ORCID Profile
0000-0002-4760-1212
Current Organisations
Aged Care Centre for Growth and Translational Research, Flinders University
,
Flinders University
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Health Information Systems (incl. Surveillance) | Medical Devices | Software Engineering | Computer Software
Behaviour and Health | Integrated Circuits and Devices | Application Software Packages (excl. Computer Games) |
Publisher: Mary Ann Liebert Inc
Date: 12-2018
Publisher: SAGE Publications
Date: 12-05-2021
Abstract: Objective: To synthesize older adults’ experiences and perceptions of goal setting and pursuit within health systems. Methods: Six databases were searched to May 2019 using a combination of MeSH and free text terms. Included papers were written in English and reported original qualitative research for participants aged 65 years and older. Participant quotes from the results sections of included studies were gathered for thematic analysis and synthesis. Results: Initial search yielded 9,845 articles, and 134 were identified for full-text review. Fifteen papers were included in the final synthesis. Two main themes were identified: enablers (intrinsic and extrinsic) and barriers (personal and system). Conclusion: Older adults’ self-belief is the strongest enabler for goal activities, enhanced by a personalized coaching approach from health staff. Conversely, inconsistent goal terminology confuses patients and reduces engagement. Likewise, fatigue has profound physical and cognitive impact on patients’ ability to engage and participate in goals.
Publisher: Informa UK Limited
Date: 23-03-2011
Publisher: Public Library of Science (PLoS)
Date: 27-12-2011
Publisher: Informa UK Limited
Date: 23-03-2011
Publisher: Elsevier BV
Date: 10-2018
DOI: 10.1016/J.EXGER.2018.06.022
Abstract: Hip fractures are a global concern, resulting in poor outcomes and high health care costs. They mostly affect people >80 years. Hip fractures are influenced by various (modifiable) risk factors. Emerging evidence suggests hand grip strength (HGS) to be one of several useful tools to identify hip fracture risk. This is the first systematic review that aims to assess the evidence underlying the relationship between hip fracture incidence and HGS. Eleven studies were selected for this review (six case-control and five cohort studies), comprising 21,197 participants. Where reported, HGS was significantly decreased in in iduals with a hip fracture near the time of injury as compared to controls (p < 0.001) HGS was associated with increased hip fracture risk in all included studies. Meta-analysis was not possible. All studies included in this systematic review confirmed a relationship between decreased HGS and hip fracture incidence. We were not able to quantify the strength of this relationship, due to the heterogeneity of the included studies. HGS merits further investigation as a useful tool for identifying in iduals that might be at elevated risk for sustaining a hip fracture.
Publisher: Informa UK Limited
Date: 30-05-2019
DOI: 10.1080/15438627.2019.1616548
Abstract: The aim of this prospective study was to investigate differences in participant characteristics, previous injury, running dynamics during a long-distance run, and training between injured and uninjured runners in runners of different abilities. Center-of-mass acceleration data were collected during a long-distance overground run. Runners were then ided into four groups (elite, advanced, intermediate and slow) based on their finishing time. Participants completed training diaries and were monitored for 1 year. Seventy-six runners completed the prospective study with 39 (51.3%) sustaining a running injury (44% elite, 42% advanced, 54% intermediate, 59% slow). Differences between injured and uninjured runners within each group related to injury included: (1) elite injured runners ran with longer contact times and (2) more slow injured runners reported an injury in previous year, were heavier, had higher body mass and body mass index, ran with lower step frequencies, and ran a greater weekly distance. Advanced injured runners exhibited fatigue changes in step regularity and peak braking during the run that may be related to injury. These findings suggest that runners of different abilities may have different factors related to injury however due to the small s le sizes in the groups this needs to be explored further.
Publisher: Public Library of Science (PLoS)
Date: 19-07-2011
Publisher: Wiley
Date: 12-03-2022
DOI: 10.1111/AJAG.13057
Abstract: The Australian aged‐care sector employees are erse, with a wide range of training backgrounds and work experience. Compassion and person‐centred care (PCC) are essential for quality care. Effective training is required to facilitate compassion and PCC in the erse workforce. Eligible staff members (n = 732) participated in a 3‐hour training activity using an aged simulation training suit. Training sessions were offered at eight ACH Group residential care sites. During the training, staff were required to complete functional daily tasks while wearing the suit. Pre‐ and post‐training questionnaires were used to assess change in staff members’ self‐assessment of compassion and PCC. The Compassion Competence Scale and the Person‐centred Care Assessment Tool were used to assess compassion and PCC. In total, 160 (22%) staff members participated in the evaluation of the training. Overall, participants reported significant improvements in self‐reported compassion ( p 0.01) and PCC after the training ( p 0.001), compassionate communication ( p 0.001) and insight ( p 0.001), and ability to personalise care ( p 0.001) and in recognising patients’ environmental accessibility ( p 0.01). The simulation activity improved aspects of compassion and person‐centred care for the aged‐care workforce. Further research is required to understand whether these changes are reflected in daily practice.
Publisher: Elsevier BV
Date: 02-2017
DOI: 10.1016/J.MSKSP.2016.11.012
Abstract: Current conservative management of subacromial shoulder impingement (SSI) includes generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. However, there is no evidence that the strength or the ratio of strength between these muscle groups is different between those with SSI (cases) and an asymptomatic population (controls). To identify if isokinetic rotator cuff strength or the ratio of strength is significantly different between cases and controls. Case Control Study. Fifty one cases with SSI and 51 asymptomatic controls matched for age, gender, hand dominance and physical activity level completed isokinetic peak torque glenohumeral IR and ER testing. Within the SSI group, 31 dominant limbs were symptomatic and 20 non-dominant limbs were symptomatic. IR and ER were measured separately using continuous reciprocal concentric (con) and eccentric (ecc) contraction cycles at a speed of 60 degrees per second and again at 120 degrees per second. Values of peak torque (PT), relative peak torque (RPT) and ratios were compared using independent t-tests between the SSI and asymptomatic groups. Significant strength differences between the two groups were present only when the symptomatic SSI shoulder was the dominant shoulder (con ER PT at 60°/second, ecc ER PT at 120°/second, ecc ER RPT at 120°/second and ecc IR PT at 60°/second and 120°/second). Changes in rotator cuff strength in SSI may be related to limb dominance, which may have implications for strengthening regimes. Level 3a.
Publisher: Informa UK Limited
Date: 08-2011
DOI: 10.2147/JMDH.S23028
Publisher: Hawaii International Conference on System Sciences
Date: 2020
Publisher: Mary Ann Liebert Inc
Date: 08-2023
Publisher: Elsevier BV
Date: 10-2021
DOI: 10.1016/J.JBMT.2021.08.002
Abstract: To investigate the cardiorespiratory responses to the 6-min pegboard and ring test (6PBRT) and to assess its reproducibility in healthy adolescents. It was a cross-sectional study with 52 healthy adolescents (11-18 years old of both genders). The 6PBRT was performed twice on two different days by the same examiner. Intra-rater reliability, percentage of the minimal difference chance (MDC%) and agreement of the number of moving rings were analyzed. Also, cardiopulmonary parameters were collected before and after tests. Intraclass correlation coefficient (ICC) for the number of rings moved was 0.87 (95%CI 0.69-0.93). The mean number of moved rings during the second test was higher. The MDC% with a 95 % confidence interval was greater than acceptable values. Bland-Altman analysis did not show agreement between measurements (bias = 30.1) with upper and lower limits of agreement of -67.8 to 127.9, respectively. There was a significant increase in dyspnea, fatigue and HR values at the end of the tests (p < 0.0001). In both tests, participants reached HR equivalent to 48 % of the maximum predicted. Together, the results suggest that the 6PBRT is not a reliable measure for a population of healthy adolescents, which indicates the necessity to perform more than one test. The 6PBRT is suggested to be a submaximal test for this population.
Publisher: Informa UK Limited
Date: 09-2013
DOI: 10.1080/00140139.2013.819938
Abstract: Currently, there is little information to guide consumers, retailers and health professionals about the length of time it takes for the cervical spine to stabilise when resting on a pillow. The aim of this study was to determine the time required to achieve stabilisation of the cervical spine when supported by a polyester pillow and innerspring mattress in side lying. Twenty-four asymptomatic females rested in a standardised side lying position during the capture of 3D data from markers placed over cervical landmarks. Time to stabilisation was assessed for each axis, each landmark and globally for each participant. A large variation in global stabilisation times was identified between participants however, 70.8% of participants had stabilised by 15 min or earlier. Fifteen minutes is the best estimate of the time to stabilisation of the cervical spine for young females in a side lying position when resting on a polyester pillow. This study aimed to determine the time required to achieve stabilisation of the cervical spine when supported by a polyester pillow and innerspring mattress in side lying. Through a laboratory study using 3D VICON® motion analysis technology, we identified that 70.8% of participants had stabilised by 15 min.
Publisher: Public Library of Science (PLoS)
Date: 27-09-2012
Publisher: CSIRO Publishing
Date: 06-02-2023
DOI: 10.1071/PY22178
Abstract: Background The Australian population is aging, and the proportion of older Australians will continue to grow over the coming decades. However, there is a lack of research published on the specific roles and responsibilities of allied health professionals (AHPs) providing palliative care within an aged care context. Understanding the roles and needs of AHPs providing care during the last months of life in the community and aged care facilities could contribute to workforce planning, targeted information and improved care. Methods In total, 108 eSurveys were collected between November 2019 to May 2020 from three allied health professions working in government-funded aged care the majority of these being in residential aged care. Descriptive data are reported on the provision of care in key palliative care domains, care settings and practice activity. Results Nearly all respondents reported they had worked with older Australians who had palliative care needs. However, over one-third of respondents reported low levels of confidence in supporting clients or residents with palliative care needs. The majority indicated they would benefit from additional education and training and support in palliative care. Conclusions This study investigated the role of the allied health workforce in contributing to the care of older Australians at the end of life. It has also demonstrated that there are gaps in practice activity and work role that must be addressed to ensure this workforce can support older people with palliative care needs in receipt of aged care services.
