IGLC 34 · Singapore, Singapore · 2026

A conceptual framework for evidence-based design and Choosing By Advantages synergy

  1. Associate Professor, Department of Building Technology, Sunyani Technical University, Sunyani, Ghana, zekpamma@stu.edu.gh, orcid.org/0000-0002-9976-5323
  2. Associate Professor, Department of Building Technology, Cape Coast Technical University, Cape Coast, Ghana, Stephen.agyefi-mensah@cctu.edu.gh, orcid.org/0000-0001-6290-9058
  3. Lecturer, Department of Architecture and Real Estate, Sunyani Technical University, Sunyani, Ghana, joffeinketiah@gmail.com, orcid.org/0000-0002-3277-8314

https://doi.org/10.24928/2026/0121

Abstract

Evidence-Based Design (EBD) has been identified as a worthy design approach towards achieving suitable design of healthcare facilities by linking healthcare design decisions to empirical evidence regarding potential impact on recovery rate and effectiveness of care. Choosing By Advantages (CBA), on the other hand, is a decision-making system identified as collaborative, transparent and reliant on the importance of the advantages of alternatives.
This study therefore sought to explore the synergies that exist between EBD and CBA. Insights on the synergistic interaction between EBD and CBA were obtained from literature review in line with abductive reasoning in qualitative research. Multiple dimensions of synergy have been found to exist between the EBD process and the CBA process. This involves an interaction among various elements across the respective processes in EBD and CBA. CBA could therefore be explored as a functional decision-making system for operationalizing EBD and vice versa.

Keywords

  • Evidence-based design
  • Choosing By Advantages
  • healthcare design
  • decision-making
  • synergy.

Cite this paper

APA 7th edition

Kpamma, E. Z., Agyefi-Mensah, S., & Offei-Nketiah, J. K. (2026). A conceptual framework for evidence-based design and Choosing By Advantages synergy. In F. Hamzeh, M. Poshdar, N. P. Garcia-Lopez, & V. Gan (Eds.), Proceedings of the 34th Annual Conference of the International Group for Lean Construction (IGLC 34) (pp. 582–593). https://doi.org/10.24928/2026/0121

Shortened reference for IGLC papers

Kpamma, E. Z., Agyefi-Mensah, S., & Offei-Nketiah, J. K. (2026). A conceptual framework for evidence-based design and Choosing By Advantages synergy. IGLC34. https://doi.org/10.24928/2026/0121