Australasian Journal on Ageing最新文献

{"title":"Staff Perspectives on Interventions for Confabulation in Brain Injury and Dementia.","authors":"Rebecca Sharp, Victoria Burney, Douglas Elliffe","doi":"10.1111/ajag.70228","DOIUrl":"10.1111/ajag.70228","url":null,"abstract":"<p><strong>Objective: </strong>Providing inaccurate narratives of events (confabulation) is a commonly reported difficulty for people with brain injuries and dementia. We aimed to capture staff perceptions on the frequency and cause of confabulation, as well as interventions they find acceptable and effective.</p><p><strong>Methods: </strong>We surveyed staff in dementia and brain injury services using convenience sampling. We developed a bespoke survey capturing staff views on confabulation prevalence, context, causes, the acceptability and effectiveness of interventions, and staff demographics such as education and experience.</p><p><strong>Results: </strong>The survey was completed by direct care staff, nurses and allied health professionals supporting people with dementia (n = 46) and people with brain injuries (n = 40). Application of χ² tests showed that staff in dementia care reported interventions to be less effective and 'playing along' as more acceptable than did staff working with clients who had brain injury. Approximately 20% of each group were not confident in addressing confabulation. Dementia staff witnessed more confabulation about who and where the confabulating person was, and brain injury staff witnessed more confabulation about why the confabulating person was receiving care.</p><p><strong>Conclusions: </strong>Our findings showed that there is a difference between how staff in brain injury and dementia services perceive the effectiveness and acceptability of interventions for confabulation. Findings suggest that capturing practice-generated knowledge might lead to further empirical demonstrations of effective interventions for confabulation and that there is a need for more support and training of direct care staff in managing confabulation.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70228"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868034","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":"Trends in Falls and Medicine Use in Australian Long-Term Care, 2014-2022: Evidence From 8298 Residents.","authors":"Ying Xu, Johanna I Westbrook, Isabelle Meulenbroeks, Maria C Inacio, Gillian E Caughey, Peter D Hibbert, Jeffrey Braithwaite, Nasir Wabe","doi":"10.1111/ajag.70240","DOIUrl":"10.1111/ajag.70240","url":null,"abstract":"<p><strong>Objective(s): </strong>To evaluate changes in falls and medication-related quality indicators (QIs) including high sedative load, antipsychotic use and anti-anxiety or hypnotic medications in long-term care facilities (LTCFs), and to examine their alignment with major national reforms and COVID-19 in New South Wales, Australia.</p><p><strong>Methods: </strong>A repeated cross-sectional study was conducted using electronic health data from 27 LTCFs (8298 residents). From Jul 2014 to Jun 2022, quarterly prevalence estimates of four QIs were evaluated adjusting for potential confounders. Joinpoint regression analysis was used to identify QI trend changes. Average quarterly percentage changes for the study period were estimated.</p><p><strong>Results: </strong>The quarterly prevalence of residents who had any falls (28.5%-33.3%) and injurious falls (14.5%-18.6%) remained stable during the study period. The prevalence of residents who had falls requiring hospitalisation varied (3.8%-9.1%) and average quarterly percentage increase was 1.01% (95% confidence interval (CI) 0.30, 2.08). There were changes in quarterly prevalence of residents experiencing high sedative load (28.1%-32.1%), using antipsychotic(s) (8.9%-19.3%), and anti-anxiety and hypnotic medication(s) (11.4%-19.0%). Average quarterly percentage decreases were at 0.17% (95% CI 0.01, 0.35) in residents experiencing a high sedative load, 2.14% (95% CI 1.90, 2.41) for antipsychotics use and 1.63% (95% CI 1.45, 1.82) for anti-anxiety or hypnotic medication use. Regarding trend changes, medication-related QIs decreased from Q3 or Q4 2018, or Q1 2019, around when the Royal Commission was established. Medication-related QIs continued to decline when restrictions on risperidone were applied and COVID-19 started.</p><p><strong>Conclusions: </strong>Medication-related QIs decreased during the study period, especially after national reforms.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70240"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041944","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 Multifaceted Nursing Practice Bundle for the Management of Changed Behaviour in Hospitalised Adults With Cognitive Impairment: A Pre-/Poststudy.","authors":"Erin Rachel Davis, Christina Aggar, Michelle Bissett","doi":"10.1111/ajag.70225","DOIUrl":"10.1111/ajag.70225","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate changes in nursing practices following implementation of a multifaceted nursing practice bundle for the management of changed behaviour in hospitalised adults with cognitive impairment.</p><p><strong>Methods: </strong>A single-group pre-post interventional study evaluated changes in nurses' reactions to changed behaviour and the use of alternatives to physical restraint following implementation of a multifaceted nursing practice bundle (implementation framework, nurse education and nonpharmacological resources).