Publisher: Informa UK Limited
Date: 11-2017
Publisher: SAGE Publications
Date: 2019
Abstract: There are no agreed comprehensive tests for age-related changes to physical, emotional, mental and social functioning. Research into declining function focuses on those 75 years and older and little is known about age-related changes in younger people. The aims of this project were (1) to ascertain a comprehensive test battery that could underpin community-based health screening programmes for people aged 40–75 years and pilot both (2) community-based recruitment and (3) the utility, acceptability, response burden and logistics. A total of 11 databases were searched using a broad range of relevant terms. An identified comprehensive, recent, high-quality systematic review of screening instruments for detection of early functional decline for community-dwelling older people identified many relevant tools however, not all body systems were addressed. Therefore, lower hierarchy papers identified in the rapid review were included and expert panel consultation was conducted before the final test battery was agreed. Broad networks were developed in one Australian city to aid pilot recruitment of community-dwellers 40–75 years. Recruitment and testing processes were validated using feasibility testing with 12 volunteers. The test battery captured (1) online self-reports of demographics, health status, sleep quality, distress, diet, physical activity, oral health, frailty and continence and (2) objective tests of anthropometry mobility lung function dexterity flexibility, strength and stability hearing balance cognition and memory foot sensation and reaction time. Recruitment and testing processes were found to be feasible. This screening approach may provide new knowledge on healthy ageing in younger people.
Publisher: Public Library of Science (PLoS)
Date: 08-06-2016
Publisher: Informa UK Limited
Date: 03-02-2021
Publisher: FapUNIFESP (SciELO)
Date: 2023
DOI: 10.1590/1809-2950/E22012423EN
Abstract: ABSTRACT Given the gap in the literature regarding the peak of oxygen consumption (VO2peak) for adolescents of both sexes, this study aimed to propose an equation to predict the VO2peak in healthy adolescents using the Modified Shuttle Test (MST). This is a cross-sectional study with 84 healthy adolescents between 12 and 18 years old, female and male. The MST is an external paced test, in which the speed increases at each minute. Two MST were performed with at least 30 minutes of rest between them. The test with the longest walked distance was considered for analysis. VO2 was directly monitored by an open circuit spirometry. Mean age was 14.67±1.82 and the walked distance was 864.86±263.48m. Variables included in the prediction equation were walked distance and sex, explaining the VO2peak variability of 53% during MST performance. The prediction equation for VO2peak with the MST was: predicted VO2peak=18.274+(0.18×Distance Walked, meters)+(7.733×Sex) R2=0.53 and p .0001 (sex: 0 for girls, 1 for boys). This MST equation, proposed to predict VO2peak in healthy adolescents of both sexes, can be used as a reference to assess exercise capacity in healthy adolescents and to investigate cardiopulmonary function in adolescents with reduced functional capacity.
Publisher: Informa UK Limited
Date: 10-02-2017
Publisher: Escola Bahiana de Medicina e Saude Publica
Date: 10-02-2021
DOI: 10.17267/2238-2704RPF.V11I1.3445
Abstract: BACKGROUND: Whole-body vibration (WBV) has been widely used as a therapeutic resource in pediatric rehabilitation. However, the cardiopulmonary responses are still unknown. OBJECTIVE: To investigate the intensity of dynamic squatting exercise with and without WBV in healthy adolescents in order to characterize cardiorespiratory responses. METHODS: This was a quasi-experimental study. Twenty-five adolescents (14.1 ± 1.7 years), 10 girls and 15 boys, underwent to oxygen consumption (VO2) and heart rate (HR) assessments during a protocol of squatting with and without vibration. Inclusion criteria were age between 12 and 18 years old of both sexes, have normal weight according to BMI. Exclusion criteria were to present chronic or acute, neurological, orthopedic, respiratory, cardiac and endocrine disease and no self-reported contraindication for WBV (i.e. deep vein thrombosis, metal implants, pacemaker, epilepsy, tumors, arterial aneurysm, or arrhythmia). RESULTS: WBV was able to significantly increase VO2, HR and perceived exertion during squatting exercise when compared to rest and squatting without-WBV. WBV associated with squatting reached 24.7% of the VO2max and 56% of the HRmax predicted for age. Subjects during WBV reported a perceived exertion score between somewhat hard and hard compared to between very light and light in the Without-WBV protocol. CONCLUSION: Squatting associated to WBV was considered a light intensity exercise that can be tolerated by healthy adolescents. This study provided valid results of this training modality and could be used as a tool to define the energy consumption spent in this training modality.
Publisher: Wiley
Date: 18-08-2020
DOI: 10.1111/JEP.13265
Abstract: Most frailty assessments have been developed for people aged over 65 years. However, there is growing evidence that frailty is detectable in younger people. This paper tests the hypothesis that the Fried frailty phenotype and the CFS categories identify the same people in age-gender subgroups in community-dwelling 40 to 75-year-olds. Participants were recruited via comprehensive community-s ling strategies. They self-reported frailty using the Clinical Frailty Scale (CFS), and frailty was also estimated using the Fried phenotype (self-reported unintended weight loss, exhaustion and low regular exercise observed slow gait speed and poor grip strength). CFS and Fried scores were compared overall, and for age-gender subgroups (40-49 years, 50-59 years, 60-69 years, and 70-75 years). Spearman rho and differences in mean integer Fried scores were calculated across CFS categories using ANOVA. Correlations were determined between Fried categories of not-frail, pre-frail, and frail and ranked CFS categories, using ranked scores (tau-c) and Cochran-Mantel-Haenszel (C-M-H) tests. Of 656 participants (67% female mean age 59.9 years, SD 10.6), Fried phenotype classified 59.2% not frail, 39.0% pre-frail, and 1.8% frail, with no gender or age differences. CFS data were missing for 25 participants, with N = 631 reporting categories of very well (24.6%), well (44.6%), managing well (21.9%), vulnerable (6.3%), mildly frail (0.5%), and moderately frail (0.2%). Overall, the mean Fried frailty scores increased incrementally and significantly across ranked CFS categories (P < .01), with weak linear correlation (rho = 0.09). There were variable correlations in age-gender groups, with the best correlation found for women aged 50 years or older, and men aged 60 to 69 years. Frailty assessments using the two assessments became more consistent, as age increased. Pre-frailty was identified by both assessments in all age-gender groups. The validity of self-reported CFS, and of pre-frailty criteria relevant to people younger than 65 years, needs investigation.
Publisher: Springer Science and Business Media LLC
Date: 24-07-2019
Publisher: Springer Science and Business Media LLC
Date: 22-06-2014
Publisher: Informa UK Limited
Date: 2014
Publisher: Elsevier BV
Date: 06-2017
Publisher: Elsevier BV
Date: 11-2019
DOI: 10.1016/J.PHYSBEH.2019.112675
Abstract: It is known that a single session of high-intensity interval exercise (HIIE) contributes to the increase of the reactive species of oxygen, accompanied by a greater antioxidant activity. However, it is poorly understood if a single session of HIIE has similar effects on the brain tissue. This study evaluated the effects of a single HIIE on the hippoc al redox status. Sixteen males Wistar rats were allocated into HIIE (n = 8) and control (n = 8) groups. Maximum oxygen consumption (VO
Publisher: Mary Ann Liebert Inc
Date: 04-2020
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.APERGO.2021.103581
Abstract: The number of older adults unable to transfer or ambulate independently is increasing. High support chairs enable people experiencing loss of mobility to be mobile, but current chair designs are associated with global functional loss and pressure ulcers. This pilot study compared the functionality of a traditional design high support chair to a new design of motorised high support chair: 1) a motion laboratory study compared joint angles and pressure at the hip, knee, ankle, elbow and spine when pushing each chair, and 2) a pressure mapping study compared the interface pressure when older people with limited mobility used the chairs. Significant reduction in joint angles for the person pushing the chair (degree difference range -3.6 to 14.2) and decreased seated pressure (w/kg difference range -0.2 to 2.1) for the seated user were identified for the motorised chair. Longitudinal investigations are required to determine if the significant differences identified in this pilot study result in less manual handling injuries and pressure areas.
Publisher: Flinders University
Date: 2022
DOI: 10.25957/NFKX-RY96
Publisher: Elsevier BV
Date: 05-2015
Publisher: BMJ
Date: 06-2019
DOI: 10.1136/BMJOPEN-2019-030988
Abstract: The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (‘appropriate care’) in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims of CareTrack Aged are to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia. We will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage s ling method. Experienced nurses, trained in the CareTrack Aged methods (‘surveyors’), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents’ QoL using validated questionnaires. The study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.
Publisher: Elsevier BV
Date: 05-2015
Publisher: SAGE Publications
Date: 29-01-2020
Abstract: Because of the complex and multifaceted nature of running injuries, a multifactorial approach when investigating running injuries is required. Compared with uninjured runners, injured runners would exhibit different running biomechanics, display more fatigue changes, and would run a greater weekly running volume more injured runners would also report having a previous injury. Prospective cohort study. Level 4. At commencement of the study, data were collected on demographics, anthropometrics, training history, previous injury history, and center-of-mass accelerations during a long-distance overground run. Participants completed weekly training diaries and were monitored for 1 year for an injury. A total of 76 runners completed the study, with 39 (22 male 17 female) reporting an injury. Compared with male uninjured runners, male injured runners were heavier and ran a greater weekly distance. Male runners (injured and uninjured) exhibited increases in mediolateral center-of-mass accelerations during the run. Compared with female uninjured runners, female injured runners were heavier, ran with longer flight times and lower step frequencies, and more of them had reported an injury in the previous year and had increased speed training in the weeks prior to injury. Over 60% of male injured runners and over 50% of female injured runners had increased their weekly running distance by % between consecutive weeks at least once in the 4 weeks prior to injury. Factors that may be related to injury for male runners include being heavier, running a greater weekly distance, and exhibiting fatigue changes in mediolateral center-of-mass accelerations. Factors that may be related to injury for female runners include being heavier, having an injury in the previous year, running with longer flight times and lower step frequencies, and increasing speed training prior to injury. Increases in weekly running distance in 1 consecutive week (particularly %) needs to be monitored in training, and this along with the other factors found may have contributed to injury development. This study found that multiple factors are related to running injuries and that some factors are sex specific. The findings can aid in injury prevention and management.
