{"id":18307,"feature_order":3,"feature_code":null,"name":"Circulation Network","type":"O","intent":"<p>Encourage stair use through aesthetic design, signage and visibility of staircases.&nbsp; &nbsp;<\/p>","intervention":"<p>This WELL feature requires projects to design staircases for everyday use and leverage aesthetics, visibility\/positioning, and prompts to encourage stair use.&nbsp;&nbsp;<\/p>","issue":"<p>Physical inactivity and sedentariness have emerged as a primary focus of public health in recent years, due to the host of negative health implications associated with both behaviors.<sup>1&ndash;6<\/sup> Strategies that promote stair use and general movement throughout buildings have emerged as promising interventions that encourage short bouts of health-enhancing physical activity throughout the day.<sup>7,8<\/sup>&nbsp;<\/p>","evidence":"<p>Evidence from systematic reviews (including international data from a variety of settings, such as airports, healthcare facilities, universities and offices) suggests that stairwell enhancements and signage increase stair use.<sup>9&ndash;12<\/sup> In particular, point-of-decision design prompts that include directional signage and motivational messaging have been shown to be effective at increasing stair use.<sup>9&ndash;14<\/sup> Evidence suggests that improving aesthetic and atmosphere with design, music and artwork, as well as tailoring motivational signage and prompts to the audience or population the space serves, may help increase intervention effectiveness.<sup>9,15,16<\/sup> Novel strategies, such as gamification, which leverages game elements to encourage desired behaviors, have been introduced as fun and innovative ways to encourage healthy behaviors, such as stairclimbing in both public and private settings.<sup>17<\/sup>&nbsp;At the design level, thoughtful stair placement, especially in new construction, can significantly enhance movement opportunities throughout the day. Evidence-based guidelines, such as the Active Design Guidelines suggest that stairs should be proximate to main entry points and located physically and visibly before elevator or escalator banks.<sup>7<\/sup><\/p>","implementation":null,"impact":null,"max_points":3,"concept_id":1732,"slug":"circulation-network","gbd_exists":0,"review_summary":null,"citations":"<ol>\r\n\t<li>Centers for Disease Control and Prevention. Facts about Physical Activity | Physical Activity | CDC. Centers for Disease Control and Prevention.<\/li>\r\n\t<li>World Health Organization. Physical Activity. http:\/\/www.who.int\/mediacentre\/factsheets\/fs385\/en\/. Published 2015. Accessed February 1, 2017.<\/li>\r\n\t<li>Owen N, Salmon J, Koohsari MJ, Turrell G, Giles-Corti B. Sedentary behaviour and health: mapping environmental and social contexts to underpin chronic disease prevention. Br J Sports Med. 2014;48(3):174-177. doi:10.1136\/bjsports-2013-093107<\/li>\r\n\t<li>Young DR, Hivert M-F, Alhassan S, et al. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association. Circulation. 2016;134(13):e262-79. doi:10.1161\/CIR.0000000000000440<\/li>\r\n\t<li>Chau JY, Grunseit AC, Chey T, et al. Daily Sitting Time and All-Cause Mortality: A Meta-Analysis. Gorlova OY, ed. PLoS One. 2013;8(11):e80000. doi:10.1371\/journal.pone.0080000<\/li>\r\n\t<li>Patterson R, McNamara E, Tainio M, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018;1:1-19. doi:10.1007\/s10654-018-0380-1<\/li>\r\n\t<li>City of New York. Active Design Guidelines: Promoting Physical Activity and Health in Design. New York, NY; 2010. http:\/\/www1.nyc.gov\/assets\/planning\/download\/pdf\/plans-studies\/active-design-guidelines\/adguidelines.pdf.<\/li>\r\n\t<li>King AC, Powell KE, Physical Activity Guidelines Advisory Committee, Committee PAGA. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. 2018. https:\/\/health.gov\/paguidelines\/second-edition\/report.aspx.<\/li>\r\n\t<li>Task Force on Community Preventive Services. Physical Activity: Point-of-Decision Prompts to Encourage Use of Stairs. The Community Guide. https:\/\/www.thecommunityguide.org\/findings\/physical-activity-point-decision-prompts-encourage-use-stairs. Published 2005. Accessed August 21, 2017.<\/li>\r\n\t<li>Bellicha A, Kieusseian A, Fontvieille AM, Tataranni A, Charreire H, Oppert JM. Stair-use interventions in worksites and public settings - A systematic review of effectiveness and external validity. Prev Med (Baltim). 2015;70:3-13. doi:10.1016\/j.ypmed.2014.11.001<\/li>\r\n\t<li>Jennings CA, Yun L, Loitz CC, Lee E-Y, Mummery WK. A Systematic Review of Interventions to Increase Stair Use. Am J Prev Med. 2017;52(1):106-114. doi:https:\/\/doi.org\/10.1016\/j.amepre.2016.08.014<\/li>\r\n\t<li>Soler RE, Leeks KD, Buchanan LR, Brownson RC, Heath GW, Hopkins DH. Point-of-Decision Prompts to Increase Stair Use. A Systematic Review Update. Am J Prev Med. 2010;38(2 SUPPL.). doi:10.1016\/j.amepre.2009.10.028<\/li>\r\n\t<li>Lee KK, Perry AS, Wolf SA, et al. Promoting Routine Stair Use: Evaluating the Impact of a Stair Prompt Across Buildings. Am J Prev Med. 2012;42(2):136-141. doi:https:\/\/doi.org\/10.1016\/j.amepre.2011.10.005<\/li>\r\n\t<li>Eckhardt MR, Kerr J, Taylor WC. Point-of-decision signs and stair use in a university worksite setting: General versus specific messages. Am J Heal Promot. 