Australasian Journal on Ageing最新文献

{"title":"Only child or multiple children? The number of children and cognition in older Chinese parents","authors":"Yunlong Song,&nbsp;Lizhi Guo,&nbsp;Hui Zhu,&nbsp;Bin Yu","doi":"10.1111/ajag.70009","DOIUrl":"https://doi.org/10.1111/ajag.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to investigate the relationship between the number of children and cognitive function trajectories among older Chinese parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 6723 individuals (55% men) aged 50 years and older were followed for 7 years as part of the China Health and Retirement Longitudinal Study (CHARLS). Cognitive function was assessed through episodic memory and mental status tests. The number of children was dichotomised as ‘only child’ and ‘multiple children’. Linear mixed models were used, with the number of children at baseline as the predictor. Covariates including social-demographic factors, health behaviours and health status were adjusted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parents with multiple children had poorer baseline cognitive functions (episodic memory: <i>B</i> = −.17, <i>p</i> &lt; .001; mental status: <i>B</i> = −.25, <i>p</i> &lt; .001) and experienced a faster cognitive decline during the follow-up period (episodic memory: <i>B</i> = −.05, <i>p</i> &lt; .001; mental status: <i>B</i> = −.03, <i>p</i> = .005) compared to those with only one child. Gender-stratified analyses indicated that women were more susceptible to cognitive decline than men as the number of children increased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study found a negative correlation between the number of children and cognitive performance among older Chinese parents, with the association being stronger in women. These findings enhance the understanding of the impact of offspring on parental well-being in non-Western societies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554403","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":"Health-care staff perspectives in optimising delirium prevention using data-driven interventions","authors":"Swapna Gokhale,&nbsp;Belinda Garth,&nbsp;Melinda Webb-St Mart,&nbsp;David Taylor,&nbsp;Nikolajs Zeps,&nbsp;Joanne Enticott,&nbsp;Helena Teede,&nbsp;Sandy Reeder","doi":"10.1111/ajag.70011","DOIUrl":"https://doi.org/10.1111/ajag.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to identify factors influencing delirium prevention (risk identification and screening), from the perspective of health service staff, in order to ascertain the characteristics and implementation strategies critical for the clinical adoption of data-driven optimisations for delirium prevention. This pre-implementation study used the Monash Learning Health System (LHS) paradigm to visualise iterative integrated assimilation of delirium prevention in routine care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted in a large metropolitan public health network in Australia. Following consultation with organisational leaders, a purposive sample of clinical/non-clinical participants with expertise in delirium care delivery was recruited. Interviews were inductively analysed using a framework approach. The Consolidated Framework for Implementation Research (CFIR) domains underpinned interview questions and guided thematic mapping and analysis of responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 18 participants (clinical [<i>n</i> = 14] and non-clinical [<i>n</i> = 4]). Key themes included challenges in consistently integrating delirium risk identification and screening processes into clinical workflows, infrastructure-related obstacles hindering the digitisation of decision support, and the need to engage caregivers and staff in designing optimisations to enable appropriate and timely delirium prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study generated insights into key factors influencing delirium prevention, focusing on the development and implementation of optimisations such as automated delirium risk prediction. Improving hospital information technology infrastructure, supporting workforce digital literacy and ensuring accountability in all professional groups are crucial for implementing automated delirium risk prediction models in clinical practice. Future research should examine the feasibility and efficacy of optimised delirium prevention interventions in pragmatic clinical trials.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554238","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":"A clinician implementation protocol for BetterBrains: An online, person-centred risk factor management program to prevent cognitive decline","authors":"Stephanie Pirotta,&nbsp;Anna Barker,&nbsp;Renata Morello,&nbsp;Emily Rosenich,&nbsp;Stephanie Perin,&nbsp;Samantha De Araugo,&nbsp;Yen Ying Lim,&nbsp;Darshini Ayton","doi":"10.1111/ajag.70005","DOIUrl":"https://doi.org/10.1111/ajag.