A reduced capacity to recover balance following an imbalance episode contributes to the high incidence of falls in older adults. The goal of the present study is to determine how age-related differences in lower extremity neuromuscular and biomechanical properties are related to balance recovery capacity and falls incidence. A detailed understanding of this relationship is necessary for the development of efficacious exercise-based interventions for the prevention of falls.
Dynamic Postural Stability And Falls Prediction In Older People During Walking In Real-world Environments.
Funder
National Health and Medical Research Council
Funding Amount
$680,793.00
Summary
The increased occurrence of falls with advancing age (33-50% of people aged >65 years) is a significant cause of mortality (1014 deaths in 1998), morbidity, and disability, affecting not only the individuals concerned, but the health care system (45,069 fall related hospitalizations in 1998 in Australia) and the broader community (National falls Prevention Initiative, 2004). Although there are a number of falls risk tests, most rely on determination of body sway while standing when the body i ....The increased occurrence of falls with advancing age (33-50% of people aged >65 years) is a significant cause of mortality (1014 deaths in 1998), morbidity, and disability, affecting not only the individuals concerned, but the health care system (45,069 fall related hospitalizations in 1998 in Australia) and the broader community (National falls Prevention Initiative, 2004). Although there are a number of falls risk tests, most rely on determination of body sway while standing when the body is static rather than in motion. Given that up to 70% of falls occur during walking and performing transfers, there is a clear need to develop tests of falls risk prediction that incorporate indices of postural stability measured during more dynamic activities. Test development needs to be underpinned by clear evidence of how age-related sensory and motor deficits affect postural stability during walking. The studies outlined in this application will develop and utilise new accelerometer-based technologies to determine the fundamental mechanisms underlying balance control during walking in older people. Specifically, this project will aim to develop a clear understanding of how changes in factors as vision, neuromuscular function (strength, stiffness) and proprioception contribute to the overall decline in stability and balance during walking in older people. Combined with physiological assessment measures developed by the research team, the research will allow the development of a more definitive predictive test of stability and falls risk. This test will be able to be used by health professionals for assessment of older people to determine the most effective therapeutic and-or exercise interventions to target those individuals at risk. This technology will also be adaptable to a biofeedback device to allow individuals to monitor their own stability.Read moreRead less
Establishing Pathways To Implement And Sustain Evidence Based Fall Prevention In Primary Care: The ISOLVE Project
Funder
National Health and Medical Research Council
Funding Amount
$1,156,546.00
Summary
Researchers in allied health and primary care are partnering with Northern Sydney Medicare Local and the NSW State Falls Program (Clinical Excellence Commission) to establish a multi-disciplinary pathway model for fall prevention. The aim is to establish integrated processes and pathways at the levels of practitioner, practice, and program to identify older people at risk of falls and engage a whole of primary care approach to fall prevention. This project will employ multi-methodologies.
Planning for Later Life: an Ethnographic Analysis of Aging among Transnational Papua New Guineans. This project addresses the global problem of ageing populations by looking at how transnational Papua New Guinean families plan for old age. It explores how Papua New Guineans resident in North Queensland make specific decisions about later life that balance the value of relations with kin, friends, neighbours while also dealing with the social services provided by the state and the market. The pro ....Planning for Later Life: an Ethnographic Analysis of Aging among Transnational Papua New Guineans. This project addresses the global problem of ageing populations by looking at how transnational Papua New Guinean families plan for old age. It explores how Papua New Guineans resident in North Queensland make specific decisions about later life that balance the value of relations with kin, friends, neighbours while also dealing with the social services provided by the state and the market. The project will describe the tensions that emerge in transnational decision making concerning old age. The resulting knowledge of how Papua New Guineans prepare for old age will help to critically inform policies concerning the wellbeing of people engaged with ageing.Read moreRead less
Emerging from the shadows: the evaluation of intervention strategies to reduce social isolation amongst the aged. Social isolation imposes a high cost on affected individuals and the community at large. This project will determine what interventions work in addressing social isolation amongst the older population.
