Healthcare is a major contributor to the negative effects on the environment, leading to adverse effects on the physical and mental health of people globally (IPCC, AR6). The Dutch healthcare sector alone is responsible for 7-8% of the national carbon footprint, 4,2% of total waste and 13% of raw material extraction (Steenmeijer et al. 2022).
This project was set up in three main parts to identifying opportunities for sustainable interventions in colonoscopy procedures for the EMC gastroenterology department. Throughout the project, a human-centered design approach was maintained. Research was done in literature on sustainability in healthcare and environmental impact of endoscopy, empirical context research and material flow analysis (MFA) in the form of a waste audit.

Based on circular strategies Reduce and Recycle, the research outcomes were synthesized into an intervention that aligns to the EMC's policy statements for sustainability:
- reduce waste with 10%
- increase recycling with 20%

Waste audit data was used as an input for co-creating with endoscopy nurses, where the focus was put on retrieving plastics from GMW because of their significant contribution to total emissions when incinerated (López-Muñoz et al., 2023).

Ideation was done in co-creation sessions to solve the problem of integrating waste segregation inside the complex environment of a colonoscopy treatment room for current system boundaries.
Outcomes
While it is ideal to implement higher R-strategies for designing out waste early on in the process, waste cannot be ruled out completely. Therefore, implementing a waste segregation system in the endoscopy treatment room presents an opportunity to enhance waste management in EMC and align with sustainability goals.
The proposal is a demonstration rather than a product concept, to show small incremental changes within the current system boundaries can help achieve the EMC goals. The intervention was estimated to reduce the weight of incinerated GMW with at least 40% with segregation of plastic products, and additional 16% by disposing of absorbent products in TONTO. Additional research is needed to determine the true recyclability potential of the plastics.
With the foresight of the implementation of new products in the system and a circular model where materials of these products have to be kept in the loop, the endoscopy nurses will be equipped and trained to accomodate these changes, and maintain sustainable practices.

Reefs are the most important marine ecosystems that support the majority of marine life in our oceans for both temporary and permanent shelter, refuge and food supply. However, reef ecosystems around the world are disappearing and artificial reef structures are an opportunity to help restore them.

This project contributed to the field of artificial reefs, by designing a surface pattern on both millimeter and centimeter scale, that aims to enhance and support biodiversity on the large concrete “ReefBlocks”, by the company Reefy. That serve as both artificial reefs and as functional infrastructure, such as breakwaters and dams.

In an extensive literature research, information on marine environments was collected and three main types of inhabitants that can be found in reef communities were identified, including only those that interact with hard substrates like the ReefBlock. The three different inhabitant types were distinguished based on their unique role within ecosystems, which they need to grow, stay balanced and provide the necessary ecosystem functions.

To understand the ecological requirements for the pattern design, existing knowledge on increasing biodiversity with artificial reef substrates was researched and summarized in a micro marine spatial plan on the scale of an entire ReefBlock. The addition of crevices and pits of varying sizes on centimeter-scale and grooves on millimeter-scale were concluded as the main crucial design features that need to be reflected by the final pattern design.

A design vision to aim for biomimicry of lobed brain corals was formulated for the aesthetics of the proposed pattern design. As brain coral patterns have a visually organic complexity and flexibility that allows for the natural implementation of the identified crucial design features. In order to achieve the pattern design vision that meets all the collected ecological, stakeholder and production requirements, a design toolset was developed that combines the power of generative art with the power of parametric design.

The generative art tool allows the semi-automatic creation of lobed brain coral patterns in a similar process to how actual brain corals, and many other examples in nature, receive their pattern from, in a so-called reaction-diffusion system.

With the generative art tool, a black and white 2D image is generated, which is then used as the input variable for the parametric tool. Which directly translates the 2D image into a perfect 3D surface pattern. This method ensures that the pattern design always meets the various production requirements.

In order to support the choice for the aesthetically best-rated design by the general public, a survey with 60 respondents was conducted with questions based on the stakeholder requirements.

In order to validate the effectiveness of the pattern design within the timeframe of this project, a six weeks lab test was conducted using concrete prototypes of the pattern design and microalgae. The test showed promising results for meeting the defined ecological requirements.

