GBBN Architects, Pittsburgh, PA 15206, USA.
School of Design and Community Development, West Virginia University, Morgantown, WV 26506, USA.
Int J Environ Res Public Health. 2022 Oct 7;19(19):12833. doi: 10.3390/ijerph191912833.
Rural communities in the United States have many public health issues, including a high prevalence of physical inactivity, obesity, and higher risks for major non-communicable diseases. A lack of safe and convenient places to exercise could intensify healthy lifestyle disparities. Individually adapted physical activity prescriptions at the primary level of healthcare could play a role in behavior change for rural residents. Healthcare professionals and designers created the rural wellness hub concept, which integrates walking trails and therapeutic landscape features on the clinic site, to support patient physician-prescribed activities and treatments. This research protocol reports the design and implementation of the rural wellness hub at a clinic in Clay County, West Virginia. Following a participatory, evidence-based landscape intervention (EBLI) protocol, 58 user representatives (patient = 49; clinic employee = 9) participated in the four-phase protocol: (1) pre-design survey, (2) design and development, (3) post-design interview, and (4) post-occupancy evaluation. Survey and interview data from all phases were collected and analyzed. The preliminary results indicate that the redesigned clinic campus could promote several health programs among local communities, with the benefits of walking trails, in particular, highlighted. The rigorous EBLI protocol could serve as a template for rural communities that seek to develop similar healthcare intervention programs.
美国农村社区存在许多公共卫生问题，包括身体活动不足、肥胖和非传染性疾病风险较高。缺乏安全和方便的锻炼场所可能会加剧健康生活方式的差异。在初级医疗保健层面，针对个人情况定制的身体活动处方可以在改变农村居民的行为方面发挥作用。医疗保健专业人员和设计师创造了农村健康中心的概念，即将步道和治疗性景观特色融入诊所场地，以支持患者接受医生规定的活动和治疗。本研究方案报告了在西弗吉尼亚州克莱县的一家诊所实施农村健康中心的设计和实施情况。该方案遵循参与式循证景观干预 (EBLI) 方案，58 名用户代表（患者=49；诊所员工=9）参与了四个阶段的方案：（1）预设计调查，（2）设计和开发，（3）设计后访谈，以及（4）入住后评估。对所有阶段的调查和访谈数据进行了收集和分析。初步结果表明，重新设计的诊所校园可以促进当地社区的多个健康项目，特别是步道的好处得到了强调。严格的 EBLI 方案可以作为希望开发类似医疗保健干预项目的农村社区的模板。