Publisher: Informa UK Limited
Date: 08-2010
DOI: 10.2147/JPR.S10880
Publisher: Informa UK Limited
Date: 25-03-2014
DOI: 10.3109/09593985.2014.900835
Abstract: The aim of this study was to assess the concurrent validity and reliability of the Simple Goniometer (SG) iPhone® app compared to the Universal Goniometer (UG). Within subject comparison design comparing the UG with the SG app. James Cook University, Townsville, Queensland, Australia. Thirty-six volunteer participants, with a mean age of 60.6 years (SD 6.2). Not applicable. Thirty-six participants performed three standing lunges during which the knee joint angle was measured with the SG app and the UG. There were no significant differences in the measures of in idual knee joint angles between the UG and the SG app. Pearson correlations of 0.96-0.98 and intraclass correlation coefficients of 0.97-0.99 (95% confidence interval: 0.95-1.00) were recorded for all measures. Using the Bland-Altman method, the standard error of the mean of the differences and the standard deviation of the mean of the differences were low. The measurements from the SG iPhone® app were reliable and possessed concurrent validity for this s le and protocol when compared to the UG.
Publisher: Wiley
Date: 09-05-2019
DOI: 10.1111/AJR.12509
Abstract: Patients in Queensland have had difficulty in accessing lymphoedema services, particularly in rural and remote locations. The aim was to trial and evaluate a compression garment service model, to provide care for patients with lymphoedema closer to their homes. The service model trialled compression garment, selection, fitting and monitoring services for stabilised malignancy-related lymphoedema undertaken by generalist therapists. Ten Hospital and Health Services in the Queensland public sector. The patients would have access to safe, quality services closer to their homes. The generalists were supported by telehealth coaching and supervision by lymphoedema therapists, an education program, resources and governance processes. Compression garment selection, fitting and monitoring by generalists (physiotherapists and occupational therapists without Level 1 Lymphoedema training), as defined in the service model, was safe, effective and evaluated positively by patients and health professionals. There was increased access to compression garment services provided by generalist therapists in rural and remote locations. The service model implemented has the capacity to address workforce and service provision issues. It provides resources, education and training for clinicians to improve access to the provision of compression garment services.
Publisher: Elsevier BV
Date: 10-2020
Publisher: Elsevier BV
Date: 10-2011
DOI: 10.1053/J.AJKD.2011.03.031
Abstract: Shortening of red blood cell (RBC) survival contributes to the anemia of chronic kidney disease. The toxic uremic environment accounts for the decreased RBC life span. The contribution of mechanical damage caused by hemodialysis to the shortened life span is unclear. Reductions up to 70% in RBC survival have been reported in uremic patients. To date, no accurate well-controlled RBC survival data exist in dialysis patients treated using different dialysis modalities and receiving erythropoiesis-stimulating agent (ESA) therapy. The aim of this study was to determine RBC survival in hemodialysis (HD) and peritoneal dialysis (PD) patients compared with healthy persons. Observational study. 14 HD patients and 5 PD patients were recruited from the dialysis unit. Healthy volunteers (n = 14) age- and sex-matched to HD participants were included. All dialysis patients received either ESA therapy or regular iron supplementation. Dialysis patients versus age- and sex-matched healthy controls. RBC survival. RBC survival was determined using radioactive chromium labeling. More than 85% of dialysis patients were anemic (hemoglobin, 12.0 ± 1.1 g/dL) hemoglobin concentrations were not significantly different between HD and PD patients. Median RBC survival was significantly decreased by 20% in HD patients compared with healthy controls: 58.1 (25th-75th percentile, 54.6-71.2) versus 72.9 (25th-75th percentile, 63.4-87.8) days (P = 0.02). No difference was shown between the PD and HD groups: 55.3 (25th-75th percentile, 49.0-60.2) versus 58.1 (25th-75th percentile, 54.6-71.2) days (P = 0.2). Label loss from RBCs associated with the chromium 51 labeling technique needs to be accounted for in the interpretation of RBC survival data. Despite current ESA therapy, decreased RBC survival contributes to chronic kidney disease-related anemia, although the reduction is less than previously reported. There does not appear to be net mechanical damage associated with HD therapy resulting in decreased RBC life span.
Publisher: Elsevier BV
Date: 05-2019
Publisher: Mary Ann Liebert Inc
Date: 04-2019
Publisher: Wiley
Date: 12-2019
DOI: 10.1111/AJR.12581
Abstract: Students from regional and remote backgrounds are more likely to stay and work in regional and remote locations. Health students transition and retention at university impacts the retainment of a competent rural health workforce. This study aimed to examine the perceptions of allied health students as they reflected upon their first six weeks at university and identified strategies which enhanced these experiences. A cross-sectional study. Surveys were administered to students who then completed a reflection exercise. Data were analysed using Pearson correlation coefficient and chi-squares. An Australian regional university. First year occupational therapy, physiotherapy and speech pathology students. Factors influencing the first 6 weeks at university. One hundred and forty-three students participated. Homesickness was the major challenge in transitioning to university life. Subthemes identified were adjusting to being away from home, adjusting to university culture and the mature-aged student. Specific issues included a lack of familiarity with university c uses and services, being unprepared for the workload and confusion while learning new skills. Orientation week activities assist students transition into university and age-appropriate and family-friendly activities should be considered for mature-age students. All students were found to benefit from support to address economic pressures and skill development focusing on coping with university workload. The development of regional university policy including these strategies is likely to enhance student success.
Publisher: Cambridge Media
Date: 03-2021
Publisher: Mary Ann Liebert Inc
Date: 04-2019
Publisher: Informa UK Limited
Date: 21-03-2017
DOI: 10.1080/02699052.2017.1283060
Abstract: Neurogenic heterotopic ossification (NHO) occurs as a complication of traumatic brain injury (TBI). Management of clinically significant NHO remains variable. Complications of mature NHO include limitation of mobility. The effect of the extracorporeal shock wave therapy (ESWT) on range of motion at hip and knee, and function in patients with TBI with chronic NHO was investigated. A series of single-case studies applying ESWT to chronic NHO at the hip or knee of 11 patients with TBI were undertaken at a rehabilitation hospital. Participants received four applications of high-energy EWST delivered to the affected hip or knee over a period of 8 weeks. Two-weekly follow- up assessments were carried out final assessments were made 3 and 6 months post-intervention. Range of motion (ROM) and Functional Reach (FR) or Modified Functional Reach (MFR) were measured. Application of high-energy ESWT was associated with significant improvement in ROM (flexion) of the NHO-affected knee (Tau = 0.833, 95% CI 0.391-1.276, p = 0.002) and significant improvement of FR (Overall Tau 0.486, 95% CI 0.141-0.832, p = 0.006) no significant improvement in hip ROM or MFR. ESWT may improve mobility and balance of patients with TBI who have chronic NHO.
Publisher: Cambridge University Press (CUP)
Date: 21-07-2022
DOI: 10.1017/S0144686X2200068X
Abstract: Informal care-givers play an important role, with health-care systems relying on the billions of hours of care they provide. Care-givers experience high levels of psychological distress and isolation however, the efficacy of what support is the best for care-givers is unclear. The primary aim of this systematic review is to determine the effect of group creative arts interventions on informal care-givers of adults. The secondary aim is to understand the impact of group type, the primary outcomes and how they are measured. Given the heterogeneous nature of the included studies, a narrative synthesis approach was taken. Database searches identified 2,587 studies, 25 of which met the full inclusion criteria. Studies included group creative arts interventions for either care-givers only (N = 8) or for care-giver/cared-for dyads (N = 17). The majority of the participants in the studies were older Caucasian females. Group creative arts interventions are beneficial for care-givers and for the person being cared for however, benefits differ depending on whether the group is for care-givers only or for care-giver/cared-for dyads. Future research will benefit from care-givers being involved in the design of the creative arts intervention to provide input regarding group type and relevant outcome measures. Future research should consider targeting their intervention to care-givers with a low baseline score to increase the ability of the study to demonstrate a significant difference.
Publisher: Informa UK Limited
Date: 10-06-2023
Publisher: Wiley
Date: 14-05-2021
DOI: 10.1111/AJAG.12961
Abstract: Evaluation of simulation and coaching training to change the self‐efficacy of aged care workers to prevent and manage workplace aggressive events. Seventeen aged care workers from a community and residential aged care service provider completed education modules and two half‐days of simulation using actors and real‐life scenarios, with real‐time coaching. Carer self‐efficacy to identify, prevent and manage anxiety and aggression was measured before, following and six months after training. After training, participants reported significant improvements in preparedness to prevent and manage aggression, identify and manage triggers in their own behaviour, deflect and alter other triggers, and felt safer in the workplace. Six months after training, participants’ self‐efficacy remained above baseline for all measures and remained significantly improved for feeling safer in the workplace. This pilot study supports high‐fidelity simulation and coaching to improve the self‐efficacy of aged care workers to prevent and manage workplace aggressive events.
