Search Results (1,000)

In urban design, public open spaces (POS) are essential for enhancing health and well-being across the lifetime. High-quality public open spaces facilitate the maintenance of optimal physical and mental health in older individuals by encouraging activities like physical exercise and social engagement. Preserving the physical and mental well-being of elderly individuals is a fundamental concern for aging policy. Nevertheless, urbanization presents considerable problems with the provision of public open spaces for activities aimed at the elderly. South Korea has more significant issues than other nations globally. This study, based on data from 477 valid questionnaires collected in and around Tapgol Park in Jung-gu, Seoul, employed a decision tree approach to identify key factors and paths that influence overall satisfaction. The goal was to identify decision paths that improve satisfaction while ensuring interpretability, thereby providing a scientific basis for urban space design and renovation. The results show that: (1) The decision tree of this study presents a hierarchical logic of quietness first, then accessibility and cleanliness, and finally price and vitality, which is consistent with the high frequency of use of Tapgol Park by the elderly and the diverse facilities in the surrounding area. (2) The key to improving the management and satisfaction of Tapgol Park in Seoul is the quietness of the site. (3) When the park is not quiet, users are most sensitive to bottom-line factors, such as commercial supply, evacuation safety, transportation accessibility, price perception, barrier-free, and anti-slips. (4) When the park is quiet, basic comfort factors such as smooth walking, all-day opening, sunlight, and no odor constitute the minimum condition set for entering the comfort zone. (5) Water experience, waterfront accessibility, proximity to cultural resources, and moderate business and community-oriented leisure facilities are key plus points. Methodologically, this study is among the first to apply a decision tree approach to low-income elderly using a small public open space in a historic city center, clarifying the nonlinear and hierarchical relationships among environmental factors within these low-income elderly groups. This provides empirical support and reference for the aging-friendly urban space in world heritage cities and other historical and cultural cities. Full article

Background/Objectives: Socially assistive robots effectively support elderly care when they incorporate personalization, person-centered principles, rich interactions, and careful role setting with psychosocial alignment. Hyodol, a socially assistive robot designed for elderly people, embodies a grandchild’s persona, emulating the grandparent–grandchild relationship. Based on the behavioral activation principles and a human-centered approach, this robot continuously supports users’ emotional well-being, health management, and daily routines. Methods: The current study evaluated Hyodol’s impact on depressive symptoms and other quality of life factors among older adults living in medically underserved areas. A total of 278 participants were assessed for depressive symptoms, loneliness, medication adherence, and user acceptance. Results: After six months of use, participants showed significant reductions in overall depressive symptoms, with a 45% decrease in the proportion of individuals at high risk of depression. Significant improvements were also observed in loneliness and medication adherence. Participants reported high levels of user acceptance and satisfaction, exceeding 70% of the total score. Participants who engaged more frequently in free chat with Hyodol showed greater improvements in depressive symptoms. Conclusions: These results highlight Hyodol’s potential as a promising tool for enhancing mental healthcare and overall well-being in this population. This at-home mental-healthcare framework can complement primary care and, if its effects are confirmed in controlled trials, could contribute to reducing healthcare burden and preventing the onset and escalation of depressive symptoms. Full article

Emergency Departments (EDs) are high-pressure environments that place significant psychological and physiological stress on both patients and healthcare staff. Despite increasing awareness of stress-related impacts, proactive stress management interventions have limited uptake in healthcare. This proof-of-concept study will evaluate WeCare: a 6-week, wearable-integrated, self-guided program grounded in a “Learn–Track–Act” framework to support stress regulation, resilience, and wellbeing. The study will examine four key aspects of implementing the program: (1) feasibility, (2) acceptability and usability, (3) preliminary clinical effectiveness (self-report and physiological outcomes), and (4) preliminary economic impacts. Using a mixed-methods, multiple-baseline N-of-1 design, the program will be trialled with up to 32 participants across four ED-exposed groups: patients with non-severe or severe injuries, patients with acute medical presentations, and ED staff. The intervention includes digital psychoeducation, continuous biofeedback via a smart ring, personalised guidance, and evidence-based self-regulation strategies. Assessments will include standardised questionnaires combined with continuous physiological monitoring via a smartwatch, and interviews. Quantitative outcomes include heart rate variability, sleep patterns, perceived stress, wellbeing, healthcare use, and time off work. Qualitative interviews will explore user experience, usability, and perceived barriers. The findings will inform the refinement of the intervention and co-design of a larger-scale trial, contributing valuable evidence to support low-cost, wearable-enabled proactive mental healthcare in high-stress healthcare environments. Full article

