Australasian Journal on Ageing最新文献

{"title":"Understanding factors influencing personal care workers' intentions to stay: A systematic integrative review","authors":"Britt O'Keefe,&nbsp;Eva Yuen,&nbsp;Susan Perlen,&nbsp;Briony Dow,&nbsp;Alison M. Hutchinson","doi":"10.1111/ajag.70017","DOIUrl":"https://doi.org/10.1111/ajag.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically synthesise existing literature to identify influences on personal care workers' intentions to stay when employed in residential aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic integrative review was conducted, searching relevant literature across multiple databases, including Business Source Complete, CINAHL Complete, Medline Complete and APA PsycInfo via the EBSCOhost platform and EMBASE (excluding Medline). Articles were eligible for inclusion if they were peer-reviewed, published in English between 1997 and 2024, and focused on factors influencing personal care workers' intentions to stay in residential aged care. The methodological quality of the selected articles was assessed using the Mixed Methods Appraisal Tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review included six articles published between 2007 and 2021, reporting on quantitative (<i>n</i> = 4), qualitative (<i>n</i> = 1) and mixed methods (<i>n</i> = 1) research, with the final study published in 2021. Five employee-related and employer-related themes emerged as important factors that influence personal care workers' intentions to stay: (1) individual characteristics and resilience, (2) career growth and rewards, (3) employment stability and economic workforce pressures, (4) satisfaction and fulfilment in professional caregiving and (5) organisational support and collaborative work environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review identified key factors influencing personal care workers' intentions to stay, offering actionable insights to inform the development of evidence-based strategies aimed at strengthening workforce retention. Addressing these factors is critical to meeting the needs of an ageing population and ensuring the provision of high-quality care. Furthermore, the review underscores the multifaceted determinants shaping these intentions, emphasising the importance of psychological, social and organisational factors to enhance retention efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring ageism in medical education: A scoping review of the educational factors affecting the attitudes of medical students and junior doctors towards older inpatients","authors":"Anna Grosse,&nbsp;Kristina Kokorelias","doi":"10.1111/ajag.70016","DOIUrl":"https://doi.org/10.1111/ajag.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Ageism is a significant issue in health care and exists among medical learners in the teaching hospital setting. To highlight potential strategies and interventions that may address ageism among medical students and junior doctors, we aimed to explore and understand the educational factors within hospital training environments that influence the attitudes of medical students and junior doctors towards older inpatients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review of academic peer-reviewed English literature was conducted using seven academic databases. The first 100 results of an advanced Google Scholar search were also screened. One researcher screened identified articles and extracted relevant data from those that were included. Two researchers analysed the data using a modified content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18 articles were included for review, published between 1982 and 2023, mostly from English-speaking countries. The articles described factors contributing to both positive and negative attitudes of medical students and junior doctors towards older inpatients. Four themes regarding these attitudes were identified: (1) the intersectionality of patient age, comorbidity and complex care needs; (2) the hospital environment; (3) clinical interactions; and (4) training in and exposure to Geriatric Medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There are several educational factors in the hospital training environment that affect the attitudes of medical students and junior doctors towards older inpatients. Exposure to and training in Geriatric Medicine may promote more positive attitudes towards older inpatients, but further research is required to determine whether this is of clinical significance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Australia's new guidelines for appropriate psychotropic medication use in residential aged care: Applying the Consolidated Framework For Implementation Research","authors":"Shakti Shrestha,&nbsp;Amanda J. Cross,&nbsp;Michelle Steeper,&nbsp;Angelita Martini,&nbsp;Dayna Cenin,&nbsp;Jertrude Smith,&nbsp;Francesca Glamorgan,&nbsp;Constance Dimity Pond,&nbsp;J. Simon Bell,&nbsp;Adam La Caze","doi":"10.1111/ajag.70013","DOIUrl":"https://doi.org/10.1111/ajag.