Australasian Journal on Ageing最新文献_第2页

Will ‘Support at Home’ Deliver What Older People Want? “在家养老”能满足老年人的需求吗？

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-15 DOI: 10.1111/ajag.70130

Carmel Laragy, Keith McVilly

Objectives

This paper reviews Australia's aged care Home Care Package program to assess the ability of its replacement, the Support at Home program, to deliver on its stated principles of independence, autonomy, empowerment and freedom of choice for older people. The program is reviewed from the perspective of older people who wanted maximum independence and control over their support packages.

Methods

The findings from a qualitative study of the Home Care Package program in 2023–2024 involving 30 participants are used as a lens to review the Support at Home program. The two programs are sufficiently similar that findings based on the earlier program are relevant to the latter one. Semi-structured online interviews were conducted with older people who self-managed, their family representatives, support workers, service providers and aged care professionals. A combination of inductive and deductive analytical methods was used.

Results

Older people wanted programs that promoted their autonomy and allowed them to select support workers and negotiate services. However, structural barriers limited opportunities. Insufficient funding, workforce shortages and restrictive regulations were constraining factors. Restrictive regulations limited service providers from giving older people the agency they wanted over their lives.

Conclusions

The Support at Home program's legislation and guidelines are constraining the independence, autonomy and empowerment of older people who want greater agency over their lives. Reforms are needed to address an absence of rights, funding shortfalls, workforce shortages, and policy and regulatory inflexibility. Although inadequate funding and workforce shortages are structural constraints difficult to overcome, a renewed focus on the rights of older people is feasible and necessary. A more flexible and client-focused approach will help the program give older people what they want.

目的：本文回顾了澳大利亚的老年护理家庭护理一揽子计划，以评估其替代的能力，即家庭支持计划，以实现其所述的老年人独立、自主、赋权和自由选择的原则。该计划是从老年人的角度进行审查的，他们希望最大限度地独立并控制他们的支持计划。方法：以2023-2024年30名参与者参与的家庭护理套餐计划定性研究结果为视角，回顾家庭支持计划。这两个程序非常相似，基于前一个程序的发现与后一个程序相关。对自我管理的老年人、他们的家庭代表、支持工作者、服务提供者和老年护理专业人员进行了半结构化的在线访谈。采用归纳和演绎相结合的分析方法。结果：老年人希望项目能提高他们的自主权，允许他们选择支持人员和协商服务。然而，结构性障碍限制了机会。资金不足、劳动力短缺和限制性规定是制约因素。限制性规定限制了服务提供者在老年人的一生中给予他们想要的代理。结论：家庭支持项目的立法和指导方针限制了老年人的独立性、自主性和赋权，而老年人希望对自己的生活有更大的主动权。需要进行改革，以解决权利缺失、资金短缺、劳动力短缺以及政策和监管缺乏灵活性等问题。虽然资金不足和劳动力短缺是难以克服的结构性制约因素，但重新关注老年人的权利是可行和必要的。一种更加灵活和以客户为中心的方法将有助于该项目满足老年人的需求。

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引用次数: 0

Correction to ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’ 对“老年护理机构中的整骨疗法保健：新兴实践环境中从业人员的经验”的更正。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-13 DOI: 10.1111/ajag.70131

M. Amorim, J. Bennett, D. McGarry, B. Moore, P. Orrock, L. Whitton, S. Dullard. ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’, Australasian Journal of Ageing 43, no. 4 (2024): 828–836, https://doi.org/10.1111/ajag.13362.

Ya-Ling Huang was omitted from the author list of this paper. The Editor in Chief has confirmed that she meets the criteria for authorship. The authors apologise for this error.

The corrected citation is:

M. Amorim, J. Bennett, D. McGarry, B. More, P. Orrock, L. Whitton, Y. Huang, S. Dullard. ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’, Australasian Journal of Ageing 43, no. 4 (2024): 828–836, https://doi.org/10.1111/ajag.13362.

