Australasian Journal on Ageing最新文献

{"title":"The prevalence and correlates of depression and anxiety symptoms in older adults receiving in-home aged care: A cross-sectional survey","authors":"Marissa Dickins,&nbsp;Julie Kelly,&nbsp;Susan Paxton,&nbsp;Baldwin Kwan,&nbsp;Deborah Carveth,&nbsp;Anna Barker,&nbsp;Karen Smith,&nbsp;Sunil Bhar,&nbsp;Tanya E. Davison","doi":"10.1111/ajag.13396","DOIUrl":"https://doi.org/10.1111/ajag.13396","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To estimate the prevalence of depression and anxiety symptoms in older Australians accessing in-home aged care, and to identify characteristics associated with symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional telephone survey with a random sample of in-home aged care clients from a national provider (Silverchain) was conducted between November 2022 and July 2023. The percentage of clients experiencing depression and anxiety symptoms was estimated, weighted to the age and gender of the Silverchain population. Multivariable linear regression was utilised to identify characteristics associated with higher depression and anxiety symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 237 participants completed the survey. Over half (52%) of participants experienced symptoms of depression (≥5 on the PHQ-9), while 16% experienced clinically meaningful symptoms indicative of probable major depressive disorder (≥10 on the PHQ-9). Over one-third (37%) of participants experienced symptoms of anxiety (≥5 on the GAD-7), while 12% experienced clinically meaningful symptoms indicative of probable generalised anxiety disorder (≥10 on the GAD-7). Most clients (61%) experienced symptoms of depression and/or anxiety, with 29% experiencing co-morbid symptoms. Younger age, lower quality of life, higher loneliness, living in a major city (compared with rural/remote areas) and living with family (compared to living alone) were associated with higher levels of depression or anxiety symptoms in this cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Symptoms of depression and anxiety are common in older Australians accessing in-home aged care, with many experiencing co-morbid symptoms. In-home aged care providers are ideally situated to identify and facilitate treatment and monitoring for these individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396796","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":"‘I was there because I needed to be there’: A qualitative study of the experience of older adults hospitalised with COVID-19 in Australia","authors":"David Cheong,&nbsp;Danielle Ní Chróinín,&nbsp;Lynn Chiang,&nbsp;Kaye Rolls","doi":"10.1111/ajag.13412","DOIUrl":"10.1111/ajag.13412","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore the experiences of older adult patients hospitalised with COVID-19 infection by identifying any issues they encountered, how they were able or unable to adapt, as well as their opinion of such issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted by inviting a purposive sample of older adults from a metropolitan tertiary hospital in Sydney, Australia, to undertake semi-structured telephone interviews. Data was analysed using a thematic approach and adhered to the COREQ guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 16 participants were interviewed. Three predominant themes were identified from their described experiences. The majority accepted that hospitalisation was necessary for their recovery. The use of single isolation rooms affected their psychological state; however, this could have impacted them either positively or negatively. The quality of nursing care received elicited emotions of self-worth and participants also reported a variety of experiences ranging from positive to negative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study identified common themes of situational acceptance and the psychological impacts of both isolation and nursing care quality as important towards the overall experience amongst older adults who had been hospitalised with COVID-19. Opportunities to improve the patient experience were also identified, and practical next steps such as tailoring the type and delivery of care to individual patient needs and preferences may assist in this.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375089","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":"Advancing gerontology through intergenerational equity, social quality and healthy longevity","authors":"Susana Harding","doi":"10.1111/ajag.13410","DOIUrl":"10.1111/ajag.13410","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375018","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":"Enhancing the quality of life of older people in rural Türkiye: A randomised controlled appraisal of solution-focused case management","authors":"Lokman Cerrah,&nbsp;Meltem Oral,&nbsp;Esra Karakuş Umar,&nbsp;Melike Pak","doi":"10.1111/ajag.13406","DOIUrl":"https://doi.org/10.1111/ajag.13406","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>With a rapidly growing older population in rural Türkiye, it is crucial to identify their unmet needs and develop targeted intervention programs to enhance their quality of life (QoL). This study aimed to evaluate the impact of a solution-focused case management program, that incorporated an ecosystemic framework, on the QoL of Turkish older adults living in rural areas whose family caregivers were receiving a home care allowance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomised controlled experimental design was employed. Sixty older adults participated, with the experimental group receiving a solution-focused case management program in addition to the home care allowance provided to their family caregivers. The control group only received the home care allowance. The intervention lasted 8 months and involved contact every 3 weeks. The QoL of older adults in both groups was measured using the WHOQOL-OLD scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention significantly improved the overall QoL, autonomy, past, present and future activities, and social participation domains in the experimental group. There was no significant impact on the death and dying or