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Accumulating evidence about psychotropic medication-related adverse events has had minimal apparent impact on overall rates of psychotropic medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use of Psychotropic Medications in People Living with Dementia and in Residential Aged Care were released in April 2023. This study aimed to identify contextual factors to inform strategies to implement the new Guidelines in Australian RACFs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study using semi-structured interviews was conducted with the participants representing four Australian residential aged care organisations. The interviews were recorded, transcribed verbatim, coded and thematically analysed. Factors were deductively coded using the Consolidated Framework for Implementation Research (CFIR) into three domains: outer setting, inner setting and individuals, which subsequently informed the fourth CFIR domain—implementation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 33) were aged care residents and their family members, occupational therapists, nurses, nurse practitioners, general practitioners, geriatricians and pharmacists. The outer setting factors included regulatory changes, increased workload and increased workforce demand. The inner setting factors were health digitalisation, governance and compliance culture. Individual factors included mindset towards psychotropics and staff capabilities. The implementation process domain comprised four key strategies—recognising workforce pressures, leveraging recent efforts, supporting local use of data and supporting team functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These outer setting, inner setting and individual factors represent an interconnected framework of potentially modifiable factors to guide the targeted implementation of Australia's new Guidelines. These four key strategies provide new approaches to support the translation of the Guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of frailty and postoperative complications in older people who underwent radical surgery for a gastrointestinal tumour","authors":"Yunsong Li,&nbsp;Chunwei Peng,&nbsp;Bingbing Zou","doi":"10.1111/ajag.70012","DOIUrl":"https://doi.org/10.1111/ajag.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty is associated with postoperative complications in older people with gastrointestinal malignancies. However, the relationship between frailty and complication severity, as well as the risk factors for complications after radical surgery, is still unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Frailty was assessed using a modified Frailty Index (mFI) score, and the correlation between frailty and postoperative complications was compared between frail and non-frail groups. Complication severity was evaluated using the Clavien–Dindo (C-D) system, and independent risk factors for postoperative complications were identified through odds ratios (OR) using multivariate logistic analysis. The participants were divided into non-frailty and frailty groups based on the mFI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The frailty group had fewer patients aged 60–69 years (19% vs. 31%, <i>p</i> = .03) and a higher incidence of moderate CCI (52% vs. 69%, <i>p</i> = .001). Frailty was strongly linked to postoperative complications, including pulmonary infections (16% vs. 8%, <i>p</i> = .009), pulmonary embolism (8% vs. 3%, <i>p</i> = .02) and acute kidney injury (14% vs. 6%, <i>p</i> = .005). Older frail patients experienced more severe complications, with higher rates of C-D grade III (23% vs. 10%, <i>p</i> = .004) and grade V (6% vs. 1%, <i>p</i> = .004). Multivariate analysis found that frailty (OR: 1.492, <i>p</i> = .02), age greater than 70 years (OR: 1.239, <i>p</i> = .04) and severe comorbidities increased the OR of severe complications. Additionally, frail patients had poorer recovery, with higher in-hospital mortality (4% vs. 0%, <i>p</i> = .01), more ICU readmissions (11% vs. 3%, <i>p</i> = .005), longer stays (9 vs. 8 days, <i>p</i> &lt; .001) and higher costs (48,035 RMB vs. 43,792 RMB, <i>p</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older frail adults experienced more severe complications and had worse postoperative recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of functional level on cognitive function in adults aged 45 and older than 45 years in the Korean Longitudinal Study of Aging","authors":"Hyeongsuk Lee,&nbsp;Eunok Park","doi":"10.1111/ajag.70014","DOIUrl":"https://doi.org/10.1111/ajag.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to analyse the potential factors affecting cognitive function, focusing on the functional level, by utilising longitudinal data from adults aged 45 years and older.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a secondary data analysis using data from the Korean Longitudinal Study of Aging (KLoSA) covering multiple waves of the survey. Cognitive function was measured using the Korean mini-mental state examination (K-MMSE), and activities of daily living (ADL), instrumental activities of daily living (IADL), diseases, hearing and visual impairments, and depression were included as independent variables. A fixed-effects model was used to assess the influence of independent variables on cognitive function over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cognitive function, as measured using the K-MMSE, declined significantly, with the proportion of participants with normal cognition decreasing from 76% in the first wave to 68% in the eighth wave. Cognitive impairment and suspected dementia cases increased over time, and the average K-MMSE score dropped from 25.44 ± 5.31 to 24.71 ± 5.56. Panel regression analysis showed that impairments in ADL (b = −.44, <i>p</i> &lt; .001) and IADL (b = −.64, <i>p</i> &lt; .001), depression, and hearing and visual impairments were significantly associated with lower cognitive function. In addition, hypertension, cancer, heart disease, cerebrovascular accidents, psychiatric diseases and arthritis were significantly associated with cognitive decline. After adjusting for these factors, cognitive function still decreased significantly over time, explaining 75% of the variance in K-MMSE scores (<i>R</i>² = .75).