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- All Subjects: Mindfulness
- All Subjects: Architecture
- Creators: Heywood, William
- Status: Published
Recent studies indicate that there is a positive influence of nature and nature integrated built environments on human health and wellness in various physical, physiological and social domains. This thesis critically reviews formally and contextually three distinct residential typologies designed by renowned architects Frank Lloyd Wright (1867-1959), Lina Bo Bardi (1914-1992), and Ryue Nishizawa (1966-), in different periods and countries; the United States of America (USA), Brazil and Japan. Yet, the buildings analyzed in the research are relatively connected by means of nature and the natural elements in their constructed essence. This research focuses on the features of the buildings that characterize the Biophilic Design, along with theoretical and practical ideas of the architects behind each building in their own process of formation.
The Biophilic Design Framework has been developed out of the Biophilia Hypothesis (Fromm, 1973; Wilson, 1984) which puts forward an explanatory suggestion that human affinity and affiliation with nature are based on genetic and environmental adaptation processes. This research is designed to display how specific natural phenomena apply to the built environment within the Framework of Biophilic Design (Kellert, & Calabrese, 2015) and how the Biophilia Hypothesis translates into the built environment. To accomplish this, two primary and three secondary research questions were developed for the study. The research will provide an understanding of the Biophilia Hypothesis and its impact on the built environment through the evaluation of research variables on the case studies using the ‘twenty-four attributes’ indicated in the ‘three experiences’ of Biophilic Design.
These architects’ approaches and the methods applied theoretically and practically to these research sites were unveiled and analyzed through three case studies. A positive correlation regarding the success of the case studies and their Biophilic characteristics is found by analyzing the research sites and critiques from the authorities in written literature. The applicability of the ‘Biophilic Design Framework’ was found and evidenced by the findings from these case studies designed by master architects and located in different climates, regions and contexts.
Polypharmacy among psychiatric patients is a concerning trend. From 2007-2010, 58.2% of women and 41.8% of men reported taking five or more prescription drugs within the last 30 days (CDC, 2014). Negative outcomes include prescription drug abuse, side effects, interactions, treatment failure, patient dissatisfaction, and lack of treatment control. The associated practice challenges have led to the following PICOT question. In persons with mental health issues receiving care at an outpatient mental health clinic, does engaging in mindfulness practice versus no mindfulness practice change polypharmacy use over a 3-month period?
The project purpose was to evaluate the effectiveness of Insight Timer mobile mindfulness app at helping patients self-manage distressing symptoms and reduce polypharmacy. Over three weeks, mental health clinic nurse practitioners (NPs) voluntarily recruited patients (n=12) over age 18 using as needed prescriptions (PRNs), and agreed to use Insight Timer mobile mindfulness app for adjunct symptom management. Consenting participants downloaded the mobile app, and completed a brief questionnaire measuring PRN use at the start of app use, and PRN use at their next visit. A Wilcoxon signed-rank test indicated a 10-week mindfulness app trial did not significantly lower total PRN doses compared with pre-app dosing (Z = -.534, p = .593). Paired t-tests revealed no significant change in pre (M = 65.17, SD = 28.64) versus post (M = 67.75, SD = 20.22) OQ45 life functionality results (t(11) = -.420, p = .683) (d = .121) as a result of app use.
Clinically relevant results illustrated 83.33% of participants taking greater than nine PRN doses over the study period used the app six times or more in place of medication. High PRN users employed the app frequently in place of medication regardless of total PRN doses taken. Practice implications and sustainability recommendations include incorporating mobile app use in treatment plans for high PRN users and educating NP’s on the tangible benefits of mindfulness apps in reducing polypharmacy and easing symptom distress on an ongoing basis.
Keywords: mindfulness, mhealth, mobile apps, mobile smart phone, online, RCT, behavior change, polypharmacy.