Australasian Journal on Ageing最新文献

{"title":"Equipping residential aged care facilities for acute respiratory illness: The Western Sydney experience of improving outbreak management","authors":"Jenny Watts,&nbsp;Christian Jones,&nbsp;Penelope Clark,&nbsp;Richard I. Lindley,&nbsp;Ramon Z. Shaban,&nbsp;Robert Booy,&nbsp;Shopna K. Bag","doi":"10.1111/ajag.13398","DOIUrl":"10.1111/ajag.13398","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Acute respiratory illnesses have a disproportionate impact on older people, and especially those living in residential aged care facilities where transmission risks are heightened. Additionally, staff in these facilities have been working under challenging conditions, often ill-equipped in terms of both training and resources to successfully manage the outbreaks of these illnesses. This paper examines the actions of an Australian public health unit to improve influenza outbreak management in residential aged care facilities and critiques the outcomes through a contemporary lens.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A naturalistic case study using critical thematic analysis was used to study the Western Sydney Public Health Unit's work with the residential aged care facilities under their jurisdiction in the management of influenza outbreaks during 2014–2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key to the Public Health Unit's approach to improving outbreak management in residential aged care facilities was their sustained engagement with aged care stakeholders, activities to build outbreak management capacity in this setting, and an investment in research to inform ongoing action. This engagement was mutually beneficial, as the Public Health Unit and residential aged care facilities became more attuned to each other's needs and challenges. Supporting facility staff in difficult situations resulted in a timelier public health response and improved outbreak management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In Australia, Public Health Units are important partners in the cumulative development of outbreak management capacity and responsiveness in the residential aged care setting; particularly considering the challenges posed by novel pathogens and in establishing an evidence base for best practice and future preparedness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959344","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":"Leisure activity and subjective well-being of older adults in Australia and Thailand: The impact of affiliation, restoration and meaning","authors":"Nutyathun Wora,&nbsp;Nancy A. Pachana,&nbsp;Nattasuda Taephant","doi":"10.1111/ajag.13402","DOIUrl":"10.1111/ajag.13402","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore leisure activity types among older adults in Australia and Thailand and how psychological mechanisms of restoration, affiliation and meaning in leisure activities impact subjective well-being (SWB).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey was administered to 125 older adults aged 60 and above (65 from Australia and 60 from Thailand). The survey collected demographic information, self-rated health and SWB. Participants were also asked to manually list their top three leisure activities and provide details on each activity's frequency, duration and ratings of restoration, affiliation and meaning. Statistical analyses included correlation analysis and standard multiple regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>‘Meaning’ significantly predicts well-being for Thai participants, while ‘restoration’ predicts well-being for Australians. Cultural differences were evident in preferred leisure activities. For example, ‘TV and internet uses’ was higher among Thai participants, and ‘Creative’ activities were higher among Australian participants. ‘Exercise’ was the top leisure activity in both countries, with many comments suggesting that health benefits are the primary reason for leisure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Encouraging culturally relevant leisure activities with health benefits that also promote meaning and restoration may enhance well-being among older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959353","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":"Evaluation of the Short-Term Restorative Care program: Effects on physical functioning","authors":"Luke Schmidt,&nbsp;Daniel Broszczak,&nbsp;Margaret MacAndrew,&nbsp;Christina Parker","doi":"10.1111/ajag.13385","DOIUrl":"10.1111/ajag.13385","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The Short-Term Restorative Care program is an 8-week multidisciplinary early intervention funded by the Australian Government that aims to reverse or slow the functional decline of older Australians. Despite the large investment of tax-payer money to fund the program, very little peer-reviewed literature exists examining the ability of the program to deliver on its aims.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective cohort study. Setting: Data were collected from an aged care provider (BallyCara Ltd) located in Australia. Participants: Historical data from 1074 participants were analysed. Outcome measures: This study reported descriptives of the population that undertook the program and the activities completed by participants during the program, and investigated if the program is associated with changes across four domains of function (Modified Barthel Index, Lower Extremity Functional Scale, Upper Extremity Functional Index and Berg Balance Scale).