Lastly, a rubber form liner was produced in order to help Reefy along with future field tests with the proposed pattern design, in order to validate the conclusions and insights gained in this graduation project, and in real marine environments, for a much longer period of time.
The design toolset was initially created to support the iterative design process and helped to quickly try, test and compare a multitude of designs. But in the end, this toolset has proven to be very valuable for future use by Reefy as they plan on extending their product line with smaller-scale wall panels and for potential adjustments to the proposed pattern design based on their field tests.

In today’s fast-paced and increasingly individualistic world, feelings of loneliness and social isolation are becoming more prevalent. For students, navigating group projects can be challenging, not just academically, but also emotionally. Working closely with peers can bring about pressures to maintain a professional front, leaving little room for open conversations about personal struggles or support needs.

Recognizing the growing issues of loneliness and social disconnection in academic environments, the Support Board was developed to foster reflection, open communication, and mutual support within student teams. This project, focused on the Industrial Design Engineering (IDE) faculty at TU Delft, aims to create safe spaces within teams where students can reflect on their support needs, communicate those needs, and offer support to one another. By encouraging dialogue around support-seeking and support-giving behaviors, the Support Board seeks to improve team cohesion and promote a more empathetic and supportive culture within teams, ultimately enhancing both individual mental well-being and team dynamics. This lead to the following design goal:

Increase mental health of IDE students by developing a tool which helps create a supportive (team) environment and, in that way seeks to improve team cohesion

Through an iterative Research through Design approach, the project went through multiple phases of development, testing, and refinement. Initial research highlighted the need for interventions that encourage students to reflect on and articulate their support needs in a structured yet accessible manner. The Support Board addresses these needs by incorporating recognizable archetypes, support tokens, and guided reflection exercises to help team members understand their roles in offering and seeking support.

This research examines the potential for sustainable packaging in the context of supermarket products, focusing on the concepts of reuse and standardisation.

The central question addressed is whether consumers retain positive attitudes towards purchase intention, brand image, perceived quality, aesthetic attractiveness, and perceived environmental friendliness when packaging for fast-moving consumer goods (FMCGs) is standardised to its core function of protection, while marketing elements are transferred to online communication channels. The study uses a wide range of methods, including reading lots of articles, talking to people who know a lot about the topic, analysing data, experiments and in-depth interviews.

The findings reveal positive consumer responses towards the concepts of reuse and standardisation. Although no statistically significant results emerge from the mixed experiment design, the analysis of open-ended questions demonstrates a clear and positive attitude among participants. Consequently, it can be concluded that consumers generally show a favourable and cooperative attitude towards packaging standardisation and reuse, provided that convenience, hygiene and accessibility are prioritised.

This research is of significant relevance due to the substantial volume of plastic waste generated by packaging, evolving legislative frameworks, and the urgent need for environmental changes. It emphasises the necessity for proactive changes and innovative approaches to address sustainability challenges in the packaging industry. By shedding light on consumer perceptions and preferences, this study offers valuable insights for businesses and policymakers seeking to navigate the transition towards more sustainable packaging practices.

THE BRIEF & HET TUSSENLAND
The moment a patient receives the diagnosis of an incurable disease, it often feels like their whole world collapses. One patient explained this feeling as entering the in-between-land, the transition period from ending curative care and entering the end-of-life care. This in-between-land feels like entering an unknown land where you do not know the way and do not speak the language. Hospice Bardo expressed an interest in supporting these patients using the technology Virtual Reality. Therefore, this thesis aims to create a place for people where they can safely land in these tumultuous times and feel welcome to engage and open up to the 'in-between land' using Virtual Reality.

RESEARCH & DESIGN GOAL
During this thesis, research activities have been performed to get insight into the patient's wishes and needs. Literature research and explorative interviews were performed to get insight into the patient's journey after the diagnosis of an incurable disease. The interview panel consisted of patients, loved ones, care professionals, and experts in the palliative world. The insights of this research have been clustered and led to fourteen criteria that support the design goal.

IDEATION & CO-CREATION
The criteria were used as an inspiration for the ideation. Four students worked on this project in a hack-a-thon of Young Medical Delta and created a framework that complemented this research, leading to the final design. This framework exists out of five worlds that all answer to a different need: The forest, the library, the home, the communal space, and the beach.

