2024 |
Pit SW, Horstmanshof L, Moehead A, Hayes O, Schache V, Parkinson L, 'International Standards for Dementia Workforce Education and Training: A Scoping Review.', Gerontologist, 64 (2024) [C1]
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Nova |
2023 |
O'Neill BJ, Dwyer T, Parkinson L, Reid-Searl K, Jeffrey D, 'Identifying the core components of a nursing home hospital avoidance programme', International Journal of Older People Nursing, 18 (2023) [C1]
Background: Nursing home hospital avoidance programmes have contributed to a reduction in unnecessary emergency transfers but a description of the core components of the programme... [more]
Background: Nursing home hospital avoidance programmes have contributed to a reduction in unnecessary emergency transfers but a description of the core components of the programmes has not been forthcoming. A well-operationalised health-care programme requires clarity around core components to evaluate and replicate the programme. Core components are the essential functions and principles that must be implemented to produce expected outcomes. Objectives: To identify the core components of a nursing home hospital avoidance programme by assessing how the core components identified at one nursing home (Site One) translated to a second nursing home (Site Two). Methods: Data collected during the programme's implementation at Site Two were reviewed for evidence of how the core components named at Site One were implemented at Site Two and to determine if any additional core components were evident. The preliminary updated core components were then shared with seven evaluators familiar with the hospital avoidance programme for consensus. Results: The updated core components were agreed to include the following: Decision Support Tools, Advanced Clinical Skills Training, Specialist Clinical Support and Collaboration, Facility Policy and Procedures, Family and Care Recipient Education and Engagement, Culture of Staff Readiness, Supportive Executive and Facility Management. Conclusion: This study launches a discussion on the need to identify hospital avoidance programme core components, while providing valuable insight into how Site One core programme components, such as resources, education and training, clinical and facility support, translated to Site Two, and why modifications and additions, such as incorporating the programme into facility policy, family education and executive support were necessary, and the ramifications of those changes. The next step is to take the eight core component categories and undertake a rigorous fidelity assessment as part of formal process evaluation where the components can be critiqued and measured across multiple nursing home sites. The core components can then be used as evidence-based building blocks for developing, implementing and evaluating nursing home hospital avoidance programmes.
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Nova |
2023 |
Allen MJ, Carter HE, Cyarto E, Meyer C, Dwyer T, Oprescu F, et al., 'From pilot to a multi-site trial: refining the Early Detection of Deterioration in Elderly Residents (EDDIE +) intervention', BMC Geriatrics, 23 (2023) [C1]
Background: Early Detection of Deterioration in Elderly Residents (EDDIE +) is a multi-modal intervention focused on empowering nursing and personal care workers to identify and p... [more]
Background: Early Detection of Deterioration in Elderly Residents (EDDIE +) is a multi-modal intervention focused on empowering nursing and personal care workers to identify and proactively manage deterioration of residents living in residential aged care (RAC) homes. Building on successful pilot trials conducted between 2014 and 2017, the intervention was refined for implementation in a stepped-wedge cluster randomised trial in 12 RAC homes from March 2021 to May 2022. We report the process used to transition from a small-scale pilot intervention to a multi-site intervention, detailing the intervention to enable future replication. Methods: The EDDIE + intervention used the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to guide the intervention development and refinement process. We conducted an environmental scan; multi-level context assessments; convened an intervention working group (IWG) to develop the program logic, conducted a sustainability assessment and deconstructed the intervention components into fixed and adaptable elements; and subsequently refined the intervention for trial. Results: The original EDDIE pilot intervention included four components: nurse and personal care worker education; decision support tools; diagnostic equipment; and facilitation and clinical support. Deconstructing the intervention into core components and what could be flexibly tailored to context was essential for refining the intervention and informing future implementation across multiple sites. Intervention elements considered unsustainable were updated and refined to enable their scalability. Refinements included: an enhanced educational component with a greater focus on personal care workers and interactive learning; decision support tools that were based on updated evidence; equipment that aligned with recipient needs and available organisational support; and updated facilitation model with local and external facilitation. Conclusion: By using the i-PARIHS framework in the scale-up process, the EDDIE + intervention was tailored to fit the needs of intended recipients and contexts, enabling flexibility for local adaptation. The process of transitioning from a pilot to larger scale implementation in practice is vastly underreported yet vital for better development and implementation of multi-component interventions across multiple sites. We provide an example using an implementation framework and show it can be advantageous to researchers and health practitioners from pilot stage to refinement, through to larger scale implementation. Trial registration: The trial was prospectively registered with the Australia New Zealand Clinical Trial Registry (ACTRN12620000507987, registered 23/04/2020).