M. Amorim， J. Bennett， D. McGarry， B. Moore， P. Orrock， L. Whitton， S. Dullard。《老年护理设施中的骨科保健：新兴实践环境中从业人员的经验》，《澳大利亚老龄化杂志》43期，第2期。4 (2024): 828-836, https://doi.org/10.1111/ajag.13362.Ya-Ling Huang在本文作者列表中被省略。总编辑已经确认她符合作者的标准。作者为这个错误道歉。更正后的引文是：M。阿莫林，J. Bennett， D. McGarry， B. More， P. Orrock， L. Whitton， Y. Huang， S. Dullard。《老年护理设施中的骨科保健：新兴实践环境中从业人员的经验》，《澳大利亚老龄化杂志》43期，第2期。4 (2024): 828-836, https://doi.org/10.1111/ajag.13362。

引用次数: 0

Potentially Suboptimal Prescribing for Older First Nations Peoples: A Scoping Review 老年第一民族潜在的次优处方：范围审查。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-12 DOI: 10.1111/ajag.70126

Nicola Franks, Karl McDermott, Karen Carlisle, Sarah Russell, Valda Wallace, Edward Strivens

Objective

To explore current literature regarding appropriate prescribing for older First Nations Peoples from Australia, the United States of America (USA), Canada and New Zealand residing in the community or residential care facilities (RACF).

Methods

Electronic databases and grey literature sources were searched for literature that focussed on holistic appropriate prescribing and/or potential suboptimal prescribing. Inclusion criteria were First Nations Peoples aged 45 years or older who were community dwelling or residing in RACFs from Australia, the United States, Canada and New Zealand.

Results

Sixteen articles were included for analysis. Heterogeneity exists across the findings of potentially suboptimal prescribing concepts. Despite this heterogeneity, this review revealed that potential prescribing omissions appear to have the greatest impact on morbidity and mortality. Factors that increased the risk of potentially suboptimal prescribing included regionality, number of medical conditions, certain disease states and residing in a RACF.

Conclusion

Health equity and ‘closing the gap’ for First Nations Peoples is a global issue. This scoping review has shown that potentially suboptimal prescribing and the associated morbidity and mortality are a concern for First Nations Peoples internationally.

目的：探讨澳大利亚、美国、加拿大和新西兰居住在社区或住宿护理机构（RACF）的老年原住民的适当处方的现有文献。方法：检索电子数据库和灰色文献来源，检索有关整体适宜处方和/或潜在次优处方的文献。纳入标准是来自澳大利亚、美国、加拿大和新西兰的45岁或以上居住在社区住宅或居住在区域发展基金的第一民族。结果：纳入16篇文献进行分析。异质性存在于潜在次优处方概念的研究结果中。尽管存在这种异质性，但该综述显示，潜在的处方遗漏似乎对发病率和死亡率有最大的影响。增加潜在的次优处方风险的因素包括地域、医疗条件的数量、某些疾病状态和居住在RACF。结论：第一民族的卫生公平和“缩小差距”是一个全球性问题。这项范围审查表明，潜在的次优处方和相关的发病率和死亡率是国际上第一民族关注的问题。

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引用次数: 0

Approaches to Enhance Medication Adherence in Older People With Cognitive Impairment: A Systematic Review 增强老年认知障碍患者药物依从性的方法：一项系统综述。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-09 DOI: 10.1111/ajag.70125

Erik Cornelisse, Rachel Julian, Georgie Tucker, Kate Laver

Objective

Older people with cognitive impairment face challenges in adhering to medication regimes, resulting in a risk of adverse events. The aim of this systematic review was to determine the effectiveness of interventions to increase medication adherence in older people with cognitive impairment.

