Australasian Journal on Ageing最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148074825","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":"Co-Designing a Digital Brain Health Intervention for Chinese Older Adults: A User-Centred Approach","authors":"Joyce Siette,&nbsp;Siyao Cheng,&nbsp;Jed Montayre,&nbsp;Laura Dodds","doi":"10.1111/ajag.70164","DOIUrl":"10.1111/ajag.70164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to co-design, with key stakeholders, a digital dementia risk reduction application (app) for Chinese older migrant adults and carers residing in Australia, and to address the challenges of this proposed intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A four-stage co-design process was conducted, followed by one usability testing session. Each workshop focussed on core domains of healthy ageing and included guided discussions, interactive app testing and structured feedback activities. Thematic analysis was used to identify key themes. The app prototype was refined between sessions and changes were guided by participant feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 20 end-users and 18 usability testers participated in this study (mean age = 74.8 years, SD = 8.2, range = 61–89). Participants expressed strong preferences for culturally tailored, interactive and visually clear app features. Eight themes emerged: health prioritisation in later life, designing for simplicity, functional needs in brain health testing, goal setting and motivation, brain training preferences, dietary preferences, preventive health monitoring and trusted medical information, and iterative design feedback. Older adults demonstrated high receptivity to health tracking and goal setting features when framed as personally relevant and adjustable. Feedback informed design features such as icon clarity, font size, navigation simplicity, motivational rewards and culturally specific content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlighted the importance of co-design in developing effective digital tools for older adults. The active involvement of Chinese older adults in shaping the app supported cultural sensitivity, usability and individual motivational alignment. The final prototype reflected both sociotechnical responsiveness and real-world relevance and offers a potential, scalable model for culturally-tailored digital health interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678733","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":"The Efficacy of COVID-19 Vaccination in Mortality Among Multi-Ethnic Long-Term Care Residents in New Zealand","authors":"Gary Cheung,&nbsp;Tony Wu,&nbsp;Kebede Beyene,&nbsp;Amy Hai Yan Chan,&nbsp;Hamish Jamieson,&nbsp;Mataroria Lyndon,&nbsp;Joanna Hikaka,&nbsp;Etuini Ma'u,&nbsp;Brigette Meehan,&nbsp;Xaviour Walker,&nbsp;Claudia Rivera-Rodriguez","doi":"10.1111/ajag.70155","DOIUrl":"10.1111/ajag.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Older adults faced heightened vulnerability during the COVID-19 pandemic, leading to increased mortality. This study investigated the impact of COVID-19 vaccination on COVID-19-related mortality among the main ethnic groups in long-term care during the Delta-Omicron wave in New Zealand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used national health datasets (interRAI Long Term Care Facility, COVID-19 immunisation, COVID-19 test results, mortality) from August 2021 to August 2022. Multi-state modelling assessed transition hazards from infection to COVID death and other causes of death among Māori, Pacific, Asian and European residents. Transition hazard ratios compared the risk of transitioning from infection to COVID versus non-COVID death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 34,147 long-term care residents (female: 64.0%, mean age: 84.8 years SD = 8.5) were included. For Māori aged &lt; 85, Asians &lt; 63 and Europeans &lt; 93 who had 3+ doses of vaccine, the risk of COVID death was statistically lower than non-COVID death. Unvaccinated residents showed higher hazards for transitioning to COVID death. For Pacific peoples, transition hazard ratios were not statistically significant, likely due to small sample size. However, successive vaccine doses suggested reduced COVID mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>COVID-19 vaccination reduced the risk of COVID deaths across ethnicities in New Zealand's long-term care. However, the level of protection offered by the vaccine varied by ethnicity and age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655447","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":"The Turkish Validity and Reliability Study of the Rapid Sarcopenia Screening Questionnaire","authors":"Merve Yilmaz Kars,&nbsp;Tunahan Yakar,&nbsp;Orhan Cicek,&nbsp;Zeynep Iclal Turgut,&nbsp;Ilyas Akkar,&nbsp;Mustafa Hakan Dogan,&nbsp;Ayse Dikmeer,&nbsp;Muhammet Cemal Kizilarslanoglu","doi":"10.1111/ajag.70150","DOIUrl":"10.1111/ajag.