Publisher: Wiley
Date: 24-06-2020
DOI: 10.1111/SRT.12880
Publisher: Oxford University Press (OUP)
Date: 12-2019
Abstract: To understand the domains of agreement and disagreement, related to person-centred care, between the patient and healthcare professional during a shared episode of care. A systematic review following the PRISMA protocol searched PubMed (Medline), CINAHL, PsychInfo and Scopus using keywords for health professionals, patients and patient-centred care. A descriptive-interpretive method was used to identify domains described in the person-centred care framework. Research conducted in all healthcare settings (inpatient, outpatient, community) were included. Research which presented the contemporaneous perspectives of a health professional and the person they were providing services to were included. Research regarding the delivery of any type of health service was included. The person-centred care framework which includes Structure, Process and Outcome as measures for implementing person-centred care was used to interpret and summarize the data. After title and abstract screening against inclusion and exclusion criteria, 15 of 1,406 studies were critically appraised. High levels of contemporaneous agreement were identified for easily accessible, supportive and accommodating environments, where information sharing occurred. Contemporaneous agreement occurred most often between patients and healthcare professionals in the importance of sharing information across all geographical settings, with greatest disagreement of patient involvement in the European and American hospital environments. Greater understanding of the context of information sharing and drivers for management preferences may support shared decision-making and increase satisfaction. More information regarding contemporaneous experiences of healthcare episodes is required to further inform patient-centred care practices and optimize health outcomes.
Publisher: Informa UK Limited
Date: 02-2013
DOI: 10.3109/02699052.2012.729293
Abstract: To describe the effects of extracorporeal shock wave therapy (ESWT) on neurogenic heterotopic ossification (NHO). A single case study was considered the most appropriate methodology in this situation. The subject was a 43 year old female 10 years post-traumatic brain injury with recurring NHO around the hip joint. Baseline assessments of pain using a 10-point VAS, range of motion of the hip using a goniometer and walking ability (number of steps over a standard distance) were conducted. Four applications of ESWT using a Minispec™ Extracorporeal Shock Wave Lithotripsy machine (Medispec Int. USA) administered over 6 weeks to the anterolateral aspect of the right hip. Follow-up assessments were conducted weekly over the period of intervention and then monthly for 5 months. Immediately following treatment, pain was reduced to 0 on the VAS scale hip range of motion increased and the number of steps over a standard distance reduced, indicating increased step length. At 5-month follow-up, without further ESWT intervention, these results were maintained. This case study suggests that ESWT may be a non-invasive, low risk intervention for the management of NHO.
Publisher: Informa UK Limited
Date: 21-03-2017
DOI: 10.1080/02699052.2017.1283059
Abstract: Neurogenic heterotopic ossification (NHO) is a complication of a neurological injury following traumatic brain injury (TBI) and may be present around major synovial joints. It is often accompanied by severe pain, which may lead to limitation in activities of daily living. Currently, a common intervention for NHO is surgery, which has been reported to carry many additional risks. This study was designed to assess the effect of extracorporeal shock wave therapy (ESWT) on pain in patients with TBI with chronic NHO. A series of single-case studies (n = 11) was undertaken with patients who had TBI and chronic NHO at the hip or knee. Each patient received four applications of high-energy EWST delivered to the affected joint over 8 weeks. Two-weekly follow-up assessments were carried out, and final assessments were made 3 and 6 months post-intervention. Pain was measured using the Faces Rating Scale, and X-rays were taken at baseline and 6-months post-intervention to physiologically measure the size of the NHO. The application of high-energy ESWT was associated with significant overall reduction of pain in patients with TBI and NHO (Tau-0.412, 95% confidence interval -0.672 to -0.159, p = 0.002). ESWT is a novel non-invasive intervention for reducing pain resulting from NHO in patients with TBI.
Publisher: Research, Society and Development
Date: 21-05-2022
Abstract: O fisioterapeuta, um profissional da área da saúde que atua diretamente no atendimento de pessoas com deficiência, poderia auxiliar na luta contra as ersas opressões sofridas pelas pessoas com deficiência. O objetivo do estudo foi gerar uma discussão sobre como o fisioterapeuta pode contribuir nas lutas sociais de pessoas com deficiência no país. Tal profissional deve ser encorajado a questionar o sistema. É uma profissão que possui um locus social visto como superior em relação às pessoas com deficiência. Ao entender como nossa profissão também reproduz ideias capacitistas e como nossas ações afetam diretamente a vida social das pessoas com deficiência, podemos então entender a pessoa com deficiência também como um membro pertencente na sociedade que deve ter seus direitos de cidadão preservados e que devemos auxiliar nas suas lutas contra uma sociedade opressora.
Publisher: Wiley
Date: 30-05-2022
DOI: 10.1111/AJAG.13095
Abstract: Increasing numbers of older people are living longer, often alone, in their own homes. Services and products that enable older people to remain safely in their own homes are required. The My Smart Home project recruited 30 community‐dwelling people aged 65+ to co‐design a package of technology to address their in idual goals for safety and security at home. The technology package, up to the value of $4000, included installation of health monitoring, communication and entertainment devices, and security alarms, with 6 hours of technology coaching. Participants completed the Personal Wellbeing Index (PWI), the Australian Quality of Life‐8 Dimensions (AQoL‐8D) and the Canadian Occupational Performance Measure (COPM) at baseline, and after 4 weeks' use of the technology package. Semi‐structured interviews were also used to qualitatively understand the challenges, enablers and outcomes of the project with respect to safety and security in the home. Significant improvements in PWI ( p 0.01), AQoL‐8D ( p 0.001) and COPM for goal performance ( p 0.001) and goal satisfaction ( p 0.001) were reported. Participants also reported feeling safer and more secure in their own homes. Common barriers to adoption of technology, cost, integration with already‐owned technology and lack of confidence were overcome with this technology and coaching package. An in idualised package of technology, with coaching, that supports older people to realise their personal goals with technology resulted in improved well‐being, quality of life and sense of safety and security in community‐dwelling older people. Ultimately, this should support a longer and better quality of life at home.
Publisher: Springer Science and Business Media LLC
Date: 12-10-2022
DOI: 10.1186/S12877-022-03475-9
Abstract: There is increasing evidence that pre-frailty manifests as early as middle age. Understanding the factors contributing to an early trajectory from good health to pre-frailty in middle aged and older adults is needed to inform timely preventive primary care interventions to mitigate early decline and future frailty. A cohort of 656 independent community dwelling adults, aged 40–75 years, living in South Australia, undertook a comprehensive health assessment as part of the Inspiring Health cross-sectional observational study. Secondary analysis was completed using machine learning models to identify factors common amongst participants identified as not frail or pre-frail using the Clinical Frailty Scale (CFS) and Fried Frailty Phenotype (FFP). A correlation-based feature selection was used to identify factors associated with pre-frailty classification. Four machine learning models were used to derive the prediction models for classification of not frail and pre-frail. The class discrimination capability of the machine learning algorithms was evaluated using area under the receiver operating characteristic curve (AUC), sensitivity, specificity, precision, F1-score and accuracy. Two stages of feature selection were performed. The first stage included 78 physiologic, anthropometric, environmental, social and lifestyle variables. A follow-up analysis with a narrower set of 63 variables was then conducted with physiologic factors associated with the FFP associated features removed, to uncover indirect indicators connected with pre-frailty. In addition to the expected physiologic measures, a range of anthropometric, environmental, social and lifestyle variables were found to be associated with pre-frailty outcomes for the cohort. With FFP variables removed, machine learning (ML) models found higher BMI and lower muscle mass, poorer grip strength and balance, higher levels of distress, poor quality sleep, shortness of breath and incontinence were associated with being classified as pre-frail. The machine learning models achieved an AUC score up to 0.817 and 0.722 for FFP and CFS respectively for predicting pre-frailty. With feature selection, the performance of ML models improved by up to + 7.4% for FFP and up to + 7.9% for CFS. The results of this study indicate that machine learning methods are well suited for predicting pre-frailty and indicate a range of factors that may be useful to include in targeted health assessments to identify pre-frailty in middle aged and older adults.
Publisher: SAGE Publications
Date: 05-07-2019
Abstract: Real-time ultrasound imaging (US) to measure abdominal muscle dimensions has aided low back pain rehabilitation and research. Notwithstanding, ultrasound imaging measurement of transversus abdominis muscle activation in chronic low back pain populations has been characterized by variable and generally suboptimal intra-observer reliability. Methodological deficiencies of ‘freehand’ ultrasound imaging are uncontrolled probe–skin pressure, inclination and roll of the probe. Despite previous attempts to standardize these parameters, intra-observer reliability in chronic low back pain was poor to moderate (0.32–0.62). Therefore, a standardized method that controls and records probe force, inclination and roll during ultrasound imaging may optimize measurement reliability in chronic low back pain. This pilot study investigated utility, standardization and intra-observer reliability of ultrasound imaging transversus abdominis thickness measurement in chronic low back pain patients (n = 17). Transversus abdominis imaging over two separate measurement sessions was conducted using a novel method to standardize probe parameters. Resting and contracted transversus abdominis thickness, and transversus abdominis activation measurements were obtained from duplicate paired images (n = 68). Intra-class correlation coefficients were reported with 95% confidence intervals. Transversus abdominis thickness at rest (intra-class correlation coefficient = 0.97 confidence interval: 0.93, 0.99), when contracted (intra-class correlation coefficient = 0.99 confidence interval: 0.97, 0.99) and transversus abdominis activation (intra-class correlation coefficient = 0.93 confidence interval: 0.81, 0.97) measurements were highly reliable. Ultrasound imaging of transversus abdominis using the novel standardized ultrasound imaging method produced highly reliable intra-observer transversus abdominis measurements, superior to ‘freehand’ ultrasound imaging, despite the physical limitations typically associated with a chronic low back pain population. Unique standardizing ranges for ‘probe force device’ probe parameters were obtained. This novel standardized ultrasound imaging method may optimize transversus abdominis activation assessment in chronic low back pain and other populations, aiding future research.
