Australasian Journal on Ageing最新文献

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Connections for Ageing Well: A community healthy ageing program to promote social connection 促进健康老龄化:一项促进社会联系的社区健康老龄化方案
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-28 DOI: 10.1111/ajag.70035
Celia Rae, Julie Byles, Susan Denholm, Jemma Holford, Catherine Chojenta
{"title":"Connections for Ageing Well: A community healthy ageing program to promote social connection","authors":"Celia Rae,&nbsp;Julie Byles,&nbsp;Susan Denholm,&nbsp;Jemma Holford,&nbsp;Catherine Chojenta","doi":"10.1111/ajag.70035","DOIUrl":"https://doi.org/10.1111/ajag.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Social connection is important for healthy ageing, yet the ability of older people to participate in community and social activities can be limited. <i>Connections for Ageing Well</i> was a program for older people delivered within the community that enabled participants to select information topics and activities to meet their individual needs and preferences. It aimed to promote social connection with a focus on learning and being active. The evaluation of the program measured its success in meeting its objectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Program attendees were invited to complete a questionnaire at the conclusion of the program (postprogram evaluation survey) and to participate in a focus group. Data collected by the questionnaire were analysed descriptively, and data from the focus group were analysed through a phenomenological lens and coded thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although participants reported high levels of social connectedness before the program, almost all met someone new (96%) and some of these friendships continued after the program. Nearly half (46%) of survey respondents reported a greater knowledge of how to access community programs and services. Participants described learning something new and sharing this knowledge with others. Others reported enjoying the active fresh air sessions and having a renewed interest in physical activity. All evaluation participants agreed they would recommend the program to others and focus group attendees expressed overwhelming positivity about the program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The program was successful in achieving its objectives and provided new evidence of the effectiveness of an intervention designed to foster social connectedness that enabled participants to select program components to suit their individual needs and preferences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between care networks and happiness in older immigrants in Australia 澳大利亚老年移民的护理网络与幸福感的关系
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-28 DOI: 10.1111/ajag.70022
Shuang Liu, Sunil Bhar, Kumchong Lee, Nancy A. Pachana, Jack Lam
{"title":"Relationship between care networks and happiness in older immigrants in Australia","authors":"Shuang Liu,&nbsp;Sunil Bhar,&nbsp;Kumchong Lee,&nbsp;Nancy A. Pachana,&nbsp;Jack Lam","doi":"10.1111/ajag.70022","DOIUrl":"https://doi.org/10.1111/ajag.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the relationship between care networks and perceived happiness in older immigrants who live in their own homes in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted with 101 participants aged 65–97 years and from seven cultural groups. Participants completed measures of perceived happiness, care network structure, function and adequacy, and demographics. Data were analysed using correlations, analyses of variance and multiple regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Family support, giving and receiving emotional and instrumental support and satisfaction with care networks and physical health were significantly correlated with perceived happiness. Regression analyses identified satisfaction with care networks, satisfaction with physical health and receiving instrumental support as significant predictors of happiness, explaining 41% of the variance in happiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings emphasised the importance of instrumental support from family and formal community aged care services, and satisfaction with care networks to perceived happiness in older immigrants. The study suggested improving communication between older immigrants, their family and service providers to effectively support older immigrants to age well in Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modifiable factors associated with frailty in older Australians in retirement living: A partial proportional odds model 与澳大利亚退休老年人体弱有关的可改变因素:偏比例赔率模型
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-22 DOI: 10.1111/ajag.70023
Georgina Johnstone, Angela Joe, Marissa Dickins, Judy A. Lowthian