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Nova |
2023 |
Alley SJ, Schoeppe S, To QG, Parkinson L, van Uffelen J, Hunt S, et al., 'Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults', International Journal of Behavioral Nutrition and Physical Activity, 20 (2023) [C1]
Background: Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older ... [more]
Background: Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older adults. Therefore, this study aimed to examine the engagement, acceptability, usability, and satisfaction with ¿Active for Life,¿ a web-based physical activity intervention providing computer-tailored physical activity advice to older adults. Methods: Inactive older adults (n = 243) were randomly assigned into 3 groups: 1) tailoring + Fitbit, 2) tailoring only, or 3) a wait-list control. The tailoring + Fitbit group and the tailoring-only group received 6 modules of computer-tailored physical activity advice over 12¿weeks. The advice was informed by objective Fitbit data in the tailoring + Fitbit group and self-reported physical activity in the tailoring-only group. This study examined the engagement, acceptability, usability, and satisfaction of Active for Life in intervention participants (tailoring + Fitbit n = 78, tailoring only n = 96). Wait-list participants were not included. Engagement (Module completion, time on site) were objectively recorded through the intervention website. Acceptability (7-point Likert scale), usability (System Usability Scale), and satisfaction (open-ended questions) were assessed using an online survey at post intervention. ANOVA and Chi square analyses were conducted to compare outcomes between intervention groups and content analysis was used to analyse program satisfaction. Results: At post-intervention (week 12), study attrition was 28% (22/78) in the Fitbit + tailoring group and 39% (37/96) in the tailoring-only group. Engagement and acceptability were good in both groups, however there were no group differences (module completions: tailoring + Fitbit: 4.72 ± 2.04, Tailoring-only: 4.23 ± 2.25 out of 6 modules, p =.14, time on site: tailoring + Fitbit: 103.46 ± 70.63, Tailoring-only: 96.90 ± 76.37¿min in total, p =.56, and acceptability of the advice: tailoring + Fitbit: 5.62 ± 0.89, Tailoring-only: 5.75 ± 0.75 out of 7, p =.41). Intervention usability was modest but significantly higher in the tailoring + Fitbit group (tailoring + Fitbit: 64.55 ± 13.59, Tailoring-only: 57.04 ± 2.58 out of 100, p =.003). Participants reported that Active for Life helped motivate them, held them accountable, improved their awareness of how active they were and helped them to become more active. Conversely, many participants felt as though they would prefer personal contact, more detailed tailoring and more survey response options. Conclusions: This study supports web-based physical activity interventions with computer-tailored advice and Fitbit integration as engaging and acceptable in older adults. Trial registration: Australian and New Zealand Clinical Trials Registry: ACTRN12618000646246. Registered April 23 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374901
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Nova |
2023 |
Dimla B, Parkinson L, Wood D, Powell Z, 'Hospital discharge planning: A systematic literature review on the support measures that social workers undertake to facilitate older patients' transition from hospital admission back to the community.', Australas J Ageing, 42 20-33 (2023) [C1]
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Nova |
2022 |
Parkinson L, 'Why is ethical approval important?', AUSTRALASIAN JOURNAL ON AGEING, 41 355-356 (2022)
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2022 |
Alley SJ, van Uffelen J, Schoeppe S, Parkinson L, Hunt S, Power D, et al., 'The Effectiveness of a Computer-Tailored Web-Based Physical Activity Intervention Using Fitbit Activity Trackers in Older Adults (Active for Life): Randomized Controlled Trial', JOURNAL OF MEDICAL INTERNET RESEARCH, 24 (2022) [C1]
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Nova |
2022 |
Chen M, Thompson CL, Parkinson L, 'The Effects of COVID-19 on Australian Family Caregivers of People with Dementia: Caregiver COVID-19 Limitations Scale.', Alzheimer's and Dementia, 18 (2022)
Background: There is limited research on the effects of COVID-19 and accompanying psychological and health related outcomes among Australian family caregivers. The aim of this res... [more]
