Evaluating the impact of a training program to support transitioning from the hospital to the community for people after stroke: a community case study

Background The transitions in care along the stroke recovery path are challenging, particularly in finding mechanisms to continue one’s recovery once at home. We aim to evaluate the impact of training physiotherapists and fitness instructors from one regional community together to deliver an evidence-based group exercise program starting in the hospital and transitioning to the community using an implementation approach. Methods The evidenced based exercise program Fitness and Mobility Exercise (FAME) for stroke was chosen as the intervention. Data from interviews with stakeholders (community centre and health authority hospital staff including a physiotherapy navigator) was transcribed and themes evaluated using the RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) framework. These data were supplemented by information collected as a quality assurance project within the health authority. Results Two programs were established; one in the community centre (run over 15 months by fitness instructors) and one in the regional hospital (run over 12 months by a rehabilitation assistant under the direction from a physiotherapist). Transitions in care were facilitated by implementing the same evidence-based group exercise class in both the hospital and community setting, so people living with stroke could seamlessly move from one to another. An existing physiotherapist navigator service also was valued as a support for the transitions between the two centres for people with stroke. The hospital group accessed group-based physiotherapy service on average 31 days earlier than they were able to in a one-to-one format. Conclusions This case study described the implementation of the Fitness and Mobility Exercise (FAME) program in one community and the use of a physiotherapist navigator to assist transition between them. After a community training workshop, FAME programs were established within the health authority and the community centre. FAME program participants within the health authority benefited from reduced wait times to access hospital outpatient physiotherapy service. Improvements in function were measured in and reported by the people after stroke attending either the health authority or community centre FAME groups.

Svět prken, která znamenají svět. O projektu Divadelního oddělení Národního muzea – Dokumentace současných divadelních budov

This paper presents an extensive research project carried out by the Theatre Department at the National Museum. This document, the Catalogue of Contemporary Theatre Buildings, maps out in detail the sites where theatre is performed in the Czech Republic today. It focuses not only on professional venues, but also registers other, often unconventional, places where theatre thrives, such as churches, public spaces, cultural centres, private apartments, gymnasia, cinemas, shopping centres, etc. In the first section, the outline of the project is presented, starting from the initial idea through to the people involved and technical support for its implementation, to a description of how the obtained material was processed into a comprehensive and clear archival collection. In the second part, the study focuses on some valuable findings on contemporary theatre in the Czech Republic, obtained by the author during the cataloguing process. Using photographs, textual materials, video footage and interviews with employees of the documented institutions, the project aims to find answers to general questions of a social nature: How does neatness or untidiness indicate a citizen‘s relationship to the place in which they live? How do people understand the terms ‘community centre’ and ‘public service’?

Architecture for the poor and unprivileged of Jakarta

<p>As the world becomes increasingly urbanised, cities are forced to manage significant population increases. Jakarta, in Indonesia, has a significant population that is visibly living below the poverty line which suggests the city was not fully prepared to accommodate the radical growth. With such a large number of people living in poverty, and there being a lack of affordable housing Jakarta faces an issue where a significant number of these people are forced to live in informal settlements, which are spread throughout the city. These informal settlements, known as Kampungs are typically made up of dense clusters of single or two story residential structures packed together in communal areas. The erection of these houses often results in unplanned but functional networks of footpaths. These urban arrangements normally have a lack of sanitary infrastructure. The government’s current plans to mitigate this issue are by forced evictions, and moving the informal settlement residents into subsidised social housing apartment buildings. Generally, people are against these forced evictions and in many cases they are forced to leave, or simply rebuild on top of the rubble of their old homes. How can architecture support the existing social connections within the community, while improving the living conditions of the residents in the informal settlements of Jakarta? This research proposes a community centre design which is able to provide necessary facilities to the informal settlements. Although the residents are not in need of a new housing design, this research focuses on providing facilities to improve the quality of life. The research takes into account extensive site, literature, and precedent analysis; to develop a design criteria which aims to produce positive neighbourhood development. Traditional Indonesian architecture has a heavy influence on the form and construction material, with the intention to give the opportunity for the community to get involved in the construction and maintenance of the building. The final design result is a community centre with a large auditorium space for community gatherings, and support spaces which include emergency accommodation, teaching facilities, exhibition space, workshop space, sanitary facilities, recycling management centre, and retail spaces. This architectural intervention provides a place for the community to come together and to have a better quality of life while still being able to live in their personally constructed and designed homes.</p>

Architecture for the poor and unprivileged of Jakarta

<p>As the world becomes increasingly urbanised, cities are forced to manage significant population increases. Jakarta, in Indonesia, has a significant population that is visibly living below the poverty line which suggests the city was not fully prepared to accommodate the radical growth. With such a large number of people living in poverty, and there being a lack of affordable housing Jakarta faces an issue where a significant number of these people are forced to live in informal settlements, which are spread throughout the city. These informal settlements, known as Kampungs are typically made up of dense clusters of single or two story residential structures packed together in communal areas. The erection of these houses often results in unplanned but functional networks of footpaths. These urban arrangements normally have a lack of sanitary infrastructure. The government’s current plans to mitigate this issue are by forced evictions, and moving the informal settlement residents into subsidised social housing apartment buildings. Generally, people are against these forced evictions and in many cases they are forced to leave, or simply rebuild on top of the rubble of their old homes. How can architecture support the existing social connections within the community, while improving the living conditions of the residents in the informal settlements of Jakarta? This research proposes a community centre design which is able to provide necessary facilities to the informal settlements. Although the residents are not in need of a new housing design, this research focuses on providing facilities to improve the quality of life. The research takes into account extensive site, literature, and precedent analysis; to develop a design criteria which aims to produce positive neighbourhood development. Traditional Indonesian architecture has a heavy influence on the form and construction material, with the intention to give the opportunity for the community to get involved in the construction and maintenance of the building. The final design result is a community centre with a large auditorium space for community gatherings, and support spaces which include emergency accommodation, teaching facilities, exhibition space, workshop space, sanitary facilities, recycling management centre, and retail spaces. This architectural intervention provides a place for the community to come together and to have a better quality of life while still being able to live in their personally constructed and designed homes.</p>