{"title":"Modifiable factors associated with frailty in older Australians in retirement living: A partial proportional odds model","authors":"Georgina Johnstone,&nbsp;Angela Joe,&nbsp;Marissa Dickins,&nbsp;Judy A. Lowthian","doi":"10.1111/ajag.70023","DOIUrl":"https://doi.org/10.1111/ajag.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty in older adults is a vulnerable state, often leading to a reduction in function and quality of life. This study sought to identify modifiable factors associated with frailty in Australian retirement village residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was undertaken with individuals 65 years or older living in 25 retirement villages to collect demographic, health and lifestyle information and screen for frailty (modified Reported Edmonton Frail Scale) and loneliness (UCLA 3-item Loneliness Scale). Partial proportional odds modelling was utilised to determine modifiable resident characteristics associated with frailty, accounting for age and gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 2240 residents, 1230 completed the survey (55% response rate) with 1081 eligible for analysis. Respondent frailty levels were as follows: Not Frail = 67% (<i>n</i> = 720), Prefrail = 14% (<i>n</i> = 157), Mildly Frail = 11% (<i>n</i> = 123), Moderately–Severely Frail = 7% (<i>n</i> = 81). For individuals 85–89 years old, age was significantly associated with increased odds of frailty (OR = 3.40; 95% CI: 1.62–7.09; <i>p</i> = .001). After adjusting for age and gender, the odds of higher frailty were greater for individuals experiencing (a) pain, which interfered with usual activities (interferes sometimes OR = 3.17; 95% CI: 2.42–4.15; <i>p</i> ≤ .001; interferes all of the time OR = 10.18; 95% CI: 5.42–19.14; <i>p</i> ≤ .001), or (b) feelings of loneliness (OR = 2.55; 95% CI: 1.80–3.62; <i>p</i> ≤ .001). For Not Frail or Prefrail persons, a recent fall incident was associated with enhanced odds of frailty (OR = 2.60; 95% CI: 1.69–3.98; <i>p</i> ≤ .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This cohort of older adults living in Australian retirement villages had greater odds of frailty if experiencing pain, loneliness or falls. Addressing these risk factors could reduce or delay progression to frailty and optimise positive ageing in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation between dexmedetomidine and postoperative sleep quality in older patients undergoing intestinal surgery 右美托咪定与接受肠道手术的老年患者术后睡眠质量的相关性
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-22 DOI: 10.1111/ajag.70024
Yongjian Yang, Hong Cheng
{"title":"Correlation between dexmedetomidine and postoperative sleep quality in older patients undergoing intestinal surgery","authors":"Yongjian Yang,&nbsp;Hong Cheng","doi":"10.1111/ajag.70024","DOIUrl":"https://doi.org/10.1111/ajag.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the correlation between dexmedetomidine and postoperative sleep quality in older patients following intestinal surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 112 older patients were randomly assigned to receive either saline (Group A) or dexmedetomidine (Group B). Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) before surgery and on postoperative days 1, 3, 7 and 30. Urinary melatonin and cortisol levels were measured, and pain intensity was assessed using the Visual Analogue Scale (VAS) at various time points. Logistic regression analysis identified factors influencing postoperative sleep quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both groups showed increased PSQI scores postoperatively, with Group A scoring higher than Group B. Group B exhibited a significantly lower incidence of sleep disorders on Days 1 and 3. Urinary melatonin levels decreased in both groups, with Group A showing lower levels, while cortisol concentrations increased, particularly in Group A. Higher VAS scores were also noted in Group A. Patients not receiving dexmedetomidine had a greater prevalence of sleep disorders. Logistic regression revealed dexmedetomidine dosage, gender and VAS scores at 24 h as significant factors affecting sleep quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dexmedetomidine enhances postoperative sleep quality in older patients undergoing intestinal surgery by reducing cortisol levels, increasing melatonin production and effectively alleviating pain, thereby supporting better recovery outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Underdiagnosis of dementia in residents of residential aged care services: A scoping review 养老院住户痴呆症诊断不足:范围界定审查
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-22 DOI: 10.1111/ajag.70030
Reena Tewari, Ronaldo D. Piovezan, Agathe Daria Jadczak, Renuka Visvanathan