Indoor Air Quality (IAQ) is a major public health concern, as prolonged exposure to indoor environments can significantly affect users’ well-being. In this context, the research proposes a sampling protocol, developed in compliance with ISO 16000 principles, for the assessment of key chemical and physical parameters influencing air quality in inpatient rooms. These spaces host fragile users, while also requiring adequate protection for healthcare staff. Referring to the scope of the paper, the study outlines a comprehensive methodology for monitoring selected volatile organic compounds (VOCs) and microclimatic factors—temperature and relative humidity—using passive samplers and/or active sensors. The protocol also integrates outdoor measurements to better understand the contribution of internal emission sources. Monitoring activities are scheduled over one year, with regular sampling campaigns (at least one week per month) to analyze seasonal variations and long-term trends. The flexible structure of the protocol allows it to be adapted to different research objectives and types of healthcare facilities. Overall, the proposed approach provides a replicable framework for assessing IAQ in healthcare settings and identifying the main factors affecting indoor environmental performance. This supports improvements in both environmental quality and health protection within healing spaces. Full article

The office environment significantly influences employees’ work efficiency and health. With the increasing prevalence of modern, enclosed and monotonous office settings, employees often work under high-intensity conditions for extended periods. This situation leads to physiological and psychological fatigue, which in turn affects work efficiency and overall well-being. This study explores how olfactory stimulation influences physiological and psychological fatigue in office environments. It also examines its effects on cognitive recovery. Through market research and user surveys, three types of scents were selected as experimental materials (floral, fruity, and forest scents). Utilizing multi-channel fatigue identification technology and wearable biosensors, the study monitored in real-time the physiological responses of employees to different olfactory stimuli, such as pupil diameter, heart rate variability (HRV), electromyography (EMG), and electroencephalogram (EEG) signals. Additionally, subjective evaluation questionnaires were used to comprehensively assess the effects of olfactory stimulation on psychological fatigue. The results showed that all three olfactory interventions to some extent alleviated employee fatigue and improved cognitive abilities. Among them, the floral intervention had a better effect on the recovery of physiological fatigue, the fruity intervention had a better effect on the recovery of psychological fatigue and cognitive abilities, and the forest intervention had a slightly inferior recovery effect but could effectively reduce time load. This research aims to provide new ideas for the design of sustainable office working environments. Introducing appropriate olfactory stimuli can effectively alleviate employees’ office fatigue, enhance their work efficiency and overall well-being. Full article

As urban architecture continues to emphasize integration with natural environments, the concept of waterfront buildings and blue–green spaces has been widely applied in the site selection of large urban structures. While existing research has extensively explored architectural types such as waterfront landscapes and sports venues, systematic studies on waterfront concert halls, as an important category of cultural architecture, remain limited. Specifically, the interaction mechanisms between such halls and their aquatic environments, as well as their impact on users’ psychological satisfaction, have not been thoroughly investigated. This study takes waterfront concert halls as representative cultural buildings and examines 1267 users from 12 typical waterfront concert halls across eight cities in China. A theoretical model was constructed with water visibility, water accessibility, water interactivity, and water integration as independent variables, biophilia and a sense of nature’s presence as parallel mediators, and user satisfaction as the dependent variable. Data were analyzed using covariance based structural equation modeling CB-SEM. The findings reveal that (1) water visibility, water accessibility, and water integration positively influence user satisfaction; (2) biophilia mediates the relationship between water visibility, water accessibility, water interactivity, water integration, and user satisfaction; (3) a sense of nature’s presence also mediates the relationship between these water-related variables and user satisfaction. This study empirically demonstrates the dual pathway psychological mechanism through which water elements influence user satisfaction, providing a new perspective for the design of waterfront cultural architecture. The research suggests that architects can enhance users’ biophilic instincts and sense of nature’s presence through specific design strategies, such as strengthening water visibility, optimizing waterfront circulation, and enriching water interaction experiences. These findings offer theoretical support for shifting contemporary architectural practice from physical space creation to environmental well-being promotion, while also establishing a practical foundation for developing human-centered evaluation systems for built environments. Full article

