Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain

BMC Musculoskeletal Disorders, Journal Year: 2018, Volume and Issue: 19(1)

Published: Jan. 22, 2018

Placebo and nocebo effects are embodied psycho-neurobiological responses capable of modulating pain producing changes at different neurobiological, body perceptual cognitive levels. These modifications triggered by contextual factors (CFs) presented in the therapeutic encounter between patient healthcare providers, such as healing rituals signs. The CFs directly impact on quality outcome: a positive context, that is context characterized presence CFs, can reduce placebo effects, while negative aggravate creating effects. Despite increasing interest about this topic; detailed study triggers still lacked management musculoskeletal pain.Increasing evidence suggest relevant role management. complex sets internal, external or relational elements encompassing: patient's expectation, history, baseline characteristics; clinician's behavior, belief, verbal suggestions touch; encounter, patient-centered approach social learning; overt therapy, posology intervention, modality treatment administration; marketing features health care setting. Different explanatory models classical conditioning expectancy explain how trigger act through specific neural networks neurotransmitters were described mediators effects.Available findings clinical CFs. They should be integrated reasoning to increase number solutions, boosts their efficacy improve decision-making. From perspective, mindful manipulation represents useful opportunity enrich well-established therapy setting within ethical border. translational there strong need research studies close routine real-world practice order underline uncertainty action help clinicians implement knowledge daily practice.

Language: Английский

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Healing built-environment effects on health outcomes: environment–occupant–health framework

Building Research & Information, Journal Year: 2018, Volume and Issue: 47(6), P. 747 - 766

Published: Jan. 10, 2018

An investigation examined the structured scientific evidence on healthcare facilities (the healing built environment – HBE) and its impact patients' health outcomes under a holistic conceptual evaluative framework. The integrative review considered 127 papers (of which 59 were papers). It found there was no adequate framework that could integrate existing research findings holistically. Such needs to demonstrate cumulative interactive effects of various HBE characteristics wellbeing. environment–occupant–health (E-O-H) is proposed, taking perspective identify evaluate different characteristics. E-O-H should support future by (1) identifying affect outcomes; (2) defining appropriate designs; (3) understanding need for analysis integrated diverse outcomes.

Language: Английский

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Indoor environmental quality (IEQ) in healthcare facilities: A systematic literature review and gap analysis

Journal of Building Engineering, Journal Year: 2024, Volume and Issue: 86, P. 108787 - 108787

Published: Feb. 15, 2024

Numerous studies have examined the connection between indoor environmental quality (IEQ) and health in various healthcare settings. However, it remains uncertain whether these findings are consistent across a wide array of environments for diverse IEQ elements such as daylighting, thermal comfort, acoustics, air quality. As result, this study aims to holistically assess impact on facilities with focus patient staff outcomes identify gaps knowledge within domain. The applied qualitative research approach, including systematic literature review from last three decades, covering four major databases (PubMed, Scopus, ScienceDirect, Web Science). collective body consistently demonstrates that favourable positively impacts recovery, reduces stress levels, shortens hospital stays, enhances effectiveness care delivery. Nevertheless, notable gap exists concerning combined effects healing outcomes, particularly purpose-built non-purpose-built facilities. To bridge gap, we propose adopting an evidence-based design approach understand relationship hospital's environment well-being both patients staff, specific architectural considerations. also proposes conceptual framework helps dynamics offer valuable insights researchers, policymakers, professionals building design, facilitating enhancement guidelines standards tailored

Language: Английский

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Therapeutic gardens as a design approach for optimising the healing environment of patients with Alzheimer's disease and other dementias: A narrative review

EXPLORE, Journal Year: 2019, Volume and Issue: 15(5), P. 352 - 362

Published: May 28, 2019

Language: Английский

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Biophilia and Salutogenesis as restorative design approaches in healthcare architecture

Architectural Science Review, Journal Year: 2019, Volume and Issue: 62(3), P. 195 - 205

Published: April 10, 2019

This study demonstrates the needs for developing design of our hospitals to play a tangible role in restoration their patients. The investigative review research literature highlighted there is growing movement towards creating these restorative environments by reconnecting humans nature. Which based on extended and analysis reasons behind failure today's industrialized potential turning back nature adopting Restorative environmental (RED) principles benefit both building users surrounding environment. How implement this approach 'restorative' however still uncertain. By using mixed methodology case study, article offers new framework utilize therapeutic impact connection with alleviate people's distress, depression, anxiety pain, combining salutogenic biophilic design. applicability tested analysing Royal Children's Hospital Melbourne, Australia. result that appears be theoretically useful introducing community; however, more empirical practical assessment needed examine patterns.