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Modifiable risk factors, particularly those in midlife, can contribute to cognitive decline and dementia. Despite this, the ‘how’ of dementia risk reduction, including the application of interventional and care frameworks to deliver such a program is lacking. Our aim was to describe the ‘how’ in clinical delivery of a dementia risk reduction program called BetterBrains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>BetterBrains is an online, person-centred risk factor management program designed to prevent or delay cognitive decline in cognitively unimpaired community-dwelling, middle-aged adults with a family history of dementia. This protocol describes the delivery and implementation of BetterBrains using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Procedures for risk factor assessment and tailored management pathways using motivational interviewing, nationwide community linkage mapping and community referral pathways using digital delivery are outlined. Coach training and competency checks for program fidelity measures are also described.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Complex, multi-component programs require detailed implementation processes. Clinicians delivering BetterBrains may be better supported through standardised operating procedures, training and monitoring of competencies and implementation fidelity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481321","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":"Effects of artificial intelligence and virtual reality interventions in art therapy among older people with mild cognitive impairment","authors":"Ying Cao,&nbsp;Hanfang Yin,&nbsp;Xinxin Hua,&nbsp;Shibo Bi,&nbsp;Di Zhou","doi":"10.1111/ajag.70006","DOIUrl":"https://doi.org/10.1111/ajag.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Integrating artificial intelligence and virtual reality into an art health program, this study aimed to compare the effects of artificial intelligence (AI) intervention in art therapy, virtual reality (VR) intervention in art therapy and traditional art therapy on cognitive function and mental health in older people with mild cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a randomised controlled trial, this study recruited 60 older people with mild cognitive impairment, evenly assigned to the AI group, the VR group and the control group. The participants completed surveys, before and after art therapy interventions, which assessed changes in cognitive function, depressive symptoms and program attitudes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following the intervention, the AI group and the VR group exhibited higher scores in cognitive function and mental health compared to the control group. The AI group demonstrated significant improvements in mental health, particularly in areas of boredom (<i>p</i> &lt; .001, <i>η</i>² = .093), activity reduction (<i>p</i> = .001, <i>η</i>² = .082), life value (<i>p</i> = .003, <i>η</i>² = .092), and happiness (<i>p</i> = .001, <i>η</i>² = .093). While the VR group showed significant enhancements in cognitive abilities, particularly in attention (<i>p</i> = .006, <i>η</i>² = .130), expression (<i>p</i> = .002, <i>η</i>² = .139), orientation (<i>p</i> = .01) and memory (<i>p</i> = .02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In art health programs, leveraging the painting and language technologies of AI, along with the painting and simulation technologies of VR, can effectively enhance cognitive function and mental health in older people with mild cognitive impairment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481363","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":"Association between home care and health phenotype of centenarians: Is it a necessary new criterion in home health care?","authors":"Ivan David Lozada-Martinez,&nbsp;Paula Andrea Correa-Diaz,&nbsp;Jorge Luis Correa-Rosales,&nbsp;Juan-Manuel Anaya","doi":"10.1111/ajag.70004","DOIUrl":"https://doi.org/10.1111/ajag.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the association between home care and the health phenotype of Colombian centenarians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study derived from the Colombian Centenarian Cohort Study (COOLCEN Cohort). Through random sampling, centenarians and their families were identified and interviewed in person to assess specific health characteristics and home care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty centenarians were included in the study, with an average age of 100.9 years. Of these, 74% were women and 96% were beneficiaries of a subsidised health-care system. Eighty-six percent had at least one chronic disease, with arterial hypertension being the most prevalent (86%), 60% were classified as frail older adult, 60% exhibited signs of sarcopenia, 42% experienced at least one fall in the past year, 26% had good nutritional status, and 28% had polypharmacy. Centenarians who did not receive home care were more likely to be free of co-morbidities (29% vs. 8%), had a lower frequency of frailty (50% vs. 75%), sarcopenia (50% vs. 64%), malnutrition (14% vs. 39%), exhibited greater independence (43% vs. 11%) and better functional performance (29% vs. 11%). Receiving home care, whether monthly or comprehensive, was not associated with any health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Under the current home care model, there was no association between home care for centenarians and health outcomes. No centenarian without co-morbidities received preventive home care. However, this population faces socio-economic challenges and health needs that could benefit from health education and the implementation of primary care interventions, regardless of the presence of comorbidities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481313","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":"Radio relationships: Perceptions on listenership and well-being","authors":"Amanda E. Krause,&nbsp;Heather Fletcher","doi":"10.1111/ajag.70008","DOIUrl":"https://doi.org/10.1111/ajag.