An Efficacy Study Of A Cognitive-communicative Intervention To Improve Transition To Residential Care In Dementia
Funder
National Health and Medical Research Council
Funding Amount
$681,083.00
Summary
The transition from home to a residential aged care facility (RACF) is a potentially traumatic process that has a negative impact on the health and well-being of both people with dementia and their caregivers. This project will develop an intervention program for people with dementia that maximizes their ability to learn and retain functional skills and that enhances the communicative competence of both people with dementia and their carergivers. This will serve to minimize the stress and disori ....The transition from home to a residential aged care facility (RACF) is a potentially traumatic process that has a negative impact on the health and well-being of both people with dementia and their caregivers. This project will develop an intervention program for people with dementia that maximizes their ability to learn and retain functional skills and that enhances the communicative competence of both people with dementia and their carergivers. This will serve to minimize the stress and disorientation, as well as accompanying increased risk of illness, of entering residential care. We will investigate whether this intervention program has good outcomes both for the people with dementia as well as their caregivers. The research will develop guidelines for the development of best-practice policies for service providers and the government, which will assist both health workers and homebased caregivers to better manage the transition of people with dementia from home to the RACF environment.Read moreRead less
Safe Use Of Medicines Among The Elderly In The Community Who Receive Partial Supported Care Services
Funder
National Health and Medical Research Council
Funding Amount
$83,223.00
Summary
People living in supported residential services and retirement villages are frail elderly with minimal social support. Data on medicine use by people who receive intermediate care support are limited. The proposed study will investigate medicine use and related problems in this group of elderly. Strategies for optimizing medicine use and health outcomes will be identified in consultation with stakeholders. The efficacy of a preferred and feasible strategy will also be tested.
The project will evaluate the impact of transition care and service integration models on older people and their carers in three States, as well as the use of resources and costs of the services; evaluate the implementation and operation of transition care and service integration models by determining conditions that would assist-inhibit implementation from the viewpoint of older people, their carers and formal care givers; and develop and validate quality, cost and continuity of service integra ....The project will evaluate the impact of transition care and service integration models on older people and their carers in three States, as well as the use of resources and costs of the services; evaluate the implementation and operation of transition care and service integration models by determining conditions that would assist-inhibit implementation from the viewpoint of older people, their carers and formal care givers; and develop and validate quality, cost and continuity of service integration in different settings.Read moreRead less
The Effectiveness Of A Community Based Program For Reducing The Incidence Of Falls Among The Elderly:A Randomized Trial.
Funder
National Health and Medical Research Council
Funding Amount
$206,604.00
Summary
Falls are the leading cause of hospitalization due to injury in elderly people, and are associated with substantial medical and rehabilitation costs, as well as social isolation and premature institutionalization for a significant number of people who fall. This study aims to reduce the economic and social burden of falls. A randomized controlled trial will evaluate the impact of a community based falls prevention program (C-BF) with an at-risk elderly population. The intervention is designed to ....Falls are the leading cause of hospitalization due to injury in elderly people, and are associated with substantial medical and rehabilitation costs, as well as social isolation and premature institutionalization for a significant number of people who fall. This study aims to reduce the economic and social burden of falls. A randomized controlled trial will evaluate the impact of a community based falls prevention program (C-BF) with an at-risk elderly population. The intervention is designed to improve elderly people's capacity to follow through with effective falls prevention strategies and to manage risks in their everyday lives, and hence to reduce the rate at which they experience falls. The outcome of this project will be a user friendly manual that will document the program in enough detail so that it can be easily implemented by health care professionals.Read moreRead less
The Associations Between Cognitive Decline And Genetic Polymorphisms, Hormones And Cardiovascular Risk Factors In Women.
Funder
National Health and Medical Research Council
Funding Amount
$358,079.00
Summary
Dementia, a major cause of morbidity and mortality in ageing women, has been linked to hormonal changes and genes. If factors associated with impaired cognition and early Alzheimer's disease could be identified then early interventions could be offered to those at risk. In this study we determine the genetic, medical and lifestyle factors which may be associated with cognitive decline and early Alzheimer's disease in women from pre-menopause into their post-menopausal years.
There are many unresolved issues regarding nutrition in old age such as the obesity paradox, protein intake requirements, and dietary needs of obese and frail older people. We have developed a nutritional model, the Geometric Framework, which has the capacity to address complex questions about the relationship between nutrition and ageing and have an established cohort of older men that will allow us to investigate multiple factors involved in age-related changes in nutrition and obesity.
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
Resilient ageing and the oldest-old in the Australian longitudinal study of ageing. This project will provide a better understanding of resiliency (positive adaptation) in oldest-old Australians (85 plus). At a time in history when the population is ageing at an unprecedented rate, understanding how the oldest-old respond adaptively to age-related challenges is critically important to informing ageing policies and service provision.
Lifestyle (LIFE) Versus Structured Balance And Strength Training To Reduce Falls In The Elderly: A Randomized Trial
Funder
National Health and Medical Research Council
Funding Amount
$650,968.00
Summary
Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project ....Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project is to improve the capacity of people living at home to avoid falls. The project will evaluate the effectiveness of an integrated lifestyle approach to balance and strength exercise (LIFE) and a structured balance and strength exercise program to reducing falls in people who are at high risk . The control group will comprise a gentle flexibility exercise program as this is known to have no effect on reducing falls. In the lifestyle approach (LIFE), older people will be taught how to do balance and strength training and integrate it into their lifestyle so that it is embedded within their daily activity and weekly routines. It is expected that this integrated lifestyle approach to balance and strength training will be effective in reducing falls and will be sustainable over a a one-year period. This study will also determine for which groups of people LIFE is most effective . The research is a three-arm randomized trial that will be conducted with 381 people who are 70 years or over, who have experienced at least two falls in the past year or had an injurious fall. The notion of balance training is not well understood by allied health professionals or older people - a product of this project will be an alternative balance and strength intervention (LIFE) that offers, in a user friendly and simplified manner, a way of operationalizing the principles of balance and strength training for use by older people within their daily lives.Read moreRead less
Reprogramming Macrophage Function In The Elderly To Rescue Impaired Inflammatory Responses To Muscle Injury
Funder
National Health and Medical Research Council
Funding Amount
$410,983.00
Summary
Muscle injury in the elderly often takes longer to heal than in younger people, however the cells responsible for this delayed healing are not well understood. Key inflammatory cells required for muscle repair in young hosts are macrophages. However, during aging we have shown that macrophage function is altered, but the mechanism is unknown. This project aims to determine the mechanisms behind age-related changes to macrophages and whether they can be targeted to improve elderly muscle repair.