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11 October 2026

38 Pages

Human Environmental Quality: Testing the Incremental Validity of Sensory and Restorative Domains

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1
Green Building Council Italia, Piazza Manifattura 1, 38068 Rovereto, Italy
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Società Italiana di Medicina Ambientale (SIMA; Italian Society of Environmental Medicine), Viale di Porta Vercellina 9, 20123 Milan, Italy
3
Accademia Italiana di Biofilia (AIB; Italian Academy of Biophilia), Lungadige Galtarossa 21, 37133 Verona, Italy
4
Healthy Habits APS, Via Tagliamento, 51018 Pieve a Nievole, Italy

Abstract

Indoor Environmental Quality (IEQ) is the standard framework for evaluating how buildings affect occupants, traditionally through air quality, thermal conditions, lighting and acoustics. These domains are indispensable, but large occupant-survey datasets show that measured physical parameters account for only part of the variance in how occupants evaluate and respond to a space, and certified buildings do not consistently outperform conventional ones on occupant-reported outcomes. This Perspective therefore proposes Human Environmental Quality (HEQ): a research framework that retains conventional IEQ as its physical baseline and adds psychological, sensory, restorative, biophilic and social–spatial domains, assessed across five measurement layers ranging from environmental monitoring to population health. HEQ is not a validated index, a certification score or a claim of novelty for “including psychology”—healthy-building frameworks, the salutogenic tradition, evidence-based healthcare design, and the eudaemonic-design and flourishing literatures have argued for human-centred assessment for decades, and we situate HEQ explicitly within that lineage. Its two testable contributions are narrower: the separation of sensory and restorative quality as assessable domains distinct from general satisfaction and from biophilia, and a pre-specified protocol under which each additional domain must demonstrate incremental predictive validity over conventional IEQ before being retained. We give candidate indicators and instruments per domain with an explicit evidence grade, a single-assignment rule with variance-partitioning procedures for overlapping exposures such as daylight, measurement-invariance and pre-registration requirements, and a minimum specification—domains, layers, buildings, design and primary outcome—for a first credible HEQ study. Where a domain cannot meet the incremental-validity standard, the framework should be reduced accordingly.

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