Australasian Journal on Ageing最新文献

{"title":"National audit of the structure and function of Australian residential care medication advisory committees","authors":"Amanda J. Cross,&nbsp;Brooke Blakeley,&nbsp;Helen V. Dowling,&nbsp;Kate Laver,&nbsp;Terry P. Haines,&nbsp;Sarah N. Hilmer,&nbsp;Atish Manek,&nbsp;Alexandra Bennett,&nbsp;Angelita Martini,&nbsp;Lyntara Quirke,&nbsp;Mary Ann Kulh,&nbsp;J. Simon Bell","doi":"10.1111/ajag.70048","DOIUrl":"https://doi.org/10.1111/ajag.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>All Australian residential care facilities are recommended to have access to a medication advisory committee (MAC) to provide governance of medication management. The objective was to explore the structure and function of Australian MACs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A national 43-item survey of MACs was conducted from November 2023 to January 2024. The survey was adapted from the Australian Government Department of Health and Aged Care Audit Tool and Checklist for a Medication Advisory Committee (Audit Tool). All MAC representatives were recruited using a comprehensive and purposive strategy including the Department of Health and Aged Care newsletter, professional organisations, social media and professional contacts. Outcomes included self-reported MAC structure and function across four key roles as per the Audit Tool, including policy development, risk management, education and quality improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses were received from 120 MACs covering 642 residential care facilities (24% of Australian residential care facilities) in all Australian states and mainland territories. The MACs provided oversight to a median (IQR) 116 (61–196) beds/residents and a median (IQR) 1 (1–4) facilities. Over half (58%) of MACs were multidisciplinary (nursing, pharmacist and prescriber representation). More than half of MACs reported performing all functions listed in the Audit Tool relating to policy development (59%) and risk management (53%). Only 41% and 28% of MACs reported they performed all functions in the Audit Tool related to education and quality improvement, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is extensive heterogeneity in the structure and function of MACs with scope for MACs to become more multidisciplinary, identify staff training needs and proactively lead quality improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117950","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":"Frailty and prescriptions of secondary prevention medications in older people with diabetes and coronary heart disease—An observational study in Vietnam","authors":"Wei Jin Wong,&nbsp;Tan Van Nguyen,&nbsp;Irum Farooq,&nbsp;Ying Zhang,&nbsp;Christopher Harrison,&nbsp;Kit Mun Tan,&nbsp;Katie Harris,&nbsp;Mark Woodward,&nbsp;Tu Nguyen","doi":"10.1111/ajag.70045","DOIUrl":"https://doi.org/10.1111/ajag.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study sought to quantify the prevalence of frailty among type 2 diabetes (T2D) patients with coronary heart disease (CHD) and examine the relationship between frailty and the prescription of secondary prevention medications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective observational study was conducted at a tertiary hospital in Vietnam from November 2022 to June 2023. Patients aged 60 years or above with T2D and CHD were included for analysis. Multivariable logistic regression was applied to examine the association between frailty and the prescription of secondary prevention medications: antiplatelets, statins, beta-blockers, angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers (ACEIs/ARBs). Frailty was measured using the Clinical Frailty Scale (CFS) version 2.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 274 participants included in this analysis. Participants had a median age of 72.0 years, 28% were female and 59% were frail. The prescription rates of cardiovascular medicines for frail versus non-frail participants were as follows: antiplatelets (66% vs. 94%, <i>p</i> &lt; .001), statins (96% vs. 92%, <i>p</i> = .21), beta-blockers (81% vs. 88%, <i>p</i> = .13), ACEIs/ARBs (75% vs. 81%, <i>p</i> = .22) and for all four types (42% vs. 64%, <i>p</i> &lt; .001). In the multiple adjusted regression models, increased CFS score was associated with reduced prescriptions of beta-blockers, ACEIs/ARBs and all four types of medications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Frailty was common among older Vietnamese patients with CHD and diabetes, and significantly affected the prescription of secondary prevention medicines. Future research should explore the link between frailty and secondary prevention medicines in a larger, more diverse population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085052","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":"The intervention effect of comprehensive precision nursing in elderly patients with type 2 diabetes","authors":"Hongmei Gao,&nbsp;Yan Han,&nbsp;Dan Deng,&nbsp;Liqiong Liu","doi":"10.1111/ajag.70047","DOIUrl":"https://doi.org/10.1111/ajag.