In the context of the digital transition, office environments are increasingly shaped by flexibility, technological integration, and occupant-centered design. These transformations influence not only building operations but also the social dynamics and well-being of workers, thereby intersecting with the broader goals of socially sustainable design. To address this complexity, Building Management Systems (BMS) and Digital Twins must evolve from static automation to adaptive frameworks that recognize and respond to diverse workplace activities and social interactions. This study proposes a standardized taxonomy of office activities as a foundation for activity recognition and environment adaptation. A systematic literature review identified key activity categories and defining attributes, which were refined and validated through direct observations, diary logs, and semi-structured interviews in small, shared offices with open-plan workspaces. The resulting taxonomy comprises four main classes—Focused Work, Meetings, Shallow Work, and Resting—each defined by contextual attributes such as plannability, social interaction, number of participants, posture, modality, location, and duration. The framework supports the development of human-centric, situationally aware BMS capable of dynamically adjusting environmental conditions to promote comfort, well-being, and energy efficiency. By integrating user agendas and feedback, this approach contributes to more inclusive and socially sustainable work environments, aligning with the emerging paradigm of adaptive, human-oriented architecture. Full article

The growing proportion of older adults has created significant societal pressure for sustainable, inclusive solutions that enhance health, autonomy, and well-being in old age. Smart elderly care has therefore emerged as a multidisciplinary research frontier at the intersection of technology, health, and social sustainability. This study provides a comprehensive systematic review to map and conceptualize its evolving landscape in the digital era. Following the PRISMA guidelines, 55 peer-reviewed articles published in the Web of Science database were analyzed using document co-citation analysis and natural language processing-based content analysis, utilizing CiteSpace and Leximancer for implementation. The findings reveal that existing studies have predominantly focused on technology acceptance and adoption among older adults, with quantitative approaches such as Structural Equation Modeling within the Technology Acceptance Model framework being most frequently used. Building on these insights, the review identifies five key directions for advancing sustainable wellbeing: (1) conceptual clarification and operationalization of smart elderly care, (2) theoretical integration across disciplines, (3) examination of influencing factors shaping user engagement, (4) evaluation of social and well-being outcomes, and (5) methodological and disciplinary diversification. By synthesizing fragmented knowledge into a coherent framework, this study contributes to the understanding of smart elderly care as a critical component of sustainable aging societies and lays the groundwork for future academic inquiry and policy innovation. Full article

Recycling education is important for promoting pro-environmental sustainable behavior, yet traditional approaches often lack engagement and impact, particularly among younger audiences. This study presents a digital, turn-based card strategy game designed to teach recycling principles and concepts through interactive city-building mechanics. Set in an augmented reality environment, the game challenges players to balance population growth, resource use, and waste management to maintain a high well-being score for their city. Players construct digital buildings (houses, recycling facilities, resource infrastructures), each influencing waste production, recycling efficiency, and overall well-being. The game integrates educational content with engaging decision-making, aiming to foster system thinking and eco-conscious behavior. Unlike prior AR approaches, this game focuses on digital interaction, leveraging immersive game-based learning. Usability and engagement were evaluated using the in-game version of the Game Experience Questionnaire (GEQ). Findings support that users responded positively to the prototype’s game experience, suggesting that the digital game is promising. The study contributes to the growing field of digital pro-environmental education, providing insights into how interactive gameplay can support environmental awareness and laying groundwork for future evaluation of its educational impact. Full article