Designing for an Active Community Focus

<p>This research dissertation set out to determine what form the design and integration of a suburban community centre as a catalyst for moving towards a sustainable built environment might take. The literature of theoretical arguments and built precedents were investigated to identify potential design parameters. A viable site for the project was also investigated. As a result, the Sustainability Drop-in Centre was created in the heart of Karori. Its design was based on international case studies that emphasized green urbanism and TOD design initiatives, whilst also looking at Calthorpe's arguments for TOD design and Lynch's concept of place legibility as a set of inhabitable paths, edges, districts, nodes and landmarks. The integration of these crucial design parameters required a design intervention at multiple scales, from a new traffic design for the suburb to a detailed ramp design aimed at achieving energy efficient building design, thus limiting the need for lifts and escalators. As a result the final chapter illustrates the new design proposal in the form of representational renders of the pedestrian experience. These renditions, informed by the construction drawings referred to throughout the study, determine that the integration of a community centre as a catalyst for moving towards a sustainable built environment would create many improved quality of life opportunities, including, but not limited to, chances for social interaction, spaces and occasions for local bartering, and an opportunity for education in regard to sustainable practices. The design intervention has generated a stronger walkable suburb that gives importance to public sustainable forms of transportation and the needs of pedestrians, resulting in a suburb that will function well into a post-oil future.</p>

Designing for an Active Community Focus

<p>This research dissertation set out to determine what form the design and integration of a suburban community centre as a catalyst for moving towards a sustainable built environment might take. The literature of theoretical arguments and built precedents were investigated to identify potential design parameters. A viable site for the project was also investigated. As a result, the Sustainability Drop-in Centre was created in the heart of Karori. Its design was based on international case studies that emphasized green urbanism and TOD design initiatives, whilst also looking at Calthorpe's arguments for TOD design and Lynch's concept of place legibility as a set of inhabitable paths, edges, districts, nodes and landmarks. The integration of these crucial design parameters required a design intervention at multiple scales, from a new traffic design for the suburb to a detailed ramp design aimed at achieving energy efficient building design, thus limiting the need for lifts and escalators. As a result the final chapter illustrates the new design proposal in the form of representational renders of the pedestrian experience. These renditions, informed by the construction drawings referred to throughout the study, determine that the integration of a community centre as a catalyst for moving towards a sustainable built environment would create many improved quality of life opportunities, including, but not limited to, chances for social interaction, spaces and occasions for local bartering, and an opportunity for education in regard to sustainable practices. The design intervention has generated a stronger walkable suburb that gives importance to public sustainable forms of transportation and the needs of pedestrians, resulting in a suburb that will function well into a post-oil future.</p>

Assessing the Impact of Community Centre’s on Roma Integration: A Study of Eastwood

During the last 10 years, Roma have become the second largest and the most deprived ethnic minority in Rotherham and thus, the local authority has put Roma integration as a priority in terms of community planning and development. Due to the complexities around Roma integration and the government budget cuts to public spending, the local authorities rely on community centres to fill gaps in improving the Roma integration and their quality of life in the UK. This article aims to assess the impact of a community centre on Roma integration, specifically, focusing on the Eastwood area of Rotherham. The research methods included semi-structured interviews of professionals that regularly engage with Roma community and the Roma residents of Eastwood. The case study findings show that the Eastwood community centre plays a vital role in the Roma integration. Some of the main contributing factors include their expertise and the ability to effectively engage with the Roma community. However, this paper only touches upon the issue of Roma integration in the UK, which means that more comprehensive and a larger scale of research is needed to improve the processes of Roma integration and the integration of other communities in similar settings

A Sustainable Rural Telecentre Concept on Sustainability Pillars

Over the years, Information and Communication Technology (ICT) has become more relevant in today&rsquo;s society. A telecentre is a community centre where people use, access and utilizes the benefits of the centre through the ICT-based services provided. This paper reviews rural telecentres in Malaysia. The roles and functions of telecentres are explained and discussed to analyze the question on sustainability. The &lsquo;Just Transition&rsquo; is a recent and particular transition for rural telecentre to be sustained. Based on the qualitative analysis and review of telecentres&rsquo; sustainability, we found that some telecentres can be sustained while others could not. This is because of the impacts of economic, social, environmental and policy sustainability pillars on community telecentres in Malaysia. The review of this paper reveals findings obtained from in-depth interviews with telecentre managers and telecentres&rsquo; sustainability depends on natural resources, geographical location, social entrepreneurship, social capital, human resources (competency of leaders) and basic infrastructure. Therefore, future research should be focus on the roles of governance on resource utilization and implement effective public policy for telecentres&rsquo; sustainability.