Assessing the physical environment of older people’s residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM)

Background There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Environment Assessment Matrix (SCEAM), developed in the United Kingdom, provides a comprehensive assessment of the physical environment of residential care facilities for older people. This paper reports on the translation and adaptation of SCEAM for use in Swedish residential care facilities for older people, including information on its validity and reliability. Methods SCEAM was translated into Swedish and back-translated into English, and assessed for its relevance by experts using content validity index (CVI) together with qualitative data. After modification, the validity assessments were repeated and followed by test-retest and inter-rater reliability tests in six units within a Swedish residential care facility that varied in terms of their environmental characteristics. Results Translation and back translation identified linguistic and semantic related issues. The results of the first content validity analysis showed that more than one third of the items had item-CVI (I-CVI) values less than the critical value of 0.78.  After modifying the instrument, the second content validation analysis resulted in I-CVI scores above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ= 0.903 and 0.869) and inter-rater reliability (κ= 0.851 and 0.832). Conclusions Adapting an instrument to a domestic context is a complex and time-consuming process, requiring an understanding of the culture where the instrument was developed and where it is to be used. A team, including the instrument’s developers, translators, and researchers is necessary to ensure a valid translation and adaption. This study showed preliminary validity and reliability evidence for the Swedish version (S-SCEAM) when used in a Swedish context. Further, we believe that the S-SCEAM has improved compared to the original instrument and suggest that it can be used as a foundation for future developments of the SCEAM model.

Environment assessment for the use of motorized watercraft in the Sylvania Wilderness : Ottawa National Forest, Gogebic County, Michigan.

"July 1994"--Cover.

Assessment of Lotus (Nelumbo nucifera) in wastewater bioremediation

This project assessed the efficiency of lotus reducing the amount of nutrients that are generated in a freshwater aquaculture system. Barramundi were produced at a stocking density similar to industry practices. Lotus was grown to determine if it was capable at reducing the nutrient loading from an aquaculture system

Regenerative sustainability for the built environment – from vision to reality: An introductory chapter

Regenerative sustainability is emerging as an alternative discourse around the transition from a ‘mechanistic’ to an ‘ecological’ or living systems worldview. This view helps us to re-conceptualize relationships among humans’ technological, ecological, economic, social and political systems. Through exploration of ‘net positive’ or ‘regenerative’ development lenses and the traditional sustainability literature, the conceptualization and approaches to achieve sustainable development and ecological modernization are expanded to articulate and to explore the evolving sustainability discourse, ‘regenerative sustainability’. This Special Volume of Journal of Cleaner Production (SV) is focused upon various dimensions of regenerative sustainability (e.g. regenerative design, regenerative development, and positive development) applied to the urban built environment at scales, which range from individual buildings, neighborhoods, and urban developments to integrated regional sustainable development. The main focus is on how these approaches and developments are evolving, how they can help us to prevent or adapt to climate change and how these approaches are likely to evolve in the next two to three decades. These approaches are addressed in four themes: (1) reviewing the theoretical development of the discourse of regenerative sustainability, its emerging principles and practices, (2) explaining how it can be measured and monitored, (3) providing encouraging practical pathways and examples of its implementation in multiple cultural and climatic contexts, and (4) mapping obstacles and enablers that must be addressed to help to ensure that more rapid progress is made in implementing the transitions towards an urban built environment that supports genuinely sustainable societies.

Assessment of the potential impacts of coasteering on rocky intertidal habitats in Wales

