In an era of U.S. energy abundance, the persistently high energy bills paid by low-income households is troubling. After decades of weatherization and bill-payment programs, low-income households still spend a higher percent of their income on electricity and gas bills than any other income group. Their energy burden is not declining, and it remains persistently high in particular geographies such as the South, rural America, and minority communities.

Academicians and professionals in the architecture, engineering, and construction (AEC) field have expressed an increasing interest in sustainability and its application in the development of construction projects, especially with its deemed relationship with lean construction, for the purpose of improving efficiency in the construction processes. Practices framed under the lean philosophy show their potential in reducing environmental, economic, and social impacts during the construction phase, with an increase in the parameters of sustainability in the development of projects.

Residential energy efficiency interventions are complex social and construction programmes that may benefit health, yet the interactions between the material improvements, health and health-related outcomes, and householder responses are not well understood. While indoor winter warmth and householder satisfaction have been identified as the key mediators for physiological, mental and social health outcomes, this paper explores how programme contexts may have influenced the outcomes. This review revealed that common target populations were low income households, children and the elderly.