor. De vraag is hoe het binnenmilieu in klaslokalen kan worden verbeterd. Dit is belangrijk omdat in een ideaal binnenmilieu zowel de student als de docent optimaal kan functioneren en presteren.

Het is algemeen bekend dat het binnenmilieu in gebouwen zoals in woningen, scholen en kantoren de gezondheid en het welzijn van de gebruikers beïnvloedt. Een slecht binnenmilieu leidt tot discomfort, verminderde alertheid, vermindering van de prestaties van gebruikers en veroorzaakt zelfs absenties als gevolg van gezondheidsklachten en ziektes. Helaas komen klachten met betrekking tot het binnenmilieu vaak voor. De vraag is hoe het binnenmilieu in klaslokalen kan worden verbeterd. Dit is belangrijk omdat in een ideaal binnenmilieu zowel de student als de docent optimaal kan functioneren en presteren.

Teachers and students need good learning environments to perform well. In this study it is pre-supposed that the spatial properties of classrooms can contribute to the quality of the educational process. Thermal, acoustic and visual conditions and indoor air quality (IAQ) may be extremely powerful in order to support the in-class tasks of teachers and students. But what are the optimal conditions? And do schools provide optimal indoor 2019 ISES ISIAQ Joint Annual Meeting – Abstracts | 362 environmental conditions? Research shows that adequate ventilation and thermal comfort in classrooms could improve academic performance of students. However, different studies also suggest that poor indoor environmental quality in classrooms are common and, in some cases, even unhealthy. This study investigates the relationship between indoor air quality (IAQ), perceived indoor air quality (PIAQ) and building-related symptoms of students in university classrooms via subjective assessment and objective measurement. This study was carried out in 59 classrooms of a university of applied sciences in the northern part of the Netherlands during heating season. Responses from 366 students were obtained through a questionnaire. Results shows that carbon dioxide concentrations (CO2) exceed minimum Dutch guidelines in 36% of the observed classrooms. Moreover, after a 40 minute class this raised to 45% of the observed classes. Poor IAQ can affect teachers and students level of attention, cause arousal and increase the prevalence of building-related symptoms. A significant correlation was found between CO2 concentrations and PIAQ and between PIAQ and the ability to concentrate, tiredness and dry skin. The research findings imply that increased CO2 concentrations will affect the PIAQ of students and may cause inability to concentrate, increased tiredness and dry skin. These building-related symptoms can cause distraction and affect the academic performance of students negatively. It is highly recommended to improve IAQ in classrooms by offering better indoor environmental conditions through reducing CO2 concentrations.

A lecture to create awareness about contextual factors influencing staff and patients in healthcare, to learn how space, organization, and healthcare delivery are interwoven, and to learn how space can be used to mitigate stress at patients and staff.

Worldwide, sedentary behaviours and overweight are major health concerns. Most adolescents are insufficiently physically active and have overweight. Moreover, most work is sedentary or requires only light activity. And most people live in cities, a context which discourages participation in physical activity. How can we change this situation? An analogy between urban design and facility design is introduced to elucidate spatial properties that may be beneficial in both contexts. It is the purpose of this paper to use this analogy for the advancements of health and well-being of both workers and city dwellers.

Facility Management encapsulates unprecedented positive forces with which any workforce in an organization can function and perform better. A right facility design is also beneficial for clients, patients, and other end users. You will be immersed in best case practices, showing organizational-spatial microworlds in which it is enticing to work, stay, or recover. Mark will also show spaces and services with a negative impact on organizations and contrasts these practices with bright and positive ones. You will experience that Facility Management can have a significant impact on the success of organizational change and performance.

C-Level Debate: FM from different perspectives, that have to be adressed! Developing the strategy of an organization is the role of the C-level of an organization. How can FM help an organization reach its strategic goals or even help to identify them. What are themes that have to be adressed? We choose four of them: partnership - maximasition of outsourcing - collaboration IT & FM and research in FM. Four panellist wil introduce and discuss the themes amongst them en with the audience.

A Dutch healthcare organisation modernizes its real estate portfolio to meet today’s requirements and acquired an office building for conversion into a nursing home for elderly with dementia. The purpose of the research has been to study the design principles for elderly with dementia, for innovative and smart application in work processes and the acquired building. Methods – Using multiple-method qualitative research design, bachelor thesis students of a university of applied sciences explored the reconstruction of the acquired building and related healthcare processes. Results – Application of design principles for the elderly with dementia were studied, among which were interior design, catering process, and connection with the neighbourhood. Feasible interior ideas were elaborated, intentions for change in the catering process were confirmed by stakeholders, and an action plan for neighbourhood connections was delivered. Elements are being used for a final design. Implementation has to be checked with close scrutiny. Originality – The application of design principles for elderly with dementia (design, favourable state, beautiful moments) together with changes in work processes of health care employees aiming at patient-centred care is a new combination. Practical or social implications – When a healthcare organisation chooses a new care concept, not only the surroundings change. Also, the processes around people and the way we take care of them change. In many ways a new concept can only succeed when the employees and the way they work change as well.

presentation at Research community M&O, THUAS