The relatively new recreational pursuit of coasteering, which has developed in the St David's area of Pembrokeshire, appears to be expanding rapidly. The majority of local commercial recreation providers (outdoor pursuit centers etc.) now appear to offer this pursuit. The majority of the rocky coastlines where it takes place lie within Pembrokeshire Marine Special Area of Conservation (SAC), and are also Sites of Special Scientific Interest (SSSI). No assessment has yet been undertaken of coasteering's potential impact on the intertidal habitats. Therefore the Countryside Council for Wales (CCW) commissioned the Marine Life Information Network (MarLIN) to undertake a desk study of the likely environmental effects of coasteering on rocky intertidal habitats within the Pembrokeshire marine SAC. The desk study was based on a review of the available literature, and in particular the effects of trampling on rocky intertidal communities. Communities (as biotopes) within the Pembrokeshire marine SAC likely to be exposed to coasteering activities were identified from Phase I biotope data for the area, provided by CCW. Where possible, existing research by MarLIN into the intolerance, recoverability and sensitivity of the biotopes identified, was used to identify their potential vulnerability to trampling. The literature review revealed that: - foliose canopy forming algae (e.g. fucoids) were particularly intolerant and sensitive to trampling impacts; - trampling damaged erect coralline turfs, barnacles, and resulted in an increase in bare space; in some cases paths across the shore were visible; - on brown algae dominated shores, understorey algae could suffer due to increased desiccation but algal turf species, opportunists and gastropod grazers (e.g. limpets) could increase in abundance as an indirect effect of trampling, and that - trampling impacts resulted from physical contact and wear and were dependant on the intensity, duration, and frequency of trampling, and even the type of footwear used. A total of 19 intolerant rocky intertidal biotopes were identified as potentially vulnerable to trampling and hence coasteering within the Pembrokeshire marine SAC, of which six are of Welsh importance and eight are nationally rare or scarce. Trampling is a highly localized impact and it was not possible to identify biotopes, and hence communities, actually impacted by coasteering activities in the Pembrokeshire marine SAC. In addition, the majority of the literature addresses the impacts of trampling on wave sheltered or moderately exposed brown algal dominated shores, while coasteering occurs on more wave exposed, steeply inclined shores. Therefore, direct survey of the routes used by coasteering groups within the Pembrokeshire marine SAC is required to identify the intensity, duration and frequency of trampling impact, together with the communities impacted. Given the paucity of data concerning trampling effects in the rocky intertidal in the UK, a survey of the impacts of coasteering would provide an opportunity to examine the effects of trampling and visitor use in steep rocky, wave exposed shores. The report recognizes the potential to engage coasteerers in contributing to the development of strategies for minimizing adverse impacts, recording impacts and collecting information of use in identifying climate change and the occurrence of non-native species.

The quality of the physical environment and its association with activities and well-being among older people in residential care facilities

The physical environment can influence older people’s health and well-being, and is often mentioned as being an important factor for person-centred care. Due to high levels of frail health, many older people spend a majority of their time within care facilities and depend on the physical environment for support in their daily life. However, the quality of the physical environment is rarely evaluated, and knowledge is sparse in terms of how well the environment meets the needs of older people. This is partly due to the lack of valid and reliable instruments that could provide important information on environmental quality. Aim: The aim of this thesis was to study the quality of the physical environment in Swedish care facilities for older people, and how it relates to residents’ activities and well-being. Methods: The thesis comprises four papers where both qualitative and quantitative methods were used. Study I involved the translation and adaptation of the Sheffield Care Environment Assessment Matrix (SCEAM) into a Swedish version (S-SCEAM). Several methods were used including forward and backward translation, test of validity via expert consultation and reliability tests. In Study II, S-SCEAM was used to assess the quality of the environment, and descriptive data were collected from 20 purposively sampled residential care facilities (RCFs). Study III was a comparative case study conducted at two RCFs using observations, interviews and S-SCEAM to examine how the physical environment relates to older people’s activities and interactions. In study IV, multilevel modeling was used to determine the association between the quality of the physical environment and the psychological and social well-being of older people living in RCFs. The data in the thesis were analysed using qualitative content analysis, and descriptive, bivariate and multilevel statistics. Results: A specific result was the production of the Swedish version of SCEAM. The instrument contains 210 items structured into eight domains reflecting the needs of older people. When using S-SCEAM, the results showed a substantial variation in the quality of the physical environment between and within RCFs. In general, private apartments and dining areas had high quality, whereas overall building layout and outdoor areas had lower quality. Also, older people’s safety was supported in the majority of facilities, whereas cognitive support and privacy had lower quality. Further, the results showed that environmental quality in terms of cognitive support was associated with residents’ social well-being. Specific environmental features, such as building design and space size, were also noted, through observation, as influencing residents’ activities, and several barriers were found that seemed to restrict residents’ full use of the environment. Conclusions: This thesis contributes to the growing evidence-based design field. The S-SCEAM can be used in future research on the association between the environment and people’s health and well-being. The instrument could also serve as a guide in the planning and design process of new RCFs.

Benthic biotope index for classifying estuarine habitats

An integration of sediment physical, chemical, biological, and toxicity data is necessary for a meaningful interpretation of the complex sediment conditions in the marine environment. Assessment of benthic community is a vital component for that interpretation, yet their evaluation is complex and requires a large expenditure of time and funds. Thus, there is a need for new tools that are less expensive and more understandable for managers. This paper presents a benthic biotope index to predict from physical and chemical variables the occurrence of macrobenthic habitats, applied to Sado Estuary, as a case of study.

