Annette Brömdal, Melinda N. Stanners, Amy B. Mullens, Lisa Beccaria, Joseph Debattista, Jennifer Sargent, Lisa Wojciechowski, Chris Howard, Ann Matson, Ged Farmer, Daniel Brown
Objective
Drawing on contemporary understandings of successful ageing as a multidimensional concept, this exploratory study aimed to address a critical gap in the literature by examining the unique perceptions, expectations, and hopes of Lesbian, Gay, Bisexual, Transgender (LGBT), Sistergirl and Brotherboy people regarding successful ageing. Given the historical and ongoing discrimination faced by these communities, understanding perceptions of successful ageing is vital.
Methods
Lesbian, Gay, Bisexual, Transgender, Sistergirl and Brotherboy people were invited to complete a mixed-methods online survey about ageing and care. Responses to qualitative questions were extracted and analysed using latent content analysis to generate themes and key concepts.
Results
Findings reflected 203 participants' expectations of receiving respectful, inclusive care and support that enables them to maintain their autonomy. Living with authentic self-expression and staying connected to loved ones/community as they aged were reported as priorities. Findings highlighted the need for affordable LGBT, Sistergirl and Brotherboy-specific health and care services and accommodation.
Conclusions
Concepts of successful ageing spanned physical, mental, and emotional health and social connections. These insights provide opportunities for tailoring the enhancement and provision of services to better address the expectations and hopes of LGBT, Sistergirl and Brotherboy people ageing in Australia.
{"title":"Perspectives on successful ageing from Lesbian, Gay, Bisexual, Transgender, Sistergirl and Brotherboy people in Australia: An exploratory content analysis","authors":"Annette Brömdal, Melinda N. Stanners, Amy B. Mullens, Lisa Beccaria, Joseph Debattista, Jennifer Sargent, Lisa Wojciechowski, Chris Howard, Ann Matson, Ged Farmer, Daniel Brown","doi":"10.1111/ajag.70087","DOIUrl":"https://doi.org/10.1111/ajag.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Drawing on contemporary understandings of successful ageing as a multidimensional concept, this exploratory study aimed to address a critical gap in the literature by examining the unique perceptions, expectations, and hopes of Lesbian, Gay, Bisexual, Transgender (LGBT), Sistergirl and Brotherboy people regarding successful ageing. Given the historical and ongoing discrimination faced by these communities, understanding perceptions of successful ageing is vital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Lesbian, Gay, Bisexual, Transgender, Sistergirl and Brotherboy people were invited to complete a mixed-methods online survey about ageing and care. Responses to qualitative questions were extracted and analysed using latent content analysis to generate themes and key concepts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings reflected 203 participants' expectations of receiving respectful, inclusive care and support that enables them to maintain their autonomy. Living with authentic self-expression and staying connected to loved ones/community as they aged were reported as priorities. Findings highlighted the need for affordable LGBT, Sistergirl and Brotherboy-specific health and care services and accommodation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Concepts of successful ageing spanned physical, mental, and emotional health and social connections. These insights provide opportunities for tailoring the enhancement and provision of services to better address the expectations and hopes of LGBT, Sistergirl and Brotherboy people ageing in Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144905457","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}
Krystle Scott, Daniel J. Brown, Annette Brömdal, Joseph Debattista, Ann Matson, Jennifer Sargent, Chris Howard, Ged Farmer, Lisa Wojciechowski, Lisa Beccaria, Amy B. Mullens
Objective
People older than 65 years are anticipated to comprise a steadily increasing proportion of the Australian population. This older adult population is also made up of other sub-populations that may experience similar, different or additional needs to the ‘average’ older adult, such as LGBT+ people. Given the well-documented history of oppression, stigma and discrimination, research is critically needed to understand how to best support the concerns and needs of populations such as LGBT+ people.
Method
The present cross-sectional study aimed to explore the concerns of ageing and accessing aged care services among 171 LGBT+ people in Australia.