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study confirmed that IADL and ADL predict cognitive impairment, with IADL limitation significantly contributing to cognitive decline in the study participants. Evaluating IADL, ADL, and other chronic health conditions in adults aged 45 and older can help identify individuals at risk for cognitive impairment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging traditional insights and modern technology: The role of virtual reality in enhancing reminiscence therapy for older adults","authors":"Bohan Sun,&nbsp;Chengmeng Zhang,&nbsp;Shandong Zhou","doi":"10.1111/ajag.70015","DOIUrl":"https://doi.org/10.1111/ajag.70015","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital readiness of the in-home aged care workforce: A latent profile analysis","authors":"Baldwin Pok Man Kwan,&nbsp;Marissa Dickins,&nbsp;Frances Batchelor,&nbsp;Sue Williams,&nbsp;Kerry Hwang,&nbsp;Kate Fulford,&nbsp;Tony Walsh,&nbsp;Helena Jakupovic,&nbsp;Tanya E. Davison","doi":"10.1111/ajag.70010","DOIUrl":"https://doi.org/10.1111/ajag.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The use of technology could potentially improve the quality of in-home aged care and reduce staff workload. However, there is a lack of research into the digital readiness of the in-home aged care workforce. This study aimed to identify the distinct digital readiness profiles of Australian in-home aged care staff and the demographic characteristics associated with each profile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted at an Australian national in-home aged care provider between May and August 2023, recruiting aged care staff from services in South Australia, Victoria and Western Australia. Data regarding participants' demographic characteristics, personal technology use, digital literacy and attitude towards using technology in in-home aged care were collected. Latent profile analysis and Fisher's exact test were conducted for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 267 participants completed this study. Three digital readiness profiles (higher, medium and lower) were identified. The largest subgroup was participants with medium digital readiness (64%), followed by participants with higher digital readiness (24%) and lower digital readiness (12%), respectively. Age group (<i>p</i> = .003), education level (<i>p</i> = .03) and role (<i>p</i> = .009) were found to be associated with the digital readiness profile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Three distinct profiles of digital readiness were identified in the Australian in-home aged care workforce. A small but substantial proportion of the workforce had lower digital readiness and may require targeted support to improve their preparedness to use technology in delivering in-home aged care services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of cognitive impairment, dementia and associated risk factors among Aboriginal and Torres Strait Islander peoples: Retrospective baseline audit results from a stepped-wedge cluster-randomised controlled trial","authors":"Kate Bradley,&nbsp;Jo-anne Hughson,&nbsp;Zoë Hyde,&nbsp;David Atkinson,&nbsp;Sarah Russell,&nbsp;Rachel Quigley,&nbsp;Dawn Bessarab,&nbsp;Leon Flicker,&nbsp;Kylie Radford,&nbsp;Kate Smith,&nbsp;Edward Strivens,&nbsp;Sandra Thompson,&nbsp;Irene Blackberry,&nbsp;Mary Belfrage,&nbsp;Robyn Smith,&nbsp;Roslyn Malay,&nbsp;Belinda Ducker,&nbsp;Kylie Sullivan,&nbsp;Wendy Allan,&nbsp;Bonnie Giles,&nbsp;Tina Humphry,&nbsp;Louise M. Lavrencic,&nbsp;Dimity Pond,&nbsp;Dina LoGiudice","doi":"10.1111/ajag.70007","DOIUrl":"https://doi.org/10.1111/ajag.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Aboriginal and Torres Strait Islander peoples experience high rates of dementia, cognitive impairment not dementia (CIND) and associated risk factors. The objective of this paper is to outline baseline audit results of documented dementia, CIND and associated risk factors in patients attending Aboriginal Community-Controlled Health Organisations (ACCHOs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve ACCHOs in urban, regional and remote locations across Queensland, New South Wales, Victoria and Western Australia participated in the study. A specialised audit tool identified documented CIND, dementia and risk factors. Medical record audits of 1655 clients aged 50 years or older for the period from 1 September 2016 to 31 January 2019 were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of patients was 60.3 ± 8.2 years, and 57% were female. The overall prevalence of documented CIND or dementia was low, noted