Influence du milieu d'évaluation sur la réalisation de tâches liées à la préparation de repas auprès de personnes âgées fragiles

Le but général de la thèse consiste à mieux connaître l’influence du milieu d’évaluation (domicile vs clinique) sur la réalisation de tâches liées à la préparation de repas auprès de personnes âgées fragiles. La thèse s'articule autour de trois objectifs spécifiques, dont les résultats sont présentés dans le cadre de cinq articles scientifiques. Le premier objectif vise à faire état des connaissances relatives au concept de fragilité en ergothérapie et à l'influence du milieu d'évaluation auprès des personnes âgées fragiles. Dans un premier temps, une analyse critique d'écrits portant sur la fragilité a été effectuée. Les résultats (article 1) démontrent la pertinence du concept de fragilité en ergothérapie, en suggérant qu'une meilleure compréhension de ce concept puisse aider les ergothérapeutes à offrir aux personnes fragiles des soins et services mieux adaptés à leurs besoins. Dans un deuxième temps, une recension des études ayant comparé la réalisation d'activités de la vie domestique (AVD) entre les milieux d'évaluation a été réalisée. Les résultats (article 2) révèlent que les personnes âgées sans déficit cognitif important tendent à offrir une meilleure performance à domicile, plutôt qu'en milieu clinique, lors de la réalisation d'AVD. Quelques facteurs, tels que la familiarité avec l’environnement, contribueraient à expliquer cette différence entre les milieux d'évaluation. Cette recension critique suggère que des résultats similaires puissent être obtenus auprès de personnes âgées fragiles. Le second objectif cherche à comparer la réalisation de tâches liées à la préparation de repas entre les milieux d’évaluation auprès de personnes âgées fragiles. Pour atteindre cet objectif, trente-sept personnes âgées répondant aux critères de fragilité (Fried et al.,2001) ont été évaluées en milieux clinique et domiciliaire suivant un devis contrebalancé au moyen du Assessment of Motor and Process Skills (AMPS) et du Performance Assessment of Self-Care Skills (PASS). Les résultats (articles 3, 4 et 5) concourent, dans l'ensemble, à démontrer une meilleure performance des personnes fragiles lorsqu’elles sont évaluées à domicile. Le dernier objectif a pour but d'identifier les facteurs sociodémographiques,physiques, cognitifs, psychologiques et environnementaux susceptibles d'expliquer la différence entre les milieux d'évaluation. Les résultats de la thèse (articles 3, 4 et 5) tendent à démontrer que le déclin de certaines fonctions exécutives constitue un facteur prépondérant pour expliquer une meilleure performance à domicile. Nos analyses révèlent que d'autres facteurs cognitifs, sociodémographiques, psychologiques, physiques et environnementaux contribuent également, mais de façon moins importante, à la différence observée entre les milieux d'évaluation. Les résultats de cette thèse peuvent aider les ergothérapeutes à mieux distinguer les personnes âgées fragiles susceptibles de présenter une performance différente selon le milieu dans lequel elles sont évaluées et conséquemment, pour qui une visite à domicile devrait être préconisée. Les connaissances générées par la thèse pourraient ultimement contribuer à offrir aux personnes âgées fragiles des services mieux adaptés à leurs besoins, tout en favorisant une gestion efficiente des ressources en matière de santé.

An approach to compatible new buildings in historic urban environments : case study in the Arabian Gulf region

Cette thèse contribue à l'état actuel des connaissances sur la compatibilité des nouveaux bâtiments avec les environnements urbains historiques. Elle suit un mode de présentation classique: Introduction, Revue de Littérature, Méthodologie, Résultats, Discussion et Conclusion. Le problème étudié est le manque d'orientation pour intégrer les processus de développement et de sauvegarde dans les contextes établis. La littérature récente révèle que les règles de préservation, aussi appelées normes et lignes directrices, ne peuvent pas garantir une relation compatible entre une intervention et son milieu. La pensée contemporaine dans le domaine de la conservation et de la gestion du patrimoine invite donc l’exploration d'autres moyens pour lier la nouvelle architecture à l'ancienne. Ainsi, le présent projet de recherche explore une approche alternative aux règles de préservation en vue d’atteindre le but de nouveaux bâtiments compatibles et d’améliorer la prise de décision fondée sur les valeurs. Pour produire des résultats spécifiques et convaincants, un cas a été sélectionné. Celui-ci est une ville dans la région du Golfe Arabe : la Ville de Koweït. Le résultat principal est le développement d’une approche, mise en œuvre en posant des questions approfondies sur le lieu, la conception et la construction des nouveaux bâtiments. Les questions suggérées dans la thèse mettent l’accent sur les valeurs patrimoniales et les choix de conception afin de permettre un changement réfléchi au sein des environnements urbains historiques. Elles aident aussi à évaluer les nouvelles propositions de projets au cas par cas. Pour démontrer comment cette approche pourrait être présentée et utilisée par les requérants et les évaluateurs, un modèle théorique est proposé. Ce modèle a ensuite été discuté avec des professionnels locaux et internationaux qui ont identifié ses forces et ses limites. En conclusion, l’ensemble des résultats montre que la mise à disposition de règles et / ou de questions approfondies n’est pas une solution satisfaisante puisqu’il y a d'autres enjeux importants qui devraient être abordés: comment appliquer l'orientation efficacement une fois qu’elle a été créée, comment développer la compétence liée à la prise de décision fondée sur les valeurs et comment insérer la conservation du patrimoine dans la mentalité du gouvernement local et des communautés. Lorsque ces enjeux seront traités, le patrimoine pourra devenir partie intégrante du processus de planification, ce qui est le but ultime. Enfin, cinq axes de recherche sont recommandés pour poursuivre l’exploration des idées introduites dans cette étude.