intimacy domains. In the control group, there was a significant reduction in the overall QoL, past, present and future activities, and death and dying domain scores, with no changes observed in sensory abilities, autonomy, social participation or intimacy domain scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate that the solution-focused case management program effectively enhances the QoL of Turkish rural older adults. Home care allowance alone did not impact the QoL, highlighting the importance of targeted interventions in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362289","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":"Development of an exercise program to improve sleep quality and mood in older adults with mild cognitive impairment","authors":"Seung-Taek Lim","doi":"10.1111/ajag.13414","DOIUrl":"https://doi.org/10.1111/ajag.13414","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362290","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":"Experiences of accessing injury prevention, treatment and rehabilitation services for older Māori","authors":"Joanna Hikaka,&nbsp;Louise Ihimaera,&nbsp;Hariata Vercoe,&nbsp;John Parsons","doi":"10.1111/ajag.13413","DOIUrl":"https://doi.org/10.1111/ajag.13413","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Unintentional injuries cause significant morbidity and mortality for older adults. Māori, the Indigenous people of Aotearoa New Zealand (NZ), experience inequitable access to injury treatment and care services; however, the extent to which this impacts older Māori is unknown. Our objective was to explore older Māori, family and stakeholders' perceptions and experiences of injury-related care and access for older Māori.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Convenience sampling was used to recruit three participant groups: older Māori (aged ≥55, and living in two regional areas of NZ); family/support network members (whānau) of older Māori; stakeholders (roles in injury prevention/care, health professionals, injury policy, health navigators or Indigenous health service development). Data were collected through demographic questionnaires and in-person interviews or focus groups. A general inductive approach to thematic analysis was utilised, guided by Māori research theory to situate the findings in the relevant social, political and cultural context for Māori.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-four people participated between September and November 2021 (<i>n</i> = 23 older Māori; <i>n</i> = 21 stakeholders). The findings generated four themes. First, quality of care impacts holistic well-being. Second, informed advocates and advocacy to access and connect injury-related care. Third, culturally safe and Māori-led care. Fourth, the role of family and self in injury-related care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Unintentional injury-related care in older Māori is difficult to access and navigate, often not meeting the multidimensional well-being needs of older Māori. Solutions that support advocacy and navigation through the health system are required to respond to mental health and social, as well as physical needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.13413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362291","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":"Describing long-term postinjury outcomes for older New Zealanders","authors":"Helen E. Owen,&nbsp;Emma H. Wyeth,&nbsp;Ari Samaranayaka,&nbsp;Sarah Derrett","doi":"10.1111/ajag.13411","DOIUrl":"https://doi.org/10.1111/ajag.13411","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Internationally, little is known about long-term postinjury outcomes among older adults. This report describes older adults' injury-related, disability and physical and psychosocial characteristics 12 years postinjury, including for older Māori (Māori are the Indigenous people of New Zealand).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Prospective Outcomes of Injury Study (POIS) recruited 2856 New Zealanders, injured between 2007 and 2009. Interviews were conducted 3, 12 and 24 months postinjury. Twelve years postinjury, 1543 participants completed a follow-up interview. Data were analysed for 833 adults (98 Māori) aged greater than 55 years fora range of domains, including disability (World Health Organization Disability Assessment Schedule II; WHODAS), health-related quality of life (EQ-5D-5L), psychological distress (Kessler-6) and life satisfaction 12 years postinjury.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve years postinjury, 49% reported ongoing problems with their injury. Considerable disability (WHODAS ≥ 10) was reported by 20% overall, and by 29% of Māori. Almost two-thirds (65%) reported problems with EQ-5D-5L (e.g. 57% reported pain or discomfort and 33% reported mobility problems). The EQ-5D-5L and most WHODAS outcomes did not differ between age groups; however, a higher proportion of participants aged 55–64 years reported difficulties maintaining a friendship (10%) compared to those aged greater than 70 years (4%). A higher proportion of those aged greater than 70 years reported ‘excellent/very good’ health (64%) and no trouble accessing health care (88%) compared to those aged 55–64 years (51% and 80%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Descriptive findings suggest older adults experience long-term problems with mobility, and pain and discomfort postinjury; however, considerable disability did not differ between age groups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.13411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362292","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":"Understanding the consumer, carer and stakeholder experiences of residential respite care","authors":"Andrew Liem Hieu Huynh,&nbsp;Kathryn Lee,&nbsp;Christa Dang,&nbsp;Steven Savvas,&nbsp;Frances Batchelor,&nbsp;Paul Yates,&nbsp;Sanka Amadoru","doi":"10.1111/ajag.13404","DOIUrl":"10.1111/ajag.13404","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Residential aged care respite clients are vulnerable and prone to poor health-care outcomes. Improvements in the quality of care for this cohort are urgently