Publisher: Springer Science and Business Media LLC
Date: 2013
DOI: 10.1007/S11136-012-0333-1
Abstract: The purpose of this study was to test the cultural suitability of the WHOQOL-BREF Bangladesh for a rural village population in Bangladesh. Participants (n = 35) were purposefully stratified for age, gender, education level and location from the Nilphamari district in northern rural Bangladesh. Cognitive interviews were conducted via an emergent probing method to identify issues with language and constructs within the tool. Data were collected through note taking and recordings of interviews. A coding framework was used to identify key issues with questions, which were analysed using SPSS version 19 and Chi-square analysis using a Fisher's exact test to determine statistically significant variances within the s le. Twenty-two of the 26 questions in the tool were found to be problematic. The majority of problems with questions related to wording and conceptual difficulties. The majority of participants found the tool to be overly formal. Issues with translation appeared to affect the interpretation of a number of questions, and some concepts in the tool were found to be irrelevant in a village setting. There were statistically significant differences between those of different educational backgrounds and between genders. The study found that the WHOQOL-BREF Bangladesh as it currently stands is not culturally or linguistically suitable for use within a rural northern Bangladeshi population.
Publisher: Springer Science and Business Media LLC
Date: 04-07-2022
DOI: 10.1186/S12889-022-13723-7
Abstract: Appropriate and acceptable recruitment strategies and assessment tools are essential to determine the health needs for people experiencing homelessness. Based on a systematic review and known feasible community-based health assessments for people who are not homeless, a set of health assessments were trialled with people experiencing homelessness. Participants were recruited via support agencies. They completed a health risk assessment, demographic and self-report health questionnaires, and objective assessments across 17 domains of health. Fifty-three participants (43.3% female, mean age 49.1 years) consented and completed 83–96% of assessments. Consent was reversed for assessments of grip, foot sensation, body measures (11%), and walking (30%), and initially refused for stress, sleep, cognition (6%) balance, walk test (9%) and oral examination (11%). There was one adverse event. Most assessments were both appropriate and acceptable. Some required modification for the context of homelessness, in particular the K10 was over-familiar to participants resulting in memorised responses. Recruitment strategies and practices must increase trust and ensure participants feel safe. This set of health assessments are appropriate and acceptable for administration with people experiencing homelessness. Outcomes of these assessments are essential to inform public and primary health service priorities to improve the health of people experiencing homelessness .
Publisher: University of Toronto Press Inc. (UTPress)
Date: 04-2011
DOI: 10.3138/PTC.2010-13
Abstract: Purpose: To describe the performance of the pillow that participants usually slept on with respect to retiring and waking cervico-thoracic symptoms, pillow comfort, and sleep quality. Methods: Participants (n=106) were systematically recruited for a field trial comparing their own pillow and five trial pillows. Participants provided daily retiring and waking symptom reports and sleep-quality and pillow-comfort ratings prospectively for 1 week on each pillow. Linear and logistic regression models were used to investigate the relationship between pillow use, age, gender, sleep quality, pillow comfort, and waking and temporal (overnight) symptom reports. Results: No waking symptoms were reported by 42.5% of participants on their own pillow. Regular waking symptoms, failure to relieve retiring symptoms, uncomfortable pillows, and/or poor-quality sleep were reported by over 50% of participants. All participants who reported poor sleep quality also reported poor pillow comfort. Pillow-comfort reports were not related to any waking symptom report however, reports of poor sleep quality were significantly related to waking cervical stiffness (adjusted odds ratio [AOR]=4.3 [Confidence Interval (CI): 1.3–15.6]) and scapula pain (AOR=6.1 [CI: 1.1–31.6]). Feather pillow users provided consistently low reports of pillow comfort and sleep quality. Conclusion: Many participants appear to have made poor pillow choices, as poor sleep quality, low pillow comfort, and waking symptoms were common. Further research is required to understand why people choose particular pillows to sleep on, as well as to identify the best fit between person and pillow to optimize sleep quality and reduce waking symptoms.
Publisher: Medical Journals Sweden AB
Date: 2019
Abstract: To systematically identify literature reporting on assessment instruments relevant for incipient hospital-acquired deconditioning during acute hospital admissions evaluate their psychometric properties and identify in idual assessment items to form the basis of a comprehensive acute hospital test battery for hospital-acquired deconditioning. Systematic evidence scan of MEDLINE, CINAHL, PubMed and Google Scholar from database inception to January 2018. Papers reporting psychometric properties of assessment instruments to detect change in body function and structure, relevant to hospital-acquired deconditioning were selected. Included instruments should assess one or more elements of hospital-acquired deconditioning, reflect the short time-frame constraints of acute hospital admissions, and be able to be applied by any healthcare provider. Quality evaluation: Evidence of psychometric properties and utility were assessed using a validated instrument. Hospital-acquired deconditioning assessment items. Eight potentially-relevant instruments were identified, with moderate-to-good validity and utility, but limited evidence of reliability. These instruments reported a total of 53 hospital-acquired deconditioning assessment items. Seventeen items with measurement periods greater than 3 days were excluded. The remaining items measured anthropometrics, gait, balance, mobility, activities of daily living, and skin integrity. These assessment items provide the basis of a multifaceted evidence-based test battery to comprehensively and repeatedly assess acute hospital inpatient function for incipient hospital-acquired deconditioning.
Publisher: Elsevier BV
Date: 05-2015
Publisher: Wiley
Date: 07-03-2019
DOI: 10.1111/TMI.13212
Publisher: Elsevier BV
Date: 12-2009
DOI: 10.1016/J.MATH.2009.02.006
Abstract: A random allocation single blind block design pillow field study was undertaken to investigate the behaviour of cervico-thoracic spine pain in relation to pillow use. Participants (N=106) who reported preference for side sleep position with one pillow were recruited via a telephone survey and newspaper advertisement. They recorded sleep quality and pillow comfort ratings, frequency of retiring and waking cervical pain and duration of waking cervical pain while sleeping for a week on their usual pillow, polyester, foam, feather and rubber pillows of regular shape and a foam contour pillow. Analysis was undertaken comparing sleep quality, pillow comfort, waking and temporal cervical pain reports, between the usual pillow and the trial pillows, between pillows of differing content and foam pillows of differing shape. This study provides evidence to support recommendation of rubber pillows in the management of waking cervical pain, and to improve sleep quality and pillow comfort. The rubber pillow performed better than subjects' own pillow in most instances. Subjects' own pillow performed similarly to foam and polyester pillows, and there is no evidence that the use of a foam contour pillow has advantages over the regular shaped pillows. Feather pillows should not be recommended.
Publisher: European Respiratory Society
Date: 04-09-2022
Publisher: Elsevier BV
Date: 02-2017
Publisher: Elsevier BV
Date: 2011
DOI: 10.1016/J.ARCHGER.2009.11.005
Abstract: What effect does body position have on cardio-respiratory variables in active older people? An experimental laboratory study was undertaken measuring heart rate, systolic and diastolic blood pressure and oxygen saturation when 26 active people aged 60 years and over adopted five standardized body positions. Measurements were taken every 2 min over a 10-min period in sitting, right side lying, left side lying, supine and supine with the head 20° below the level of the body. Rate pressure product and mean arterial pressure were calculated. Smoking history, medication use, health conditions and activity level were recorded. Height, weight and body fat were measured. Left and right side lying produced significantly lower diastolic and systolic blood pressure, rate pressure product and mean arterial pressure than supine with the head down. Excluding oxygen saturation mean values for all variables remained within recommended normal limits in all positions. Significant differences in cardio-respiratory variables occur when active older people change body position. Positioning as a treatment intervention appears safe in supine, side lying and sitting for this population. Head down supine position should be adopted with caution.
Publisher: MDPI AG
Date: 27-09-2017
Publisher: Wiley
Date: 12-04-2022
DOI: 10.1002/HPJA.603
Abstract: With the rise of age-friendly cities and communities, increasing attention is being paid to coproducing age-friendly guidelines with older people and community stakeholders. Little is known however about age-friendly guidelines for dining establishments. A three-stage study to develop general and contextualised requirements for an age-friendly dining experience was conducted in the City of Onkaparinga, South Australia. The first stage involved older people in co-designing aspects of an age-friendly dining experience. Subsequently, the second and third stage coproduced, trialed and evaluated age-friendly initiatives with two dining venues. Through co-design, seven domains of an age-friendly dining experience were identified (Menu, Affordability, Dementia Awareness, Venue, Feeling Welcome, Special Offerings and Assistance), alongside an overarching desire for a 'meaningful' dining experience. Differences in health and socioeconomic status of diners underpinned the differences needed to ensure an age-friendly dining experience and highlight the importance of contextualisation for the local population. The trial demonstrated positive outcomes for both older diners and venues. The environment, value and logistics of dining out are important to older people when making choices about dining in the community. The elements of an age-friendly dining experience presented in this study are a useful starting point for contextualisation to other local settings.