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings suggest the program results in statistically significant improvements (<i>p</i> ≤ .0001) in disability and physical functioning as measured by the Modified Barthel Index, Lower Extremity Functional Scale, Upper Extremity Functional Index and Berg Balance Scale tools. Such findings validate the ability of the program to slow or reverse functional decline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study will help to inform future modifcations to the Short-Term Restorative Care program as well as inform program development of similar interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907949","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":"Aged care reform—Much achieved but major unfinished business","authors":"Ian Yates AM","doi":"10.1111/ajag.13399","DOIUrl":"10.1111/ajag.13399","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"43 4","pages":"661-663"},"PeriodicalIF":1.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900650","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":"Knowledge of dementia: A cross-sectional survey of Aboriginal and Torres Strait Islander community members and health-care workers providing care to Aboriginal and Torres Strait Islander people","authors":"Jamie Bryant,&nbsp;Megan Freund,&nbsp;Alexandra McGhie,&nbsp;Justin Walsh,&nbsp;Jennifer Rumbel,&nbsp;Robert Davis,&nbsp;Lucy Leigh,&nbsp;Sarah Leask","doi":"10.1111/ajag.13394","DOIUrl":"10.1111/ajag.13394","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine (1) the knowledge of dementia among Aboriginal and Torres Strait Islander community members and health-care workers providing care to Aboriginal and Torres Strait Islander people; (2) the factors associated with higher levels of knowledge about dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online cross-sectional survey was conducted. Aboriginal and Torres Strait Islander community members were recruited through social media advertisements and an online market research platform. Health-care workers (general practitioners, nurses, Aboriginal health workers and allied health professionals) were recruited via emailed invitations from a peak body and a community service organisation. Participants answered an online survey containing 34 true/false items examining knowledge of dementia. Separate linear regressions were used to examine the factors associated with higher levels of knowledge about dementia among community members and health-care workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred and twenty individuals (74 community members and 146 health-care workers) participated. The overall mean knowledge of dementia score for all participants was 26.80 (SD = 4.43). Health-care workers had higher knowledge (M = 27.23, SD = 4.66) than community members (M = 25.96, SD = 3.82, <i>p</i> = .04). Community members with higher levels of education answered 6% (95% CI 1%–11%) more items correctly than participants with lower levels of education. General practitioners and nurses had significantly higher knowledge of dementia; however, health-care workers who provided care to a family member or friend living with dementia had significantly lower knowledge of dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Novel approaches are needed to increase knowledge of dementia amongst both Aboriginal and Torres Strait Islander community members and health-care workers who provide care to ensure culturally sensitive and effective support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.13394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848558","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":"Need to develop a healthy ageing and fall prevention exercise program for older people with sarcopenia","authors":"Ji-Hoon Cho,&nbsp;Se-Young Seon,&nbsp;Seong-Eon Kim,&nbsp;Jong-Ho Park,&nbsp;Seung-Taek Lim","doi":"10.1111/ajag.13393","DOIUrl":"10.1111/ajag.13393","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830863","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":"Development of a minimum clinical dataset for preoperative comprehensive geriatric assessment using a modified Delphi technique.","authors":"Margot Lodge, Rachel Aitken, Yih Harng Chong, Janani Thillainadesan","doi":"10.1111/ajag.13334","DOIUrl":"10.1111/ajag.13334","url":null,"abstract":"<p><strong>Objective: </strong>To construct a standardised, consensus-guided minimum clinical dataset (MCDS) for preoperative comprehensive geriatric assessment and optimisation (CGA) in Australia and Aotearoa New Zealand.</p><p><strong>Methods: </strong>We conducted a review of the international perioperative literature to identify CGA domains and tools for potential inclusion in the MCDS. We invited members of the Australian and New Zealand Society for Geriatric Medicine to participate in a Delphi study to obtain consensus on MCDS tools. Participants were asked to rate proposed tools using Likert scales (when >2 tools) or make a binary choice between two proposed tools. Consensus was considered to be achieved when there was at least 75% concordance between the two rounds amongst the participants, and at least one variable attaining over 50% of participants' votes. Domains that did not achieve consensus in Round 1 were carried over to Round 2.</p><p><strong>Results: </strong>There were 73 participants in Round 1 of the Delphi study and 47 participants in Round 2. Consensus was achieved on tool/s recommended for every MCDS domain: Clinical Frailty Scale (frailty); sMMSE, RUDAS, MoCA (cognition); 4AT (delirium); timed-up-and-go (physical function); GDS-15 (mood); Barthel Index (functional status); and MUST (malnutrition).</p><p><strong>Conclusions: </strong>We recommend clinicians delivering preoperative CGA consider the use of the MCDS we have constructed when assessing older people contemplating surgery, as part of a multicomponent and multidisciplinary approach to optimising perioperative outcomes.