THE FINAL DESIGN | THE ENTRANCE TO HET TUSSENLAND
The Tussenland is a digital platform that will be offered to the patient after the bad news. In this thesis, only the entrance to The Tussenland is designed. 'The Entrance to The Tussenland' is a forest-like environment in Virtual Reality where people are welcomed and shown around by a guide. The patients own a tree where their experiences grow as blossoms on their tree. The tree can be shared, enabling others to enter this world and comment on these experiences.

EVALUATION
For the final design, a prototype was evaluated by the panel. The panel was pleased with the meaningful interactions that were created in the design. It felt like a safe way to let people be welcomed and immersed in this new magical world. The participants felt like it was a tool that enabled them to express their thoughts, give them information and offer consolation in a meditative world.

IMPLEMENTATION
A service system map and roadmap were created for the future development of 'The Entrance to The Tussenland.' The three milestones in this roadmap are the pilot, launching 'The Entrance to The Tussenland', and further development of The Tussenland.

DISCUSSION & LIMITATIONS
However, the platform still needs to be developed as a full-service VR application. It is now a demonstration of what it could look/feel/sound like.
'The Entrance to The Tussenland' is not a concept meant for everyone because not every patient wants to engage the in-between-land.

CONCLUSION
In conclusion, the platform and service 'The Entrance to The Tussenland' supports patients after the bad news conversation by letting them safely land in the in-between-land.

Textiles are unimaginable out of our lives - from the moment a human is born until existence stops - textiles are touched by wearing, seeing and feeling them. Where it once was fundamental for survival, today, the textile industry has grown towards a system that prioritises speed, efficiency and uniformity (Goldsworthy & Politowicz, 2018) while largely neglecting the impact of waste, mass production and material extraction. The industry designed a system that prioritises the desires of form, function, aesthetics and cost above the environment.

A design process with a systemic lens acknowledges waste as an essential element in the system, enabling an execution providing for a circular economy.

The exploration consists of technological, experiential and aesthetical research of woollen Woven Textile-form in which the shape-changing properties of wool fibres make them morphic Textile-forms. The potential for a circular economy, using biodegradable, recyclable, mono-material widens the scope towards multimorphic Textile-form (McQuillan & Karana, 2022).

This research aimed to unfold techno-aesthetics emerging from material expressions through woollen woven Textile-form exploration in a circular economy. Experiential Characterisation (Camere & Karana, 2018) unfolds the material experiences of the created samples, identifying a new aesthetic formed by materiality.

Techno-aesthetics (Dalmasso, 2019) questions the origin and nature of aesthetical values concerning technology, demonstrating the necessary value change of perception and expectations of the typical textiles and textile-based products and potentially beyond when a sustainable design outcome is a goal.

All together, this should make us seriously question the appropriate perception and expectations of typical textiles and textile-based products and potentially beyond when a sustainable design outcome is a goal. Woollen Woven Textile-form and Morphic Textile-Form methods, together, may create a new understanding of materiality to move towards Multimorphic Textile-form. This research suggests embracing material traces induced by exploring methods such as Woollen Woven Textile-form methods to unfold ‘new circular techno–aesthetics’ to create an understanding of materiality and move towards a circular economy.

Embracing ‘circular techno-aesthetics’ through materiality may bring about the needed global fundamental change of value and move towards a circular economy.

The design of Swapfiets’ first electric kick-scooter, the e-Kick 1.0, is not specified on the Swapfiets user and Swapfiets operations. Therefore the new e-Kick model needs to to comply with the lifestyle of the end user and improve his daily routines. For the Swapfiets mechanics the solidity and repairability is an important objective. The kick-scooter manufacturer must be able to make it, delivering high quality products. Looking at the timeframe of the project, the aim for the launch of the new e-Kick design is around Q1 2022. The target user lives in a big city using the e-Kick in combination with other transportation. He wants the e-Kick to be safe, carryable and reliable. For the mechanic multiple bad quality parts need upgrading and the steering console is repair unfriendly. Next to that, the waterproofing of the e-Kick is not according to standards. This thesis contains the new e-Kick 2.0 design ready to be ordered at the manufacturer. Next to that, the e-Kick 3.0 is shown which is the next generation e-Kick design with future possibilities for Swapfiets operations.