Prognosemethode für das Schutzgut ‚Landschaft’ im Rahmen der Strategischen Umweltprüfung

Im Mittelpunkt der Dissertation stehen das Schutzgut ‚Landschaft’ sowie ‚Prognosemethoden in der Umweltprüfung’. Mit beiden Themenbereichen verbinden sich bereits heute ungelöste methodische Probleme, die mit der Umsetzung der Richtlinie zur Strategischen Umweltprüfung (SUP) zusätzlich komplexer und deren Lösung mithin anspruchsvoller werden. Dies hängt einerseits damit zusammen, dass eine gesetzeskonforme Gleichbehandlung aller Schutzgüter zunehmend eingefordert wird und gerade das Schutzgut ‚Landschaft’ in einer SUP methodisch besondere Aufmerksamkeit verlangt. Zum anderen führt die gängige planungsmethodische Diskussion allein nicht zu geeigneten Antworten auf o.g. Fragen, und es bedarf der Prüfung verschiedener Methodenbausteine, auch aus anderen Wissensgebieten, um – über ein eindimensionales Landschaftsverständnis einerseits und die bisher bekannten linearen Wirkungsprognosen andererseits hinaus gehend – mehrfach verknüpfte Prognoseschritte zur Anwendung in der SUP zu entwickeln, in denen das Schutzgut ‚Landschaft’ modellhaft für Bewertungsschritte nachvollziehbar abgebildet wird. Hierbei müssen entscheidungsrelevante Prognosezeiträume ebenso beachtet werden, wie in diesen Zeiträumen möglicherweise auftretende sekundäre, kumulative, synergetische, positive und negative Auswirkungen der zu beurteilenden Planung. Dieser Ziel- und Aufgabenstellung entsprechend erfolgt die theoretische Herangehensweise der Arbeit von zwei Seiten: 1. Die Funktionen und Stellung von Prognosen innerhalb der SUP wird erläutert (Kap. 2), und es wird der Frage nachgegangen, welche Anforderungen an Prognosemethoden zu stellen sind (Kap. 2.4) und welche Prognosemethoden in der SUP Verwendung finden bzw. finden können (Kap. 3). Der Schwerpunkt wird dabei auf die Anwendung der Szenariotechnik gelegt. 2. Es wird dargestellt wie Landschaft für Aufgaben der Landschaftsplanung und Umweltprüfung bisher üblicherweise erfasst und analysiert wird, um in Prognoseschritten handhabbar behandelt zu werden (Kap. 4). Beide Zugänge werden sodann zusammengeführt (Kap. 5), um am Beispiel einer Hochwasserschutzkonzeption im Rahmen der SUP Landschaftliche Prognosen zu erarbeiten. Die Prognose setzt methodisch mit der Beschreibung des zu verwendenden Landschaftsmodells und der Klärung des Modellzwecks ein. Bezugsbasis ist die Beschreibung des Charakters einzelner logisch hergeleiteter Landschaftseinheiten bzw. Landschaftsräume, die typisiert werden. Die Prognose selber unterscheidet zwischen der Abschätzung zu erwartender Landschaftsveränderungen im Sinne der ‚Status-quo-Prognose’ (einschließlich der Entwicklung von drei Szenarien möglicher Zukunftslandschaften bis 2030) und der Wirkungsabschätzungen verschiedener Maßnahmen bzw. Planungsalternativen und zwar zunächst raumunabhängig, und dann raumkonkret. Besondere Bedeutung bei den Wirkungsabschätzungen erhält die klare Trennung von Sach- und Wertebene, eine angemessene Visualisierung und die Dokumentation von Informationslücken und Unsicherheiten bei der Prognose. Diskutiert wird u.a. (Kap. 6) · die Bildung und Abgrenzung landschaftlicher Einheiten und Typen in Bezug zu der Aufgabe, landschaftliche Eigenart zu definieren und planerisch handhabbar und anwendbar zu bestimmen, · die Bedeutung angemessener Visualisierung zur Unterstützung von Beteiligungsverfahren und · die Bestimmung des so genannten ‚Raumwiderstandes’. Beigefügt sind zwei Karten des gesamten Bearbeitungsgebietes: Karte 1 „Landschaftstypen“, Karte 2 „Maßnahmentypen des Hochwasserschutzes mit möglichen Synergieeffekten für die Landschaft“.

