http://hdl.handle.net/2440/13901 2013-05-23T04:47:41Z 2013-05-23T04:47:41Z Masters, Stacey Gordon, Jason Paul Whitehead, Craig H. Davies, Owen Giles, Lynne Catherine Ratcliffe, Julie http://hdl.handle.net/2440/77944 2013-05-23T00:30:16Z 2011-12-31T13:30:00Z

Title: Coaching older adults and carers to have their preferences heard (COACH): a randomised controlled trial in an intermediate care setting (study protocol) Author: Masters, Stacey; Gordon, Jason Paul; Whitehead, Craig H.; Davies, Owen; Giles, Lynne Catherine; Ratcliffe, Julie Abstract: BACKGROUND: Frail older people who are considering movement into residential aged care or returning home following a hospital admission often face complex and diffiult decisions. Despite research interest in this area, a recent Cochrane review was unable to identify any studies of interventions to support decision-making in this group that met the experimental or quasi-­experimental study design criteria. AIMS: This study tests the impact of a multi-component coaching intervention on the quality of preparation for care transitions, targeted to older adults and informal carers. In addition, the study assesses the impact of investing specialist geriatric resources into consultations with families in an intermediate care setting where decisions about future care needs are being made. METHOD: This study was a randomised controlled trial of 230 older adults admitted to intermediate care in Australia. Masked assessment at 3 and 12 months examined physical functioning, health-­‐related quality of life and utilisation of health and aged care resources. A geriatrician and specialist nurse delivered a coaching intervention to both the older person and their carer/family. Components of the intervention included provision of a Question Prompt List prior to meeting with a geriatrician (to clarify medical conditions and treatments, medications, ‘red flags’, end of life decisions and options for future health care) and a follow-up meeting with a nurse who remained in telephone contact. Participants received a printed summary and an audio recording of the meeting with the geriatrician. CONCLUSION: The costs and outcomes of the intervention are compared with usual care. Trial registration: Australian New Zealand Clinical Trials Registry (ACTRN12607000638437).

2011-12-31T13:30:00Z Marsh, Colin Rothmore, Paul Ronald http://hdl.handle.net/2440/77937 2013-05-22T06:30:19Z 2011-12-31T13:30:00Z

Title: Ageing workers in the healthcare environment: a review of available information to assist employers Author: Marsh, Colin; Rothmore, Paul Ronald Abstract: The Australian population, and its workforce, is ageing. The increased risk of injury faced by the older worker due to physiological changes, while generally well-known, is not well considered in the design of the working environment. This is particularly apparent in the health care sector where an ageing workforce provides care for an increasingly aged and infirmed patient population in environments that do not specifically cater for the needs of either. We have sought to examine the availability of information to assist workplace designers, health and safety professionals and employers design health care environments for the older worker by undertaking a systematic search of electronic media. The results have shown a lack of specific guidance or regulatory material. If Australia seeks to promote work into, and beyond, potential retirement age then specific standards are required to address the needs of the ageing workforce.

2011-12-31T13:30:00Z Guthridge, Steven Lindsay Ryan, Philip Condon, John R. Bromfield, Leah M. Moss, John Robert Lynch, John William http://hdl.handle.net/2440/77922 2013-05-22T04:30:35Z 2011-12-31T13:30:00Z

Title: Trends in reports of child malreatment in the Northern Territory, 1999-2010 Author: Guthridge, Steven Lindsay; Ryan, Philip; Condon, John R.; Bromfield, Leah M.; Moss, John Robert; Lynch, John William Abstract: OBJECTIVE: To examine trends in reports of child maltreatment to the Northern Territory Department of Children and Families among Aboriginal and non-Aboriginal children. DESIGN, SETTING AND SUBJECTS: A historical cohort study using administrative data collections of notifications and substantiated cases of maltreatment among children aged from 0 to 17 years. MAIN OUTCOME MEASUReS: Annual rates of notification and substantiation of different types of child maltreatment. RESULTS: From 1999 to 2010, the overall annual rates of notification for maltreatment of Aboriginal children showed an average increase of 21% (incidence rate ratio [IRR], 1.21; 95% CI, 1.19–1.24). The greatest increases were in notifications for neglect and emotional abuse. There were parallel increases in rates of substantiated cases of maltreatment. Among non-Aboriginal children, the overall annual rates of notification also increased (IRR, 1.10; 95% CI, 1.07–1.14); however, changes in annual rates of substantiated cases for all types of maltreatment were not statistically significant. CONCLUSION: There have been considerable increases in both notifications and substantiated cases of child maltreatment, most prominently among Aboriginal children. It is possible that the observed increases reflect increasing incidence of maltreatment; however, they are also consistent with a mix of increased surveillance, improved service access, changes in policy and a shift in public attitudes.

2011-12-31T13:30:00Z Hajiali Afzali, Hossein Karnon, Jonathan Daniel Gray, Jodi Patricia Beilby, Justin John http://hdl.handle.net/2440/77887 2013-05-21T06:30:55Z 2011-12-31T13:30:00Z

Title: Evaluation of collaborative models of care in the management of patients with depression: protocol and progress Author: Hajiali Afzali, Hossein; Karnon, Jonathan Daniel; Gray, Jodi Patricia; Beilby, Justin John

2011-12-31T13:30:00Z