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to assess the validity and reliability of the Turkish version of the Rapid Sarcopenia Screening (RSS) tool, designed to provide a quick and practical method for identifying sarcopenia in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional observational study was conducted among 150 individuals aged 60 years and older attending a geriatric outpatient clinic in Türkiye. The RSS underwent forward–backward translation and linguistic validation. Construct validity was examined by correlation with the SARC-F. Internal consistency was assessed using Cronbach's alpha, whereas intra-rater and inter-rater reliability were evaluated with intraclass correlation coefficients (ICCs). Discriminant validity was analysed using receiver operating characteristic (ROC) curves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The median age of participants was 75 years (range: 62–103), and 59% were female. According to EWGSOP2 criteria, 27% were diagnosed with sarcopenia. The RSS showed good internal consistency (Cronbach's alpha = 0.768). A strong inverse correlation with SARC-F scores (rho = −0.688, <i>p</i> &lt; 0.001) supported construct validity. ROC analysis demonstrated good discriminatory power (AUC = 0.817). Reliability was also excellent, with intra-rater and inter-rater ICCs of 0.980 and 0.963, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Turkish RSS is a valid, reliable and practical screening tool for detecting sarcopenia in older adults. Its brevity and reliance on self-reported items support its feasibility for routine clinical practice and suggest its potential as an alternative screening method in Türkiye.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647648","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":"Digital Health Literacy in Hospitalised Older Adults","authors":"Matthew Joel Pappas,&nbsp;Kristy Siostrom,&nbsp;Yu Mei Law,&nbsp;Beatriz Arakawa Martins,&nbsp;Taya Collyer,&nbsp;Chris Moran","doi":"10.1111/ajag.70158","DOIUrl":"10.1111/ajag.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess digital health literacy among older adults in a subacute inpatient setting and identify factors associated with greater digital health literacy to inform equitable implementation of patient-facing digital health initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional survey at a single metropolitan subacute hospital involving patients 65 years and older admitted to two Geriatric Evaluation and Management wards between September 2023 and January 2024. Participants completed a survey capturing demographics, technology use and preferences, along with the validated 8-item eHealth Literacy Scale (eHEALS), whereby a score &lt; 26 indicated low eHealth literacy. Additional questions assessed general interest in digital health. Mean eHEALS scores were calculated and associations with patient characteristics analysed using <i>t</i>-tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-four participants (mean age 80.1 years; 61% female) were enrolled. The mean eHEALS score was 23.6 (SD 9.4). Tertiary education, preference for digital appointment notifications and owning at least one electronic device were associated with greater eHEALS scores (all <i>p</i> &lt; 0.01). Sensory impairment and prior telehealth use were not associated with statistically significant differences in scores. Many participants lacked access to digital devices or support to use them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older adults in subacute hospital settings demonstrated low eHealth literacy and limited access to digital technologies. Hospitals should consider the heterogeneity of digital skills and access among older patients when implementing digital health solutions. Tailored support, inclusive design and infrastructure investment are essential to avoid exacerbating digital health inequities in inpatient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635193","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":"Care by Name, Not by Nature: Experiences of Older Adults Accessing a Home Care Package Including Food and Nutrition Services—An Exploratory Qualitative Study","authors":"Caitlin Wyman,&nbsp;Victoria Hoekman,&nbsp;Michael Lawless,&nbsp;Jolene Thomas,&nbsp;Alison Yaxley","doi":"10.1111/ajag.70156","DOIUrl":"10.1111/ajag.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To (1) explore the experiences and perceptions of older adults accessing an Australian Government Home Care Package (HCP), (2) understand how recipients prioritise their package expenditure, (3) understand the value that recipients place on food and nutrition services, and (4) understand the barriers and facilitators to spending on these services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 15 HCP recipients aged 65 years or older located across Australia. Transcripts were analysed using Braun and Clarke's six-phase reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were developed from 15 interviews: (1) Care, By Name or By Nature; (2) We Know What We Need, Just Listen; (3) The Struggles of Prioritising and Spending; and (4) Nutritional (Im)Balance. Participants experienced a lack of