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My place for life: comparison of models of care and housing for older people. This project addresses the national goal: ageing well, ageing productively. Existing Australian housing and community services will be inadequate for the future, but the evidence base for policy development is absent. This project will conduct the first comparative Australian study on outcomes for older people over time in a range of existing housing models.
Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide ....Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide a comprehensive assessment of driving performance for drivers with mild dementia and a comparison group without dementia. The project will create a partnership between leading researchers, clinicians and policy makers in order to provide an answer to a complex problem.Read moreRead less
Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capaci ....Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capacity of the community to provide support the benefit of existing formal supports will be extended to address the needs of more families. This project will position Australian disability research and support at the forefront of international efforts to legitimize the claim of people with disabilities and their families on community resources.Read moreRead less
Accommodating the Needs of People with Lifelong Intellectual Disability in Residential Aged Care. Unique challenges face the residential aged care system because of the increased life expectancy of people with life-long intellectual disability and the likelihood of their premature ageing. Although this group is recognised by Federal and State governments as requiring specific and special service arrangements, little is known about adapting disability and aged care services to their needs, thus p ....Accommodating the Needs of People with Lifelong Intellectual Disability in Residential Aged Care. Unique challenges face the residential aged care system because of the increased life expectancy of people with life-long intellectual disability and the likelihood of their premature ageing. Although this group is recognised by Federal and State governments as requiring specific and special service arrangements, little is known about adapting disability and aged care services to their needs, thus program development is in its early stages. This research will inform the development of policy and programs in the Aged Care, Disability and Health sectors with the aim of improving the quality of life for people with intellectual disability as they age.Read moreRead less
A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course ....A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course of the deteriorating dementing illness, and to illuminate nursing interventions that relieve stress and increase positive attitudes. The research has the potential to inform evidence-based dementia care and to improve staff retention.Read moreRead less
Ageing Well at Home: Measuring the Impact of Community Care for Older People. The level of care required to maintain people at home varies significantly. Outcomes relate to the individual consumer's needs and require monitoring to ensure actual needs based on thorough assessment are being met. This study refines, tests and applies measures of the outcomes of essential community aged care service packages in a range of settings across New South Wales. The study aims to validate, test and further ....Ageing Well at Home: Measuring the Impact of Community Care for Older People. The level of care required to maintain people at home varies significantly. Outcomes relate to the individual consumer's needs and require monitoring to ensure actual needs based on thorough assessment are being met. This study refines, tests and applies measures of the outcomes of essential community aged care service packages in a range of settings across New South Wales. The study aims to validate, test and further develop a reliable and practical measure for consistent data collection and review of outcomes in care provided to older people in their homes. The determination of consumer outcomes aim to inform and contribute to the provision of community care across Australia and internationally, and facilitate and underpin further research.Read moreRead less
Community Engagement for Productive Ageing: Models to support rural healthy ageing through the maintenance of community involvement and contribution. Governments at all levels are concerned about the looming social and economic challenges flowing from an ageing population. At present, ageing services are largely focussed on caring for the frail dependent aged. Yet, ultimately, the key to meeting the ageing challenge will lie in how successful we are in supporting our healthy independent aged to ....Community Engagement for Productive Ageing: Models to support rural healthy ageing through the maintenance of community involvement and contribution. Governments at all levels are concerned about the looming social and economic challenges flowing from an ageing population. At present, ageing services are largely focussed on caring for the frail dependent aged. Yet, ultimately, the key to meeting the ageing challenge will lie in how successful we are in supporting our healthy independent aged to stay contributing and productive members of their community. By developing evidence-based interventions that focus on preventing social disengagement before it occurs, the project provides a cost effective approach to ensuring that Australia's rapidly growing aged cohort remain social assets and do not become social burdens.Read moreRead less
Blue Mountains Cohort Study: Long-term (15-year) Incidence Of Eye Disease, Hearing Loss And Other Public Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$837,919.00
Summary
The Blue Mountains Eye Study 15-year study will re-examine survivors of the 3,654 persons who participated in baseline BMES exams, to determine the long-term development and progression of sensory problems, including vision and hearing loss and eye diseases like macular degeneration, glaucoma, cataract or diabetic eye damage. The project will assess whether vascular conditions like high blood pressure, chronic medical conditions, medications, smoking, diet, blood, family and genetic factors pred ....The Blue Mountains Eye Study 15-year study will re-examine survivors of the 3,654 persons who participated in baseline BMES exams, to determine the long-term development and progression of sensory problems, including vision and hearing loss and eye diseases like macular degeneration, glaucoma, cataract or diabetic eye damage. The project will assess whether vascular conditions like high blood pressure, chronic medical conditions, medications, smoking, diet, blood, family and genetic factors predict the risk or age at onset of eye disease or hearing loss. We will assess impacts of vision and hearing loss on independence, falls, quality of life and development of memory loss and depression. This information will help to develop services, and to plan interventions to prevent and treat these conditions. Because of the exponential age-related increase in frequency of these diseases, this long follow-up will provide more disease events, and a longer interval to assess impacts from the exposures we measured when we started the BMES in 2002. It will enable us to estimate the strength of risk factors for eye disease and hearing loss with greater precision, essential to understand their evolution. Surviving participants from the original BMES will be invited to attend follow-up exams at our Katoomba clinic, or to attend mobile- nursing home exams. We will conduct similar exams to those previously to detect new or worsened eye disease or hearing loss. In 2002-4, we saw 82% of the population of 2 Blue Mountains postcodes aged 50 or older. At the 5- and 10-year exams we saw 75% of people still living. We expect the same proportion to participate this time. The BMES is one of Australia's main cohort studies with over 200 publications. It has yielded key findings on the frequency and causes of the major diseases threatening vision and hearing. Longer follow-up will greatly increase our power to detect predictors of these key age-dependent conditions.Read moreRead less
Keeping my place in the community: achieving successful ageing-in-place for people with intellectual and developmental disabilities. This project, in partnership with aged care and disability agencies across two states, aims to examine ways the aged care, social and health needs of people with intellectual and developmental disabilities may be met in rural and urban settings. It will explore mechanisms that will lead to a better integration of the aged care and disability sectors.
Characterisation of deficits in driving performance and self-regulation practices among older drivers with bilateral cataract. Despite the high prevalence of cataract among the older population, there is limited evidence on the impact of first and second eye cataract surgery on driving outcomes. This prospective study will use naturalistic in-vehicle driver monitoring devices and a state-of–the-art driving simulator to examine the association between clinical measures of vision, refractive manag ....Characterisation of deficits in driving performance and self-regulation practices among older drivers with bilateral cataract. Despite the high prevalence of cataract among the older population, there is limited evidence on the impact of first and second eye cataract surgery on driving outcomes. This prospective study will use naturalistic in-vehicle driver monitoring devices and a state-of–the-art driving simulator to examine the association between clinical measures of vision, refractive management, driving patterns, self-regulation and driving performance for bilateral cataract patients before first eye surgery, between surgeries and after second eye surgery. The results will inform Ophthalmology and licensing authorities regarding surgical and refractive management as well as fitness to drive assessments for older drivers with bilateral cataract.Read moreRead less