Methods

MEDLINE, CINAHL and PsycInfo databases were searched in December 2024. The protocol was registered using Open Science Framework (https://doi.org/10.17605). Inclusion criteria were randomised, controlled trials involving community-dwelling older adults with cognitive impairment testing an intervention, which aimed to improve medication adherence. Exclusion criteria were articles written in a language other than English. Risk of bias was assessed using the Cochrane Risk of Bias Tool. Meta-analysis was not undertaken due to clinical heterogeneity, and therefore, narrative analysis was used to synthesise results.

Results

Seven studies with 350 participants were included. Sample sizes of the included studies were relatively small, ranging from 16 to 101 participants, and the average age of participants was mid-70 years. Level of cognitive impairment varied but most studies focused on those with mild impairment. Intervention types were reminder systems (n = 3), educational interventions (n = 3) and health professional supported behaviour change interventions (n = 2). One study was a three-armed trial, including two intervention types.

Conclusions

All intervention types reported positive outcomes, but most were not statistically significant. Reminder systems appeared to show the most promise of the intervention types. Further high-quality studies with larger sample sizes, including commonly used medication administration aids and approaches are recommended.

目的：老年认知障碍患者在坚持药物治疗方面面临挑战，导致不良事件的风险。本系统综述的目的是确定干预措施的有效性，以增加老年认知障碍患者的药物依从性。方法：于2024年12月检索MEDLINE、CINAHL和PsycInfo数据库。该协议通过开放科学框架（https://doi.org/10.17605）注册。纳入标准是随机对照试验，涉及社区居住的认知障碍老年人，测试干预措施，旨在提高药物依从性。排除标准是用英语以外的语言撰写的文章。使用Cochrane偏倚风险工具评估偏倚风险。由于临床异质性，未进行meta分析，因此采用叙事分析来综合结果。结果：纳入7项研究，共350名受试者。纳入研究的样本量相对较小，参与者从16人到101人不等，参与者的平均年龄为70岁左右。认知障碍的程度各不相同，但大多数研究集中在轻度认知障碍的患者身上。干预类型为提醒系统（n = 3）、教育干预（n = 3）和卫生专业人员支持的行为改变干预（n = 2）。其中一项研究是三臂试验，包括两种干预类型。结论：所有干预类型均报告了积极的结果，但大多数没有统计学意义。提醒系统似乎是干预类型中最有希望的。建议进一步开展更大样本量的高质量研究，包括常用的给药辅助工具和方法。

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引用次数: 0

Are We Ready? Ageing of People Living With HIV in Aotearoa New Zealand: HIV Knowledge and Attitudes Among Staff in Aged Care Facilities 我们准备好了吗？新西兰奥特罗阿艾滋病毒感染者的老龄化：老年护理机构工作人员的艾滋病毒知识和态度。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-08 DOI: 10.1111/ajag.70121

Regan Gilchrist, Margaret Pickles, Andrew R. Gray, Helen Harcombe, Lorraine Ritchie, Raewyn Lesa, Susan McAllister

Objective

Treatments for human immunodeficiency virus (HIV) have advanced considerably and people living with HIV have longer life expectancies, yet many continue to experience stigma and discrimination. Our research examines HIV-related knowledge and attitudes in aged residential care (ARC) staff.

Methods

Aged Residential Care facilities in one urban area in New Zealand were involved in (1) a staff survey, and (2) qualitative interviews with nurse managers. Survey questions included the HIV-K18 knowledge questionnaire scaled from 0 (low) to 13 (high), 30-item Health Care Provider Stigma Scale from 30 (low) to 180 (high), worry about HIV scaled from 4 (low) to 16 (high), and demographic characteristics. Analysis used multiple imputation and regression models accounting for clustering within facilities. Thematic analysis was employed for qualitative interviews.