Results
The results revealed that LGBT+ people were most concerned about their health and physical functioning, including feelings of isolation, loneliness and abandonment as they age. The results also indicated a range of specific concerns for accessing aged care services, including feeling respected and service quality and discrimination, particularly from religiously run organisations.
Conclusions
Despite a relatively small and homogenous sample, this study was able to identify important beliefs and experiences held by this cohort to help shape advocacy, policy, procedures and education.
{"title":"LGBT+ concerns of ageing and accessing aged care services in Australia: A cross-sectional study","authors":"Krystle Scott, Daniel J. Brown, Annette Brömdal, Joseph Debattista, Ann Matson, Jennifer Sargent, Chris Howard, Ged Farmer, Lisa Wojciechowski, Lisa Beccaria, Amy B. Mullens","doi":"10.1111/ajag.70084","DOIUrl":"https://doi.org/10.1111/ajag.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>People older than 65 years are anticipated to comprise a steadily increasing proportion of the Australian population. This older adult population is also made up of other sub-populations that may experience similar, different or additional needs to the ‘average’ older adult, such as LGBT+ people. Given the well-documented history of oppression, stigma and discrimination, research is critically needed to understand how to best support the concerns and needs of populations such as LGBT+ people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The present cross-sectional study aimed to explore the concerns of ageing and accessing aged care services among 171 LGBT+ people in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results revealed that LGBT+ people were most concerned about their health and physical functioning, including feelings of isolation, loneliness and abandonment as they age. The results also indicated a range of specific concerns for accessing aged care services, including feeling respected and service quality and discrimination, particularly from religiously run organisations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite a relatively small and homogenous sample, this study was able to identify important beliefs and experiences held by this cohort to help shape advocacy, policy, procedures and education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897551","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}
Chiara Naseri, Anne-Marie Hill, Dan Xu, Jacqueline Francis-Coad, Sharmila Vaz, Luke Garswood, Roger Meakes, Josephine Umbella, Geraldine O'Brien, Trish Starling, Tammy Weselman
Objectives
Most people seek to stay connected to their community as they age; this has been a major focus in the development of innovative community programs in Australia. This study aimed to explore what influences older people to join a community hub to engage in healthy ageing programs.
Methods
Semi-structured interviews (n = 29) were conducted during an Open Day in early 2023 at an urban community hub in Western Australia, followed by telephone interviews (n = 9) of a purposive sample of older individuals, community hub facilitators and coordinators of national community hubs. Analysis used a socio-ecological framework.
Results
Deductive content analysis identified social prescribing as an overarching influencer for older people to join and engage in healthy ageing programs and main themes of (i) supporting community hub facilitators to harness community assets, (ii) link-supports provided to older members by paid community hub concierges triggered positive outcomes at individual and community levels, (iii) online and in-person social and physical healthy ageing activities tailored to member interests and (iv) nurturing social networks and reciprocity between members sustained engagement in healthy ageing activities.
Conclusions
The dynamic process of social prescribing was a central influencer for older adults to engage in healthy ageing programs, and the social network perpetuated through community hubs was an immeasurable social investment that boosted the resilience of intergenerational populations in Australian communities. Policy support is required for communities to meet the challenge of being responsive to the needs of members who seek to remain independent as they age in place.