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study evaluated the impact of precision nursing on blood sugar levels, psychological health and quality of life in ageing type 2 diabetes patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective cohort study involving 100 older patients was carried out at a tertiary hospital located in Sichuan Province, China. The patients were categorised into two groups: a control group that received standard nursing care and an observation group that received tailored nursing interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The outcomes for the observation group were considerably more favourable, featuring decreased levels of fasting blood glucose (FPG), 2-h postprandial blood glucose (2hPG) and glycosylated haemoglobin (HbA1c). Additionally, this group reported lower levels of anxiety and depression, along with a better quality of life relative to the control group. Furthermore, the occurrence of hypoglycaemia was notably less in the observation group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Precision nursing significantly improves glucose management, mental health and overall quality of life, while also lowering the risk of hypoglycaemia in older patients with type 2 diabetes. This research highlighted the efficacy of precision nursing in the care of ageing adults, promoting its integration as a common approach for managing chronic illnesses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949957","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":"Understanding the psychosocial well-being of people older than 65 years during emergency department admissions: A qualitative analysis of patients' accounts of their experiences","authors":"Neve Davison,&nbsp;Karin Hammarberg,&nbsp;Thach Tran,&nbsp;Taya A. Collyer,&nbsp;Judy Lowthian,&nbsp;Maggie Kirkman,&nbsp;Jane Fisher,&nbsp;Rosamond Dwyer,&nbsp;Natasha Layton","doi":"10.1111/ajag.70033","DOIUrl":"https://doi.org/10.1111/ajag.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Little is known about the psychosocial care of older people presenting to the emergency department (ED), or whether their psychosocial well-being during and after an ED admission can be enhanced. People over the age of 65 years experiencing psychosocial distress and mental health concerns have higher rates of ED admission than those without. As part of a larger mixed-methods study investigating the relationships between older people's psychosocial well-being and emergency care, this study aimed to explore the experiences of older people in ED and their influence on patient psychosocial well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants aged 65 years or older receiving care in a large Australian public hospital ED were invited to participate in a telephone interview soon after discharge. Interviews were audio recorded and transcribed. Transcripts were analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven people (five women) aged 68–87 years participated in semi-structured interviews. Analyses revealed three overarching themes: ‘interpersonal interactions’, ‘quality of care’ and ‘physical environment’. The theme ‘interpersonal interactions’ had two subthemes: ‘communication’ and ‘human contact’. The three subthemes of ‘quality of care’ were ‘appropriate care’, ‘psychological care’ and ‘unmet needs’. Physical environment referred to participant impressions of the ED setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found that staff sensitivity in their interactions with patients and their efforts to promote patients' physical comfort and protect their privacy influenced the psychosocial well-being of older adults in the ED. Based on the findings, we present a set of recommendations for enhancing the psychosocial care of older adults during ED admission.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949956","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":"‘Our role is to listen more than entertain’: A qualitative study of techniques used by Laughter Care Specialists with people who have dementia in long-term care","authors":"Michelle DiGiacomo,&nbsp;Sara-Jane Roberts,&nbsp;Tim Luckett,&nbsp;David Symons,&nbsp;Georgia Ellis,&nbsp;Slavica Kochovska,&nbsp;Tony Warner,&nbsp;David C. Currow,&nbsp;Deborah Parker,&nbsp;Karey Payne,&nbsp;Meera R. Agar","doi":"10.1111/ajag.70002","DOIUrl":"https://doi.org/10.1111/ajag.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to describe the techniques that Laughter Care Specialists (LCSs) use to promote engagement of people living with dementia in long-term care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with LCSs (<i>n</i> = 8) and analysed inductively using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overarching theme was that techniques used to promote engagement reflected ways of valuing personhood. Sub-themes reflect the distillation of techniques according to ways LCSs approach and connect with people and ways that they then engage. When willingness to interact is indicated, LCSs assess environments to individualise their approach. Ways of engaging include creating opportunities to contribute, identity appreciation, reminiscence, enacting generational norms, presence and play. Engagement techniques were described as supporting identity and personhood through techniques that are individualised, supportive, empathetic and gentle.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Techniques reflect person-centred, strengths-based approaches that attempt to meet psychosocial needs of persons living with dementia and highlight ways of valuing people living in long-term care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143944890","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":"Creative engagement and well-being: Older Chinese migrants in New Zealand","authors":"Yingqiu Chen,&nbsp;Louisa Buckingham","doi":"10.1111/ajag.70043","DOIUrl":"https://doi.org/10.1111/ajag.