Results

Eleven of 26 eligible facilities participated and 184 staff completed the survey. The mean knowledge score was 7.6 (SD 2.6), stigma 82.2 (SD 29.3), and worry 7.6 (SD 3.0). In adjusted analysis, higher education and experience caring for someone with HIV were favourably associated with higher HIV knowledge, which was in turn associated with a lower stigma score, which was in turn associated with less worry about HIV. Five nurse managers were interviewed. Most expressed hesitation in caring for someone with HIV; however, overriding this was acknowledgement of the importance of delivering good holistic care in a respectful manner.

Conclusions

Ongoing professional development for ARC staff about HIV and increased collaboration between the HIV and ARC sectors at the organisational level could increase their HIV knowledge and improve their care for residents with HIV.

目的：人类免疫缺陷病毒（艾滋病毒）的治疗取得了很大进展，艾滋病毒感染者的预期寿命延长了，但许多人仍然遭受耻辱和歧视。我们的研究调查了老年住宿护理（ARC）工作人员的艾滋病相关知识和态度。方法：对新西兰某城区的养老院进行(1)员工调查和(2)护士管理人员定性访谈。调查问题包括：HIV- k18知识问卷，从0（低）到13（高），卫生保健提供者污名量表，从30（低）到180（高），对HIV的担忧从4（低）到16（高），以及人口统计学特征。分析使用了多个输入和回归模型来考虑设施内的聚类。质性访谈采用专题分析。结果：26家符合条件的机构中有11家参与了调查，184名工作人员完成了调查。平均知识得分为7.6分（SD 2.6），污名得分为82.2分（SD 29.3），忧虑得分为7.6分（SD 3.0）。在调整分析中，高等教育和照顾艾滋病毒感染者的经验与更高的艾滋病毒知识呈正相关，这反过来又与更低的耻辱得分相关，而耻辱得分又与更少的艾滋病毒担忧相关。访谈了5位护理经理。大多数人对照顾艾滋病毒感染者表示犹豫；然而，最重要的是认识到以尊重的方式提供良好的整体护理的重要性。结论：ARC工作人员在HIV方面的持续专业发展以及在组织层面加强HIV和ARC部门之间的合作可以增加他们的HIV知识并改善他们对HIV患者的护理。

{"title":"Are We Ready? Ageing of People Living With HIV in Aotearoa New Zealand: HIV Knowledge and Attitudes Among Staff in Aged Care Facilities","authors":"Regan Gilchrist, Margaret Pickles, Andrew R. Gray, Helen Harcombe, Lorraine Ritchie, Raewyn Lesa, Susan McAllister","doi":"10.1111/ajag.70121","DOIUrl":"10.1111/ajag.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Treatments for human immunodeficiency virus (HIV) have advanced considerably and people living with HIV have longer life expectancies, yet many continue to experience stigma and discrimination. Our research examines HIV-related knowledge and attitudes in aged residential care (ARC) staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Aged Residential Care facilities in one urban area in New Zealand were involved in (1) a staff survey, and (2) qualitative interviews with nurse managers. Survey questions included the HIV-K18 knowledge questionnaire scaled from 0 (low) to 13 (high), 30-item Health Care Provider Stigma Scale from 30 (low) to 180 (high), worry about HIV scaled from 4 (low) to 16 (high), and demographic characteristics. Analysis used multiple imputation and regression models accounting for clustering within facilities. Thematic analysis was employed for qualitative interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven of 26 eligible facilities participated and 184 staff completed the survey. The mean knowledge score was 7.6 (SD 2.6), stigma 82.2 (SD 29.3), and worry 7.6 (SD 3.0). In adjusted analysis, higher education and experience caring for someone with HIV were favourably associated with higher HIV knowledge, which was in turn associated with a lower stigma score, which was in turn associated with less worry about HIV. Five nurse managers were interviewed. Most expressed hesitation in caring for someone with HIV; however, overriding this was acknowledgement of the importance of delivering good holistic care in a respectful manner.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Ongoing professional development for ARC staff about HIV and increased collaboration between the HIV and ARC sectors at the organisational level could increase their HIV knowledge and improve their care for residents with HIV.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936518","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}