Publisher: Research, Society and Development
Date: 05-05-2021
Abstract: Introdução: Especula-se que uma modalidade tão intensa como o Treinamento Intervalado de Alta Intensidade poderia ser um dos fatores para gerar um maior número de lesões em corredores. Objetivo: Revisar, na literatura, estudos que registram lesões provocadas pelo treinamento intervalado de alta intensidade em praticantes recreativos ou profissionais de corrida. Metodologia: Trata-se de uma revisão da literatura utilizando as bases de dados LILACS (Literatu¬ra Latino-Americana e do Caribe em Ciências da Saúde), MEDLINE (US National Library of Medicine), SciELO (Scientific Eletronic Library Online) com os descritores "high intensity interval training", "injury", "running" e “runners” com suas variações. A pesquisa foi limitada com base na disponibilidade de texto (texto completo disponível), data de publicação (de janeiro de 2000 a março 2020), espécies (humanos), sem restrição de idioma. Foi permitida inclusão de qualquer modalidade de corredores (recreativos e profissionais). Foram excluídos da pesquisa os artigos que não utilizavam HIIT ou que não apresentavam relação entre treinamento e lesões. Resultados: Foram eleitos 32 artigos para a leitura do re¬sumo e excluídos os que não condiziam com o propósito deste estudo. Foram selecionados 7 artigos que preenchiam os critérios propostos e foram seguidos, nessa ordem, os seguintes passos: leitura exploratória análise dos tex¬tos, finalizando com a realização de leitura interpretati¬va e redação. Conclusão: Ainda há poucos estudos que investigaram a ocorrência de lesões com a prática do treinamento intervalado de alta intensidade em corredores. Dos estudos encontrados, as amostras eram pequenas e se apresentavam em diferentes tipos de corredores como de elite e recreativos.
Publisher: Informa UK Limited
Date: 08-2013
Publisher: Mary Ann Liebert Inc
Date: 06-2018
Abstract: Expected values for tissue tonometry and bioimpedance spectroscopy (BIS) in the lower extremity of young people have not been established. These measures are commonly used to assess tissue changes in adult, breast cancer-related lymphedema of the arm. In tropical regions, identification of tissue changes in the lower limbs related to lymphatic filariasis is required hence expected values and factors contributing to variation in tissue tonometry and BIS in two tropical populations were investigated. A convenience s le of healthy volunteers aged 8-21 in Myanmar and Australia was recruited. Tissue compressibility at the calf and anterior and posterior thigh was measured using three tonometry devices and free fluid in each leg was assessed using BIS. Data were collected about possible modifiers: leg dominance, age, gender, body mass index (BMI), hydration, and menstrual cycle. Paired t-test and linear regression compared the objective measures with possible modifiers within each population. Statistical significance was set at p < 0.05 with a 95% confidence interval. In Myanmar, increases in free fluid, tissue compressibility, and limb circumference were associated with being older, female, underweight, or in the second half of the menstrual cycle. In young Australians, increases in tissue compressibility and limb circumference were associated with being older or in the second half of the menstrual cycle. When assessing tissue compressibility and free fluid in young people using tonometry and gender, BIS, limb dominance and BMI should be considered in a local context and attempts should be made to minimize the potential influences of hydration and the female menstrual cycle.
Publisher: FapUNIFESP (SciELO)
Date: 2016
Publisher: Wiley
Date: 02-02-2023
DOI: 10.1002/PPUL.26300
Abstract: To evaluate the functional and exercise capacity, lung function, quality of life of children and adolescents with sickle cell anemia (SCA HbSS) and to test the reproducibility of functional capacity tests in this population. Cross‐sectional study with volunteers with SCA Hb‐SS (SCAG), aged 6–18 years matched in age and gender to the control group (CG) with healthy in iduals. Spirometry, 5‐repetition sit‐to‐stand test (5STS‐test), modified shuttle test (MST), and Pediatric Quality of Life Questionnaire (PedsQL) were performed. The reproducibility of 5STS‐test and MST was evaluated: Forty eight volunteers of SCAG and 48 of CG were evaluated. Lung function of SCAG (FVC: 92 ± 15% pred. FEV 1 /FVC: 84 ± 8% pred.) was worse than the CG (104 ± 15% pred. FEV 1 /FVC: 90 ± 6% pred.) p 0.05. SCAG had worse functional capacity registered by distance walked: 576 m (515–672 m) and 5STS‐test: 8 s (7.4–8.9 s) compared with the CG who showed distance walked: 1010 m (887–1219 m) and 5STS‐test: 7 s (7.0–8.1 s), p 0.001. SCAG had worse quality of life compared to CG, p 0.05. The reproducibility of MST (ICC 0.99 (0.98–0.99 IC‐95%)) and 5STS‐test (ICC 0.80 (0.69–0.88) was considered good, p 0.001. Children and adolescents with sickle cell anemia presented worse capacity to walk or run, and to perform sit‐to‐stand test when compared with their control peers. Additionally, they have poorer quality of life. The MST and 5STS‐test showed good reproducibility to be applied in pediatric in iduals with SCA.
Publisher: Wiley
Date: 25-01-2019
DOI: 10.1002/PRI.1768
Abstract: To compare the effect of specific interventions aimed at (1) the upper thoracic spine (passive mobilization) and (2) the posterior shoulder (massage, passive mobilization, and stretching) to (3) an active control intervention in a homogeneous group with extrinsic subacromial shoulder impingement (SSI). Single-centre, prospective, double-blinded, randomized controlled trial. Eligible in iduals with clearly defined extrinsic SSI were randomized to each group. Treatment duration was 12 consecutive weeks consisting of nine treatments over 6 weeks, followed by 6 weeks when one home exercise was performed daily. Outcomes included (1) active thoracic flexion/extension range of motion, (2) passive glenohumeral internal rotation and posterior shoulder range, (3) pain rating, and (4) shoulder pain and function disability index. Data were analysed at baseline, 6 and 12 weeks. Shoulder pain and function disability index scores were investigated via email 6 months after commencement of treatment. Twenty participants completed treatment in each group. No differences were identified between groups at baseline. Upper thoracic and posterior shoulder interventions, with a targeted home exercise, both significantly decreased pain and increased function scores and increased posterior shoulder range compared with active control at 12 weeks, and 6 months following cessation of the trial. Manual therapy treatment that addresses these extrinsic factors, of thoracic spine or posterior shoulder tightness, decreases the signs and symptoms of SSI. The trial is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR 12615001303538).
Publisher: MDPI AG
Date: 30-07-2021
DOI: 10.3390/S21155167
Abstract: Compared to laboratory equipment inertial sensors are inexpensive and portable, permitting the measurement of postural sway and balance to be conducted in any setting. This systematic review investigated the inter-sensor and test-retest reliability, and concurrent and discriminant validity to measure static and dynamic balance in healthy adults. Medline, PubMed, Embase, Scopus, CINAHL, and Web of Science were searched to January 2021. Nineteen studies met the inclusion criteria. Meta-analysis was possible for reliability studies only and it was found that inertial sensors are reliable to measure static standing eyes open. A synthesis of the included studies shows moderate to good reliability for dynamic balance. Concurrent validity is moderate for both static and dynamic balance. Sensors discriminate old from young adults by litude of mediolateral sway, gait velocity, step length, and turn speed. Fallers are discriminated from non-fallers by sensor measures during walking, stepping, and sit to stand. The accuracy of discrimination is unable to be determined conclusively. Using inertial sensors to measure postural sway in healthy adults provides real-time data collected in the natural environment and enables discrimination between fallers and non-fallers. The ability of inertial sensors to identify differences in postural sway components related to altered performance in clinical tests can inform targeted interventions for the prevention of falls and near falls.
Publisher: Informa UK Limited
Date: 12-10-2022
DOI: 10.1080/09593985.2021.1983909
Abstract: Near falls, such as stumbles or slips without falling to the ground, are more common than falls and often lead to a fall. The objective of this study was to investigate which balance tests differentiate near fallers from fallers and non-fallers. This cross-sectional, observational study assessed balance in healthy community dwelling adults aged 40-75 years. Participants reported falls and near falls in the previous 6 months. Balance testing was completed in the local community for static (i.e. feet together and single-leg stance) and dynamic balance (i.e. tandem walk, Functional Movement Screen hurdle step and lunge). Between-group comparative analysis of pass-fail for each balance test was undertaken. Of 627 participants, there were 99 fallers (15.8%), 121 near fallers (19.3%) and 407 non-fallers (64.9%). Near fallers were twice as likely as non-fallers to fail single-leg stance eyes (OR 2.7, 95% CI 1.5-4.9), five tandem steps (OR 2.5, 95% CI 1.5-5.7), hurdle step (OR 2.9, 95% CI 1.4-5.8), and lunge (OR 2.5. 95% CI 1.5-4.1). The predictive capacity differentiates near fallers with a sensitivity of 73.3%. A new battery of tests assessing static and dynamic balance identifies near fallers in seemingly healthy, community dwelling middle- and young-older-aged adults.
Publisher: Elsevier BV
Date: 12-2014
DOI: 10.1016/J.MATH.2014.05.009
Abstract: The use of goniometers to measure joint angles is a key part of musculoskeletal practice. Recently smartphone goniometry applications have become available to clinicians. This study examined the intra- and inter-measurer reliability of novice and experienced clinicians and the concurrent validity of assessing knee range of motion using a smartphone application (the Knee Goniometer App (Ockendon(©))) (KGA) and a standard universal goniometer (UG). Three clinicians, each with over seven years' experience as musculoskeletal physiotherapists and three final year physiotherapy students, measured 18 different knee joint angles three times, using both the universal goniometer and the smartphone goniometric application. The universal goniometer and the smartphone goniometric application were reliable in repeated measures of knee flexion angles (average Concordance Correlation Coefficient (CCC) > 0.98) with both experienced clinicians and final year physiotherapy students (average CCCs > 0.96). There were no significant differences in reliability between the experienced and the novice practitioners for either device. Agreement between the universal goniometer and smartphone goniometric application measurements was also high for all examiners with average CCCs all above 0.96. The Standard Error of Measurement ranged between 1.56° (0.52-2.66) for the UG and 0.62° (0.29-1.27) for the KGA. The universal goniometer and the smartphone goniometric application were reliable in repeated measures of knee flexion angles. Smaller error of measurement values for the smartphone goniometric application might indicate superiority for assessment where clinical situations demand greater precision of knee range of motion.