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study explored the forms and motivations of older migrants' creative engagement in the host country in their daily context, and how the engagement influences older migrants in their postmigration life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative approach was used by conducting in-depth interviews and photo elicitation with 18 older Chinese migrants in New Zealand. Data were coded using a hybrid approach of deductive content analysis and inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four types of creative engagement were identified: nature (gardening), art-making (e.g. making vlogs and painting), handcrafts (knitting and carpentry) and creative writing (journaling). Gardening, as the most popular activity, helped link participants' past to their current life. Some participants used digital tools (e.g. mobile phones) to develop their creative skills. Respondents reported that migration-related stress (e.g. language barriers and a limited social network) contributed to their having constrained lives, which meant that they had more spare time for creative pursuits. Participants' life histories influenced their choice of pursuits. Finally, participants indicated that creative activities helped alleviate stress and contributed to their adjustment to life in the host country and to sustaining their well-being. Those who did not engage in creative pursuits attributed it to their personal life histories (e.g. deprivation of education) and postmigration commitments (e.g. caregiving responsibilities).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Postmigration challenges do not necessarily discourage older migrants from creative pursuits, but instead they may shape the type of pursuit chosen and the form of engagement. Previous life experiences also affected the choice of creative pursuits in later life. These creative engagements appear to help sustain older migrants' postmigration well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143919363","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":"Incidence of major health events across metropolitan and regional areas: A 10+ year prospective study of 16,697 older Australians","authors":"Shay Farbotko,&nbsp;Alice Owen,&nbsp;Suzanne G. Orchard,&nbsp;Robyn L. Woods,&nbsp;Mark Nelson,&nbsp;Nigel P. Stocks,&nbsp;Andrew Tonkin,&nbsp;Rory Wolfe,&nbsp;John McNeil,&nbsp;Peter Gibbs,&nbsp;John Zalcberg,&nbsp;Joanne Ryan","doi":"10.1111/ajag.70036","DOIUrl":"https://doi.org/10.1111/ajag.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the prevalence of health risk factors by rurality status and the association of rurality and incidence of disability-free survival (DFS), its components (death, dementia and physical disability), cardiovascular disease (CVD), cancer and underlying cause of death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data came from the ASPirin in Reducing Events in the Elderly (ASPREE) trial and observational extension, ASPREE-XT. Community-dwelling Australians aged 70 years or older, with no prior CVD events, dementia or independence-limiting physical disability, were recruited through General Practitioners between 2010 and 2014. Area of residence was classified as major cities, inner regional or outer regional/remote. Major incident health events were adjudicated by expert panels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 16,697, median age 74 years; 55% female) were followed over a median 8.3 years. A small, but statistically significant higher prevalence of many health risk factors was found for individuals living outside metropolitan areas. Rurality was not associated with the incidence of DFS, dementia, physical disability or CVD events in adjusted Cox proportional hazards regression models. Compared to major cities, individuals in outer regions/remote areas had an increased risk of all-cause death (HR: 1.17; 95% CI 1.02, 1.34) which appeared to be driven by fatal CVD (HR: 1.40; 95% CI 1.02, 1.83), while those in inner regions had a lower cancer incidence (HR: .89; 95% CI .82, .98).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Incidence of DFS, dementia and physical disability did not differ according to rurality. Heightened risk of mortality was evident outside urban areas, possibly reflecting inequitable health service and access. Lower cancer incidence in inner regions requires further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143919458","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":"Sharing and caring: Collaborative creativity and co-curated exhibitions to enhance belonging in older adults","authors":"Tricia King,&nbsp;Marcia Grimm,&nbsp;Leah Barclay,&nbsp;Daniel Wadsworth","doi":"10.1111/ajag.70040","DOIUrl":"https://doi.org/10.1111/ajag.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This paper explores the potential of photographs and creative practice to connect older adults to self and community through photograph-sharing and care practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study used a combination of collaborative arts-based practice and friendship as a method to explore creative photo walks with 12 older adults based across residential aged care and community dwellings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sharing images with others and collaborative exhibitions enhanced new social connections and personal communications. The research highlighted three key dimensions that emerged from the creative practice: connection, agency and the capacity for giving.