Language: Английский

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Designing experiences in the age of human transformation: An analysis of Burning Man

Annals of Tourism Research, Journal Year: 2021, Volume and Issue: 91, P. 103310 - 103310

Published: Sept. 28, 2021

In the emerging transformation age, not only do experiences with transformational qualities happen by chance, but they are induced through intentional design. This study investigates human gathering Burning Man, often stipulated as one of world's most transformative large-scale experiences. Grounded in theoretical lens environmental psychology, a deep topological analysis was conducted based on Instagram data to analyse participants' digital outer expressions and find answers their innermost Through holistic pre-liminal, on-site, post-liminal stages, socio-environmental socio-psychological spheres, 30 clusters that trigger potential transformation, could be revealed. contributes interdisciplinary discourse relating experience design tourism, events, sectors.

Language: Английский

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Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

HERD Health Environments Research & Design Journal, Journal Year: 2021, Volume and Issue: 14(4), P. 368 - 415

Published: May 18, 2021

The intensive care environment in hospitals has been the subject of significant empirical and qualitative research 2005-2020 period. Particular attention devoted to role infection control, family engagement, staff performance, built ramifications recent COVID-19 global pandemic. A comprehensive review this literature is reported summarizing advancements rapidly expanding body knowledge.

Language: Английский

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The influence of hospitable design and service on patient responses

Service Industries Journal, Journal Year: 2017, Volume and Issue: 38(1-2), P. 127 - 147

Published: Oct. 11, 2017

A study of 216 respondents examined a medical center environment’s influence on patient responses. stimulus–organism–response (S-O-R) model was adapted to the theory that more hospitable healthcare servicescape elements will affect patients’ overall satisfaction with experience, loyalty intentions, and willingness pay out-of-pocket expenses for services. Servicescape included atmospherics environment, service delivery by staff, physical design wayfinding. Results structural equation modeling confirmed four – had significant impact experience. Furthermore, experience predicted intentions The makes contribution empirical behavioral responses environments.

Language: Английский

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Turning over a new leaf: The health-enabling capacities of nature contact in prison

Social Science & Medicine, Journal Year: 2018, Volume and Issue: 231, P. 62 - 69

Published: May 17, 2018

In this paper we explore the potential applicability of evidence health-enabling effects elements built environment – particularly access to nature deriving from research in healthcare facilities evidence-based design custodial context. Drawing on comparative qualitative conducted UK and Nordic region, argue that although available data lack direct comparability, there is generates same custody as are recognised facilities. Reflecting differing political contexts imprisonment two study areas, conclude by advocating further both better understand environment, enable robust findings be applied contexts.

Language: Английский

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Evaluating Therapeutic Healthcare Environmental Criteria: Architectural Designers’ Perspectives

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1540 - 1540

Published: Jan. 14, 2023

This study presents architectural designers’ perception of the importance healthcare environmental criteria in implementation user-centered, therapeutic hospital design. Architectural designers with over three years professional experience (N = 182) South Korea were surveyed using an empirical questionnaire. The extensive interviews 15 design experts followed to interpret survey results and discuss barriers suggestions for successful delivery practice. Among 27 variables selected from preliminary literature review, factor analyses revealed seven important (i.e., management, interior design, spatial quality, service, nature rest, ambient indoor comfort, social program space; χ2 1783.088, df 300, p < 0.001). Analyses variance level among these related respondents’ personal characteristics. Significant differences found quality factors relation respondents sex age. For highlighted evidence-based practice that integrates local international knowledge various users multi-disciplinary specialists participating process.

Language: Английский

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