Background: There is limited research on the effects of COVID-19 and accompanying psychological and health related outcomes among Australian family caregivers. The aim of this research was to examine caregiver limitations as a result of COVID-19, and measure this perceived impact on caregiving using the newly developed Caregiver COVID-19 Limitations Scale (CCLS-9). Psychometric properties of the CCLS-9 were also examined. Method: Forty-four Australian family caregivers of individuals living with dementia completed a cross-sectional online survey between May and September 2021. Outcome measures included psychological distress, caregiver burden, caregiver self-efficacy, social support, quality of life, and COVID-19 related caregiver limitations. Result: Psychological distress and social support significantly predicted caregiver limitations. Australian family caregivers reported high levels of psychological distress and caregiver burden, low levels of self-efficacy, moderate levels of perceived social support and quality of life. Overall COVID-19 had a moderate impact on Australian family caregivers. The CCLS-9 demonstrated good internal consistency and test-retest reliability, poor concurrent validity, and results provided support for a two-factor model of the CCLS-9. Conclusion: Findings from this study offer preliminary insight into the negative effects of COVID-19 on Australian family caregivers. Distinctly, the pandemic continues to pose a significant threat to the health and psychological wellbeing of Australian family caregivers of individuals living with dementia. Therefore, Australian family caregivers should receive increased and ongoing support during these unprecedented times.
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2022 |
Jameson S, Parkinson L, 'Work-related well-being of personal care attendants employed in the aged care sector: Prevalence and predictors of compassion fatigue', Australasian Journal on Ageing, 41 e131-e139 (2022) [C1]
Objective: This study examined the factors contributing to compassion fatigue (CF) for personal care attendants (PCAs) working in the Australian aged care sector. Methods: Social ... [more]
Objective: This study examined the factors contributing to compassion fatigue (CF) for personal care attendants (PCAs) working in the Australian aged care sector. Methods: Social media was the main recruitment mode. An anonymous online self-report survey collected demographic information and measures of CF from 169 PCAs, aged between 18 and 66¿years. Results: High levels of CF were reported by 53.3% of respondents. Compassion fatigue was higher in PCAs working in residential aged care than those in community care. Predictors of CF were psychological distress, not having time to care for clients, and poor work psychosocial safety climate. Psychological distress explained 47.9% of the variance in the regression model. Conclusions: Many PCAs working in the Australian aged care sector report experiencing CF, which is highly associated with psychological distress. Interventions to reduce psychological stress for PCAs in aged care are urgently needed to ensure quality care and safety for residents.
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Nova |
2021 |
Banbury A, Pedell S, Parkinson L, Byrne L, 'Using the Double Diamond model to co-design a dementia caregivers telehealth peer support program', Journal of Telemedicine and Telecare, 27 667-673 (2021) [C1]
We aimed to develop a telehealth peer support program for isolated dementia caregivers. This paper reports the co-design process by telehealth and the impact and experiences of pa... [more]
We aimed to develop a telehealth peer support program for isolated dementia caregivers. This paper reports the co-design process by telehealth and the impact and experiences of participants. The Double Diamond model guided the co-design process, which has four phases, with participants reflecting on their caregiving experiences. Group meetings were recorded, notes compiled with inductive thematic analysis undertaken for phases one to three. Each phase findings were presented to the group for verification and refinement. Semi-structured interviews with participants were completed at the end of the project. Six dementia caregivers were recruited from dispersed locations with diverse characteristics. The process identified eight key topics to be included in a program to be delivered by telehealth. Participants reported the technology did not detract from the co-design and at times aided it, despite some technical problems. All reported high levels of group connectedness, feeling supported and transfer of knowledge and skills. One participant would have liked more understanding of the process. The group continued to meet without professional input for 2.5 years following the completion of the project. Telehealth can be a mechanism to support diverse populations in participating in co-design projects.
