Australasian Journal on Ageing最新文献

{"title":"Communities of Practice in Long-Term Care—Exploring Frameworks, Barriers and Enablers: A Systematic Review","authors":"Robyn A. Smith,&nbsp;Sanne Peters,&nbsp;Noleen Bennett,&nbsp;Wen K. Lim,&nbsp;Joanne Tropea","doi":"10.1111/ajag.70207","DOIUrl":"10.1111/ajag.70207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Communities of Practice (CoPs) offer staff an opportunity to learn with and from one another, and to explore and advance practice. This study aimed to identify the frameworks that underpin the development, operation and evaluation of CoPs, and barriers and enablers to implementing this social learning approach in long term care (LTC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review comprehensively searched four databases (MEDLINE, CINAHL, PsycInfo and Embase) from inception to August 2025, identifying studies focused on supporting LTC staff implementing evidence-based practice, best practice or quality improvement. Inclusion screening, data extraction and quality assessment using the Quality Assessment with Diverse Studies tool (QuADS) were completed independently. Findings were mapped to the Values Creation Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen papers represented eight CoP programs ranging from small, standalone groups to large national collaboratives. Frameworks or specific CoP definitions underpinned planning for seven programs. Two programs drew on stakeholder input in development; however, none described formal co-design. Seven programs were multidisciplinary. Evaluation was qualitative (<i>n</i> = 8), mixed methods (<i>n</i> = 4) or quantitative (<i>n</i> = 3), with limited application of evaluation frameworks. A wide range of enablers and barriers was identified, with structural and cultural challenges affecting sustained CoP engagement and implementation of CoP learning outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite 20 years of CoP implementation in LTC, there are few comprehensive evaluations to guide practice. Community of Practice participation delivers individual learning and peer support; however, system and organisational barriers affect sustained staff participation and translation. Consistent application of existing frameworks and enhanced CoP reporting will better support future CoP development and implementation in LTC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413944","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":"Hearing Loss and Modifiable Dementia Risk Factors in Adults Aged 50 Years or Older Living in Tasmania, Australia","authors":"Mohammad Shoaib Hamrah,&nbsp;Kathleen Doherty,&nbsp;Aidan Bindoff,&nbsp;Lynette R. Goldberg,&nbsp;Jane Alty,&nbsp;Alex Kitsos,&nbsp;Eddy Roccati,&nbsp;Claire Eccleston,&nbsp;Anna King,&nbsp;Thomas Gregor Issac,&nbsp;Hiroshi Yatsuya,&nbsp;James Clement Vickers","doi":"10.1111/ajag.70204","DOIUrl":"10.1111/ajag.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the associations between hearing loss (HL) and other modifiable dementia risk factors in adults aged 50 years or older living in Tasmania and explored the effects of corrected versus uncorrected HL on these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study design using an online survey categorised participants as No-HL, HL-corrected or HL-uncorrected. Logistic regression estimated the odds of being in higher dementia risk categories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The HL-corrected group was more likely to be in the low-risk alcohol group (OR = 0.567, 95% CI: 0.468–0.687), 28% less likely for high cholesterol (OR = 0.722, 95% CI: 0.571–0.913) and 26% less likely for diabetes (OR = 0.743, 95% CI: 0.582–0.948). They also had lower odds than the HL-uncorrected group for alcohol risk (OR = 0.652, 95% CI: 0.508–0.837).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Corrected HL is associated with reduced odds of higher-risk categories for diabetes, alcohol use and high cholesterol.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383199","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":"2026 ANZSGM Annual Scientific Meeting","authors":"","doi":"10.1111/ajag.70171","DOIUrl":"10.1111/ajag.70171","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 S1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254598","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":"Evaluating the Innovator Training Program: Strengthening Evidence-Based Practice and Building Implementation Capability in the Australian Aged Care Workforce.","authors":"Stephanie Champion, Rebecca Bilton, Susan Gordon","doi":"10.1111/ajag.70162","DOIUrl":"10.1111/ajag.70162","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the outcomes for individuals who completed an Innovator Training Program (ITP) funded by the Commonwealth Government of Australia and delivered by Aged Care Research & Industry Innovation Australia (ARIIA). The program was designed to build best-practice implementation and change management capability among the Australian aged care workforce. The intent was to drive sustainable innovation in aged care settings by using evidence-based knowledge and best-practice implementation methods to address work challenges in real time.</p><p><strong>Methods: </strong>Participants enrolled in the ITP, between April 2022 and April 2023, participated in a multi-methods program evaluation. Quantitative data were collected via pre- and post-training surveys based on validated tools. Qualitative data were gathered through immediate post-program interviews and follow-up interviews at 6- and 12-month post-training. Descriptive statistics and McNemar-Bowker Exact Tests were used for quantitative analysis; thematic analysis was applied to qualitative data.</p><p><strong>Results: </strong>Significant improvements were observed in participants' confidence to adopt evidence into practice (p < 0.001), research skills (p < 0.001) and mentoring capacity (p < 0.001). Participants reported increased ability to integrate research into practice, develop project plans and influence organisational change. Qualitative findings highlighted enhanced leadership and collaboration skills, and career development, with some participants assuming new roles post-training.</p><p><strong>Conclusions: </strong>The ITP was associated with improved confidence, skills and capacity among participants to use evidence, and to plan sustainable implementation projects, providing the aged care workforce with skills to contribute to aged-care reform. With recognition of the small sample and reliance on self-report, further research is needed to examine longer term impacts on practice and organisational outcomes.