Digital Construction through BIM Systems will Drive the Re-engineering of Construction Business Practices

Abstract

Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.Methods: Five physiotherapists were trained to follow a well-defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi-structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self-management to continue with activities. Conclusion:This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.

A System Engineering Perspective to Knowledge Transfer: A Case Study Approach of BIM Adoption

“…This trend gained enormous momentum when the General Services Administration (GSA) of USA announced that it would require all schematic design submittals to be in BIM format starting in 2006 (US-GSA, 2008). Many other similar uptakes from Europe and Australasia have followed (Mihindu and Arayici, 2008).…”

“…and this has propelled the adoption of Building Information Modelling (BIM) technology (Mihindu and Arayici, 2008). Owners can anticipate greater efficiency and cost savings in the design, construction and operation of facilities with the adoption of BIM.…”

Adoption of BIM by architectural firms in India: technology–organization–environment perspective

“…McGraw Hill Construction (2014) states that there is an increased and effective adoption of BIM when it is owner-driven and when project owner actively wants the project team to use BIM, and that the number of owners demanding BIM on their projects is growing worldwide (Mihindu & Arayici, 2008). The client-driven BIM mandate programs can enhance the rate of BIM adoption within architectural firms in India.…”

5D Building Information Modelling – A Practicability Review

“…BIM is instrumental in shifting the construction industry's paradigm from two dimensional (2D) based drawing information systems to a three dimensional (3D) object information systems [5]. This transformation changes the documentation method used in building design and construction, from manual conducts which are human readable [6], and integrates digital descriptions of building elements with other information [7] including time and cost which are computer readable.…”