Development of an instrument measuring the quality of residential care facilities for older people

Aims. To validate the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). The instrument’s items measure environmental elements important for supporting the needs of older people, and conceptualized within eight domains. Methods. Item relevance was assessed by a group of experts and measured using content validity index (CVI). Test-retest and inter-rater reliability tests were performed.  The domain structure was assessed by the inter-rater agreement of a second group of experts, and measured using Fleiss kappa. Results. All items attained a CVI above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ = 0.903 and 0.869) and inter-rater reliability (κ = 0.851 and 0.832). Domain structure was good,  Fleiss’ kappa was 0.63 (range 0.45 to 0.75).    Conclusion. The S-SCEAM of 210 items and eight domains showed good content validity and construct validity. The instrument is suggested for use in measuring of the quality of the physical environment in residential care facilities for older persons.

Developing a sustainability assessment model : the sustainable infrastructure, land-use, environment and transport model

Measuring the comparative sustainability levels of cities, regions, institutions and projects is an essential procedure in creating sustainable urban futures. This paper introduces a new urban sustainability assessment model: “The Sustainable Infrastructure, Land-use, Environment and Transport Model (SILENT)”. The SILENT Model is an advanced geographic information system and indicator-based comparative urban sustainability indexing model. The model aims to assist planners and policy makers in their daily tasks in sustainable urban planning and development by providing an integrated sustainability assessment framework. The paper gives an overview of the conceptual framework and components of the model and discusses the theoretical constructs, methodological procedures, and future development of this promising urban sustainability assessment model.

Rapid assessment of genotype-by-environment interactions and heritability for growth rate in aquaculture species using in vitro fertilisation and DNA tagging

Commercial environments may receive only a fraction of expected genetic gains for growth rate as predicted from the selection environment This fraction is the result of undesirable genotype-by-environment interactions (G x E) and measured by the genetic correlation (r(g)) of growth between environments. Rapid estimates of genetic correlation achieved in one generation are notoriously difficult to estimate with precision. A new design is proposed where genetic correlations can be estimated by utilising artificial mating from cryopreserved semen and unfertilised eggs stripped from a single female. We compare a traditional phenotype analysis of growth to a threshold model where only the largest fish are genotyped for sire identification. The threshold model was robust to differences in family mortality differing up to 30%. The design is unique as it negates potential re-ranking of families caused by an interaction between common maternal environmental effects and growing environment. The design is suitable for rapid assessment of G x E over one generation with a true 0.70 genetic correlation yielding standard errors as low as 0.07. Different design scenarios were tested for bias and accuracy with a range of heritability values, number of half-sib families created, number of progeny within each full-sib family, number of fish genotyped, number of fish stocked, differing family survival rates and at various simulated genetic correlation levels

Rapid assessment of genotype-by-environment interactions and heritability for growth rate in aquaculture species using in vitro fertilisation and DNA tagging

Commercial environments may receive only a fraction of expected genetic gains for growth rate as predicted from the selection environment. This fraction is result of undesirable genotype-by-environment interactions (GxE) and measured by the genetic correlation (rg) of growth between environments. Rapid estimates of genetic correlation achieved in one generation are notoriously difficult to estimate with precision. A new design is proposed where genetic correlations can be estimated by utilising artificial mating from cryopreserved semen and unfertilised eggs stripped from a single female. We compare a traditional phenotype analysis of growth to a threshold model where only the largest fish are genotyped for sire identification. The threshold model was robust to differences in family mortality differing up to 30%. The design is unique as it negates potential re-ranking of families caused by an interaction between common maternal environmental effects and growing environment. The design is suitable for rapid assessment of GxE over one generation with a true 0.70 genetic correlation yielding standard errors as low as 0.07. Different design scenarios were tested for bias and accuracy with a range of heritability values, number of half-sib families created, number of progeny within each full-sib family, number of fish genotyped, number of fish stocked, differing family survival rates and at various simulated genetic correlation levels.