Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians

Abstract Objective The concept of “Healing Architecture” addresses the relevance of design and architectural issues on the outcome of medical and therapeutic treatment in hospitals. The questionnaire ARCHI was developed to record data on the opinion of different groups of users on the architectural...

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Main Authors: Dustin Fornefeld, Fabian Schmoll-Klute, Daniel Halswick, Peter Schmidt, Marie-Léne Scheiderer, Lynn Reuter, Katharina Brockmann, Anna Pfersich, Oliver Fricke
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-024-06282-1
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author Dustin Fornefeld
Fabian Schmoll-Klute
Daniel Halswick
Peter Schmidt
Marie-Léne Scheiderer
Lynn Reuter
Katharina Brockmann
Anna Pfersich
Oliver Fricke
author_facet Dustin Fornefeld
Fabian Schmoll-Klute
Daniel Halswick
Peter Schmidt
Marie-Léne Scheiderer
Lynn Reuter
Katharina Brockmann
Anna Pfersich
Oliver Fricke
author_sort Dustin Fornefeld
collection DOAJ
description Abstract Objective The concept of “Healing Architecture” addresses the relevance of design and architectural issues on the outcome of medical and therapeutic treatment in hospitals. The questionnaire ARCHI was developed to record data on the opinion of different groups of users on the architectural design of their therapeutic environment in departments of child and adolescent psychiatry. Method A Questionnaire-based cross-sectional study was conducted in two phases between 2020 and 2022 using ARCHI to gather the perspectives of senior physicians and architects on the significance of architectural design in German child and adolescent psychiatric facilities. Results In the survey of the senior physicians, 49 heads of child and adolescents psychiatric departments initiated the survey, and 73.5% (n = 36) of them completed the questionnaire in its entirety. During the survey for the architect-specific, 145 individuals commenced the survey, and 60.7% of them completed the questionnaire (n = 88). Significant differences between architects and senior physicians became visible for four of the 93 items, namely “environment of the hospital”, “structure of building”, “labelling of floors” and “visible cleanliness”. Conclusions Although senior physicians and architects were characterized by the same opinions on the relevance of architectural design on therapeutic issues for the major part of issues, differences could be obtained for several aspects which are important for the architectural planning of new departments and hospitals. It remains open why both professional groups had different point of views on these four aspects of hospital design which should be clarified to improve the process of hospital development in the future.
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spelling doaj-art-248c6111ffe549c4b1cc4ede6d3331cd2025-08-20T02:22:29ZengBMCBMC Psychiatry1471-244X2024-11-0124111110.1186/s12888-024-06282-1Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physiciansDustin Fornefeld0Fabian Schmoll-Klute1Daniel Halswick2Peter Schmidt3Marie-Léne Scheiderer4Lynn Reuter5Katharina Brockmann6Anna Pfersich7Oliver Fricke8Department of Special Care Dentistry, Witten/Herdecke UniversityDepartment of Human Medicine, Witten/Herdecke University, Faculty of HealthFaculty of Architecture and Civil Engineering, Würzburg-Schweinfurt Technical University of Applied SciencesDepartment of Special Care Dentistry, Witten/Herdecke UniversityDepartment of Special Care Dentistry, Witten/Herdecke UniversityDepartment of Human Medicine, Witten/Herdecke University, Faculty of HealthDepartment of Human Medicine, Witten/Herdecke University, Faculty of HealthDepartment of for Child and Adolescent Psychiatry and Psychotherapy, Klinikum StuttgartDepartment of Human Medicine, Witten/Herdecke University, Faculty of HealthAbstract Objective The concept of “Healing Architecture” addresses the relevance of design and architectural issues on the outcome of medical and therapeutic treatment in hospitals. The questionnaire ARCHI was developed to record data on the opinion of different groups of users on the architectural design of their therapeutic environment in departments of child and adolescent psychiatry. Method A Questionnaire-based cross-sectional study was conducted in two phases between 2020 and 2022 using ARCHI to gather the perspectives of senior physicians and architects on the significance of architectural design in German child and adolescent psychiatric facilities. Results In the survey of the senior physicians, 49 heads of child and adolescents psychiatric departments initiated the survey, and 73.5% (n = 36) of them completed the questionnaire in its entirety. During the survey for the architect-specific, 145 individuals commenced the survey, and 60.7% of them completed the questionnaire (n = 88). Significant differences between architects and senior physicians became visible for four of the 93 items, namely “environment of the hospital”, “structure of building”, “labelling of floors” and “visible cleanliness”. Conclusions Although senior physicians and architects were characterized by the same opinions on the relevance of architectural design on therapeutic issues for the major part of issues, differences could be obtained for several aspects which are important for the architectural planning of new departments and hospitals. It remains open why both professional groups had different point of views on these four aspects of hospital design which should be clarified to improve the process of hospital development in the future.https://doi.org/10.1186/s12888-024-06282-1Evidence-based designPediatricPsychiatryHospitalWellbeingBuilding
spellingShingle Dustin Fornefeld
Fabian Schmoll-Klute
Daniel Halswick
Peter Schmidt
Marie-Léne Scheiderer
Lynn Reuter
Katharina Brockmann
Anna Pfersich
Oliver Fricke
Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
BMC Psychiatry
Evidence-based design
Pediatric
Psychiatry
Hospital
Wellbeing
Building
title Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
title_full Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
title_fullStr Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
title_full_unstemmed Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
title_short Evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
title_sort evaluation of the therapeutic relevance of architectural aspects in child and adolescent psychiatric institutions from the perspective of architects and senior physicians
topic Evidence-based design
Pediatric
Psychiatry
Hospital
Wellbeing
Building
url https://doi.org/10.1186/s12888-024-06282-1
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