To facilitate emotionally adaptive built environments, this study investigates how spatial color design interacts with individual personality traits to shape emotional reactions in virtual reality (VR). Based on the stimulus–organism–response (S-O-R) framework, the research explores these dynamics through a rigorous experimental design. Sixty-three participants were exposed to 24 indoor scenes systematically manipulated in three dimensions: color combination, color shape, and area proportion. Multidimensional responses were recorded using self-reported SAM scales (pleasure, arousal, dominance), liking, and the objective physiological indicator skin conductance level (Z-SCL). The data were analyzed using linear mixed models (LMM) to account for repeated measures. The results reveal a functional hierarchy of design elements: area proportion emerged as the dominant structural variable, significantly driving the sense of control (dominance) and physiological arousal, whereas color and shape primarily influenced esthetic hedonic valence. Crucially, the study provides empirical evidence that personality traits act as cognitive filters. For instance, conscientiousness significantly moderated the effect of area proportion on dominance, reflecting a trait-specific need for spatial order. Exploratory analysis further identified that neuroticism acts as a “physiological sentinel” (heightened Z-SCL sensitivity to large-scale stimuli), while extraversion manifests as a “sensation seeker.” These findings suggest that color space cognition is not universal, advocating for more refined, personality-aware design strategies to enhance user comfort and psychological well-being. Full article

As emotion becomes increasingly digitized, there is a growing risk that computational systems may overreach, shaping or managing affect in ways that undermine human autonomy. This study builds a cross-cultural dialog between Daoist affective philosophy and Western theories of emotion to address this problem. By comparing their assumptions about emotional life—what emotions are, how they should be guided, and what counts as appropriate intervention—the paper develops a set of ethical principles for the design of affective technologies. Through textual analysis and a historical–conceptual review, the study identifies three safeguards drawn from Daoist thought—minimality, autonomy, and reversibility—and translates them into practical guidance for data use, system behavior, and user interaction. A brief case from Finland’s well-being initiatives illustrates how these principles can redirect technological design toward supporting inner balance and self-directed regulation rather than external control. The paper’s contribution lies in offering a clear boundary ethics for affective computing, showing how Daoist ideas of moderation and self-cultivation can help prevent emotional alienation while still allowing technological systems to enhance human well-being. Full article

Background: Rising obesity rates among young adults increase long-term health risks, especially cardiometabolic conditions such as type 2 diabetes mellitus. Digital interventions can offer scalable solutions to promote and support healthy behaviors by integrating personalized diet, physical activity promotion, and behavioral support. Objective: To assess the feasibility, user friendliness, adherence, and satisfaction of the Healthy Lifestyle Recommender System (HLRS). Secondary outcomes will include measures of metabolic health and obesity. Methods: A 3-month, single-arm pilot study conducted across European countries, including Bulgaria, Germany, Italy, Netherlands, Portugal, and Spain, enrolling 351 young adults (18–25 years old, BMI 18.5–29.9 kg/m²). The intervention includes a mobile app for meal planning (Nutrida v.1), gamified physical activity encouragement (GameBus), and real-time monitoring via a wearable smartwatch device. Primary outcomes are adherence and engagement, measured through app usage and participant feedback; secondary outcomes include anthropometry, physical activity, dietary patterns, psychological well-being, and selected biomarkers of metabolic health. Expected Outcomes: Improved engagement is expected to enhance lifestyle behaviors, supporting weight management and overall well-being. Findings will guide future large-scale interventions. Conclusions: This study will contribute to minimizing the impact of obesity in Europe. Full article