Remembering to remember: Prospective memory function in everyday life. Prospective memory is a core cognitive skill that refers to memory for future intentions. The goal of this project is to establish when, why and how real-life prospective memory function breaks down at different stages of the adult lifespan and in different everyday contexts - and what strategies most effectively prevent this from occurring. In doing so, this project expects to deliver knowledge that is theoretically transfor ....Remembering to remember: Prospective memory function in everyday life. Prospective memory is a core cognitive skill that refers to memory for future intentions. The goal of this project is to establish when, why and how real-life prospective memory function breaks down at different stages of the adult lifespan and in different everyday contexts - and what strategies most effectively prevent this from occurring. In doing so, this project expects to deliver knowledge that is theoretically transformative, and that delivers the practical understanding of what can be done to reduce real-life vulnerability to prospective memory failures. Given that lapses of prospective memory account for more than half of all daily cognitive errors, this should provide important social and economic benefits for all Australians.
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Taking advice: Limits and potentials of social decision-making in older age. Older adults are increasingly victims of financial fraud and abuse. While well-intentioned advice has the potential to improve financial decision-making, ill-intentioned advice can lead to exploitation. This project will use extensive behavioural testing to establish the factors governing how much weight older adults give to advice depending on the type of advisor, the type of advice, and feedback about advice quality. ....Taking advice: Limits and potentials of social decision-making in older age. Older adults are increasingly victims of financial fraud and abuse. While well-intentioned advice has the potential to improve financial decision-making, ill-intentioned advice can lead to exploitation. This project will use extensive behavioural testing to establish the factors governing how much weight older adults give to advice depending on the type of advisor, the type of advice, and feedback about advice quality. The outcome will be a model of the influence of advice on decision-making in ageing. This will provide an evidence base to create best practice guidelines, interventions, and decision aids that will reduce exploitation and increase the independence and wellbeing of Australia’s rapidly ageing population.Read moreRead less
Reducing social frailty in late adulthood. Social frailty is one of the most troubling and potentially devastating threats to healthy adult ageing, and refers broadly to low social engagement status. This project aims to test how age-related changes in the abilities that allow us to perceive, interpret and process social information drive resilience and risk for this important threat to successful ageing, and then leverage these data to create a training tool that directly targets those abilitie ....Reducing social frailty in late adulthood. Social frailty is one of the most troubling and potentially devastating threats to healthy adult ageing, and refers broadly to low social engagement status. This project aims to test how age-related changes in the abilities that allow us to perceive, interpret and process social information drive resilience and risk for this important threat to successful ageing, and then leverage these data to create a training tool that directly targets those abilities identified as being most strongly linked to social frailty. Enhancing older adults' resilience to social frailty should generate significant and far-reaching benefits, including greater independence of ageing Australians, and reduced burden on health and welfare support infrastructure. Read moreRead less
Increasing advance personal planning by older adults. This project aims to increase the uptake of advance personal planning among people aged 65 years or over in the community by developing, implementing and evaluating a community action model. People have a legal right to engage in advance personal planning, a process that helps them discuss and document their financial, personal and health preferences, in case they later lose the ability to make or communicate decisions. Few people plan ahead, ....Increasing advance personal planning by older adults. This project aims to increase the uptake of advance personal planning among people aged 65 years or over in the community by developing, implementing and evaluating a community action model. People have a legal right to engage in advance personal planning, a process that helps them discuss and document their financial, personal and health preferences, in case they later lose the ability to make or communicate decisions. Few people plan ahead, even though it can reduce the likelihood of financial exploitation, family conflict and unwanted medical care. This project aims to provide a model of community action to build capacity and collaboration across social services and improve the wellbeing of older people.Read moreRead less
Coach My Ride: Mentorable Interfaces to support Older Australians' Mobility. This project aims to co-design new interfaces to support older Australians to collaboratively learn the use of automated vehicles. We will seek to understand the needs, expectations, and challenges of urban and rural residents, and the peer support strategies they deploy to learn technology. Mobility is key to the wellbeing of older people, but automated vehicles that are too complex will fail to deliver their promise o ....Coach My Ride: Mentorable Interfaces to support Older Australians' Mobility. This project aims to co-design new interfaces to support older Australians to collaboratively learn the use of automated vehicles. We will seek to understand the needs, expectations, and challenges of urban and rural residents, and the peer support strategies they deploy to learn technology. Mobility is key to the wellbeing of older people, but automated vehicles that are too complex will fail to deliver their promise of independent ageing. Outcomes will be a new theory of collaborative learning and new mentorable interfaces to allow older adults to mentor each other to access and use new mobility solutions. This will contribute to narrow the digital and mobility gap improving the independence, safety and wellbeing of ageing Australians.Read moreRead less