for only 67 (4%) patients. The prevalence of risk factors was high, with over two thirds (71%, <i>n</i> = 1168) of the cohort having ≥4 risk factors associated with dementia and CIND. These included high rates of hypertension (56%), diabetes (45%), dyslipidaemia (48%), obesity (40%) and current smoking (42%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was a low detection of CIND and dementia accompanied by a high prevalence of associated risk factors in this primary health-care setting. These findings highlight the need to improve dementia and CIND detection in Aboriginal and Torres Strait Islander patient groups across varied geographical settings. The findings also provide insights into risk factor prevalence to inform management strategies. Responsive models of cognitive care that are culturally appropriate and co-designed with ACCHOs are required to address this need.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Only child or multiple children? The number of children and cognition in older Chinese parents","authors":"Yunlong Song,&nbsp;Lizhi Guo,&nbsp;Hui Zhu,&nbsp;Bin Yu","doi":"10.1111/ajag.70009","DOIUrl":"https://doi.org/10.1111/ajag.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to investigate the relationship between the number of children and cognitive function trajectories among older Chinese parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 6723 individuals (55% men) aged 50 years and older were followed for 7 years as part of the China Health and Retirement Longitudinal Study (CHARLS). Cognitive function was assessed through episodic memory and mental status tests. The number of children was dichotomised as ‘only child’ and ‘multiple children’. Linear mixed models were used, with the number of children at baseline as the predictor. Covariates including social-demographic factors, health behaviours and health status were adjusted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parents with multiple children had poorer baseline cognitive functions (episodic memory: <i>B</i> = −.17, <i>p</i> &lt; .001; mental status: <i>B</i> = −.25, <i>p</i> &lt; .001) and experienced a faster cognitive decline during the follow-up period (episodic memory: <i>B</i> = −.05, <i>p</i> &lt; .001; mental status: <i>B</i> = −.03, <i>p</i> = .005) compared to those with only one child. Gender-stratified analyses indicated that women were more susceptible to cognitive decline than men as the number of children increased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study found a negative correlation between the number of children and cognitive performance among older Chinese parents, with the association being stronger in women. These findings enhance the understanding of the impact of offspring on parental well-being in non-Western societies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-care staff perspectives in optimising delirium prevention using data-driven interventions","authors":"Swapna Gokhale,&nbsp;Belinda Garth,&nbsp;Melinda Webb-St Mart,&nbsp;David Taylor,&nbsp;Nikolajs Zeps,&nbsp;Joanne Enticott,&nbsp;Helena Teede,&nbsp;Sandy Reeder","doi":"10.1111/ajag.70011","DOIUrl":"https://doi.org/10.1111/ajag.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to identify factors influencing delirium prevention (risk identification and screening), from the perspective of health service staff, in order to ascertain the characteristics and implementation strategies critical for the clinical adoption of data-driven optimisations for delirium prevention. This pre-implementation study used the Monash Learning Health System (LHS) paradigm to visualise iterative integrated assimilation of delirium prevention in routine care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted in a large metropolitan public health network in Australia. Following consultation with organisational leaders, a purposive sample of clinical/non-clinical participants with expertise in delirium care delivery was recruited. Interviews were inductively analysed using a framework approach. The Consolidated Framework for Implementation Research (CFIR) domains underpinned interview questions and guided thematic mapping and analysis of responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 18 participants (clinical [<i>n</i> = 14] and non-clinical [<i>n</i> = 4]). Key themes included challenges in consistently integrating delirium risk identification and screening processes into clinical workflows, infrastructure-related obstacles hindering the digitisation of decision support, and the need to engage caregivers and staff in designing optimisations to enable appropriate and timely delirium prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study generated insights into key factors influencing delirium prevention, focusing on the development and implementation of optimisations such as automated delirium risk prediction. Improving hospital information technology infrastructure, supporting workforce digital literacy and ensuring accountability in all professional groups are crucial for implementing automated delirium risk prediction models in clinical practice. Future research should examine the feasibility and efficacy of optimised delirium prevention interventions in pragmatic clinical trials.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}