The Flying-V in itself is an excellent project to view in which an extraordinary collaboration between different faculties of Delft University of Technology and companies work closely together. This project’s beauty is that through innovations, we can start a new way of flying with a white canvas. This project focuses on how passengers, cabin crew and other stakeholders deal with the significant hand luggage problem. Because of the many possibilities due to the Flying-V’s new design and because there is nothing fixed within the interior, there are enough possibilities to solve this problem and increase the Flying-V’s experience. This report consists of different phases, from research to a final integrated product. During the process, research was carried out into how hand luggage is currently handled. Researching the market trends and opportunities to improve this part of the journey. This will lead to creative sessions with stakeholders, experts, and interested parties to gain insight into the aviation industry’s world. The research phase led to an ideation phase with a lot of ideas to final concept directions. All this weighed up to the best possible solution was decisive for one concept. After testing and further development, this has led to a final product where ‘fast and comfortable hand luggage stowage unites’.

This report contains the graduation project of Linde de Jonge in collaboration with Paviljoen 3, and aims to find a solution to reducing the eco-footprint of existing homes, by combining solar panels, green roofs and heat pumps in a modular fashion to be adaptable to the specific requirements of each household and complement the working of each individual system. Method User research, market analysis, creative sessions and observational studies have been implemented to support the iterative process towards a solution. The creative process was divided in three cycles. The focus of the first cycle was to find a solution with high feasibility for the company, by combining products on the market and adding small but crucial design intervention to create a unified system for flat roof surfaces. The second cycle aimed to create a solution suitable for tiled roofs, which is exceedingly common in the Netherlands, yet thus far incompatible with a green roof. The focus was on creating a solution which would enhance the exterior of the building, to increase the desirability of the design (an opportunity based on client research). The two cycles resulted in two concepts with a very opposing solution approach. These concepts were presented to the company and a selection was made. This selected concept was the start of the third cycle. In this cycle, the feasibility is established by detailing the embodiment of the system. Furthermore, the viability is illustrated by a future development roadmap. Design This project’s main challenge can be summarized as finding the balance between: 1. introducing an entire roof-system to market; 2. without losing the flexibility in the wide range of products (PV, heat pump or green roof) available to fit the variance in client and household needs; 3. and with the least amount of in-house produced parts to fit the company’s resources. The solution of this project is an entire roof-system, consisting of market available components and components proposed to be developed and manufactured by the company Paviljoen 3, which are implemented into the system according to distinct development phases. By combining existing products on the market, solely introducing components which are crucial for the viability of the roof-system and separating the innovation of system’s components into separate phases, this solution diffuses the investment costs for P3, while enabling them to acquire empirical insights concerning the system, which they can apply in further system development. They can have intensive prototyping and experience using market-bought products, before they invest in launching their own product. The design cycle ends with a final prototype of the developed components, and a company evaluation. The report concludes with a list of recommendations for the company to pursue further concept development.