引用次数: 0

Prevalence and Factors Associated With Self-Reported Difficulty in Seeing Among Older Persons in Malaysia: A Cross-Sectional Study From the National Health and Morbidity Survey 2023 马来西亚老年人自我报告视力困难的患病率和相关因素：来自2023年全国健康和发病率调查的横断面研究

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-06 DOI: 10.1111/ajag.70113

Jun Fai Yap, Hazwa Harith, Kishwen Kanna Yoga Ratnam, Halizah Mat Rifin, Hamizatul Akmal Abd Hamid, Mohd Ruhaizie Riyadzi, Filza Noor Asari, Norzawati Yoep, Yee Mang Chan, Zhuo Lin Chong

Objectives

Although evidence on the ophthalmic impact of social determinants of health is growing, population-based data—particularly among older persons who may face unique barriers to eye care—remain limited. This study aimed to address this gap by determining the prevalence of and factors associated with difficulty in seeing among older persons in Malaysia.

Methods

Data from adults aged 60 years and older were analysed using the National Health and Morbidity Survey 2023, a cross-sectional survey with a two-stage stratified random sampling design. Self-reported difficulty in seeing (defined as those reporting ‘some difficulty’, ‘a lot of difficulty’ or being ‘unable to see at all’), despite using corrective lenses, was assessed using the Washington Group Short Set on Functioning. Those reporting ‘a lot of difficulty’ or being ‘unable to see at all’ were classified as having a visual disability. Multivariable logistic regression was conducted for complex survey design.

Results

Among 2979 older persons, 25% reported difficulty in seeing, and 2% had a visual disability. Minority ethnic groups had higher odds of difficulty in seeing compared to Malays (aOR = 2.69; 95% CI: 1.85, 3.91). Rural residence (aOR = 1.63; 95% CI: 1.07, 2.49) and diabetes (aOR = 1.46; 95% CI: 1.10, 1.93) were also associated with increased odds.

Conclusions

One in four older persons in Malaysia experiences visual difficulties, with Indigenous people, rural residence and diabetes as associated factors. Public health strategies should address these disparities through mobile outreach and enhanced diabetic eye screening to improve ocular health for Malaysia's ageing population.

目的：尽管关于健康的社会决定因素对眼科影响的证据越来越多，但基于人群的数据，特别是在可能面临独特眼科护理障碍的老年人中，仍然有限。这项研究旨在通过确定马来西亚老年人中视力困难的患病率和相关因素来解决这一差距。方法：采用两阶段分层随机抽样设计的横断面调查《2023年全国健康与发病率调查》，对60岁及以上成年人的数据进行分析。尽管使用了矫正眼镜，但自我报告的视力困难（定义为报告“有些困难”，“非常困难”或“根本看不见”）使用华盛顿小组功能短集进行评估。那些报告“有很大困难”或“根本看不见”的人被归类为视力障碍。对复杂调查设计进行多变量logistic回归。结果：在2979名老年人中，25%报告视力困难，2%报告视力障碍。与马来人相比，少数族裔群体的视力困难几率更高（aOR = 2.69; 95% CI: 1.85, 3.91）。农村居住（aOR = 1.63; 95% CI: 1.07, 2.49）和糖尿病（aOR = 1.46; 95% CI: 1.10, 1.93）也与发病率增加相关。结论：马来西亚四分之一的老年人患有视力障碍，土著居民、农村居民和糖尿病是相关因素。公共卫生战略应通过流动外展和加强糖尿病眼筛查来解决这些差异，以改善马来西亚老龄化人口的眼部健康。

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引用次数: 0

Exercise and Forest Therapy Programs for Improving Cognitive Function and Physical Health in Older Adults With Mild Cognitive Impairment 改善轻度认知障碍老年人认知功能和身体健康的运动和森林疗法。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-06 DOI: 10.1111/ajag.70127