Public spaces in peri-urban towns are becoming key focal points of urban regeneration in China due to their geographic advantages, resource endowments, and diverse populations. Substantial investments have been made to improve residents’ living environments and well-being. As over-commercialized urban centers increasingly face congestion and homogenization, the distinctive landscapes and authentic everyday life of peri-urban towns are attracting growing attention from tourists. Understanding both residents’ and visitors’ perceptions of these public spaces is therefore essential for successful regeneration. This study examines Nanquan Street, which lies ina peri-urban heritage town in Wuxi, Jiangnan region, China. Drawing on user-generated content from major Chinese social media platforms (Xiaohongshu and Dianping) and field observations guided by the AEIOU framework, a three-stage grounded theory approach was employed to identify the key factors influencing user satisfaction. The analysis identified twelve sub-dimensions grouped into three overarching categories: foundational preconditions, social developmental factors, and spatial-operational factors, which collectively shape sustained satisfaction in Peri-urban heritage towns. By translating the satisfaction model into sustainable design strategies, this study proposes a set of renewal pathways applicable not only to Nanquan Street but also to similar peri-urban towns facing comparable challenges. Emphasizing multi-user experience, low-intervention strategies, and contextual adaptability, this research contributes to theoretical understandings of sustainable renewal in peri-urban towns. It provides actionable guidance for balancing everyday life, cultural heritage, and sustainable tourism development. Full article

Postpartum depression (PPD) affects up to 15% of mothers, yet access to preventive psychological interventions during pregnancy remains limited. Acceptance and Commitment Therapy (ACT) has demonstrated efficacy in promoting psychological flexibility and preventing mental distress. Nevertheless, no studies have yet evaluated its use for the prevention of PPD through a chatbot-based digital intervention. The present study describes the development and preliminary evaluation of an ACT-based chatbot intervention (REA) to support women during late pregnancy and the early postpartum period. Nineteen participants interacted with the low-fidelity REA prototype, explored its features, completed two questionnaires, and then participated in semi-structured interviews. Quantitative data were analysed using the Wilcoxon signed-rank test; qualitative data were analysed using thematic analysis. Quantitative analysis revealed significantly elevated scores for the majority of variables, including empathy and listening, fluency, lexicon, clarity, engagement, functionality, aesthetics, information, and perceived impact. The interview findings demonstrated a notable level of appreciation for the intervention. The participants described the chatbot as engaging and supportive, highlighting a smooth interaction flow, content-appropriate language, and messages of suitable length. The REA prototype demonstrated high acceptability, usability, and perceived usefulness among a diverse range of stakeholders, thus supporting its potential as a scalable, stigma-reducing tool for the prevention of PPD. Subsequent research endeavours will focus on refining the chatbot’s personalisation features and conducting comprehensive clinical trials to evaluate its efficacy. Full article

This study investigates how technostress and work intensification jointly influence employee health harm through two distinct stressor-strain pathways within Pakistan’s manufacturing sector. The proposed model specifies two mechanisms, (1) technostress induces IT strain that contributes to health harm, moderated by user satisfaction; and (2) work intensification heightens emotional exhaustion that similarly leads to health harm, moderated by perceived organizational support. Grounded in Conservation of Resources (COR) theory, the framework explains how cumulative digital and organizational demands deplete employee resources, amplifying both psychological and physical harm. A cross-sectional quantitative design was employed, utilizing a structured self-administered questionnaire administered to mid and senior-level employees across manufacturing firms. A total of 252 valid responses were analyzed through Partial Least Squares Structural Equation Modeling (PLS-SEM) using Smart PLS 4. Results revealed that both IT strain and emotional exhaustion significantly mediated the effects of technostress and work intensification, respectively, on health harm. Moreover, user satisfaction significantly moderated the IT strain-health harm relationship, indicating that higher satisfaction with digital tools mitigates the adverse impact of technological stress. Similarly, organizational support weakened the association between emotional exhaustion and health harm, underscoring its protective role in high-pressure work settings. This study offers theoretical advancement by integrating fragmented stressor-strain models and offers practical recommendations to foster digital well-being and supportive organizational work cultures in evolving industrial contexts. Full article