person-centred care in the HCP program, making it difficult to obtain services that met their care needs and preferences. For many, their package budget was insufficient, causing recipients to compromise on services required for safe, independent living. Nutrition was important to HCP recipients but was often not their main priority when prioritising their limited package funding. Nutrition was valued by HCP recipients but often deprioritised for more immediate care needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is apparent that changes to home care programs are required so recipients are at the centre of their care and have access to resources to help maintain their nutritional health and remain living independently at home. These insights can inform program and policy changes to better support older adults to age-in-place.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13059538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635225","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":"Predictors of Hospital Admission Following Emergency Department Presentation for Falls Among Older Adults: A Retrospective Analysis","authors":"Yong-Joon Kim,&nbsp;Hyo-Seon Shin,&nbsp;Kyeongmin Jang","doi":"10.1111/ajag.70157","DOIUrl":"10.1111/ajag.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify demographic, clinical and injury-related factors independently associated with hospital admission among older adults presenting to the emergency department (ED) after a fall.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective chart review of electronic medical records for 574 patients aged 65 years and older who presented to the ED of a general hospital between January and June 2023 with non-traumatic fall presentations. Data included demographics, fall circumstances, mode of arrival, comorbidities, medication exposure and ED diagnoses. Multivariable logistic regression was used to identify independent predictors of hospital admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 574 older adults, 187 (33%) were admitted. Admission was independently associated with female sex (aOR 2.29, 95% CI 1.35–3.89), age 78 years and older and ambulance arrival. Comorbidities including hypertension, diabetes, dementia, Parkinson's disease and multimorbidity were also associated with higher odds of admission. Use of fall-risk-increasing medications remained a significant predictor. Serious injuries, particularly fractures and intracranial haemorrhage, were strongly associated with admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Hospital admission after ED presentation for falls in older adults reflects both injury severity and underlying clinical vulnerability. Incorporating comorbidity burden and medication risk into ED assessment may support disposition decisions and help target secondary prevention, especially for individuals discharged directly from the ED.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624683","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":"Rethinking Food Waste in Aged Care: A Systematic Review Framing Food Waste as an Ecosystem Issue.","authors":"Elena Piere, Paula O'Kane, Miranda Mirosa","doi":"10.1111/ajag.70151","DOIUrl":"10.1111/ajag.70151","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesise evidence on food waste in Aged Residential Care (ARC) facilities, identify organisational, cultural and structural drivers, and develop a conceptual model to inform practice and research.</p><p><strong>Methods: </strong>Following PRISMA guidelines, five databases (1990-2025) were searched. Nineteen peer-reviewed studies met inclusion criteria. Narrative synthesis and inductive coding were used to identify barriers, facilitators and organisational responses, which were integrated into a conceptual model of the ARC food waste ecosystem.</p><p><strong>Results: </strong>Food waste responses were largely fragmented and rarely embedded in strategy or policy. Barriers and facilitators commonly overlapped, including communication, training and infrastructure. Resident involvement was limited, and few studies evaluated intervention effectiveness or used theoretical framing.</p><p><strong>Conclusions: </strong>Food waste in ARC is an ecosystem issue shaped by interdependent organisational, staff, resident and policy factors. The model highlights leverage points for integrated, sustainable change linking waste reduction, staff capacity and resident wellbeing.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":"e70151"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492064","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":"Regional and Socioeconomic Disparities in Frailty Across Tasmania: Evidence From Island Study Linking Ageing and Neurodegenerative Disease.","authors":"Zhexun Lou, Eddy Roccati, Jane E Alty, Michele L Callisaya, James C Vickers, Emily H Gordon, Ruth E Hubbard, David D Ward","doi":"10.1111/ajag.70144","DOIUrl":"10.1111/ajag.70144","url":null,"abstract":"<p><strong>Objective: </strong>Although frailty appears higher in rural and socioeconomically disadvantaged areas, existing evidence often lacks adjustment for possible population confounders. This study examined the independent associations between geographic remoteness and area-level socioeconomic status with frailty.