Ji-Hoon Cho, Seung-Taek Lim

引用次数: 0

Effects of Non-Pharmacological Interventions in Hospitals on Behaviours of Concern and Patient Experience: A Systematic Review 医院非药物干预对关怀行为和患者体验的影响：系统综述。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2026-01-06 DOI: 10.1111/ajag.70123

Monique Walsh, Jessica Nolan, Nicola Lloyd, Stephen D. Gill

Objectives

To identify non-pharmacological interventions utilised in acute hospital settings to manage Behaviours of Concern (BoC) and investigate whether they changed the intensity and frequency of BoC. A secondary aim was to investigate the patient experience and satisfaction with non-pharmacological interventions.

Methods

Systematic searches were conducted in EMBASE, EMCARE, MEDLINE, PsychINFO and CINAHL, and PRISMA guidelines were followed. Reviewers screened titles and abstracts for eligibility, extracted data and appraised quality. Study quality was assessed with the Downs and Black Checklist. Due to heterogeneity, studies were synthesised using a narrative approach.

Results

Following database searches, 6261 manuscripts were identified, of which three met the inclusion criteria. Study quality was poor to fair. Behaviours of Concern were not measured in one study, another study found no significant difference between behaviours pre- and post- intervention, and the final study reported a lower occurrence of behaviours post-intervention. Implemented non-pharmacological interventions varied across the studies; one study only measured the effect of post traumatic amnesia assessment, one study identified mobilisation as the most frequently implemented intervention, and another study identified cognitive/intellectual interventions as the most frequently implemented intervention. None of the studies assessed patient experience or satisfaction with initiatives to manage BoC.

Conclusions

There is a lack of high-quality evidence to determine the effects of non-pharmacological interventions to manage BoC in the acute hospital setting. Future research is needed to identify the non-pharmacological interventions utilised and the effects of these interventions, including on patient experience and satisfaction.

Trial Registration

PROSPERO number: CRD42023381570

目的：确定在急性医院环境中用于管理关注行为（BoC）的非药物干预措施，并调查它们是否改变了BoC的强度和频率。第二个目的是调查患者对非药物干预的体验和满意度。方法：在EMBASE、EMCARE、MEDLINE、PsychINFO和CINAHL中进行系统检索，遵循PRISMA指南。审稿人筛选标题和摘要的资格，提取数据和评估质量。采用Downs和Black检查表评估研究质量。由于异质性，研究采用叙述方法进行综合。结果：通过数据库检索，共检索到6261篇文献，其中3篇符合纳入标准。研究质量差到不公平。一项研究没有测量关注行为，另一项研究发现干预前和干预后的行为没有显著差异，最后一项研究报告干预后的行为发生率较低。实施的非药物干预措施因研究而异；一项研究只测量了创伤后失忆评估的效果，一项研究确定动员是最常实施的干预措施，另一项研究确定认知/智力干预是最常实施的干预措施。没有一项研究评估患者的体验或对管理BoC的举措的满意度。结论：缺乏高质量的证据来确定非药物干预措施对急性医院环境中脑卒中的影响。未来的研究需要确定所使用的非药物干预措施以及这些干预措施的影响，包括对患者体验和满意度的影响。试验注册：PROSPERO号：CRD42023381570。

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引用次数: 0

The Male Approach to Dementia Caregiving: A Scoping Review 男性痴呆症护理方法：范围审查。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-30 DOI: 10.1111/ajag.70119

Vincent O. Poisson, Amy E. Peden, Roslyn G. Poulos, Adrienne L. Withall, Helen Jones, Kaele Stokes, Claire M. C. O'Connor

Objective

The proportion of male caregivers of people living with dementia has been rising since the 1990s. Yet, limited evidence exists on their specific caregiving experience and needs. The last review conducted on this specific cohort of dementia caregivers scanned the literature from 2007 to 2012. The present scoping review aimed to build on that last review and to update the current state of research on male dementia caregivers.