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70162"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13077629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678699","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":"How Changes in Functional Disability Are Associated With Living Arrangements for Chinese Older Adults: Results From a Longitudinal Study (2008-2018).","authors":"Cai Xu, Yen-Chang Chang, Yen-Han Lee, Mack Shelley, Ke Li, Wenhan Guo","doi":"10.1111/ajag.70169","DOIUrl":"10.1111/ajag.70169","url":null,"abstract":"<p><strong>Objective: </strong>This study examined how changes in activities of daily living (ADL) and instrumental activities of daily living (IADL) relate to living arrangement transitions among older adults in China, and whether associations differ by urban and rural settings.</p><p><strong>Methods: </strong>Data came from the 2008-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) of adults aged 65 years and older. Cox two-state regression models assessed associations between functional transitions and living arrangement changes, stratified by community type.</p><p><strong>Results: </strong>Among 12,560 respondents, 81% lived with household members. Decline in ADL was associated with a higher hazard of transitioning to co-residence (Hazard ratio (HR) = 1.16, 95% confidence interval (CI): 1.10-1.23) and a higher hazard of remaining in co-residence (HR = 1.09, 95% CI: 1.01-1.17). The association with transitioning was observed in both urban (HR = 1.13) and rural (HR = 1.19) areas, while the association with remaining in co-residence was significant only among rural older adults (HR = 1.23).</p><p><strong>Conclusions: </strong>Functional decline is longitudinally associated with a higher likelihood of transitioning to and remaining in co-residence. This association is more pronounced in rural areas. Although ADL decline appears to be associated with subsequent changes in living arrangement, future research should explore its potential bidirectional nature to better inform community-specific interventions.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70169"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790122","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":"Mobile Application-Based Self-Management and Chronic Disease Platform Program for Improved Transitional Care of Older Adults With Diabetes.","authors":"Wenwen Yang, Xiaoyi Zhang, Guiling Geng, Xiangyun Qian, Xuan Lu","doi":"10.1111/ajag.70179","DOIUrl":"10.1111/ajag.70179","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to examine the impact of a mobile application-based self-management and chronic disease platform in transitional care for older adults with diabetes.</p><p><strong>Methods: </strong>A prospective non-randomised concurrent controlled clinical trial was adopted from May to November 2023. Participants were allocated based on their scheduled appointment times, received routine outpatient care or 12-week transitional care information and support intervention including chronic disease management platform and Slow Health. Changes in anxiety, depression, diabetes self-management, self-efficacy and the perceived social support scores of the two groups after 1-month and 3-month intervention were compared.</p><p><strong>Results: </strong>A total of 124 participants were enrolled. The experimental group demonstrated a more pronounced decrease in anxiety, exhibited lower levels of diastolic blood pressure (DBP), showed significantly lower levels of depression, higher levels of diabetes self-management and self-efficacy, and comparable levels of perceived social support compared to the control group.</p><p><strong>Conclusions: </strong>The program has the potential to improve transitional care in older adults with diabetes, warranting further promotion.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70179"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950177","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":"Smart Home Technologies for Ageing in Place: A Systematic Review of Health Outcomes, Independence, Healthcare Utilisation and Implementation Considerations.","authors":"Jianxia Zhai, Rebecca Millar, Mary Lam, Arthur Pont, Ryan Kelly, Barbora de Courten","doi":"10.1111/ajag.70200","DOIUrl":"10.1111/ajag.70200","url":null,"abstract":"<p><strong>Objectives: </strong>Smart home technologies are increasingly being developed to support ageing in place, yet evidence of their impact remains unclear. This review aimed to synthesise the existing evidence on the role of smart home technologies in enabling older adults aged 65 years and above to live safely at home.</p><p><strong>Methods: </strong>A systematic review was conducted in accordance with PRISMA guidelines and retrospectively registered with the Open Science Framework (OSF; Registration DOI: 10.17605/OSF.IO/4ZJNC). Six databases were searched for studies published between 2020 and 2025. Quantitative, qualitative and mixed-methods studies evaluating smart home technologies were included. Methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist and the Mixed Methods Appraisal Tool. Data were synthesised thematically.</p><p><strong>Results: </strong>Thirty studies from 10 countries were included. Smart home technologies supported physiological monitoring, safety, functional and emergency detection, social interaction and cognitive support. Reported benefits in some studies included reduced healthcare utilisation, improved quality of life and independence, enhanced chronic disease management, and positive experiences for users and carers. However, findings were heterogeneous across technologies, populations and outcome measures. Key barriers included privacy, cost, technical reliability and digital literacy.</p><p><strong>Conclusions: </strong>Smart home technologies show potential to support ageing in place by enhancing safety, independence and chronic disease management, while possibly reducing healthcare utilisation and improving quality of life. However, the evidence base remains heterogeneous, with a variety of technologies evaluated, study designs used and outcomes reported. Robust longitudinal studies, standardised outcome measures and comprehensive cost-effectiveness evaluations are needed to inform implementation, equity and policy development.