2015;29(5):291-293. doi:10.4278\/ajhp.120816-ARB-398<\/li>\r\n\t<li>Bellicha A, Kieusseian A, Fontvieille AM, et al. A multistage controlled intervention to increase stair climbing at work: Effectiveness and process evaluation. Int J Behav Nutr Phys Act. 2016;13(1). doi:10.1186\/s12966-016-0371-0<\/li>\r\n\t<li>Kerr NA, Yore MM, Ham SA, Dietz WH. Increasing Stair Use in a Worksite Through Environmental Changes. Vol 18.; 2004.<\/li>\r\n\t<li>Flynn N, Asquer A. Public Sector Management. 7th ed. SAGE; 2016. https:\/\/books.google.com\/books?id=Rwd8DQAAQBAJ&amp;dq=gamification+of+staircases&amp;source=gbs_navlinks_s. Accessed March 8, 2018.<\/li>\r\n\t<li>U.S. Green Building Council. LEED v4 BD+C: New Construction. Innovation: Design for Active Occupants.<\/li>\r\n\t<li>Illuminating Engineering Society. 2020. IES OL-IM-03: Lighting Applications Standards Collection Subscription. <a href=\"https:\/\/store.ies.org\/product\/lighting-applications-standards-collection-subscription\/?v=7516fd43adaa\">https:\/\/store.ies.org\/product\/lighting-applications-standards-collection-subscription\/?v=7516fd43adaa<\/a><\/li>\r\n<\/ol>","deleted_at":null,"equivalency_count":1,"faq_count":5,"resource_count":1,"feature_full_name":"V03 Circulation Network","feature_faq_name":"V03 Circulation Network-v2","max_core_points":6,"parts":[{"id":30622,"name":"Design Aesthetic Staircases","part_number":1,"points":1,"possible_points":[],"core_points":2,"possible_core_points":[],"min_points":0,"rer_points":2,"wor_points":0,"parent_part_id":null,"feature_id":18307,"note":"","slug":"1-design-aesthetic-staircases-13","note_position_override":"top","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":0,"gbd_exists":0,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"V03.1","feature_name":"Circulation Network","parent":null,"sub_parts":[{"id":32905,"condition":"AND","part_id":30622,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41758,"option_order":1,"name":null,"description":"<p>&nbsp;<\/p>\r\n\r\n<p>At least one staircase is open to regular occupants, services all occupiable floors of the project and is aesthetically designed through the inclusion of at least two independent strategies from the following list on each floor:&nbsp;<\/p>","description_alt":null,"space_property":null,"certification":null,"note":"<p>Interiors projects may&nbsp;earn this feature either through stairs within the project boundary or through base building stairs outside of the project boundary. Stairs must service all floors of the project but do not need to be accessible from the ground floor of the building.&nbsp;<\/p>","sub_part_id":32905,"deleted_at":null,"note_position_override":"bottom","verification_note":"<p>Architectural drawings<\/p>","verification_condition":"AND","requirements":[{"id":120045,"option_id":41758,"requirement_order":1,"description":"<p>Music.<sup>7<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120046,"option_id":41758,"requirement_order":2,"description":"<p>Artwork.<sup>7<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120047,"option_id":41758,"requirement_order":3,"description":"<p>Designed to have light levels of at least&nbsp;{{well-unit}}9fc|100&nbsp;lux{{\/well-unit}}&nbsp;when in use.<sup><span style=\"font-size:11.25px\">19<\/span><\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120048,"option_id":41758,"requirement_order":4,"description":"<p>Windows or skylights that provide access to daylight and\/or nature views.<sup>7,18<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120051,"option_id":41758,"requirement_order":5,"description":"<p>Natural design elements (e.g., plants, water features, images of nature).<sup>7<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120054,"option_id":41758,"requirement_order":6,"description":"<p>Gamification.<sup>17<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":3,"name":"Technical Document (Audited)","chinese_name":"\u6280\u672f\u6587\u6863\uff08\u5ba1\u8ba1\uff09","is_auditable":1,"scale_type":"Audited","note":null}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33035,"part_id":30622,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"Meet these requirements in the whole building.","points":null}],"methods":[]},{"id":30626,"name":"Integrate Point-of-Decision Signage","part_number":2,"points":1,"possible_points":null,"core_points":2,"possible_core_points":null,"min_points":0,"rer_points":2,"wor_points":0,"parent_part_id":null,"feature_id":18307,"note":"","slug":"2-integrate-point-of-decision-signage-32","note_position_override":"top","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":null,"gbd_exists":null,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"V03.2","feature_name":"Circulation