{"title":"What influences older people to join a community hub to engage in healthy ageing programs? An exploratory study","authors":"Chiara Naseri, Anne-Marie Hill, Dan Xu, Jacqueline Francis-Coad, Sharmila Vaz, Luke Garswood, Roger Meakes, Josephine Umbella, Geraldine O'Brien, Trish Starling, Tammy Weselman","doi":"10.1111/ajag.70079","DOIUrl":"https://doi.org/10.1111/ajag.70079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Most people seek to stay connected to their community as they age; this has been a major focus in the development of innovative community programs in Australia. This study aimed to explore what influences older people to join a community hub to engage in healthy ageing programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews (<i>n</i> = 29) were conducted during an Open Day in early 2023 at an urban community hub in Western Australia, followed by telephone interviews (<i>n</i> = 9) of a purposive sample of older individuals, community hub facilitators and coordinators of national community hubs. Analysis used a socio-ecological framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Deductive content analysis identified social prescribing as an overarching influencer for older people to join and engage in healthy ageing programs and main themes of (i) supporting community hub facilitators to harness community assets, (ii) link-supports provided to older members by paid community hub concierges triggered positive outcomes at individual and community levels, (iii) online and in-person social and physical healthy ageing activities tailored to member interests and (iv) nurturing social networks and reciprocity between members sustained engagement in healthy ageing activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The dynamic process of social prescribing was a central influencer for older adults to engage in healthy ageing programs, and the social network perpetuated through community hubs was an immeasurable social investment that boosted the resilience of intergenerational populations in Australian communities. Policy support is required for communities to meet the challenge of being responsive to the needs of members who seek to remain independent as they age in place.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144894158","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":"Creativity, the arts and ageing","authors":"Helen English, Tricia King","doi":"10.1111/ajag.70085","DOIUrl":"https://doi.org/10.1111/ajag.70085","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897802","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}
Graeme D. Smith, Margaret Pau, Carmen Ka Yan Lau, Ken Ho, Roger Watson
Objective
Globally, loneliness in older people has become a public health concern. This study aimed to examine the relationship between loneliness, psychological resilience and depression in older adults in Hong Kong.
Methods
This cross-sectional survey design study was conducted using a convenience sampling approach. Older people were recruited to complete three validated questionnaires: the DeJong Gierveld Loneliness Scale (DJLS), the Connor Davidson (CD RISC 10) Resilience Scale and the Geriatric Depression Scale (GDS).
Results
The survey was completed by 210 older people who were attending a social care centre. Older people who said they were lonely scored significantly lower (p < .001) on the CD RISC 10 (mean 31.7, SD 7.50) than those who said they were not (mean 36.5, SD 6.9). Conversely, participants who said they were lonely scored significantly higher (p < .001) on the GDS (mean 7.3, SD 3.3) than those who said they were not (mean 2.6, SD 2.9) and on the DJLS (mean 3.7 SD, 1.4 vs. mean 2.01, SD 1.5; p < .001). Scores for resilience correlated negatively with those for depression and loneliness. There was no correlation between any of the scales and the age of the respondents.
Conclusion
The findings of this study highlight the important role resilience may play in relation to loneliness and depression in older people. Development of culturally specific resilience-building interventions may provide one approach to enhance psychological well-being, including the experience of loneliness in older people.
{"title":"The relationship between loneliness, psychological resilience and depression in community based older people in Hong Kong: A cross-sectional survey design study","authors":"Graeme D. Smith, Margaret Pau, Carmen Ka Yan Lau, Ken Ho, Roger Watson","doi":"10.1111/ajag.70083","DOIUrl":"https://doi.org/10.1111/ajag.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Globally, loneliness in older people has become a public health concern. This study aimed to examine the relationship between loneliness, psychological resilience and depression in older adults in Hong Kong.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional survey design study was conducted using a convenience sampling approach. Older people were recruited to complete three validated questionnaires: the DeJong Gierveld Loneliness Scale (DJLS), the Connor Davidson (CD RISC 10) Resilience Scale and the Geriatric Depression Scale (GDS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The survey was completed by 210 older people who were attending a social care centre. Older people who said they were lonely scored significantly lower (<i>p</i> < .001) on the CD RISC 10 (mean 31.7, SD 7.50) than those who said they were not (mean 36.5, SD 6.9). Conversely, participants who said they were lonely scored significantly higher (<i>p</i> < .001) on the GDS (mean 7.3, SD 3.3) than those who said they were not (mean 2.6, SD 2.9) and on the DJLS (mean 3.7 SD, 1.4 vs. mean 2.01, SD 1.5; <i>p</i> < .001). Scores for resilience correlated negatively with those for depression and loneliness. There was no correlation between any of the scales and the age of the respondents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study highlight the important role resilience may play in relation to loneliness and depression in older people. Development of culturally specific resilience-building interventions may provide one approach to enhance psychological well-being, including the experience of loneliness in older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891694","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}
This project aimed to determine the prognostic significance of the Naples Prognostic Score (NPS) in all-cause mortality and cardiovascular disease (CVD) mortality in ageing individuals with HF.
