Australasian Journal on Ageing最新文献

{"title":"Effectiveness of technological interventions on psychosocial well-being and perception of technological interventions among people with Parkinson's disease: A systematic review","authors":"Terence Kenneth Lau,&nbsp;Man-Kei Tse,&nbsp;Yaqin Liu,&nbsp;Angela Y. M. Leung","doi":"10.1111/ajag.70034","DOIUrl":"https://doi.org/10.1111/ajag.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The increasing number of technological interventions related to Parkinson's disease (PD) signifies growing research interest in the PD technological domain. It remains unknown how these interventions could affect the psychosocial health of people with PD. This systematic review aims to explore how technological interventions affect people with PD psychosocial well-being and their perception towards these interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review was conducted using Cochrane Library®, Embase®, IEEE Xplore Digital Library®, PsycInfo®, PubMed® and Web of Science® databases following PRISMA guidelines. Two individual assessors conducted quality appraisals using the Mixed Method Appraisal Tool. Both quantitative narrative and qualitative thematic synthesis were adopted to analyse the extracted data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review included 27 articles with 752 people with PD, with seven categories of technologies implemented in physical rehabilitation. Qualitative findings indicated the overarching theme of coping with technological intervention. Three themes were identified: user perception of intervention design and functional appropriateness, attitude shift and coping, and perceived benefits from technological interventions. Unsuccessful coping attempts and overcomplicated intervention designs induced negative emotions and affected the psychosocial well-being of people with PD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although most PD technological interventions focused on physical rehabilitation, people with PD reported a psychosocial gain in improved autonomy and reinforced social relationships during the intervention period. A better rewardability intervention design was considered more satisfying and could promote self-acceptance rather than stress-inducing. Interventions' technological complexity should match participants' expectations and technological literacy to facilitate the coping process with the intervention for people with PD. More research would be required to quantify the reported psychosocial gain and examine the technological literacy of people with PD when designing a more appropriate intervention regime.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Could life story work support relational autonomy in advance care planning? Stories from the EARLI project","authors":"Ava Karusoo-Musumeci,&nbsp;Ling Yeoh,&nbsp;Caroline Edwards,&nbsp;Rebecca Walton,&nbsp;Melanie Crabtree,&nbsp;Michelle M. Hilgeman,&nbsp;Craig Sinclair","doi":"10.1111/ajag.70042","DOIUrl":"https://doi.org/10.1111/ajag.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Advance care planning has evolved from a narrow focus on advance directives completion towards a greater emphasis on ongoing conversations and value clarification. This evolution aligns with a relational perspective on autonomy in a social context. However, limited research explores how relational autonomy might be operationalised in practice. Life story work is a novel approach that may serve to operationalise relational autonomy in advance care planning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper presents three vignettes from the Enhanced Advance Care Planning and Life Review Longitudinal Intervention (EARLI) project, an arts-based intervention that uses life story work to support advance care planning among older adults living in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The vignettes illustrated how life story work facilitated discussions about values and preferences, enhanced relational autonomy and influenced participants' engagement with advance care planning across different stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Integrating life story work into advance care planning provides a practical approach to fostering relational autonomy. This method offers insight into the ways personal narratives can shape decision-making and communication within the advance care planning process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community and identity: How repair cafés promote well-being and social engagement among older men?","authors":"I-Chun Chen,&nbsp;Anuchit Phanumartwiwath","doi":"10.1111/ajag.70041","DOIUrl":"https://doi.org/10.1111/ajag.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study explored how Repair Cafés in Düsseldorf, Germany, enhance older men's social engagement, well-being and purpose postretirement by providing skill-sharing, mentorship and inclusive community spaces.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative approach was adopted, involving participant observations, a focus group discussion with six participants and an analysis of global Repair Café reports and activity records. Thematic analysis identified key patterns in participants' experiences, focusing on community support, traditional masculinity reinforcement and psychological well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three prominent themes emerged from the analysis. First, <i>Community Support and Engagement</i> was evident as Repair Cafés significantly reduced isolation and fostered connections among individuals from diverse cultural and professional backgrounds. This initiative not only promoted camaraderie but also advanced environmental sustainability. Second, the theme of <i>Re-engaging Skills and Identity</i> was notable, as participants could maintain traditional masculine identities through hands-on repairs and mentorship, which helped reinforce their sense of competence and value. Lastly, <i>Fostering Psychological Well-being and Purpose</i> was a key aspect, with engagement in purposeful activities providing participants with a sense of accomplishment, reducing feelings of loneliness and strengthening their autonomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Repair Cafés exemplify community-based interventions that address ageing challenges by promoting social inclusion, resilience and psychosocial health. Policymakers should support such initiatives to mitigate social isolation, enhance well-being and foster sustainable community engagement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"We Need to Talk About Ageing: Essential conversations and practical advice to navigate the ageing journey with confidence By M. Levi, Hachette Australia, Melbourne, Victoria. 