</p><p><strong>Methods: </strong>We constructed a 33-item frailty index using data from 5740 participants of the Island Study Linking Ageing and Neurodegenerative Disease (ISLAND), a web-based longitudinal cohort of adults aged 50 years and over in Tasmania, Australia. After linking participant postcodes to Modified Monash Model remoteness and Index of Relative Socioeconomic Advantage and Disadvantage, we examined frailty distribution and its associations with geographic and sociodemographic factors using descriptive statistics, spatial mapping and multivariable linear regression models.</p><p><strong>Results: </strong>The analytical sample mean age was 69.3 years (SD = 8.0) and most were women (72%). Frailty index scores followed a gamma distribution (mean score = 0.16, SD = 0.09), increased with age and were highest in central and western areas of Tasmania. After adjustment for age, gender, education, retirement and migrant status, frailty index scores were significantly higher in rural towns (β = 0.011 [95% confidence interval, CI = 0.005, 0.016]) and remote communities (β = 0.023 [95% CI = 0.009, 0.038]) than regional centres. Similarly, after full adjustment, compared with areas of the highest socioeconomic advantage, frailty was significantly higher in areas of middle (β = 0.013 [95% CI = 0.007, 0.018]) or low (β = 0.024 [95% CI = 0.018, 0.030]) socioeconomic advantage.</p><p><strong>Conclusions: </strong>The distribution of frailty across Tasmania varied by geographic remoteness and socioeconomic disadvantage. Integrating frailty assessment into regional health planning may support targeted interventions for vulnerable subpopulations, particularly in rural and disadvantaged communities.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":"e70144"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391829","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":"Development of a High-Risk Medication List for Australian Residential Aged Care: A Modified Delphi Study.","authors":"Amanda J Cross, Madiha Chaudhry, Darshna Goordeen, Juanita L Breen, Malcolm Clark, Stephanie Daly, Belinda Delardes, Bente Hart, Deborah Hawthorne, Peter J Hayball, Sarah N Hilmer, Lisa Kouladjian O'Donnell, MaryAnn Kulh, Kenneth Lee, David F L Liew, Stephen Macfarlane, Elizabeth Manias, Anthony Marinucci, Constance Dimity Pond, Helen Rawson, Susan Slatyer, Andrew Stafford, Amy B Thomson, Kate Wang, Kirolos Wasef, Jonathan Zimmerman, Nadine E Andrew, Gauri P Godbole, Louise Lord, Atish Manek, Brigid McInerney, Michelle Steeper, Justin P Turner, J Simon Bell","doi":"10.1111/ajag.70141","DOIUrl":"10.1111/ajag.70141","url":null,"abstract":"<p><strong>Introduction: </strong>High-risk medications are medications associated with significant patient harm or death if misused or used in error. This study aimed to develop a national consensus high-risk medication list for use in Australian residential aged care.</p><p><strong>Methods: </strong>A 3-round modified Delphi study involving Australian healthcare professionals was conducted. In Round 1, participants indicated their level of agreement, on a 9-point Likert scale, whether 60 medications/medication classes were considered high-risk and should be included in a high-risk medication list for Australian residential aged care. Round 2 included medications/medication classes that did not reach consensus and new medications identified by participants. Consensus was defined as 70% or more of participants responding at 7 or higher on the Likert scale. In Round 3, participants were asked to prioritise medications/medication classes that reached consensus in Round 1 or 2.</p><p><strong>Results: </strong>In total, 42 participants completed Round 1, and 35 (83%) completed all three rounds. Participants included pharmacists (n = 21), prescribers (n = 15), nurses (n = 5) and a paramedic (n = 1), with representation from all Australian states and mainland territories. Overall, 26 medications reached consensus (21 in Round 1, five in Round 2) and were categorised into 15 medications/medication classes for prioritisation in Round 3. The final prioritisation list was opioids, insulin, benzodiazepines, anticoagulants, z-drugs, antipsychotics, lithium, sulfonylureas with high risk of hypoglycaemia, chemotherapeutic agents, methotrexate, digoxin, narrow therapeutic range antiepileptics, tricyclic antidepressants, immunosuppressants for transplant and sedating antihistamines.</p><p><strong>Discussion: </strong>This is the first, national consensus list of high-risk medications developed specifically for Australian residential aged care. It can be used to implement targeted strategies to minimise medication-related harm.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":"e70141"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312719","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}