Publisher: Elsevier BV
Date: 02-2017
DOI: 10.1016/J.MSKSP.2016.12.003
Abstract: To date, the significance of factors purported to be associated with subacromial shoulder impingement (SSI) and what differences, if any, are present in those with SSI compared to a matched asymptomatic population has not been identified. Gaining information about differences between people with SSI and asymptomatic people may direct clinicians towards treatments that impact upon these differences. Compare the assessment findings of factors suggested to be associated with SSI passive posterior shoulder range, passive internal rotation range, resting cervical and thoracic postures, active thoracic range in standing and scapula positioning between cases experiencing SSI and a matched asymptomatic group (controls). Case Control Study. Fifty one SSI cases and 51 asymptomatic controls were matched for age, gender, hand dominance and physical activity level. The suggested associated factors were measured bilaterally. Independent t-tests were used to compare each of these measurements between the groups. Any variables for which a significant difference was identified, were then included in a conditional logistic regression analysis to identify independent predictors of SSI. The SSI group had significantly increased resting thoracic flexion and forward head posture, as well as significantly reduced upper thoracic active motion, passive internal rotation range and posterior shoulder range than the matched asymptomatic group. No independent predictors of SSI were identified in conditional logistic regression analysis. Thoracic posture, passive internal rotation range and posterior shoulder range were significantly different between cases experiencing SSI and a matched asymptomatic group. Level 3a.
Publisher: Informa UK Limited
Date: 06-03-2022
Publisher: Oxford University Press (OUP)
Date: 04-2022
Abstract: People who live in aged care homes have high rates of illness and frailty. Providing evidence-based care to this population is vital to ensure the highest possible quality of life. In this study (CareTrack Aged, CT Aged), we aimed to develop a comprehensive set of clinical indicators for guideline-adherent, appropriate care of commonly managed conditions and processes in aged care. Indicators were formulated from recommendations found through systematic searches of Australian and international clinical practice guidelines (CPGs). Experts reviewed the indicators using a multiround modified Delphi process to develop a consensus on what constitutes appropriate care. From 139 CPGs, 5609 recommendations were used to draft 630 indicators. Clinical experts (n = 41) reviewed the indicators over two rounds. A final set of 236 indicators resulted, mapped to 16 conditions and processes of care. The conditions and processes were admission assessment bladder and bowel problems cognitive impairment depression dysphagia and aspiration end of life alliative care hearing and vision infection medication mobility and falls nutrition and hydration oral and dental care pain restraint use skin integrity and sleep. The suite of CT Aged clinical indicators can be used for research and assessment of the quality of care in in idual facilities and across organizations to guide improvement and to supplement regulation or accreditation of the aged care sector. They are a step forward for Australian and international aged care sectors, helping to improve transparency so that the level of care delivered to aged care consumers can be rigorously monitored and continuously improved.
Publisher: Mary Ann Liebert Inc
Date: 02-2019
Abstract: Pneumatic compression has been used for more than 40 years in the management of lymphedema (LE). Modes of application have evolved with little consensus regarding optimal treatment parameters or dosage. The aim of this systematic review was to report the evidence for dosage of intermittent pneumatic compression (IPC) for people with LE and, particularly, that for upper versus lower limbs or child versus adult dosage. Medline, Embase, CINAHL, PubMed, and Scopus were searched with terms, including LE and IPC devices, with no restriction on time. Other materials searched included reference lists of included articles. Systematic review registration: PROSPERO ID: CRD42017054338. Studies were assessed according to PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines and were excluded if they were not in English, not human, had physiological outcomes, or studied IPC in combination with other therapies. Quality appraisal, using the McMaster University Critical Review Tool, was undertaken by two researchers with differences resolved by a third. One hundred twenty-two full-text studies were screened for eligibility. Sixteen met inclusion criteria for final analysis. Of these, four were reported separately due to concurrent use of compression garments during the study period. One randomized controlled trial met the requirements for a level II (National Health and Medical Research Council) rating the remainder were level III-2 and below. Devices applying compression via multichamber sleeves were more commonly used in the past 20 years, with a trend toward lower pressures and shorter treatment times compared with earlier studies. Little evidence exists for application of specific dosage of IPC for children or a particular limb. New devices utilizing lower pressures support home use and self-management of LE. Low-level evidence of moderate quality shows significant outcomes achieved with dosage times of 45-60 minutes, applying pressures between 30 and 60 mmHg in sequential IPC programs. Methodological limitations in most studies suggest caution in drawing conclusions.
Publisher: Elsevier BV
Date: 06-2013
DOI: 10.1016/J.PHYSIO.2012.05.004
Abstract: This study investigated the preferred learning styles, related to clinical education of a cohort of final year physiotherapy students. A cross sectional observation study using a questionnaire survey. Undergraduate physiotherapy program at James Cook University, Townsville, Queensland. 48 final year physiotherapy students representing 89% of the total cohort (48/54). Survey questionnaire using Kolb's Learning Style Inventory (Version 3.1). The preferred learning styles were spread uniformly across the three learning styles of Converging, Assimilating and Accommodating, with the least preferred method of learning style the Diverging style. This suggests that in the clinical environment this student cohort are least likely to prefer to develop their learning from actually experiencing the scenario i.e. in front of a real life patient (concrete experience), and were more likely prefer this learning to come from a theoretical perspective, allowing them to consider the problem/scenario before experiencing it. When transforming this experience into knowledge, they prefer to use it on a 'real life' patient (active experimentation). Whilst understanding learning styles have been promoted as a means of improving the learning process, there remains a lack of high level evidence. The findings of this study reinforce those of other studies into the learning styles of physiotherapy students suggesting that physiotherapy students share common learning style profiles.
Publisher: SAGE Publications
Date: 21-02-2019
Abstract: The objective was to describe the health literacy of a s le of Canadian men with prostate cancer and explore whether sociodemographic and health factors were related to men’s health literacy scores. A s le of 213 Canadian men ( M age = 68.71 years, SD = 7.44) diagnosed with prostate cancer were recruited from an online prostate cancer support website. The men completed the Health Literacy Questionnaire along with demographic, comorbidity, and prostate cancer treatment–related questions online. Of the 5-point scales, men’s health literacy scores were highest for “Understanding health information enough to know what to do” ( M = 4.04, SD = 0.48) and lowest for “Navigating the health care system” ( M = 3.80, SD = 0.58). Of the 4-point scales, men’s scores were highest for “Feeling understood and supported by health care professionals” ( M = 3.20, SD = 0.52) and lowest for “Having sufficient information to manage my health” ( M = 2.97, SD = 0.46). Regression analyses indicated that level of education was positively associated with health literacy scores, and men without comorbidities had higher health literacy scores. Age and years since diagnosis were unrelated to health literacy. Support in health system navigation and self-management of health may be important targets for intervention.
Publisher: Springer Science and Business Media LLC
Date: 07-02-2023
DOI: 10.1186/S12877-023-03800-W
Abstract: Studies revealed that supporting residents fulfilling self-determination is positively associated with their health, wellbeing and quality of life. Cross-cultural care poses significant challenges for nursing home residents to fulfil their self-determination in control of own care and maintaining meaningful connections with others. The aim of the study was to compare factors affecting residents fulfilling self-determination in ethno-specific and mainstream nursing homes. A qualitative descriptive approach was applied to the study. Culturally competent care and person-centred care were employed as guiding frameworks. In idual interviews or a focus group with residents and family members were conducted to collect data. In total, 29 participants participated in the study. Three main themes were identified: communicating needs and preferences mastering own care and maintaining meaningful relationships. Each theme includes sub-themes that detail similarities and differences of factors affecting residents fulfilling self-determination in the two type nursing homes. Findings indicate that residents from both types of nursing homes experienced challenges to communicate their care needs and preferences in daily care activities. Moreover, residents or their representatives from both types of nursing homes demonstrated motivation and competence to master residents’ care based on their in idual preferences, but also perceived that their motivation was not always supported by staff or the nursing home environment. Residents’ competence in mastering their care activities in ethno-specific nursing homes was based on the condition that they were given opportunities to use a language of choice in communication and staff and the nursing home demonstrated culturally competent care for them. In addition, ethno-specific nursing homes showed more recourse to support residents to maintain meaningful relationships with peers and others. Culturally competent care created by staff, nursing homes and the aged care system is a basic condition for residents from ethnic minority groups to fulfil self-determination. In addition, person-centred care approach enables residents to optimise self-determination.
Publisher: No publisher found
Date: 2016
Publisher: Elsevier BV
Date: 12-2019
DOI: 10.1016/J.BBR.2019.112181
Abstract: High-intensity interval training (HIIT) is associated with better physical performance, but there is limited information about the effects of HIIT on redox state of cerebellar tissue, cerebral cortex, and cognition. The aim of this study was to evaluate the effects of HIIT on redox state parameters in cerebellar tissue, cerebral cortex, and cognitive function of Wistar rats. Forty-three young male Wistar rats were housed under controlled environmental conditions with food, and water ad libitum. Animals were assigned to HIIT or Non-trained groups. HIIT protocol was performed during six weeks. Speed was determined through the assesstment of the maximum oxygen consumption (VO
Publisher: Springer Science and Business Media LLC
Date: 06-03-2020
DOI: 10.1186/S12877-020-1490-7
Abstract: There is little known about pre-frailty attributes or when changes which contribute to frailty might be detectable and amenable to change. This study explores pre-frailty and frailty in independent community-dwelling adults aged 40–75 years. Participants were recruited through local council networks, a national bank and one university in Adelaide, Australia. Fried frailty phenotype scores were calculated from measures of unintentional weight loss, exhaustion, low physical activity levels, poor hand grip strength and slow walking speed. Participants were identified as not frail (no phenotypes), pre-frail (one or two phenotypes) or frail (three or more phenotypes). Factor analysis was applied to binary forms of 25 published frailty measures Differences were tested in mean factor scores between the three Fried frailty phenotypes and ROC curves estimated predictive capacity of factors. Of 656 participants (67% female mean age 59.9 years, SD 10.6) 59.2% were classified as not frail, 39.0% pre-frail and 1.8% frail. There were no gender or age differences. Seven frailty factors were identified, incorporating all 25 frailty measures. Factors 1 and 7 significantly predicted progression from not-frail to pre-frail (Factor 1 AUC 0.64 (95%CI 0.60–0.68, combined dynamic trunk stability and lower limb functional strength, balance, foot sensation, hearing, lean muscle mass and low BMI Factor 7 AUC 0.55 (95%CI 0.52–0.59) comprising continence and nutrition. Factors 3 and 4 significantly predicted progression from pre-frail to frail (Factor 3 AUC 0.65 (95% CI 0.59–0.70)), combining living alone, sleep quality, depression and anxiety, and lung function Factor 4 AUC 0.60 (95%CI 0.54–0.66) comprising perceived exertion on exercise, and falls history. This research identified pre-frailty and frailty states in people aged in their 40s and 50s. Pre-frailty in body systems performance can be detected by a range of mutable measures, and interventions to prevent progression to frailty could be commenced from the fourth decade of life.