2024. ISBN: 9780733646201; ISBN-10: 0733646204. $34.99 (paperback)","authors":"Nina Bowes","doi":"10.1111/ajag.70025","DOIUrl":"https://doi.org/10.1111/ajag.70025","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, acceptability and preliminary effectiveness of an intergenerational digital storytelling program for improving identity validation and generativity in older adults","authors":"Lysha Zhi Yan Lee,&nbsp;Therese Den Dulk,&nbsp;Mark Silver,&nbsp;Sunil Bhar","doi":"10.1111/ajag.70021","DOIUrl":"https://doi.org/10.1111/ajag.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study evaluated the feasibility, acceptability and outcomes of the Positive Ageing Digital Storytelling Intergenerational Program (PADSIP) for older adults by examining program feasibility, satisfaction and changes in loneliness; feelings of being understood; self-views and attitudes towards ageing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-method, single-arm design was used. Thirty-seven older adults (<i>M</i> = 78.25, SD = 8.88) completed questionnaires at baseline and postprogram. Thirty-one of whom also participated in a follow-up semi-structured interview or focus group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The program demonstrated high feasibility, with each person attending an average of 94% of sessions. All participants completed the program. Acceptability was strong, with participants highly recommending the program. Identity validation significantly improved postprogram; mood, loneliness and life satisfaction also trended towards improvement. Participants valued intergenerational interactions, the opportunity to connect with others, and to reminisce and share their stories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This intergenerational digital storytelling program was well-attended, acceptable and associated with increased identity validation for older adults, suggesting viability and potential benefits. Future research is needed to evaluate long-term outcomes of the program and to assess its feasibility in residential aged care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connections for Ageing Well: A community healthy ageing program to promote social connection","authors":"Celia Rae,&nbsp;Julie Byles,&nbsp;Susan Denholm,&nbsp;Jemma Holford,&nbsp;Catherine Chojenta","doi":"10.1111/ajag.70035","DOIUrl":"https://doi.org/10.1111/ajag.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Social connection is important for healthy ageing, yet the ability of older people to participate in community and social activities can be limited. <i>Connections for Ageing Well</i> was a program for older people delivered within the community that enabled participants to select information topics and activities to meet their individual needs and preferences. It aimed to promote social connection with a focus on learning and being active. The evaluation of the program measured its success in meeting its objectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Program attendees were invited to complete a questionnaire at the conclusion of the program (postprogram evaluation survey) and to participate in a focus group. Data collected by the questionnaire were analysed descriptively, and data from the focus group were analysed through a phenomenological lens and coded thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although participants reported high levels of social connectedness before the program, almost all met someone new (96%) and some of these friendships continued after the program. Nearly half (46%) of survey respondents reported a greater knowledge of how to access community programs and services. Participants described learning something new and sharing this knowledge with others. Others reported enjoying the active fresh air sessions and having a renewed interest in physical activity. All evaluation participants agreed they would recommend the program to others and focus group attendees expressed overwhelming positivity about the program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The program was successful in achieving its objectives and provided new evidence of the effectiveness of an intervention designed to foster social connectedness that enabled participants to select program components to suit their individual needs and preferences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between care networks and happiness in older immigrants in Australia","authors":"Shuang Liu,&nbsp;Sunil Bhar,&nbsp;Kumchong Lee,&nbsp;Nancy A. Pachana,&nbsp;Jack Lam","doi":"10.1111/ajag.70022","DOIUrl":"https://doi.org/10.1111/ajag.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the relationship between care networks and perceived happiness in older immigrants who live in their own homes in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted with 101 participants aged 65–97 years and from seven cultural groups. Participants completed measures of perceived happiness, care network structure, function and adequacy, and demographics. Data were analysed using correlations, analyses of variance and multiple regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Family support, giving and receiving emotional and instrumental support and satisfaction with care networks and physical health were significantly correlated with perceived happiness. Regression analyses identified satisfaction with care networks, satisfaction with physical health and receiving instrumental support as significant predictors of happiness, explaining 41% of the variance in happiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings emphasised the importance of instrumental support from family and formal community aged care services, and satisfaction with care networks to perceived happiness in older immigrants. The study suggested improving communication between older immigrants, their family and service providers to effectively support older immigrants to age well in Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable factors associated with frailty in older Australians in retirement living: A partial proportional odds model","authors":"Georgina Johnstone,&nbsp;Angela Joe,&nbsp;Marissa Dickins,&nbsp;Judy A. Lowthian","doi":"10.1111/ajag.70023","DOIUrl":"https://doi.org/10.1111/ajag.