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>As Australia boasts large radio listening audiences with high engagement among older adults, we examined Australian radio personnel's perceptions of their role in delivering radio and how it facilitates listener well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured individual interviews were conducted with 16 radio personnel affiliated with music- and talk-based community and public stations broadcasting in Melbourne, Victoria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis indicated two main themes: communication style (e.g. making listeners a part of the conversation, speaking to one'person and strong listening skills) and authenticity. Presenters focused on both creating and maintaining relationships as well as promoting community through their on-air actions and programming. This inherently fostered connection and facilitated listener well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings have implications for considering how the radio can be used as a tool for enhancing quality of life and for how radio stations manage presenter training and programming changes to support listener connection.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481362","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":"Deprescribing in Australian residential aged care facilities: A scoping review","authors":"Jenny Xinyu Liang,&nbsp;Louise Thai,&nbsp;Madeleine Healy,&nbsp;Adam Mohd Idris,&nbsp;Jian Wey Chin,&nbsp;Christopher Grossman","doi":"10.1111/ajag.13415","DOIUrl":"https://doi.org/10.1111/ajag.13415","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Older adults residing in residential aged care facilities (RACFs) are particularly vulnerable to negative health outcomes from polypharmacy and suboptimal prescribing in the context of frailty and multimorbidity. Deprescribing, the intentional withdrawal of inappropriate medications, has been proposed as a promising approach to reduce polypharmacy-related harms. Examining current deprescribing interventions in RACFs would help identify gaps in research knowledge. The aim of this scoping review was to synthesise the current literature, describe the current knowledge gaps and future research priorities that the authors identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEDLINE, Embase, CINAHL, PsycINFO and AgeLine were searched according to the Joanna Briggs Institute (JBI) guidelines for scoping reviews from inception until February 2024 to identify relevant studies published in the English language.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 2244 articles screened, 13 studies (total of 133,150 RACF residents across Australia) were identified examining deprescribing interventions. Six studies were controlled trials and seven studies were observational studies. There were six pharmacist-led interventions, five multidisciplinary team-led interventions and two physician-led interventions. Main themes discussed included as follows: multidisciplinary care, education for health-care professionals, refining outcome measures, overcoming system issues and research logistics. The most commonly targeted medications in the included studies were psychotropics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Deprescribing is an important intervention for RACF residents but more research into translating evidence into clinically meaningful outcomes is needed. Successful studies typically involved multidisciplinary interventions, had an educational component, followed-up longitudinally with residents and carers and involved stakeholders, such as nurses. The economic impacts of deprescribing in this cohort are poorly understood.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.13415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466309","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":"Human rights and the comprehensive geriatric assessment: Is the standard of care compatible with a human rights approach?","authors":"Rohan Wee","doi":"10.1111/ajag.13416","DOIUrl":"https://doi.org/10.1111/ajag.13416","url":null,"abstract":"<p>The comprehensive geriatric assessment is a key tool of geriatricians. It encompasses a holistic approach to care and is now the standard of care for the provision of geriatric medical care for older, vulnerable people across multiple areas of practice. In this article, I argue that the CGA is a tool that allows respect for and support for a human rights' focused approach. This support for human rights has developed incidentally with the development of the CGA. As a result, there are risks to older people's human rights even with a well-applied CGA. The development of a specific human rights convention focused on older people would help focus attention on the rights of older people.