Methods
The data of ageing individuals with HF from the NHANES database from 1999 to 2018 were used, with NPS as the independent variable, and all-cause mortality and CVD mortality as the dependent variables. The value of NPS in predicting all-cause mortality and CVD mortality in ageing individuals with HF was evaluated using weighted Kaplan–Meier (K-M) survival analysis, the random survival forest (RSF) model and the Cox proportional hazards model.
Results
A total of 1012 participants were studied, whose average age was 72.84 ± 6.90 years. The K-M curve demonstrated that the high-NPS group of ageing individuals with HF had a lower survival rate than the low-NPS group (p < .05). After adjusting for all confounding variables, the high NPS group of ageing individuals with HF showed a significantly higher risk of all-cause mortality (HR = 2.38 [1.50–3.79], p < .001) and CVD mortality (HR = 2.71 [1.11–6.64], p = .03). The RSF model demonstrated that, compared to other covariates, age and NPS were effective predictors of all-cause mortality in ageing individuals with HF, while NPS was the most effective predictor of CVD mortality.
Conclusion
Naples Prognostic Score is a powerful indicator in predicting all-cause mortality and CVD mortality in ageing individuals with HF.
本项目旨在确定那不勒斯预后评分（NPS）在老年心衰患者全因死亡率和心血管疾病（CVD）死亡率中的预后意义。方法采用1999 - 2018年NHANES数据库中老年HF患者的数据，以NPS为自变量，全因死亡率和CVD死亡率为因变量。采用加权Kaplan-Meier （K-M）生存分析、随机生存森林（RSF）模型和Cox比例风险模型评估NPS预测老年HF患者全因死亡率和心血管疾病死亡率的价值。结果共纳入1012例患者，平均年龄72.84±6.90岁。K-M曲线显示HF老年个体高nps组生存率低于低nps组（p < 0.05）。在对所有混杂变量进行校正后，高NPS组老年HF患者的全因死亡风险显著增高(HR = 2.38 [1.50-3.79], p <；001)和心血管疾病的死亡率(HR = 2.71 (1.11 - -6.64), p = 03)。RSF模型表明，与其他协变量相比，年龄和NPS是老年HF患者全因死亡率的有效预测因子，而NPS是CVD死亡率的最有效预测因子。结论那不勒斯预后评分是预测老年心衰患者全因死亡率和心血管疾病死亡率的重要指标。
{"title":"The prognostic value of the Naples Prognostic Score in older individuals with heart failure: Based on the NHANES database","authors":"Yamin Chen, Jinyu Li","doi":"10.1111/ajag.70077","DOIUrl":"https://doi.org/10.1111/ajag.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This project aimed to determine the prognostic significance of the Naples Prognostic Score (NPS) in all-cause mortality and cardiovascular disease (CVD) mortality in ageing individuals with HF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data of ageing individuals with HF from the NHANES database from 1999 to 2018 were used, with NPS as the independent variable, and all-cause mortality and CVD mortality as the dependent variables. The value of NPS in predicting all-cause mortality and CVD mortality in ageing individuals with HF was evaluated using weighted Kaplan–Meier (K-M) survival analysis, the random survival forest (RSF) model and the Cox proportional hazards model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1012 participants were studied, whose average age was 72.84 ± 6.90 years. The K-M curve demonstrated that the high-NPS group of ageing individuals with HF had a lower survival rate than the low-NPS group (<i>p</i> < .05). After adjusting for all confounding variables, the high NPS group of ageing individuals with HF showed a significantly higher risk of all-cause mortality (HR = 2.38 [1.50–3.79], <i>p</i> < .001) and CVD mortality (HR = 2.71 [1.11–6.64], <i>p</i> = .03). The RSF model demonstrated that, compared to other covariates, age and NPS were effective predictors of all-cause mortality in ageing individuals with HF, while NPS was the most effective predictor of CVD mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Naples Prognostic Score is a powerful indicator in predicting all-cause mortality and CVD mortality in ageing individuals with HF.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891695","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}
Older patients undergoing radiotherapy for head and neck cancers may develop osteoradionecrosis (ORN) of the jaw. Dentists in community hospitals serve as primary health-care providers and play a vital role in early detection and initial management for ORN in older patients. This study aimed to investigate current situations, barriers, knowledge and attitudes relating to ORN management, and to identify factors associated with adequate knowledge and positive attitudes among dentists working at community hospitals in Thailand.