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":" ","pages":"733-739"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959679","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":"Using real-time Delphi methods to develop a consensus-based framework to improve nursing assessment in residential aged care","authors":"Margaret Fry,&nbsp;Kate Curtis,&nbsp;Julie Considine,&nbsp;Catherine Viengkham,&nbsp;Karen Watson,&nbsp;Moira Dunsmore,&nbsp;Ramon Z. Shaban","doi":"10.1111/ajag.13387","DOIUrl":"10.1111/ajag.13387","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Evidence-based tools are needed to support aged care nurses in recognising and responding to changes in residents' conditions and clinical deterioration. Systematised emergency nursing frameworks such as HIRAID® (<b>H</b>istory including <b>I</b>nfection risk, <b>R</b>ed flags, <b>A</b>ssessment, <b>I</b>nterventions, <b>D</b>iagnostics, reassessment and communication) assist nurses in accurately assessing and documenting a patient's condition and identifying and prioritising care needs. This study aimed to adapt the HIRAID® emergency nursing framework for use in the residential aged care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A real-time Delphi method was employed to contextually adapt the HIRAID® framework. Twelve expert health-care clinical leaders with understanding of patient assessment and residential aged care management were recruited through purposive sampling. Panel consensus was established a priori at 80%. A secondary measure of panel stability was used to understand panel consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Consensus was reached after two survey rounds. In Round 1, 105 (88%) of 119 items were accepted after reaching consensus. In Round 2, all remaining 29 items reached consensus, whereby 20 were accepted and nine rejected. Key modifications were identified for ‘History’, which needed to consider more comprehensive and adaptive techniques, and ‘Interventions’ and ‘Diagnostics’, where differences arose in the scope of practice of aged care nurses compared to their acute care counterparts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrated how a small expert multidisciplinary health-care panel can be stable and reach consensus to adapt and contextualise an emergency care framework to the aged care setting. These findings will form the content to scaffold educational resources to support learning and practice change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752446","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":"Children's opinions about older people: A cross-sectional study in Turkiye","authors":"Zahide Yuvakgil,&nbsp;Hacer Helin Utkan,&nbsp;Selenay Yıldırım,&nbsp;Zeliha Varlığan","doi":"10.1111/ajag.13391","DOIUrl":"10.1111/ajag.13391","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This cross-sectional study aimed to ascertain the opinions of children towards older people and how these opinions change according to the age of the children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted with Turkish primary and secondary school students. A questionnaire developed after consulting the relevant literature was used to gather data on student demographics and their opinions about older people, including the domains of stereotypes of physical and personal characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 968 children (mean ± SD: 11.77 ± 1.61 years) were recruited. Older children have both positive and negative stereotypes towards older people, compared to younger children. These data suggest that as children get older, they do not appear to have more negative thoughts towards older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Early childhood may be a crucial time for preventing ageism and fostering children's positive opinions towards older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752401","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":"Factors associated with dementia among older people in Malaysia: Findings from National Health and Morbidity Survey","authors":"Nur Hamizah Nasaruddin,&nbsp;Shubash Shander Ganapathy,&nbsp;Sin Wan Tham","doi":"10.1111/ajag.13392","DOIUrl":"10.1111/ajag.13392","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify factors associated with dementia among older people in Malaysia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used data from a nationwide cross-sectional survey in Malaysia. Participants involved were older people aged 60 years and above. Data collected were on dementia risk factors as well as dementia screening. Dementia screening was done using the Identification and Intervention for Dementia in Elderly Africans cognitive screening tool. Univariate analysis and multiple logistic regression were carried out to determine the factors associated with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 3774 participants involved in this study. Multiple logistic regression showed factors associated with dementia among older people were those aged 70 years and above, Indian ethnic group, being single, primary or no formal education, as well as those with hypertension. Interestingly, our findings also showed that older people with hypercholesterolemia have lower odds of having dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Multiple factors were associated with dementia in Malaysia, highlighting the need to implement multiple interventions strategies, by taking a lifetime approach emphasizing education, physical as well as social aspects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752435","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}