Int J Environ Res Public Health
October 2024
This study assessed the physical and psychological health parameters of adults experiencing homelessness to inform the development and delivery of health services by comparing with a housed population in the same South Australian city. Adults experiencing homelessness, known to existing support services, were invited to participate in a comprehensive assessment of their physical and mental health using questionnaires and objective assessments. Descriptive analyses using the percentage of participants failing to attain recommended published thresholds and accumulated health deficits for 16 health assessments were compared for the young group of people experiencing homelessness (18-40 years), the middle aged and older people experiencing homelessness (40-75 years), and a housed population of the middle aged and older people (40-75 years).
View Article and Find Full Text PDFBackground: Appropriate and acceptable recruitment strategies and assessment tools are essential to determine the health needs for people experiencing homelessness. Based on a systematic review and known feasible community-based health assessments for people who are not homeless, a set of health assessments were trialled with people experiencing homelessness.
Methods: Participants were recruited via support agencies.
This study investigated clinical supervision with Allied Health professionals in a public health setting. Staff perceptions and experiences were explored through focus group discussions. Key themes identified that supervisees "tip-toe into complexity" by engaging in reflective practice for incremental personal and professional development.
View Article and Find Full Text PDFPhysiother Theory Pract
November 2022
Background: Near falls, such as stumbles or slips without falling to the ground, are more common than falls and often lead to a fall.
Purpose: The objective of this study was to investigate which balance tests differentiate near fallers from fallers and non-fallers.
Methods: This cross-sectional, observational study assessed balance in healthy community dwelling adults aged 40-75 years.
Compared to laboratory equipment inertial sensors are inexpensive and portable, permitting the measurement of postural sway and balance to be conducted in any setting. This systematic review investigated the inter-sensor and test-retest reliability, and concurrent and discriminant validity to measure static and dynamic balance in healthy adults. Medline, PubMed, Embase, Scopus, CINAHL, and Web of Science were searched to January 2021.
View Article and Find Full Text PDFAustralas J Ageing
December 2021
Objectives: Evaluation of simulation and coaching training to change the self-efficacy of aged care workers to prevent and manage workplace aggressive events.
Methods: Seventeen aged care workers from a community and residential aged care service provider completed education modules and two half-days of simulation using actors and real-life scenarios, with real-time coaching. Carer self-efficacy to identify, prevent and manage anxiety and aggression was measured before, following and six months after training.
Introduction: Benefits of community participation and physical activity for the health and wellbeing of older adults are well documented. This review aims to answer the question; "How is community participation considered for older adults in the transition from hospital to home?"
Materials And Methods: This scoping review searched key databases using subject headings and keywords. Two independent reviewers selected studies based on a systematic procedure.
To synthesize older adults' experiences and perceptions of goal setting and pursuit within health systems. Six databases were searched to May 2019 using a combination of MeSH and free text terms. Included papers were written in English and reported original qualitative research for participants aged 65 years and older.
View Article and Find Full Text PDFStud Health Technol Inform
March 2020
Current legislation aims to enable older Australians to age in place, and puts public healthcare within the remit of local governments. As Australia's population ages, local governments will need to explore new methods of service delivery in order to meet the increasing need for services that promote healthy ageing. Information technology (IT) may provide one such solution, however older Australian adults are reported to have low levels of technology use.
View Article and Find Full Text PDFStud Health Technol Inform
March 2020
Accurate assessment of postural balance is necessary to identify and measure falls risk, inform clinical practice, determine efficacy of treatment and ultimately falls prevention. The aim of this scoping review was to identify gaps and inform practice, research and policy. There are a multitude of technologies available for assessing balance and no one that meets the requirements of every situation.
View Article and Find Full Text PDFJ Interprof Care
November 2021
Interprofessional collaboration is critical for optimal healthcare. Preparing for a collaborative, practice-ready workforce, the Interprofessional Learning Competencies (IPLCs) were adopted for accreditation of Australian entry-level health, nursing and medical tertiary training programs. In order to meet new accreditation standards, activities which facilitate and assess IPLC attainment must be identified.
View Article and Find Full Text PDFInt J Qual Health Care
December 2019
Objective: To understand the domains of agreement and disagreement, related to person-centred care, between the patient and healthcare professional during a shared episode of care.
Design: A systematic review following the PRISMA protocol searched PubMed (Medline), CINAHL, PsychInfo and Scopus using keywords for health professionals, patients and patient-centred care. A descriptive-interpretive method was used to identify domains described in the person-centred care framework.
J Eval Clin Pract
June 2020
Rationale, Aims, And Objectives: Most frailty assessments have been developed for people aged over 65 years. However, there is growing evidence that frailty is detectable in younger people. This paper tests the hypothesis that the Fried frailty phenotype and the CFS categories identify the same people in age-gender subgroups in community-dwelling 40 to 75-year-olds.
View Article and Find Full Text PDFBackground: Middle and older years are associated with age related health deficits but how early this begins and progresses is poorly understood. Better understanding is needed to address early decline and support healthier ageing outcomes.
Methods: Seemingly healthy, community dwelling adults aged 40 to 75 years were recruited via local council and business networks.
Objectives: There are no agreed comprehensive tests for age-related changes to physical, emotional, mental and social functioning. Research into declining function focuses on those 75 years and older and little is known about age-related changes in younger people. The aims of this project were (1) to ascertain a comprehensive test battery that could underpin community-based health screening programmes for people aged 40-75 years and pilot both (2) community-based recruitment and (3) the utility, acceptability, response burden and logistics.
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