Methods
A cross-sectional survey was conducted among community hospital dentists in Thailand, utilising a semi-structured questionnaire addressing the current situation or barriers, knowledge and attitudes related to ORN management. Necessary support was also assessed. The Fisher’s exact test was performed to identify factors related to the development of adequate knowledge and positive attitudes towards ORN management. The level of significance was set at p < .05.
Results
One hundred and seventy dentists responded to the questionnaire (21% response rate). Notably, a high immediate referral rate to specialists upon ORN diagnosis (86%) was found. The barriers reported were mostly ageing-related. Most dentists demonstrated knowledge of ORN pathophysiology by Marx and recognised that ORN could be observed during dental procedures. Additional education about ORN showed a significant association with adequate knowledge and a positive attitude towards ORN management.
Conclusions
Osteoradionecrosis in older patients remains challenging to manage by dentists in community hospital settings. Strengthening management requires improved emerging knowledge and confidence through ongoing training, and a national policy framework is necessary to support timely referral and coordinated care.
{"title":"Situational analysis of osteoradionecrosis of the jaw management in older adults among dentists in community hospitals","authors":"Somjet Phaisri, Patcharawan Srisilapanan, Warit Powcharoen","doi":"10.1111/ajag.70081","DOIUrl":"https://doi.org/10.1111/ajag.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Older patients undergoing radiotherapy for head and neck cancers may develop osteoradionecrosis (ORN) of the jaw. Dentists in community hospitals serve as primary health-care providers and play a vital role in early detection and initial management for ORN in older patients. This study aimed to investigate current situations, barriers, knowledge and attitudes relating to ORN management, and to identify factors associated with adequate knowledge and positive attitudes among dentists working at community hospitals in Thailand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted among community hospital dentists in Thailand, utilising a semi-structured questionnaire addressing the current situation or barriers, knowledge and attitudes related to ORN management. Necessary support was also assessed. The Fisher’s exact test was performed to identify factors related to the development of adequate knowledge and positive attitudes towards ORN management. The level of significance was set at <i>p</i> < .05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred and seventy dentists responded to the questionnaire (21% response rate). Notably, a high immediate referral rate to specialists upon ORN diagnosis (86%) was found. The barriers reported were mostly ageing-related. Most dentists demonstrated knowledge of ORN pathophysiology by Marx and recognised that ORN could be observed during dental procedures. Additional education about ORN showed a significant association with adequate knowledge and a positive attitude towards ORN management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Osteoradionecrosis in older patients remains challenging to manage by dentists in community hospital settings. Strengthening management requires improved emerging knowledge and confidence through ongoing training, and a national policy framework is necessary to support timely referral and coordinated care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891693","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":"Tribute to Professor Gerald Anthony (Tony) Broe AM MB BS FRACP FACRM","authors":"Sue Ogle, John Cullen, Bill Brooks","doi":"10.1111/ajag.70075","DOIUrl":"https://doi.org/10.1111/ajag.70075","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773738","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}
Lily Xiao, Ada Cheng, Candy Xie, Kam Chiu, Ying Yu, Shahid Ullah, Jing Wang, Rujun Hu, Dingxin Xu, Xiaoying Pan, Angela Rong Yang Zhang
Objective
To: (1) compare the effectiveness of the ‘Usual iSupport’ and ‘Tailored iSupport’ programs on carers' quality of life (QoL); self-efficacy; and their care recipients' QoL; and (2) explore carers' acceptance of and adherence to the programs, satisfaction with the support, recruitment and retention rates, and staff training rate in a 6-month trial.
