Partnership Centre: Dealing With Cognitive And Related Functional Decline In Older People
Funder
National Health and Medical Research Council
Funding Amount
$12,500,000.00
Summary
The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implem ....The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implement new approaches to support informal carer’s; reduce stigma around cognitive decline in both the health care and community context; improve the size and quality of the aged care workforce; assist with decision making, rights, citizenship and related ethics through education; improve aged care regulation; promote responsible medication management; develop and disseminate up-to-date clinical guidelines; and implement proven models of care.Read moreRead less
A Randomised Controlled Trial Of Personalised Goal-directed Activity To Treat Agitation In Dementia
Funder
National Health and Medical Research Council
Funding Amount
$310,077.00
Summary
We will test by means of a randomised controlled trial the effectiveness of personalised, goal-directed activities in reducing agitated behaviour in aged care residents with dementia. Evidence suggests that treatments work best when adapted to people's interest, skills and backgrounds. Our activities require no special equipment and there is no need to exclude people with limited language skills. The study will be controlled to ensure that benefits are not due just to social interaction.
Greek & Italian Residents With Dementia In Aged Care: Language Use, Psychiatric Medication,quaity Of Life & Satisfaction
Funder
National Health and Medical Research Council
Funding Amount
$194,543.00
Summary
Australia has a growing older migrant population and rates of dementia in residential care are high. Communication difficulties for older persons with limited English language proficiency and dementia provide a particular challenge in terms of meeting care needs effectively in residential settings. The current project will compare older Greek and Italian background persons with dementia who are residing in either mainstream or ethno-specific residential care facilities in Melbourne. The study wi ....Australia has a growing older migrant population and rates of dementia in residential care are high. Communication difficulties for older persons with limited English language proficiency and dementia provide a particular challenge in terms of meeting care needs effectively in residential settings. The current project will compare older Greek and Italian background persons with dementia who are residing in either mainstream or ethno-specific residential care facilities in Melbourne. The study will extend our pilot research, which focused on language use, and will also measure a number of factors that may influence the rate of communication, including prescribed psychiatric medication, language proficiency, cognitive impairment and behavioural-psychiatric symptoms. Additionally, the project will compare factors that may differ between the facility types, to provide further understanding of services offered. Furthermore, measures of satisfaction with the facility and quality of life will be included to provide an indication of the clinical significance of residing in a mainstream or ethno-specific aged care facility. The expected outcome of the study is to provide additional data in a very under researched and increasingly important field, to inform policy and practice, with the aim of improving the quality of life for older persons from diverse backgrounds in residential care.Read moreRead less
The Effect Of Music On Agitated Behaviours In Older People With Dementia: A Randomised Control Trial
Funder
National Health and Medical Research Council
Funding Amount
$153,634.00
Summary
This study uses a cost effective non-pharmacological intervention, that being music therapy to improve quality of life (QOL) in people with dementia. Dementia results in a decline in mood and cognitive functioning and the emergence of behaviour problems that include aggressive acts, agitation, and sleep-wake and rest-activity pattern disturbance. Aggressive behaviour is a common burden for caregivers in residential and family care. The subsequent stress that aggression places on caregivers can l ....This study uses a cost effective non-pharmacological intervention, that being music therapy to improve quality of life (QOL) in people with dementia. Dementia results in a decline in mood and cognitive functioning and the emergence of behaviour problems that include aggressive acts, agitation, and sleep-wake and rest-activity pattern disturbance. Aggressive behaviour is a common burden for caregivers in residential and family care. The subsequent stress that aggression places on caregivers can lead to staff and family burn out, an increase in restraint use, and decreased quality of care. Research suggests that disruptive behaviours are recognised as a predictor in staff resignation and carer stress, both of which add significantly to the current costs of aged care. This project therefore has the potential to benefit both people living with dementia and their carers. The positive outcomes of music on people of all ages and health status have been established in various clinical settings. Recent research suggests that music therapy may be useful in the management of disruptive behaviours in people with dementia. Music therapy for people with dementia has the potential to improve their quality of life (QOL) through an improvement in depression, and a reduction in aggression and agitation. This study will investigate the effect of a live music program (where participants use their voices and instruments to perform and create music) on agitated behaviours in older people with dementia. It will provide evidence contributing to better understandings about music therapy and its contribution to QOL and disruptive behaviours in people with dementia that can be transferred to other settings such as the community and home based care of people with dementia.Read moreRead less
Sydney Multisite Intervention Of LaughterBosses And ElderClowns (SMILE): An RCT Of Humour Therapy In Residential Care
Funder
National Health and Medical Research Council
Funding Amount
$852,237.00
Summary
Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) is a trial of humour therapy. About 400 residents from 36 hostels and nursing homes will be randomly assigned to receive the SMILE treatment or usual care. ElderClowns will visit weekly, and staff volunteers will be trained to be LaughterBosses and bring humour to daily care routines. SMILE will evaluate whether humour therapy improves resident quality-of-life and mood, and reduces staff burnout and turnover.