Network","parent":null,"sub_parts":[{"id":32909,"condition":"AND","part_id":30626,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41764,"option_order":1,"name":null,"description":"<p>At least one staircase is open to regular occupants, services all occupiable floors of the project and is supported by the following:<\/p>","description_alt":null,"space_property":null,"certification":null,"note":"<p>Interiors projects may earn this feature either through stairs within the&nbsp;project boundary&nbsp;or through base building stairs outside of the&nbsp;project boundary. Stairs must service all floors of the project but do not need to be accessible from the ground floor of the building.&nbsp;If the project does not access the stairs from the ground floor, they are exempt from requirement a1, which requires signage on the ground floor.<\/p>","sub_part_id":32909,"deleted_at":null,"note_position_override":"bottom","verification_note":"<p>Photographs should showcase:<br \/>\r\n1) The signage reflecting messaging to motivate stair use and, as applicable, relevant language translated to English.<br \/>\r\n2) If required, that the content signage includes wayfinding.<br \/>\r\n3) The installed signage indicating it is located within the required areas within the project.<\/p>\r\n\r\n<p>Quantity: At least one photograph for each required location up to a maximum of five signs.&nbsp;<\/p>","verification_condition":"AND","requirements":[{"id":120068,"option_id":41764,"requirement_order":1,"description":"<p>Motivational, point-of-decision signage is present at the following locations:<\/p>\r\n\r\n<ol>\r\n\t<li>Near the main building entrance or the reception desk.<sup>7 <\/sup><\/li>\r\n\t<li>At elevator or escalator banks on each floor.<sup>7 <\/sup><\/li>\r\n\t<li>At the base of stairs and stairwell re-entry points on each floor.<sup>7<\/sup><\/li>\r\n<\/ol>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120069,"option_id":41764,"requirement_order":2,"description":"<p>If stairs are not visible from signage locations, wayfinding signage is used to guide occupants to the stairs.<sup>7<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":2,"name":"On-site Photographs","chinese_name":"\u73b0\u573a\u62cd\u7167","is_auditable":1,"scale_type":"Audited","note":null},{"id":6,"name":"Letter of Assurance \u2013 Owner","chinese_name":"\u4fdd\u8bc1\u4e66 \u2013 \u4e1a\u4e3b","is_auditable":0,"scale_type":"Shareable","note":"Project teams should complete all fillable fields in the PDF for LOA approval."}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33038,"part_id":30626,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"Meet these requirements in the whole building.","points":null}],"methods":[]},{"id":30630,"name":"Promote Visible Stairs","part_number":3,"points":1,"possible_points":null,"core_points":2,"possible_core_points":null,"min_points":0,"rer_points":2,"wor_points":0,"parent_part_id":null,"feature_id":18307,"note":"","slug":"3-promote-visible-stairs-32","note_position_override":"top","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":null,"gbd_exists":null,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"V03.3","feature_name":"Circulation Network","parent":null,"sub_parts":[{"id":32914,"condition":"AND","part_id":30630,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41770,"option_order":1,"name":null,"description":"<p>At least one staircase is open to regular occupants, services all occupiable floors of the project and meets the following requirement:<\/p>","description_alt":null,"space_property":null,"certification":null,"note":"<p>Interiors projects may earn this feature either through stairs within the&nbsp;project boundary&nbsp;or through base building stairs outside of the&nbsp;project boundary. Stairs must service all floors of the project but do not need to be accessible from the ground floor of the building.<\/p>","sub_part_id":32914,"deleted_at":null,"note_position_override":"bottom","verification_note":"<p>Architectural drawings<\/p>","verification_condition":"AND","requirements":[{"id":120084,"option_id":41770,"requirement_order":1,"description":"<p>Is at least as prominent (visual or physical) as&nbsp;elevators\/escalators relative to the main point of entry to the building or project space (e.g., entrance to the project on their floor).<sup>7,18 <\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":3,"name":"Technical Document (Audited)","chinese_name":"\u6280\u672f\u6587\u6863\uff08\u5ba1\u8ba1\uff09","is_auditable":1,"scale_type":"Audited","note":null}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33042,"part_id":30630,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"Meet these requirements in the whole building.","points":null}],"methods":[]}],"ihmes":[],"sdgs":[{"id":3,"name":"3: Good Health and Well-being","max_points":0}]}