Methods
An internal pilot randomised controlled trial nested in a large effectiveness implementation trial.
Results
In total, 78 carers enrolled in the trial. Most carers were female (66% or 85%), with a mean age of 65.6 years. We detected a statistically significant difference of mean score in mental health-related QoL (3.44 [95% CI: .53, 6.35]; p = .02); self-efficacy for responding to changed behaviours (9.02 [95% CI: 1.24, 16.81], p = .02); and self-efficacy for controlling upsetting thoughts (8.83 [95% CI: 1.14, 16.51]; p = .03) between the ‘Usual iSupport’ group and the ‘Tailored iSupport’ group at 6 months post-intervention. The recruitment and retention rates were 17% and 100%, respectively. Carers in the ‘Tailored iSupport’ group completed 16.5 iSupport units, attended 4.5 peer support meetings and rated their satisfaction with the support highly. The staff training rate was 36%.
Conclusions
This internal pilot study identified improved mental health-related QoL, self-efficacy for controlling upsetting thoughts, and for responding to changed behaviours in the ‘Tailored iSupport’ group. The recruitment rate was low, but the retention rate was high, and carers showed adherence to the intervention.
{"title":"A feasibility study on embedding the usual Chinese iSupport and tailored Chinese iSupport programs in aged care services","authors":"Lily Xiao, Ada Cheng, Candy Xie, Kam Chiu, Ying Yu, Shahid Ullah, Jing Wang, Rujun Hu, Dingxin Xu, Xiaoying Pan, Angela Rong Yang Zhang","doi":"10.1111/ajag.70072","DOIUrl":"https://doi.org/10.1111/ajag.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To: (1) compare the effectiveness of the ‘Usual iSupport’ and ‘Tailored iSupport’ programs on carers' quality of life (QoL); self-efficacy; and their care recipients' QoL; and (2) explore carers' acceptance of and adherence to the programs, satisfaction with the support, recruitment and retention rates, and staff training rate in a 6-month trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An internal pilot randomised controlled trial nested in a large effectiveness implementation trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 78 carers enrolled in the trial. Most carers were female (66% or 85%), with a mean age of 65.6 years. We detected a statistically significant difference of mean score in mental health-related QoL (3.44 [95% CI: .53, 6.35]; <i>p</i> = .02); self-efficacy for responding to changed behaviours (9.02 [95% CI: 1.24, 16.81], <i>p</i> = .02); and self-efficacy for controlling upsetting thoughts (8.83 [95% CI: 1.14, 16.51]; <i>p</i> = .03) between the ‘Usual iSupport’ group and the ‘Tailored iSupport’ group at 6 months post-intervention. The recruitment and retention rates were 17% and 100%, respectively. Carers in the ‘Tailored iSupport’ group completed 16.5 iSupport units, attended 4.5 peer support meetings and rated their satisfaction with the support highly. The staff training rate was 36%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This internal pilot study identified improved mental health-related QoL, self-efficacy for controlling upsetting thoughts, and for responding to changed behaviours in the ‘Tailored iSupport’ group. The recruitment rate was low, but the retention rate was high, and carers showed adherence to the intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773736","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号