Little evidence supports interventions to improve mobility outcomes in frail older adults hospitalised for movement rehabilitation. This large randomised controlled trial investigates whether increasing the amount of physical activity during inpatient rehabilitation improves mobility and is cost effective. Frail older Australians are very high users of health services. This study will provide evidence for intensive physical therapy that is easily delivered, with significant benefits to older adu ....Little evidence supports interventions to improve mobility outcomes in frail older adults hospitalised for movement rehabilitation. This large randomised controlled trial investigates whether increasing the amount of physical activity during inpatient rehabilitation improves mobility and is cost effective. Frail older Australians are very high users of health services. This study will provide evidence for intensive physical therapy that is easily delivered, with significant benefits to older adults and the aged care health system.Read moreRead less
Insight And Cognitive Decline In Older Adults With Mild Cognitive Impairment
Funder
National Health and Medical Research Council
Funding Amount
$399,600.00
Summary
Australia's population is aging rapidly and so is the frequency of age-related disorders. Dementia is one of the most frequent mental health disorders and one of the leading causes of years of life lost due to disability in Australia. Therefore it is important to be able to identify older adults at high risk of developing dementia in order to be able to introduce preventative strategies. One important risk factor for cognitive decline is the presence of mild cognitive impairment (MCI) in older a ....Australia's population is aging rapidly and so is the frequency of age-related disorders. Dementia is one of the most frequent mental health disorders and one of the leading causes of years of life lost due to disability in Australia. Therefore it is important to be able to identify older adults at high risk of developing dementia in order to be able to introduce preventative strategies. One important risk factor for cognitive decline is the presence of mild cognitive impairment (MCI) in older adults who complain about memory problems. However many subjects with MCI do not develop dementia and it remains a challenge to identify those with pre-dementia amongst those with MCI. The purpose of this study is to investigate whether reduced awareness of cognitive impairment is a better predictor of cognitive decline and dementia than having memory complaints . To investigate the association of reduced awareness and cognitive decline, 80 participants with MCI and 80 healthy controls will be followed over a period of 24 months. Awareness will be measured and compared to information on cognitive and functional impairment given by the participant and an informant. Additionally, information from neuroimaging and laboratory studies will be collected to determine it's interaction with reduced awareness.Read moreRead less
Understanding Frailty In Older People: An Epidemiological Insight
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
We need to find better and more efficient ways to identify older people at risk of poor outcomes. The measurement of frailty, a key concept in geriatric medicine, may provide this exact information. The proposed research will investigate frailty in large-scale population datasets across both community and hospital settings. Results can be used to guide patient management, influence public health policy and inform future intervention studies.
At the moment, people with dementia are not offered rehabilitation, even though this may help them communicate, function and live better. I will test and advocate for rehabilitation interventions immediately post-diagnosis and as part of home and residential care. As a leader in dementia research at the University of Sydney I will grow my research team and lead new cross-disciplinary collaborations. I will also continue to influence policy and services.
A Cluster RCT Of A Novel Psychological Intervention To Reduce Depression Among At-risk Older Adults Transitioning To Residential Aged Care
Funder
National Health and Medical Research Council
Funding Amount
$893,152.00
Summary
Depression is common in aged care facilities, with many older adults finding the transition extremely difficult. We have developed a simple intervention to help new residents, including those with dementia, to adjust to life in aged care. This program focuses on key aspects of psychological wellbeing, and is designed for widespread use in aged care. We will evaluate the intervention to determine if it is superior to current care approaches in reducing depression and improving quality of life.