{"title":"Underdiagnosis of dementia in residents of residential aged care services: A scoping review","authors":"Reena Tewari,&nbsp;Ronaldo D. Piovezan,&nbsp;Agathe Daria Jadczak,&nbsp;Renuka Visvanathan","doi":"10.1111/ajag.70030","DOIUrl":"https://doi.org/10.1111/ajag.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Dementia is a leading cause of disability, dependence and death worldwide. Timely diagnosis and management of dementia are essential in the community and residential aged care services (RACS) or nursing homes. Underdiagnosis of dementia in RACS may negatively impact the quality of care, resulting in adverse health outcomes. Hence the objective is to review estimates of the prevalence of dementia underdiagnosis, potential associated factors, consequences and evidence of interventions targeting to reduce this underdiagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Guided by Arksey and O'Malley's scoping review framework, this scoping review was conducted as per the PRISMA extension for Scoping Reviews (PRISMA-ScR). Databases were searched to 31 January 2024 for studies published in English since 2010 in Ovid®, including Scopus, MEDLINE, Embase, Emcare and PubMed Central, as well as CINHAL Ultimate, PsycINFO and ProQuest. After removing duplicates, 545 studies proceeded to title, abstract and full-text screening, resulting in four eligible studies. Two additional studies were identified through reference searching.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of six studies were included. Most studies were conducted in the last 5 years. The prevalence of dementia underdiagnosis in RACS was 14%–70%. Different scales were applied to identify dementia. Findings from two studies suggested dementia underdiagnosis is more common among those with less severe disease. No studies investigated health outcomes or explored interventions to reduce dementia underdiagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Estimates of underdiagnosis in RACS are high and variable. More research is required to clarify factors associated with dementia underdiagnosis in RACS, its consequences and potential interventions to reduce its risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding hearing health-care access in Australia: Users' perspectives 了解澳大利亚的听力保健服务:用户的观点
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-22 DOI: 10.1111/ajag.70029
Shermin Lim, Jessica Turner, Diana Tang, Kerry Sherman, Kompal Sinha, Sharad Chawla, Simon Carney, Giriraj Singh Shekhawat, Bamini Gopinath
{"title":"Understanding hearing health-care access in Australia: Users' perspectives","authors":"Shermin Lim,&nbsp;Jessica Turner,&nbsp;Diana Tang,&nbsp;Kerry Sherman,&nbsp;Kompal Sinha,&nbsp;Sharad Chawla,&nbsp;Simon Carney,&nbsp;Giriraj Singh Shekhawat,&nbsp;Bamini Gopinath","doi":"10.1111/ajag.70029","DOIUrl":"https://doi.org/10.1111/ajag.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this qualitative study was to evaluate the barriers and enablers to current hearing health-care services in Australia for middle-aged and older adults who use cochlear implants (CI) and/or hearing aids.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults aged 40 years and older from the Hearing impairment Adults: a Longitudinal Outcomes Study (HALOS), with adequate English language skills, were invited to participate in a semi-structured interview about their hearing intervention journey. A thematic analysis was applied to the interview transcripts via inductive coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-one hearing device users (15 hearing aid users, 9 CI users and 7 bimodal users) across Australia enrolled in the interview. Themes identified include hearing care management, alternative support services, patient self-management and accessibility to hearing services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings indicated the need for primary health and hearing care professionals to reconsider their clinical approach with individuals with hearing loss. Rehabilitation, primary health and hearing care services ought to work together to create an integrated hearing care journey for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857020","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}
引用次数: 0
Routine comprehensive geriatric assessment is associated with improved detection of cognitive disorders in older people with giant cell arteritis 常规全面的老年评估与老年巨细胞动脉炎患者认知障碍的改善检测相关
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-21 DOI: 10.1111/ajag.70020
Heather Jones, Maxine Isbel, Kristie Harper, Angela Jacques, Alexander Chua, David Ng, Sarah Bernard
{"title":"Routine comprehensive geriatric assessment is associated with improved detection of cognitive disorders in older people with giant cell arteritis","authors":"Heather Jones,&nbsp;Maxine Isbel,&nbsp;Kristie Harper,&nbsp;Angela Jacques,&nbsp;Alexander Chua,&nbsp;David Ng,&nbsp;Sarah Bernard","doi":"10.1111/ajag.70020","DOIUrl":"https://doi.org/10.1111/ajag.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Giant cell arteritis (GCA) carries an increased risk of stroke and blindness. International guidelines recommend older people receive routine comprehensive geriatric assessment (RCGA) during unplanned hospital admissions to improve health outcomes. This quality improvement study addressed the need for RCGA in older people with GCA at an Australian tertiary hospital. The aims of this study were to co-design, implement and evaluate a referral process for RCGA for hospitalised people 65 years or older with a new diagnosis of GCA and evaluate changes to the identification and management of falls and cognitive disorders (delirium, dementia and mild cognitive impairment).