Methods

Four databases (Medline, PubMed, Embase and PsycINFO) were searched to identify relevant studies published from 2012 to May 2025. The search was limited to studies conducted in Anglosphere countries because these countries share comparable socioeconomic and sociocultural structures. Two authors independently dual screened abstracts and full texts of research articles, and a total of 36 studies were included in this review. A qualitative thematic analysis of the findings across these studies was conducted.

Results

Four main themes were identified: gender differences in caregiver burden; male caregivers adopt a task-focused approach to gain control over caregiving; sons step into the caregiver role as a last resort; and males have specific caregiver needs. The findings suggest that socially constructed masculinity norms influence how men approach dementia caregiving. The findings also suggest that sons caring for a parent with dementia have a different approach to caregiving compared with husbands.

Conclusion

The outcomes from this review will help inform the design of support services tailored to the needs of male dementia caregivers, which could empower men to better care for a person living with dementia.

目的：自20世纪90年代以来，老年痴呆症患者男性照护者比例呈上升趋势。然而，关于他们具体的护理经验和需求的证据有限。对这一特定痴呆护理队列进行的最后一次回顾扫描了2007年至2012年的文献。目前的范围审查旨在建立在上次审查和更新男性痴呆症护理人员的研究现状。方法：检索Medline、PubMed、Embase和PsycINFO 4个数据库，检索2012年至2025年5月发表的相关研究。这项研究仅限于在英语圈国家进行的研究，因为这些国家具有类似的社会经济和社会文化结构。两位作者独立地对研究文章的摘要和全文进行了双重筛选，共纳入了36项研究。对这些研究的结果进行了定性专题分析。结果：确定了四个主要主题：照顾者负担的性别差异；男性照护者采用以任务为中心的方法来获得对照护的控制；儿子作为最后的手段扮演照顾者的角色；男性有特殊的照顾需求。研究结果表明，社会建构的男子气概规范影响了男性如何对待痴呆症护理。研究结果还表明，与丈夫相比，儿子照顾患有痴呆症的父母的方式不同。结论：本综述的结果将有助于为满足男性痴呆症护理人员需求的支持服务设计提供信息，从而使男性能够更好地照顾痴呆症患者。

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引用次数: 0

Translation, Cultural Adaptation and Validation of the British Sign Language Cognitive Screening Tool Into Australian Sign Language 英国手语认知筛选工具在澳大利亚手语中的翻译、文化适应与验证。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-12-28 DOI: 10.1111/ajag.70120

Frances Dark, Gabrielle Ritchie, Rebecca Reedman, Veronica De Monte, Mark Cave, Therese De Dassel, Jennifer D'Ath, Patricia J. McLean, John Cross, Angela Swifte, Joanna Atkinson, Bencie Woll

Objective

The British Sign Language Cognitive Screening Test (BSL-CST) is a culturally sensitive and linguistically appropriate tool for deaf BSL signing older adults in the United Kingdom. There are no equivalent tools for Australian Sign Language (Auslan) to ensure diagnostic accuracy for Auslan signers. We aimed to translate/adapt the BSL-CST into Auslan and establish its preliminary psychometric properties.

Methods

The Auslan-CST was developed through consultation with deaf Auslan signers and Auslan interpreters, informed by evidenced-based translation standards and production guidelines. A draft version was piloted among 20 Auslan signing older adults. The finalised Auslan-CST was administered to a normative sample of 100 cognitive healthy older deaf adults (M age = 65.59, SD = 9.89) and retested (n = 10) to estimate test–retest reliability. To assess clinical discrimination, it was administered to nine deaf older adults (M age = 78.33, SD = 6.27) diagnosed with cognitive decline.