In the future, healthcare becomes more challenging to reach and less personal. The workload for specialists is increasing (Rossen, 2018), the current health path for patients is extended and long (van Tongerloo, 2019) and more general practitioners do not want to have their own practice which results in lower accessibility (Smit, 2019). Besides, the computer is often in-between the communication of the patient and the specialist when entering the consultation room (Voormolen, 2013). These developments are opposite to the ones of the on-demand society we are currently living in: people have personalised information on-demand and expect companies to understand their needs and wants on the spot (Solis, 2017). However, healthcare is, at this point, behind. The Erasmus MC has noticed this gap, and therefore, the Erasmus MC wants to implement the value-based healthcare strategy. Within this strategy, the Erasmus MC wants to focus more on the patient experience and the patient’s participation in decision making during the consultation (Kimpen, 2019). So how to improve this patient experience, to align the consultation with the value-based healthcare system? Within this project, the current barriers of positive patient experience, before, during and after the consultation, are defined by an extensive literature and user study. The concept proposal, the renewed patient portal of the Erasmus MC, aims to translate these barriers into enablers of a positive patient experience. The renewed patient portal exists out of three elements: improve the patient’s knowledge around a disease by giving personalised information (1), track the patient’s data to get more personalised care (2), and prepare the consultation to start the conversation to the point (3). A case study for diabetes type 1 patients, focussed on the second element of the renewed patient portal, shows a tangible example of how the patient’s data can be used to give more personalised and on-demand care. The final deliverable of the case study is Mijn Erasmus I.D., a visual representation of the patient’s mental and physical data. Mijn Erasmus I.D. is a digital patient I.D. that is accessible via a platform for the patient and an interactive screen in the consultation room. An extensive validation study has proven that Mijn Erasmus I.D. turns all the found barriers into enablers of the positive patient experience. The aimed longterm effect is to create a more in-depth and personal conversation, within the same amount of time. Mijn Erasmus I.D. allows the specialists to understand the perspective of the patient better within the given amount of time by gathering the patient’s information up-front. An understanding of the patient’s perspective contributes to better health outcomes at a physical, psychological and social level (Street, Makoul, Arora, & Epstein, 2009). The research, the design goal, the concept proposal (the renewed patient portal) and the case study (Mijn Erasmus I.D.) are evenly important to inspire healthcare for future innovation.

Virtual Reality glasses are being used in hospitals in order to combat pain and anxiety. These glasses are consumer products however. This project aims to find a feasible solution by designing a custom product that replaces the problems diagnosed in the current product and that enhances the user experience.

The primary purpose of this Integrated Product Design master thesis has two purposes. The first is to gain a deeper understanding of the needs of the elderly with dementia that causes undesired behaviour or Behavioral and Psychological Symptoms of Dementia, such as wandering during the night. The second purpose is to design CloudCuddle Senior: a lightweight and inflatable bed tent that keeps patients up to 120 kg in bed and creates a feeling of safety in various use cases such as home, caring home or the hospital. Data for this thesis were gathered by doing a literature study, making rapid prototypes and doing qualitative user tests. These methods generated knowledge for two sub-sections of the CloudCuddle Senior Design. The challenge of the Structural Design part was to come up with a bed tent concept that will be stiff enough to keep patients up to 120kg in bed while being lightweight to ensure mobility and consider nursing activities in and around the bed. The Experience Design of CloudCuddle Senior is about creating a safe and comfortable experience in bed that take the needs of people with dementia into account. The literature research results provide the support that patients with dementia need dynamic stimuli. However, research often focuses and compares mainly the type or the meaning of the stimuli such as Snoezelen, light therapy and music therapy while intensity through pace and amplitude often forgotten. More research into the intensity of therapeutic activities may conclude that designers of new interventions should focus on creating an intensity of dynamic stimuli that matches the patients need instead of focusing on the type of stimuli. A concept design is proposed based on the results of the Structural and Experience Design research. One of CloudCuddle’s bed tent’s significant characteristics is its inflatable structure. Although it was tried to design a more stiff design through solely inflatable elements, hard materials are required to meet the requirement of keeping 120kg patients in bed. The results on research from an Experience Design perspective implies that a bed tent that impairs vision on all sides except on one side offers a sense of safety while still being connected to the room in which the patients sleeps and a sense of control. The results of both the Structural and Experience Design research are combined in a final concept design for CloudCuddle Senior that should be prototyped and tested on strength and experience.

In this project a strategic model for sustainable community development through tourism is designed.
A pilot research in Ljusnarsberg, a deteriorating rural community in Sweden, is performed to develop the strategic model to come to a final concept. The result is a final strategic model based on literature research, insights from the pilot research area’s context analysis and experiences of implementing the strategic model in the pilot community.
The final concept of the strategic model presents a local organization that connects its community to the
ecotourism market to change the economical, socio- cultural and environmental deterioration into sustainable development. The organization facilitates active tourism development and reactive community development towards a strongly sustainable paradigm. In this paradigm all development is done within planetary boundaries.
Though still highly developmental, the strategic model could turn a deteriorating rural area into a developing
community that is attractive to live and sustainable for the future. Next to that can the model make rural living a more viable option, combating not only rural deterioration, but also the negative effects of urbanization.