Understanding the Impact of Built Environment Design on Resident Health Outcomes: An Australian Residential Aged Care Facilities Case Study

Abstract

This study investigates the impact of environmental design on sleep and wellbeing in a Residential Aged Care (RAC) facility in Western Australia. Using a unique side-by-side comparison of old and new facilities, the research aims to show how contemporary aged care models can enhance resident wellbeing and caregiver capacity through optimised building design. Objectives include measuring the spatial performance of RACs spaces by assessing sound levels, temperature regulation, and lighting intensity; analysing the data to evaluate its impact on patient sleep quality; and identifying cost-effective strategies for optimal conditions. The methodology employed a mixed-methods approach, incorporating observational methods, datalogging, and surveys of residents, visitors, and staff. The comparative study analysed both the aging and newly constructed facilities (2022-2024) to understand the emotional experiences, sense of control, and privacy concerns of older adults. The research tested theories on the relationship between design objectives and health outcomes, such as affordance theory, perceived self-control, and social and physical isolation. Data collection involved surveys, acoustic, thermal, and lux data logging during resident occupancy. Qualitative research provided insights into emotional experiences and privacy concerns, while participatory methods engaged older adults in co-designing solutions. Collaboration with policymakers and stakeholders ensured integration of age-friendly features into urban development. This research provides a robust framework for improving residential care design, offering valuable insights for designers, governments, technology innovators, and care providers. By emphasising evidence-based design, the study underscores the critical link between built environments and health outcomes, aiming to enhance the quality of life for dementia care residents.

Presenters

Emil E Jonescu
Head of Research and Development, Hames Sharley, Western Australia, Australia

Details

Presentation Type

Paper Presentation in a Themed Session

Theme

Architectonic, Spatial, and Environmental Design

KEYWORDS

Residential Aged Care, Sleep Quality, Interdisciplinary Design, Thermal Comfort, Lighting