Results

The Auslan-CST demonstrated high test–retest reliability (Cronbach's α = 0.940) and good internal consistency (Cronbach's α = 0.799). The tool had moderate-to-strong (r_s > 0.3 to < 0.6) convergent validity with other established measures of cognition (BSL-Verbal Learning Memory Test; modified Digit Span) and excellent clinical discrimination (AUC = 1.00, 95% CI [1.00, 1.00]). A total score cut-off of < 71.50 for dementia screening is proposed.

Conclusions

The Auslan-CST is the first culturally aligned cognitive screening tool for deaf Auslan signing older adults. The tool has demonstrated good preliminary psychometric properties, and early results suggest it is an effective screen for cognitive impairment in this population.

目的：英国手语认知筛选测试（BSL- cst）是一种文化敏感和语言适宜的工具，适用于英国的聋人手语老年人。澳大利亚手语（Auslan）没有相应的工具来确保澳大利亚手语的诊断准确性。我们的目的是翻译/改编BSL-CST到澳大利亚，并建立其初步的心理测量学性质。方法：通过与聋人手语和口译员协商，根据基于证据的翻译标准和制作指南，制定了澳大利亚语- cst。该草案在20名澳大利亚老年人中进行了试点。对100名认知健康的老年聋人（M年龄= 65.59,SD = 9.89）的标准样本进行定稿的Auslan-CST，并重新测试（n = 10）以估计测试-重测信度。为了评估临床歧视，对9名诊断为认知能力下降的失聪老年人（M年龄= 78.33,SD = 6.27）进行了研究。结果：auslen - cst具有高的重测信度（Cronbach’s α = 0.940）和良好的内部一致性（Cronbach’s α = 0.799）。结论：澳大利亚语- cst是第一个与文化相一致的老年聋人澳大利亚语手语认知筛查工具。该工具已显示出良好的初步心理测量特性，早期结果表明它是该人群中认知障碍的有效筛查。

{"title":"Translation, Cultural Adaptation and Validation of the British Sign Language Cognitive Screening Tool Into Australian Sign Language","authors":"Frances Dark, Gabrielle Ritchie, Rebecca Reedman, Veronica De Monte, Mark Cave, Therese De Dassel, Jennifer D'Ath, Patricia J. McLean, John Cross, Angela Swifte, Joanna Atkinson, Bencie Woll","doi":"10.1111/ajag.70120","DOIUrl":"10.1111/ajag.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The British Sign Language Cognitive Screening Test (BSL-CST) is a culturally sensitive and linguistically appropriate tool for deaf BSL signing older adults in the United Kingdom. There are no equivalent tools for Australian Sign Language (Auslan) to ensure diagnostic accuracy for Auslan signers. We aimed to translate/adapt the BSL-CST into Auslan and establish its preliminary psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Auslan-CST was developed through consultation with deaf Auslan signers and Auslan interpreters, informed by evidenced-based translation standards and production guidelines. A draft version was piloted among 20 Auslan signing older adults. The finalised Auslan-CST was administered to a normative sample of 100 cognitive healthy older deaf adults (<i>M</i> age = 65.59, SD = 9.89) and retested (<i>n</i> = 10) to estimate test–retest reliability. To assess clinical discrimination, it was administered to nine deaf older adults (<i>M</i> age = 78.33, SD = 6.27) diagnosed with cognitive decline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Auslan-CST demonstrated high test–retest reliability (Cronbach's <i>α</i> = 0.940) and good internal consistency (Cronbach's <i>α</i> = 0.799). The tool had moderate-to-strong (<i>r</i><sub>s</sub> > 0.3 to < 0.6) convergent validity with other established measures of cognition (BSL-Verbal Learning Memory Test; modified Digit Span) and excellent clinical discrimination (AUC = 1.00, 95% CI [1.00, 1.00]). A total score cut-off of < 71.50 for dementia screening is proposed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Auslan-CST is the first culturally aligned cognitive screening tool for deaf Auslan signing older adults. The tool has demonstrated good preliminary psychometric properties, and early results suggest it is an effective screen for cognitive impairment in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851286","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}

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