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Hospital stakeholders co-designed an RCGA referral pathway as a quality improvement change initiative. An observational cohort design measured implementation and outcomes. Consecutive patients aged 65 years or older with a new diagnosis of GCA were recruited for 15 months (<i>n</i> = 18), and outcomes were compared with a retrospective cohort of similar patients (<i>n</i> = 55). Descriptive summaries were compared between groups using non-parametric tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following implementation, all eligible patients received both RCGA and individualised interventions. Forty-four per cent of patients in the RCGA group were diagnosed with delirium, dementia or mild cognitive impairment compared to 18% in the usual care group (<i>p</i> = .03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this small population, implementation of an RCGA pathway was associated with increased detection of delirium, mild cognitive impairment and dementia, and allowed for implementation of individualised interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852952","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}
引用次数: 0
Book Award, 2024 2024年图书奖
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-21 DOI: 10.1111/ajag.70026
Yvonne Wells
{"title":"Book Award, 2024","authors":"Yvonne Wells","doi":"10.1111/ajag.70026","DOIUrl":"https://doi.org/10.1111/ajag.70026","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853011","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}
引用次数: 0
Developing a dementia care and support needs framework for Culturally and Linguistically Diverse populations: A whole-of-community co-design approach 为文化和语言多样化人群制定痴呆症护理和支持需求框架:全社区共同设计方法
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-04-21 DOI: 10.1111/ajag.70031
Nina Bala, Biljana Stanoevska, John Paul Troiani, Xinxia Wang, Nadine Veerhuis, Leissa Pitts, Victoria Traynor
{"title":"Developing a dementia care and support needs framework for Culturally and Linguistically Diverse populations: A whole-of-community co-design approach","authors":"Nina Bala,&nbsp;Biljana Stanoevska,&nbsp;John Paul Troiani,&nbsp;Xinxia Wang,&nbsp;Nadine Veerhuis,&nbsp;Leissa Pitts,&nbsp;Victoria Traynor","doi":"10.1111/ajag.70031","DOIUrl":"https://doi.org/10.1111/ajag.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Older individuals with dementia and their families from CALD backgrounds face a ‘triple jeopardy’ due to the combination of dementia, caregiving challenges and cultural stigma. Despite the growing need for culturally responsive dementia care, existing services do not adequately address the specific concerns of Culturally and Linguistically Diverse (CALD) communities. This study explored the experiences of two CALD communities to inform the development of a culturally tailored dementia care support framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a whole-of-community co-design approach, integrating community-based participatory research and human-centred design principles. A total of 36 participants, including nine individuals with dementia and 27 family caregivers from the Macedonian and Italian communities in the Illawarra Shoalhaven region of NSW, Australia, collaborated with ADHERe researchers and the Multicultural Health Service. Data were collected through co-designed focus groups and interviews and analysed using thematic analysis. Participant feedback was regularly incorporated to ensure the framework reflected their lived experiences and needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key barriers to dementia care included emotional and psychological strain contributing to caregiver burden, social isolation limiting peer support, language difficulties hindering communication with health-care providers and cultural misunderstanding impacting service uptake. Participants emphasised the importance of face-to-face interactions, culturally relevant educational programs and practical guidance from health-care professionals to improve dementia care and support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlighted the need for a culturally tailored, community-driven dementia care framework. Piloting a dementia education program with the Macedonian and Italian communities will provide valuable insights for expanding support to other CALD groups, promoting more inclusive and accessible dementia care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853010","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}
引用次数: 0
The Australasian Journal on Ageing would like to thank the following reviewers for their time and assistance in 2024 《澳大拉西亚老龄化杂志》感谢以下审稿人在2024年的时间和帮助
IF 1.4 4区 医学
Australasian Journal on Ageing Pub Date : 2025-03-25 DOI: 10.1111/ajag.70018
{"title":"The Australasian Journal on Ageing would like to thank the following reviewers for their time and assistance in 2024","authors":"","doi":"10.1111/ajag.70018","DOIUrl":"https://doi.org/10.1111/ajag.70018","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690196","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}
引用次数: 0
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