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70200"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310523","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":"Parks and Older People's Sense of Community: Examining the Role of Urban Parks in Supporting Sustainable Development Goal 3 in Brisbane, Australia.","authors":"Mahnoosh Hassankhani, Renee Zahnow","doi":"10.1111/ajag.70160","DOIUrl":"10.1111/ajag.70160","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the role of urban parks in fostering a sense of community among older people. This aligns with Sustainable Development Goal (SDG) 3, which emphasises supporting the environment to foster health and well-being.</p><p><strong>Methods: </strong>We surveyed 123 individuals aged 70 years and older in Brisbane, Australia. Through the application of Structural Equation Modelling (SEM), we investigated the interplay between the attractions and barriers to parks and the sense of community and social networks.</p><p><strong>Results: </strong>Our findings showed that park visiting among older people is associated with a heightened sense of community. When parks have more attractive facilities, older adults visit more often. More attractive facilities are also associated with a heightened sense of community. However, we found no relationship between park facilities or park visits and social network size, although women reported larger local social networks than men.</p><p><strong>Conclusion: </strong>Our findings underscore the critical importance of parks for fostering a sense of community among older adults. These insights highlight the need for urban environments that are not only physically accessible but also perceived as safe, attractive and supportive of activity preferences.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70160"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719069","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 Review of In-Hospital Mortality Among Patients Transferred From Residential Aged Care Facilities, 2015-2022.","authors":"Anita Bianco, Chantale Boustany, Daniel Simpkins, Judith Fethney, Kate White","doi":"10.1111/ajag.70202","DOIUrl":"10.1111/ajag.70202","url":null,"abstract":"<p><strong>Objective: </strong>Australia has an ageing population, with an increasing number of older people needing to live in residential aged care facilities (RACFs). There are more Emergency department (ED) presentations by older people living in Australia, including those that are from RACF, and many die in hospital. The aim of this study was to perform a descriptive analysis of hospital deaths, comparing the characteristics of patients from Residential Aged Care Facilities (RACFs) to those from non-RACF accommodation.</p><p><strong>Methods: </strong>This study examined data from the In-Hospital Death Database for a major metropolitan tertiary hospital. De-identified data from 2015 to 2022 were extracted and included in the analysis. Data for patients over the age of 16 were collected. Data were matched on age and sex between the two groups.</p><p><strong>Results: </strong>Compared with non-RACF patients, patients from RACFs who died in hospital were more likely to have died from a respiratory illness, more likely to die in the ED, no more likely to have been a 28-day readmission, more likely to have been admitted under Geriatrics, less likely to have been a coroner's case, and had a shorter length of stay. A large proportion of deaths of RACF patients (15%) were in the ED. Approximately 40% of patients from RACFs who died in hospital had Advance Care Plans (ACPs) in place prior to hospitalisation.</p><p><strong>Conclusions: </strong>The relatively large percentage of RACF patients that die in the ED is concerning and raises the question of whether their end-of-life care may have been more appropriately delivered within the RACF. The rate of ACP among RACF patients was low but comparable to other studies, and higher than among non-RACF patients.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70202"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13304266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334501","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":"Identifying Key Components of a Well-Being Program for Rural Aged Care Staff Managing Responsive Behaviours Through a Co-Design Process.","authors":"Jaclyn Bishop, Ancara Thomas, Ella Ottrey, Danielle Hitch, Briony Dow","doi":"10.1111/ajag.70192","DOIUrl":"10.1111/ajag.70192","url":null,"abstract":"<p><strong>Objective: </strong>With a growing older population, there is an increased need for aged care services. Care staff are a critical factor in delivering these services. The aim of this study was to identify the key components of a well-being program for staff caring for older people with responsive behaviours in rural aged care homes.</p><p><strong>Methods: </strong>A single co-design session based on the seven integrated principles of World Café was hosted. Facility staff, organisational representatives and consumers were identified through purposive and snowball sampling. Facilitators led scenario-based discussion on three topics: leadership, peer support and workplace practices. The academic literature synthesis conducted by researchers of the key components generated through co-design identified those with evidence of benefit and local feasibility.</p><p><strong>Results: </strong>Twelve participants attended the co-design session. Key components identified were early 'check-ins' by management, ad hoc peer debriefing, regular scheduled whole-of-facility debriefing, peer-based rewards, conveying behaviour expectations, greater information on care recipients, fun workplace activities, team building and staff training. Two meso-level components considered feasible to implement and evidence-informed were: a peer supporter program and a structured all-of-facility debriefing.</p><p><strong>Conclusions: </strong>A co-design process involving consumers and staff identified two evidence-informed and feasible components of a well-being program for rural aged care staff: peer support and a structured all-of-facility debriefing. This process, blending co-design and evidence, has laid the foundation for a well-being program that could achieve sustained, positive change.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 2","pages":"e70192"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220950","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}