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This article contributes to discourses in creative gerontology, participatory research methodologies and arts-based approaches to understanding ageing. By foregrounding the experiences of older adults and centring their creative agency, we challenge deficit-based models of ageing and propose alternative frameworks that recognise the ongoing creativity, resilience and social potential of older individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143919457","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":"Effectiveness of technological interventions on psychosocial well-being and perception of technological interventions among people with Parkinson's disease: A systematic review","authors":"Terence Kenneth Lau,&nbsp;Man-Kei Tse,&nbsp;Yaqin Liu,&nbsp;Angela Y. M. Leung","doi":"10.1111/ajag.70034","DOIUrl":"https://doi.org/10.1111/ajag.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The increasing number of technological interventions related to Parkinson's disease (PD) signifies growing research interest in the PD technological domain. It remains unknown how these interventions could affect the psychosocial health of people with PD. This systematic review aims to explore how technological interventions affect people with PD psychosocial well-being and their perception towards these interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review was conducted using Cochrane Library®, Embase®, IEEE Xplore Digital Library®, PsycInfo®, PubMed® and Web of Science® databases following PRISMA guidelines. Two individual assessors conducted quality appraisals using the Mixed Method Appraisal Tool. Both quantitative narrative and qualitative thematic synthesis were adopted to analyse the extracted data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review included 27 articles with 752 people with PD, with seven categories of technologies implemented in physical rehabilitation. Qualitative findings indicated the overarching theme of coping with technological intervention. Three themes were identified: user perception of intervention design and functional appropriateness, attitude shift and coping, and perceived benefits from technological interventions. Unsuccessful coping attempts and overcomplicated intervention designs induced negative emotions and affected the psychosocial well-being of people with PD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although most PD technological interventions focused on physical rehabilitation, people with PD reported a psychosocial gain in improved autonomy and reinforced social relationships during the intervention period. A better rewardability intervention design was considered more satisfying and could promote self-acceptance rather than stress-inducing. Interventions' technological complexity should match participants' expectations and technological literacy to facilitate the coping process with the intervention for people with PD. More research would be required to quantify the reported psychosocial gain and examine the technological literacy of people with PD when designing a more appropriate intervention regime.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901029","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":"Could life story work support relational autonomy in advance care planning? Stories from the EARLI project","authors":"Ava Karusoo-Musumeci,&nbsp;Ling Yeoh,&nbsp;Caroline Edwards,&nbsp;Rebecca Walton,&nbsp;Melanie Crabtree,&nbsp;Michelle M. Hilgeman,&nbsp;Craig Sinclair","doi":"10.1111/ajag.70042","DOIUrl":"https://doi.org/10.1111/ajag.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Advance care planning has evolved from a narrow focus on advance directives completion towards a greater emphasis on ongoing conversations and value clarification. This evolution aligns with a relational perspective on autonomy in a social context. However, limited research explores how relational autonomy might be operationalised in practice. Life story work is a novel approach that may serve to operationalise relational autonomy in advance care planning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper presents three vignettes from the Enhanced Advance Care Planning and Life Review Longitudinal Intervention (EARLI) project, an arts-based intervention that uses life story work to support advance care planning among older adults living in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The vignettes illustrated how life story work facilitated discussions about values and preferences, enhanced relational autonomy and influenced participants' engagement with advance care planning across different stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Integrating life story work into advance care planning provides a practical approach to fostering relational autonomy. This method offers insight into the ways personal narratives can shape decision-making and communication within the advance care planning process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901025","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}