needed. However, before proposing changes in care models, a nuanced understanding of relevant issues affecting respite care consumers and professionals is required. We aimed to explore perspectives of consumers, carers, health-care workers and aged care workers involved in residential respite care (RRC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used purposive sampling to recruit respite consumers, their family members, residential aged care staff and health-care workers across metropolitan Melbourne for semi-structured telephone interviews and electronic surveys regarding RRC. Thematic analysis of interviews and surveys was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three semi-structured in-depth interviews (five family members, four residential aged care staff, five general practitioners, two nurse practitioners, seven hospital staff) and 12 electronic surveys (five family members, three general practitioners, four hospital staff) were completed. Five key themes were identified: (1) reasons for using respite care vary; (2) expectations and understanding of respite care vary; (3) structural and funding factors influence the experience and quality of care; (4) care professionals often lack timely access to accurate health-care information; and (5) medical management and health-care needs of respite residents are complex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings from multiple stakeholders highlight several issues regarding the benefits of and problems with RRC, and the interfaces between the aged care and health-care sectors. Understanding these issues is pivotal in informing targeted and systemic interventions to improve RRC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054310","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":"Does pregnancy in adolescence increase the chances of osteoporosis among aged women? Findings from the ELSI study","authors":"Gisele Souza Gonçalves,&nbsp;Grasiela Junqueira Silva,&nbsp;Monique Oliveira Sant'Anna,&nbsp;Fernanda de Carvalho Vidigal,&nbsp;Alice Helena de Souza Paulino,&nbsp;Daniela Braga Lima,&nbsp;Hudsara Aparecida de Almeida Paula,&nbsp;Rosângela da Silva,&nbsp;Roberta Ribeiro Silva Barra,&nbsp;Mariana Araújo Vieira do Carmo,&nbsp;Tábatta Renata Pereira de Brito","doi":"10.1111/ajag.13403","DOIUrl":"10.1111/ajag.13403","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Bone mineral density changes during the life span, rising rapidly during adolescence, plateauing around 30 years of age and decreasing in later years. Life events such as pregnancy and lactation temporarily reduce bone density, and their long-term effects on osteoporosis development are still unclear. This study aimed to analyse the association between pregnancy in adolescence and osteoporosis in aged women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a cross-sectional study conducted with data from the <i>ELSI-Brazil</i> baseline (2015–2016). The sample consisted of 2634 women aged 60 years old or over with complete information for the variables of interest. Data collection was conducted through individual home interviews and physical assessments. The dependent variable was osteoporosis and the independent variable of interest was pregnancy in adolescents under 20 years of age. The association between the variables was tested using multiple logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of osteoporosis was 32%, and the percentage of women who reported pregnancy in adolescence was 38%. After adjusting for socio-economic and health variables, an association was observed between pregnancy in adolescence and osteoporosis (OR = 1.38; 95% CI = 1.09–1.73), which indicates that specific bone health interventions for teenage mothers could help prevent osteoporosis later in life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Women who reported pregnancy before age 20 were more likely to report osteoporosis in old age, indicating that pregnancy in adolescence can be a criterion for directing actions to prevent osteoporosis in aged women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054341","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":"Effects of a video-supported Cawthorne–Cooksey exercise program in older adults with balance deficits and dizziness: A preliminary randomised pilot study","authors":"Olga Athanasiadou,&nbsp;Dimitrios Lytras,&nbsp;Paris Iakovidis,&nbsp;Konstantinos Kasimis,&nbsp;Georgios Koutras,&nbsp;Thomas Apostolou","doi":"10.1111/ajag.13408","DOIUrl":"10.1111/ajag.13408","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To determine the safety and efficacy of a video-supported Cawthorne–Cooksey exercise program (CCEP) in improving balance, dizziness and decreasing fear of falling in older adults with balance deficits and dizziness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty-two older adults were divided into two groups (intervention and control). The intervention group followed a video-supported CCEP group, while the control group received written instructions to maintain their usual activity and counselling on fall prevention. Balance was assessed using the Berg Balance Scale (BBS), fear of falling with the Fall Efficacy Scale International (FES-I), and dizziness impact on daily life with the Dizziness Handicap Inventory (DHI) at baseline, the 4th week and at the 1-month follow-up. Analysis of variance with repeated measures was applied, and the level of significance was set at <i>p</i> &lt; .05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Statistically significant differences were found between groups at the 4th week, with the CCEP group showing significant improvement in all outcome measures (BBS, FES-I, DHI scores) (<i>p</i> &lt; .05). These differences remained statistically significant at the 1-month follow-up (<i>p</i> &lt; .05). No adverse effects were detected.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A 4-week video-supported CCEP is safe and effective in improving balance, dizziness impact on daily life and fear of falling in older adults with age-related dizziness and imbalance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054343","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}