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty in older adults is a vulnerable state, often leading to a reduction in function and quality of life. This study sought to identify modifiable factors associated with frailty in Australian retirement village residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was undertaken with individuals 65 years or older living in 25 retirement villages to collect demographic, health and lifestyle information and screen for frailty (modified Reported Edmonton Frail Scale) and loneliness (UCLA 3-item Loneliness Scale). Partial proportional odds modelling was utilised to determine modifiable resident characteristics associated with frailty, accounting for age and gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 2240 residents, 1230 completed the survey (55% response rate) with 1081 eligible for analysis. Respondent frailty levels were as follows: Not Frail = 67% (<i>n</i> = 720), Prefrail = 14% (<i>n</i> = 157), Mildly Frail = 11% (<i>n</i> = 123), Moderately–Severely Frail = 7% (<i>n</i> = 81). For individuals 85–89 years old, age was significantly associated with increased odds of frailty (OR = 3.40; 95% CI: 1.62–7.09; <i>p</i> = .001). After adjusting for age and gender, the odds of higher frailty were greater for individuals experiencing (a) pain, which interfered with usual activities (interferes sometimes OR = 3.17; 95% CI: 2.42–4.15; <i>p</i> ≤ .001; interferes all of the time OR = 10.18; 95% CI: 5.42–19.14; <i>p</i> ≤ .001), or (b) feelings of loneliness (OR = 2.55; 95% CI: 1.80–3.62; <i>p</i> ≤ .001). For Not Frail or Prefrail persons, a recent fall incident was associated with enhanced odds of frailty (OR = 2.60; 95% CI: 1.69–3.98; <i>p</i> ≤ .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This cohort of older adults living in Australian retirement villages had greater odds of frailty if experiencing pain, loneliness or falls. Addressing these risk factors could reduce or delay progression to frailty and optimise positive ageing in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between dexmedetomidine and postoperative sleep quality in older patients undergoing intestinal surgery","authors":"Yongjian Yang,&nbsp;Hong Cheng","doi":"10.1111/ajag.70024","DOIUrl":"https://doi.org/10.1111/ajag.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the correlation between dexmedetomidine and postoperative sleep quality in older patients following intestinal surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 112 older patients were randomly assigned to receive either saline (Group A) or dexmedetomidine (Group B). Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) before surgery and on postoperative days 1, 3, 7 and 30. Urinary melatonin and cortisol levels were measured, and pain intensity was assessed using the Visual Analogue Scale (VAS) at various time points. Logistic regression analysis identified factors influencing postoperative sleep quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both groups showed increased PSQI scores postoperatively, with Group A scoring higher than Group B. Group B exhibited a significantly lower incidence of sleep disorders on Days 1 and 3. Urinary melatonin levels decreased in both groups, with Group A showing lower levels, while cortisol concentrations increased, particularly in Group A. Higher VAS scores were also noted in Group A. Patients not receiving dexmedetomidine had a greater prevalence of sleep disorders. Logistic regression revealed dexmedetomidine dosage, gender and VAS scores at 24 h as significant factors affecting sleep quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dexmedetomidine enhances postoperative sleep quality in older patients undergoing intestinal surgery by reducing cortisol levels, increasing melatonin production and effectively alleviating pain, thereby supporting better recovery outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Underdiagnosis of dementia in residents of residential aged care services: A scoping review","authors":"Reena Tewari,&nbsp;Ronaldo D. Piovezan,&nbsp;Agathe Daria Jadczak,&nbsp;Renuka Visvanathan","doi":"10.1111/ajag.70030","DOIUrl":"https://doi.org/10.1111/ajag.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Dementia is a leading cause of disability, dependence and death worldwide. Timely diagnosis and management of dementia are essential in the community and residential aged care services (RACS) or nursing homes. Underdiagnosis of dementia in RACS may negatively impact the quality of care, resulting in adverse health outcomes. Hence the objective is to review estimates of the prevalence of dementia underdiagnosis, potential associated factors, consequences and evidence of interventions targeting to reduce this underdiagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Guided by Arksey and O'Malley's scoping review framework, this scoping review was conducted as per the PRISMA extension for Scoping Reviews (PRISMA-ScR). Databases were searched to 31 January 2024 for studies published in English since 2010 in Ovid®, including Scopus, MEDLINE, Embase, Emcare and PubMed Central, as well as CINHAL Ultimate, PsycINFO and ProQuest. After removing duplicates, 545 studies proceeded to title, abstract and full-text screening, resulting in four eligible studies. Two additional studies were identified through reference searching.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of six studies were included. Most studies were conducted in the last 5 years. The prevalence of dementia underdiagnosis in RACS was 14%–70%. Different scales were applied to identify dementia. Findings from two studies suggested dementia underdiagnosis is more common among those with less severe disease. No studies investigated health outcomes or explored interventions to reduce dementia underdiagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Estimates of underdiagnosis in RACS are high and variable. More research is required to clarify factors associated with dementia underdiagnosis in RACS, its consequences and potential interventions to reduce its risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}