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466209","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 a relational approach through online education: A mixed methods assessment in older adults' care","authors":"Alison Craswell,&nbsp;Mariana S. dos Santos Ribeiro,&nbsp;Natasha Hubbard Murdoch,&nbsp;Sandy Whitford,&nbsp;Thomas J. Murdoch,&nbsp;Sharon Anderson,&nbsp;Jasneet Parmar,&nbsp;Roslyn M. Compton","doi":"10.1111/ajag.70001","DOIUrl":"https://doi.org/10.1111/ajag.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the experience of health-care workers who completed an online professional development program designed to support family carergivers in care teams in personal care homes. The evaluation focussed on issues of access and uptake of education modules.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An explanatory sequential mixed methods design was used to include data from posteducation surveys, and online module analytics of use, to inform interview questions. Demographic data, survey data and video analytics were described. Focus group data were analysed using reflexive thematic analysis. Mixed method data integration enabled inference development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Across eight personal care homes located in Canada and Australia, of 114 health-care workers (mainly care aides) who commenced the online education modules, 89 watched and completed the postassessment. Most agreed that the educational content increased their understanding, and the videos increased their knowledge. Ten participants took part in focus groups interviews. The education was perceived as another way to learn and was considered beneficial for individual and team practice. Health-care workers found it difficult to find time to undertake learning opportunities outside work when their lives were busy and involved other responsibilities or multiple jobs. The need for organisational support to coordinate time during work to undertake work-related learning was highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Caregiver-centred care education exemplifies enhancing relational care among health-care staff and family caregivers, beneficial for individual and team practice. By valuing education for health-care workers through creating opportunities for staff to engage during work time, a cultural environment that embodies continuous learning can be created in sectors caring with older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466307","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":"Pilot implementation of an electronic diagnostic support tool (AiD-DST) designed to identify the cause(s) of delirium","authors":"Elizabeth Leong,&nbsp;Stephane Chang,&nbsp;Kristi Yearwood,&nbsp;Eamonn Eeles,&nbsp;Stephanie Yerkovich,&nbsp;Carolina Ling,&nbsp;Andrew Teodorczuk,&nbsp;Nadeeka Dissanayaka","doi":"10.1111/ajag.70000","DOIUrl":"https://doi.org/10.1111/ajag.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective(s)</h3>\u0000 \u0000 <p>The identification of cause(s) of delirium remains a clinical challenge within medicine. Our group have previously successfully developed and tested the Aetiology in Delirium—Decision Support Tool (AiD-DST). The AiD-DST is designed to help medical professionals close the gap on the detection of cause(s) of delirium. Here, we report on use of AiD-DST in the real-world setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A real-world implementation study of the AiD-DST within a general medical ward of a metropolitan hospital was conducted over a 10-week period. A mixed method evaluation was performed based upon the RE-AIM Framework that incorporates reach, effectiveness, adoption, implementation and maintenance of an intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Reach: fifty-three out of 87 <b>(</b>61%) eligible doctors consented to participation in the study. Effectiveness: A mean of 4.3 diagnoses were generated per patient with no difference in frequency when compared with historical control (<i>z</i> = 1.36; <i>p</i> = .17). Average usability score was 5.86 (SD = 1.15) on a 7-point scale, with 93% of respondents being satisfied with the AiD-DST. Free text feedback comprised themes of accessibility, ergonomics, diagnostic accuracy and applicability of AiD-DST to related conditions. Implementation: Instrument completion rate was 98% (<i>n</i> = 49/50), with a median completion time of 90 s. Maintenance: Sixty-seven % of uses of AiD-DST occurred in the second half of the study (<i>p</i> = .3). Following the initiation period there was an increase in use (<i>r</i> = .79; <i>p</i> = 02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Proof of principle was demonstrated for local implementation of a diagnostic support tool (AiD-DST).</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466208","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}