</p><p><strong>Results: </strong>Management of changed behaviour improved, with nurses more commonly reacting with care and less likely to react by ignoring when changed behaviour occurred. Nurses were also more likely to utilise professional knowledge and problem-solving abilities, and less likely to use medications as alternatives to physical restraints.</p><p><strong>Conclusions: </strong>The implementation of a nursing practice bundle was associated with improved management of changed behaviour in hospitalised adults with cognitive impairment, likely due to its multifaceted approach. Improvements in nursing practice indicate enhanced attitudes towards adults with cognitive impairment and increased confidence in implementing nonpharmacological interventions.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70225"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841858","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":"Training Needs of the Aged Care Workforce Providing Services to Aboriginal and Torres Strait Islander Peoples in South Australia: A Cross-Sectional Survey.","authors":"Adriana Parrella, Jonathon Zagler, Anna P Dawson, Tameeka Ieremia, Aidi Shuai, Graham Aitken, Natalie Warrior, Joni McArthur, Odette Pearson","doi":"10.1111/ajag.70232","DOIUrl":"10.1111/ajag.70232","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to explore the training needs and experiences of the aged care workforce providing services to Aboriginal and Torres Strait Islander peoples in South Australia.</p><p><strong>Methods: </strong>An online cross-sectional survey was distributed to aged care workers involved in the direct care or care coordination of Aboriginal and Torres Strait Islander peoples across South Australia between March and April 2024. Data collected included respondent demographics, aged care training experiences, needs and preferences. Descriptive and comparative analyses were conducted using R software.</p><p><strong>Results: </strong>A total of 73 surveys were completed and analysed. Respondents reported a need for training across various topics, including social and emotional well-being (47%), grief and loss (45%), trauma-informed care (43%) and healthy ageing (41%). Almost all respondents (99%) agreed or strongly agreed that training was important for skill development and delivering quality care. However, 40% reported not having received training specific to Aboriginal and Torres Strait Islander peoples in aged care. There was strong consensus on the importance of various training topics, with most respondents rating them as Extremely Important. The two main barriers to participating in training were time constraints (59%) and the availability of training (47%). In-person training was the preferred delivery mode (45%), and case studies were the most preferred learning activity (78%).</p><p><strong>Conclusions: </strong>Our data indicate there is an opportunity to strengthen cultural-specific training for aged care staff working with Aboriginal and Torres Strait Islander peoples in South Australia and highlight preferred training topics and delivery modes.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70232"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914484","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":"Detected Delirium Prevalence and Practices in Australia and New Zealand: A Sub-Analysis of the World Delirium Awareness Day Prevalence Study.","authors":"Shiny Huang, Robert Welschinger, Christina Aggar, Kasia Bail, Elizabeth Cusworth, Elaine Docherty, Marleta Fong, Engelina Groenewald, Jane Hopkins, John Hopkins, Sabrina Kohler, Sharon Liefrink, Yu-Min Lin, Heidi Lindroth, Keibun Liu, Elaine Newman, Renae Nicol, Peter Nydahl, Valerie Ozorio, Kate Sainsbury, Frederick Sundram, Stephanie Tam, Aik Haw Tan, Joventino Tongco, Mercy Wanyika, Kristel Ward-Stockham, Melinda Webb-St Mart, Gideon A Caplan","doi":"10.1111/ajag.70227","DOIUrl":"10.1111/ajag.70227","url":null,"abstract":"<p><strong>Objectives: </strong>To describe detected delirium prevalence and current delirium-related practices in Australian and New Zealand healthcare sites.</p><p><strong>Methods: </strong>This study was a sub-analysis of Australian and New Zealand data from an international cross-sectional survey conducted on World Delirium Awareness Day 2023. Delirium was identified using existing clinical practices on participating wards.</p><p><strong>Results: </strong>Across 257 wards of varying specialties and acuities, detected delirium prevalence was 16% (n = 637/4033) at 8:00 AM and 16% (n = 609/3836) at 8:00 PM. Delirium assessment rates were 63% (n = 4033/6369) at 8:00 AM and 63% (n = 3836/6091) at 8:00 PM. Most wards (93%) used validated assessment tools, most commonly 4AT and CAM. Just over half (53%) assessed for delirium at least daily, whereas 37% only assessed in response to the sudden changes in consciousness or clinical condition. Written delirium protocols were common (91%). Non-pharmacological strategies were widely implemented, particularly ensuring adequate fluids (87%), mobilisation (84%) and pain management (84%). Frequent use of pharmacological interventions was often reported, particularly antipsychotics, including risperidone (36%), haloperidol (35%) and quetiapine (31%). Key perceived barriers to implementation of evidence-based delirium care were staff shortage (70%), lack of time to educate and train staff (53%) and missing knowledge (49%).</p><p><strong>Conclusions: </strong>In Australia and New Zealand, delirium assessment practices have improved over time. Non-pharmacological strategies are widely used; however, antipsychotic use remains substantial. Workforce constraints, education gaps and system pressures may contribute to variability in delirium care delivery. Addressing these factors, alongside engagement with carers, may support further improvements in care. Ongoing surveillance through repeated surveys would help monitor trends in delirium care over time.