Publisher: Elsevier BV
Date: 06-2023
Publisher: SAGE Publications
Date: 07-09-2015
Abstract: Men are less willing to seek health professional advice than women and die more often than women from preventable causes. Therefore, it is important to increase male engagement with health initiatives. This study reports the outcomes of a student-assisted, interprofessional, 12-week health program for overweight adult males. The program included weekly health education and structured, supervised group exercise sessions. Thirteen males (participants) and 18 university students (session facilitators) completed the program. Participants were assessed for a range of health and physical activity measures and health and health profession knowledge. Participants demonstrated significant improvement in activity, knowledge, and perceptions of physical and mental function, and appreciated the guided, group sessions. Students completed an interprofessional readiness questionnaire and reported significant improvement in the understanding of the benefits of interprofessional education and of their role in health care. This program provides evidence of the dual benefit that occurs from the delivery of a student-assisted, interprofessional men’s health program to at-risk community members.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2015
Publisher: Mary Ann Liebert Inc
Date: 03-2017
Abstract: Measurements of tissue compressibility and extracellular fluid (ECF) are used to monitor progression of lymphedema, a chronic swelling of the subcutaneous tissue. Later stages of lymphedema are characterized by fibrotic induration in the subcutis and hyperkeratosis of the skin. Several devices are available to measure these changes, but previous reliability and validity studies have been conducted primarily on adult women with unilateral arm lymphedema using contralateral limbs as controls. To date, no studies have included either adolescents or measurement of leg tissue. An intrarater reliability study was conducted to compare three devices measuring skin and subcutaneous tissue compressibility a mechanical Tonometer, a digital Indurometer, and a SkinFibroMeter. ECF loads were measured using bioimpedance spectroscopy (BIS). Two populations of tropical-dwelling young people were included Australian residents in North Queensland aged 8-21 years (n = 34) and people aged 10-21 years residing in Central Myanmar (n = 38). Neither cohort had any clinical sign of lymphedema or other leg abnormality. The mechanical Tonometer and the digital Indurometer had excellent intraclass correlation coefficient (ICC) scores between 0.792 (95% CI 0.055-0.901) and 0.964 (95% CI 0.945-0.984) and the SkinFibroMeter had good to excellent reliability with ICC scores of between 0.565 (95% CI 0.384-0.747) and 0.877 (95% CI 0.815-0.840). BIS exhibited the highest reliability with ICC scores approaching 1.0. These results support the reliable use of tonometry and BIS to assess tissue compressibility and ECF loads in the legs of adolescent populations in developed and developing tropical countries.
Publisher: Informa UK Limited
Date: 12-2013
Publisher: SAGE Publications
Date: 08-2201
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.MATH.2016.10.002
Abstract: Physiotherapists use musculo-skeletal classification systems for patient assessment. Since its early development, the McKenzie lumbar spine assessment (MK) has been incorporated into examination algorithms and combined with a series of patho-anatomical diagnostic tests. No previous studies have used a MK and a combined examination (MK-C) to provide a detailed profile of patients, report and compare the classification characteristics of a chronic low back pain (CLBP) population. To report the classification characteristics of a CLBP population using MK and MK-C examinations, and conduct inter-classification comparison of the MK-C for demographics, the Oswestry Disability Index (ODI), Roland Morris Disability Index (RM), Modified Somatic Perceptions Questionnaire (MSPQ), symptom duration and intensity. A prospective cross-sectional study conducted in a spinal clinic by a MK trained physiotherapist. Results were obtained in 150 patients. Using MK, 31% (n = 47) of participants were classified as inconclusive. Following MK-C only 6% of participants remained inconclusive (n = 9). The most frequent MK-C classification was facet joint syndrome (FJS) (49%). Participants with FJS were significantly older than those classified as discogenic (p < 0.001 CI 3.96 ̶ 19.74), or mixed (p < 0.001 CI 5.98 ̶ 36.41). Participants classified as discogenic had significantly higher RM (p = 0.022) and MSPQ (p = 0.005) scores than FJS. Results indicated that 94% of CLBP patients could be classified using a MK-C. The most common presentation in CLBP was facet joint syndrome. Age, RM and MSPQ appeared to be distinguishing characteristics of this population. Future studies should be conducted to establish the validity and reliability of the MK-C.
Publisher: Wiley
Date: 25-11-2022
DOI: 10.1111/AJAG.13022
Abstract: With a growing emphasis on personalised care, there is a need for effective workforce training to enable person‐centred care (PCC) in aged care practice. The Australian aged care workforce is very erse thus, tools to evaluate compassion and PCC training need to reflect an understanding of these concepts relevant to the Australian context. There are currently no tools validated for use in aged care settings in Australia. Two existing compassion and PCC questionnaires were modified for an Australian audience using cognitive interviews with aged care workers. The reliability of the modified questionnaires was assessed. The modified questionnaires were found to have acceptable inter‐reliability and test‐retest intra‐class correlation for the subscales and overall. However, the investigation also found low Cohen's kappa values between the test and retest responses for the in idual items, subscales and overall, and had low inter‐class correlation for in idual items, indicating poor inter‐rater agreement. High inter‐item correlation scores also suggest the questions encapsulate overly similar constructs. While further investigation of the psychometric properties of the new items is needed, these modified questionnaires may offer a method of assessing and re‐assessing compassion and PCC using language that is understandable to the Australian aged care workforce. Tools to accurately measure Australian aged care staff perceptions of compassion and their ability to deliver PCC are important to improve the quality of care provided in aged care and facilitate the delivery of PCC in aged care settings.
Publisher: Springer Science and Business Media LLC
Date: 27-05-2019
Publisher: Juniper Publishers
Date: 22-05-2018
Publisher: Wiley
Date: 07-07-2023
DOI: 10.1111/JOCN.16440
Abstract: To explore and compare staff perceived challenges and facilitators in supporting resident self‐determination in ethno‐specific and mainstream nursing homes. Staff and residents in ethno‐specific and mainstream nursing homes in most developed countries have shown increased cultural and linguistic ersity. This socio‐demographic change poses significant challenges for staff to support resident self‐determination of their own care. In‐depth understanding of those challenges in the two types of nursing homes is much needed to inform practice in nurse‐led nursing home care settings. A qualitative description approach with thematic analysis was used in the study. Data were collected through five focus groups with 29 various direct care workers from two ethno‐specific nursing homes and a mainstream nursing home in Australia between March–September 2020. The study report followed the COREQ checklist. Four themes were identified from focus group data. First, participants perceived communication challenges in identifying residents' preferences, especially in ethno‐specific nursing homes. Second, team efforts that included residents and their family members were highly valued as a way to meet residents' preferences. Third, participants described various levels of staff engagement in residents' care planning. In addition, staff in ethno‐specific nursing homes possessed richer resources to maintain meaningful relationships for residents compared with their counterparts in the mainstream nursing home. Staff in ethno‐specific nursing homes experience more challenges in supporting resident self‐determination but have richer resources to develop culturally safe and culturally competent care compared with their counterparts in the mainstream nursing home. Findings provide new insights into challenges and practical solutions in supporting residents to self‐determine their own care in cross‐cultural aged care. This study was co‐designed with three aged care organisations who funded the study. Staff employed by these organisations participated in the study.
Publisher: Springer Science and Business Media LLC
Date: 05-01-2016
Publisher: Elsevier BV
Date: 02-2018
DOI: 10.1016/J.PHYSBEH.2017.10.027
Abstract: Although High Intensity Interval Training (HIIT) are being associated to increase cardiovascular and metabolic adaptation, there is controversy and limited information about the effects of HIIT on hippoc al oxidative stress, pro- and anti-inflammatory cytokines balance and neurotrophic status. Thus, this study evaluated the effects of six weeks of HIIT on hippoc al redox state (oxidative damage and enzymatic and non-enzymatic antioxidant defenses), neuroimmune mediators (TNFα, IL-6, IL-1β and IL-10) and brain-derived neurotrophic (BDNF) levels. After six weeks of HIIT young adults male Wistar rats presented reduced oxidative damage and increased enzymatic (superoxide dismutase) and non-enzymatic activity in hippoc us. Moreover HIIT induced a decrease in cytokine content (TNFα, IL-6, IL-1β and IL-10) and enhanced hippoc al BDNF levels. In conclusion, the present study showed for the first time a positive effect of six weeks of HIIT on reducing hippoc al oxidative stress by decreasing lipoperoxidation and inflammatory markers, as well enhancing antioxidant defenses and BDNF content.
Publisher: OMICS Publishing Group
Date: 2017
Location: Australia
Start Date: 03-2018
End Date: 10-2023
Amount: $2,962,655.00
Funder: Australian Research Council
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