Development and validation of the perceived restorative soundscape scale for children.

Introduction: Prolonged exposure to noise environments can induce stress and fatigue, even impacting individuals' physical and mental health. Conversely, positive soundscapes can have a beneficial impact on health by alleviating stress and fatigue, promoting psychological recovery. To assess the restorative potential of soundscapes, various scales have been developed to create environments conducive to recovery. However, current research on perceptual restorativeness soundscape scales primarily focuses on adults, lacking a dedicated scale for children to evaluate the restorative potential of their surrounding acoustic environments from their perspective. Methods: Therefore, this study introduces the development and validation process of the Perceived Restorativeness of Soundscapes Scale for Children (PRSS-C) using survey questionnaires and data statistical analysis. Results: The study comprises two experiments. Experiment one aims to develop an effective PRSS-C, evaluating the restorative potential of soundscapes in different environments (urban center, urban suburb, and urban peripheral forest) among 185 children aged 10-12. Through a series of analyses, a dual-factor structure scale consisting of 15 items is developed, revealing that the restorative potential of soundscapes is lower in urban centers than in urban suburbs and lower in urban suburbs than in urban peripheral forests. Experiment two aims to further validate the effectiveness of PRSS-C. 244 children aged 10-12 assess the restorative potential of soundscapes in similar environments (two city parks) using the PRSS-C developed in experiment one. Factor analysis confirms the dual-factor structure, with assessment results indicating that the restorative potential of soundscapes in Temple of Heaven Park is lower than in the National Botanical Garden. This suggests that PRSS-C enables children to differentiate the restorative potential of soundscapes in similar environments within the same city, further confirming its effectiveness. Discussion: This study successfully develops and validates the PRSS-C through two experiments. The use of this scale allows for the assessment of the restorative potential of acoustic environments surrounding children, providing an effective tool for evaluating and creating positive soundscapes for children.

The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review.

Older people are limited by the pedestrian environment in human settlements and are prone to travel difficulties, falls, and stumbles. Furthermore, we still lack systematic knowledge of the pedestrian environment affecting the gait of older people. The purpose of this review is to synthesize current evidence of effective human settlement pedestrian environments interfering with gait in older people. The systematic effects of the human settlement pedestrian environment on gait in older people are discussed. Databases such as Web of Science, Medline (via PubMed), Scopus, and Embase were searched for relevant studies up to June 2022. The literature was screened to extract relevant evidence from the included literature, assess the quality of the evidence, and analyze the systematic effects of the pedestrian environment on gait in older people. From the 4297 studies identified in the initial search, 11 systematic reviews or meta-analysis studies were screened, from which 18 environmental factors and 60 gait changes were extracted. After removing duplicate elements and merging synonymous features, a total of 53 relationships between environmental factors and gait change in older people were extracted: the main human settlement pedestrian environmental factors affecting gait change in older people in existing studies were indoor and outdoor stairs/steps, uneven and irregular ground, obstacles, walking path turns, vibration interventions, mechanical perturbation during gait, and auditory sound cues. Under the influence of these factors, older people may experience changes in the degree of cautiousness and conservatism of gait and stability, and their body posture performance and control, and muscle activation may also be affected. Factors such as ground texture or material, mechanical perturbations during gait, and vibration interventions stimulate older people's understanding and perception of their environment, but there is controversy over the results of specific gait parameters. The results support that human settlements' pedestrian environment affects the gait changes of older people in a positive or negative way. This review may likely contribute evidence-based information to aid communication among practitioners in public health, healthcare, and environmental construction. The above findings are expected to provide useful preference for associated interdisciplinary researchers to understand the interactions among pedestrian environments, human behavior, and physiological characteristics.

The Associations between Evacuation Movements and Children's Physiological Demands Analyzed via Wearable-Based Sensors.

During fire evacuations, crawling is recommended to prevent harm from toxic smoke and to access more breathable air. Few studies have evaluated the physiological burden of crawling, especially for children. The method of using wearable sensors to collect data (e.g., electrodermal activity, EDA; skin temperature, SKT) was used to evaluate the effects of different locomotive postures on children's velocity and physiological demands. Twenty-eight (28) children (13 boys and 15 girls), aged 4 to 6 years old, traveled up to 22.0 m in different postures: Upright walking (UW), stoop walking (SW), knee and hand crawling (KHC). The results showed that: (1) Gender and age had significant impacts on children's velocity (p < 0.05): Boys were always faster than girls in any of the three postures and the older the child, the faster the velocity for KHC. (2) Physiological results demonstrated that KHC was more physically demanding than bipedal walking, represented by higher scores of the EDA and SKT indicators, similar to the findings of adults. (3) Gender and age had significant impacts on children's physiological demands (p < 0.05). The physiological demands were greater for boys than girls. In addition, the higher the age, the less physiological demands he/she needs. Overall, the findings suggest that children are unnecessarily required to choose crawling precisely as adults as the best posture to respond to emergency scenarios. In a severe fire, stoop walking is suggested, as there is more respired air and children could move quickly and avoid overworking physiological burdens. The results of this study are expected to be considered in the evaluation of current evacuation recommendations and for the safety guide of preparedness to improve the effectiveness of risk reduction for children.