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70227"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834712","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":"Ageing Between Two Cultures: How Older Indonesian Immigrants in Australia Negotiate Identity and Family Roles-A Qualitative Study.","authors":"Kevin Sanly Putera","doi":"10.1111/ajag.70231","DOIUrl":"10.1111/ajag.70231","url":null,"abstract":"<p><strong>Objectives: </strong>Australia is expecting a growing ageing population from culturally and linguistically diverse (CALD) backgrounds. This study explored how older Indonesian immigrants in Australia negotiate their multicultural identities and family roles, and how participants experienced these negotiations in relation to their psychological well-being.</p><p><strong>Methods: </strong>In-depth semi-structured qualitative interviews were conducted with 31 older Indonesian immigrants (aged 65 years and over) residing in Southeast Queensland, Australia. Participants were recruited through purposive and snowball sampling via Indonesian community networks. Data were analysed using Braun and Clarke's inductive thematic analysis with adherence to COREQ guidelines.</p><p><strong>Results: </strong>Three themes emerged: (1) navigating belonging between cultural contexts, describing participants' ongoing evaluation of Australia and Indonesia across affective, practical and identity dimensions; (2) actively exercising heritage multicultural identities, capturing how participants deliberately maintained, rediscovered and performed their heritage identities through personal agency, cultural anchors and diaspora community engagement; and (3) negotiating roles and authority within family, documenting caregiving, moral guidance and heritage cultural transmission as the roles through which elder identity was enacted and experienced as meaningful. Cultural identity was not a fixed attribute but a continuously negotiated practice, enacted through roles in family and diaspora contexts.</p><p><strong>Conclusions: </strong>Older Indonesian immigrants actively negotiate their multicultural identities and family roles in ways associated with sustained psychological well-being. Role performance sustains meaning, cultural continuity and social purpose in later life. Aged care and policy frameworks should attend to these role-enabling dimensions as central to well-being among older immigrants from CALD backgrounds.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70231"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931961","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":"Improving Osteoporosis Screening in Parkinson's Disease and Related Conditions-Think FRAGILE.","authors":"Christopher Coppin, Ayush Jha, Simon J G Lewis","doi":"10.1111/ajag.70234","DOIUrl":"10.1111/ajag.70234","url":null,"abstract":"<p><strong>Objectives: </strong>Patients living with Parkinson's disease (PD) and related disorders are at increased risk of osteoporosis and fractures. However, bone health remains under-assessed in clinical practice. The aim of this study was to evaluate whether the FRAGILE tool that we previously developed improved osteoporosis screening and referral practices in a PD and related diseases clinic.</p><p><strong>Methods: </strong>We performed an audit of 283 outpatient consultation letters evaluating the use of the FRAGILE tool for screening osteoporosis risk.</p><p><strong>Results: </strong>Following implementation of the FRAGILE tool our referral rate for osteoporosis screening improved from 23% to 48% of at-risk patients. Specifically, marked improvements were seen in referrals for patients with osteopenia, falls and fractures, but factors such as osteoporosis-associated medications and medical comorbidities were still often overlooked.</p><p><strong>Conclusions: </strong>Osteoporosis screening referrals improved after introduction of the FRAGILE tool in clinical practice. Further efforts are required to address less overt risk factors.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70234"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931940","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":"Informant Perspectives on the Quality of Life of Healthy Older People, and People With Dementia Living in the Community and Care Facilities.","authors":"Pascalle Bosboom, Hui Wen Quek, Amy Page, Kelly Banz, Osvaldo P Almeida, Leon Flicker, Nicola T Lautenschlager, Christopher Etherton-Beer","doi":"10.1111/ajag.70235","DOIUrl":"10.1111/ajag.70235","url":null,"abstract":"<p><strong>Objectives: </strong>Quality of life (QoL) ratings for people living with dementia appear to be influenced by several factors. This study examined how informant perspectives and place of residence influence agreement between self- and informant-rated QoL of people living with dementia.</p><p><strong>Methods: </strong>This cross-sectional observational study included 74 healthy older controls, 80 community-dwelling people living with dementia and 351 residing in residential care facilities (RCFs), along with their informants. Quality of life was assessed using the Quality of Life in Alzheimer's Disease (QoL-AD) scale. Carers provided two ratings: (i) proxy (their estimate of the person's self-rating) and (ii) opinion (their own view of the person's QoL).