An Ergonomic Assessment of Different Postures and Children Risk during Evacuations.

Crawling is recommended for avoiding high heat and toxic fumes and for obtaining more breathable air during evacuations. Few studies have evaluated the effects of crawling on physical joints and velocity, especially in children. Based on motion capture technology, this study proposes a novel method of using wearable sensors to collect exposure (e.g., mean duration, frequency) on children's joints to objectively quantify the impacts of different locomotion methods on physical characteristics. An on-site experiment was conducted in a kindergarten with 28 children (13 boys and 15 girls) of different ages (4-6 years old) who traveled up to 22 m in three different postures: upright walking (UW), stoop walking (SW), and knee and hand crawling (KHC). The results showed that: (1) The level of joint fatigue for KHC was heavier than bipedal walking (p < 0.05), which was evidenced by higher mean duration and frequency. There was no significant difference between UW and SW (p > 0.05). (2) The physical characteristics of the children in the different postures observed in this study were different (p < 0.05). The ankle was more fatigued than other joints during bipedal walking. Unlike infants, the wrists and hips of the children became fatigued while crawling. The key actions flexion/extension are more likely to induce joint fatigue vs. other actions. (3) Crawling velocity was significantly slower than the bipedal velocities, and UW was 10.6% faster than SW (p < 0.05). The bipedal walking velocity started to decrease after the children had travelled up to 13 m, while the KHC velocity started to decrease after traveling up to 11.6 m. (4) In a severe fire, the adoption of SW is suggested, as the evacuees can both evacuate quickly and avoid overworking their joints. (5) There were no significant differences in the age (p > 0.05) and gender (p > 0.05) of the children on the joints in any of the three postures. To conclude, KHC causes more damage to body joints compared to bipedal walking, as evidenced by higher exposure (mean duration, frequency), whereas UW and SW are similar in terms of the level of joint fatigue. The above findings are expected to provide a useful reference for future applications in the children's risk assessment and in the prevention design of buildings.

Effects of Different Staircase Design Factors on Evacuation of Children from Kindergarten Buildings Analyzed via Agent-Based Simulation.

Staircase design is critical to the evacuation of children. Through an agent-based simulation, this study focused on the relationship between staircase design factors and evacuation efficiency in a multi-story kindergarten. A quantitative study was conducted on three critical architectural design factors: stair flight width, positional relationship, and design pattern of the juncture between the staircase and the corridor. The findings were as follows. (1) When the stair flight width ranges from 0.7 to 1.0 m, an increase in this width can improve evacuation efficiency significantly; when the width ranges from 1.1 to 1.4 m, evacuation efficiency is improved continuously, but an increase in this width range has a diminishing effect on evacuation efficiency; when the width is greater than 1.7 m, a further increase has an adverse effect on evacuation efficiency, because such a staircase space allows overtaking behaviors. (2) Under the same stair flight width conditions, evacuation efficiency is higher when the staircase and corridor are perpendicular to each other than when they are parallel, because the natural steering angle of the children was preserved during their evacuation. (3) The cut corner and rounded corner designs between the staircase and corridor improved evacuation efficiency and alleviated the congestion at bottleneck positions; the evacuation efficiency continued to rise with an increase in the cutting angle. These findings are expected to provide a useful reference for the evacuation design of kindergarten buildings and for emergency evacuation management.

The Relationship between Different Types of Alarm Sounds and Children's Perceived Risk Based on Their Physiological Responses.

Due to differences in cognitive ability and physiological development, the evacuation characteristics of children are different from those of adults. This study proposes a novel method of using wearable sensors to collect data (e.g., electrodermal activity, EDA; heart rate variability, HRV) on children's physiological responses, and to continuously and quantitatively evaluate the effects of different types of alarm sounds during the evacuation of children. In order to determine the optimum alarm for children, an on-site experiment was conducted in a kindergarten to collect physiological data for responses to different types of alarm sounds during the evacuation of 42 children of different ages. The results showed that: (1) The alarm sounds led to changes in physiological indicators of children aged 3-6 years, and the effects of different types of alarm sounds on EDA and HRV activities were significantly different (p < 0.05). Skin conductance (SC), skin conductance tonic (SCT) and skin conductance level (SCL) can be used as the main indicators for analysing EDA of children in this experiment (p < 0.05), and the indicators of ultralow frequency (ULF) and very low frequency (VLF) for HRV were not affected by the type of alarm sounds (p > 0.05). (2) Unlike adults, kindergarten children were more susceptible to the warning siren. The combined voice and warning alarm had optimal effects in stimulating children to perceive risk. (3) For children aged 3-6 years, gender had a significant impact on children's reception to evacuation sound signals (p < 0.05): Girls are more sensitive than boys in receiving evacuation sound signals, similar to findings of studies of risk perception of adult males and females. In addition, the higher the age, the greater the sensitivity to evacuation sound signals, which accords with results of previous studies on the evacuation dynamics of children.