</p><p><strong>Results: </strong>In the control group, self- and informant-rated QoL did not differ significantly. Among community-dwelling people living with dementia, self-rated QoL was higher than both proxy (mean difference 2.7, 95% CI 1.3-4.1) and opinion ratings (mean difference 5.3, 95% CI 3.8-6.8). Similarly, those in RCFs rated their QoL higher than informants. The mean difference between self and opinion rating was greater than the mean difference between self and proxy rating (7.2, 95% CI 6.0, 8.5 for opinion rating, and 5.1, 95% CI 3.8, 6.3 for proxy rating). Discrepancies were greater for people living with dementia residing in RCF than in the community.</p><p><strong>Conclusions: </strong>Informants tend to underestimate QoL in people living with dementia, particularly in residential care. Informant perspective and dementia severity may influence ratings. Researchers and service providers should consider both self- and informant perspectives when evaluating QoL in people living with dementia.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70235"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031809","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 Transition Care Program Trends Over Time: A Review of Aged Care Data and Performance From 2006 to 2024.","authors":"Natasha Reid, Sakshi Chopra, Jessica Burrows, Lesley English, Len Gray, Jeffrey Rowland, Salih Salih","doi":"10.1111/ajag.70218","DOIUrl":"10.1111/ajag.70218","url":null,"abstract":"<p><strong>Objectives: </strong>The Australian Transition Care Program (TCP) is a short-term rehabilitation service designed to help older adults regain function following hospitalisation. This study aimed to better understand service trends by examining client demographics, utilisation, expenditure and functional status over 18 years.</p><p><strong>Methods: </strong>This descriptive study analysed aggregated statistics from publicly available reports spanning 2006-2007 to 2023-2024 of the Transition Care Program (TCP) across Australia.</p><p><strong>Results: </strong>A total of 351,981 people accessed TCP during the study period. The number of clients per annum increased 143% from 10,355 (2006-2007) to 25,202 (2016-2017), then declined to 14,388 in 2022-2023 despite increases in number of allocated places (2000-4570; +129%) and combined expenditure (A$68.0-A$519.3 million; +664%) across Australia. Admissions per 1000 of the population decreased from 6.3 in 2011-2012 to 3.6 in 2023-2024 (-43%). There was minimal change in entry modified Barthel Index (MBI) (69.7-72.1) or exit MBI scores (79.5-83). Total length of stay increased from 48 to 77 days (+60%). Average cost/episode also increased 261%, from A$9996 to A$36,093, whereas cost/occupied place day increased from A$208 to A$463 (+123%). State-based variations were also evident.</p><p><strong>Conclusions: </strong>Our data suggest TCP clients are spending longer in the program and incur greater costs to state and federal government potentially without greater gains in functional status. Fewer people have access to the program despite increasing population levels. Variability between states is evident and requires further exploration. There is an opportunity to capitalise on aged care reforms to optimise the Australian Transition Care Program.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70218"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913593","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":"Upskilling Allied Health Professionals and Judo Coaches to Teach Safe Falling Skills to Older Adults: A Train-the-Trainer Intervention.","authors":"Agathe Daria Jadczak, Meera Verma, Michael Headland, Renuka Visvanathan","doi":"10.1111/ajag.70221","DOIUrl":"10.1111/ajag.70221","url":null,"abstract":"<p><strong>Objectives: </strong>Learning safe falling skills, adapted from judo, is a promising strategy to reduce the risk of falls and fall-related injuries in older adults. This study aimed to upskill allied health professionals and judo coaches to teach safe falling skills to community-dwelling older adults.</p><p><strong>Methods: </strong>A Train-the-Trainer program including a 2-day workshop (13 h) on teaching safe falling and how to work with older adults, followed by weekly attendance at an 8-week judo-based safe falling program for older adults to provide practical teaching experience. Outcomes included perceived competence and importance in teaching safe falling (6-point Likert Scale), objective knowledge (10 multiple-choice questions) and trainees' own safe falling skills (Strömqvist-Bååthe Falling Competence (SBFC) Test) assessed at three time points: pre-workshop (T1), post-workshop (T2) and post 8-week practical sessions (T3).</p><p><strong>Results: </strong>Sixteen trainees (eight allied health professionals and eight judo coaches) participated (median age 50 years [IQR: 42-61], 38% female). Perceived competence, objective knowledge and safe falling skills improved significantly after the workshop (T2, p < 0.05) and remained high after the practical sessions (T3) when compared to T1. Perceived importance improved after the full Train-the-Trainer program (T3, p = 0.02). Judo coaches scored higher overall in safe falling (p = 0.01) than allied health professionals, but both groups demonstrated similar improvements over time (p = 0.08).</p><p><strong>Conclusions: </strong>Improvements in perceived competence, knowledge and safe falling were observed among allied health professionals and judo coaches, with most gains occurring after the 2-day workshop. This Train-the-Trainer program may support broader implementation of safe falling training across community and clinical settings.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70221"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802183","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}