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2021 |
Carter HE, Lee XJ, Farrington A, Shield C, Graves N, Cyarto EV, et al., 'A stepped-wedge randomised controlled trial assessing the implementation, effectiveness and cost-consequences of the EDDIE plus hospital avoidance program in 12 residential aged care homes: study protocol', BMC GERIATRICS, 21 (2021)
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2021 |
Parkinson L, Magin P, Etherton-Beer C, Naganathan V, Mangin D, 'Engaging general practice and patients with AusTAPER, a pharmacist facilitated web-based deprescribing tool', Journal of Pharmacy Practice and Research, 51 154-159 (2021) [C1]
The objective of this study was to explore the Australian general practitioner (GP) and patient experience of AusTAPER, a pharmacist facilitated web-based deprescribing tool, with... [more]
The objective of this study was to explore the Australian general practitioner (GP) and patient experience of AusTAPER, a pharmacist facilitated web-based deprescribing tool, within a pilot implementation of the tool. This qualitative study of experiences of using AusTAPER in clinical practice used one-on-one interviews with patients (=70¿years, taking =5 medicines) and GPs. Thematic content analyses for patients and GPs were triangulated to synthesise findings. Nine patients and two GPs responded. Three main themes arose from the synthesised results: ¿engagement of GPs and patients¿; ¿pharmacist as central¿; and ¿patient outcomes¿. AusTAPER prompted qualitative deprescribing and was acceptable to both GPs and patients. Patients appreciated medicines being monitored by pharmacists. There was evidence of synergy of GP and pharmacist opinion in facilitating patient understanding and shared decision-making. These qualitative findings provide evidence that AusTAPER engaged GPs and patients and prompted judicious medicine review and deprescribing.
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Nova |
2020 |
Banbury A, Nancarrow S, Dart J, Gray L, Dodson S, Osborne R, Parkinson L, 'Adding value to remote monitoring: Co-design of a health literacy intervention for older people with chronic disease delivered by telehealth - The telehealth literacy project', Patient Education and Counseling, 103 597-606 (2020) [C1]
Objective: To co-design, test and evaluate a health literacy, chronic disease self-management and social support intervention for older people delivered by group videoconferencing... [more]
Objective: To co-design, test and evaluate a health literacy, chronic disease self-management and social support intervention for older people delivered by group videoconferencing into the home. Method: The Telehealth Literacy Project (THLP) was a mixed methods, quasi-experimental, non-randomised trial nested within a telehealth remote monitoring study. An intervention group (n = 52) participated in five, weekly videoconference group meetings lasting for 1.5 h and a control group (n = 60) received remote monitoring only. Outcomes were measured using the nine-scale Health Literacy Questionnaire (HLQ) and two scales of the Health Education Impact Questionnaire (heiQ). Semi-structured interviews and focus group data were thematically analysed. Result: At 3 month follow-up, univariate analysis identified small effects in the intervention group only, with improved health literacy behaviours (five HLQ scales) and self-management skills (two heiQ scales). ANOVA of HLQ scales indicated no significant differences between the two groups over time indicating a contributing effect of the remote monitoring project. Intervention participants reported improved perception of companionship, emotional and informational support. Conclusion: The THLP delivered with telemonitoring indicates potential to improve social support and some health literacy factors in older people. Practice implications: Patient education can be delivered by group videoconferencing.
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Nova |
2020 |
Parkinson L, 'Beyond a decade of Australasian Journal on Ageing', AUSTRALASIAN JOURNAL ON AGEING, 39 173-174 (2020)
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2020 |
Dimla B, Wood D, Parkinson L, 'A Qualitative Study on How Social Workers From Regional and Metropolitan Queensland, Australia Perceive the Impact of the National Prioritisation System on Hospital Discharge Planning: A Study Protocol', INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, 19 (2020)
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2020 |
Jameson S, Parkinson L, Banbury A, 'After the care journey: exploring the experiences of family carers of people living with dementia', AGEING & SOCIETY, 40 2429-2447 (2020) [C1]
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2020 |
Carter HE, Lee XJ, Dwyer T, O'Neill B, Jeffrey D, Doran CM, et al., 'The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis', BMC GERIATRICS, 20 (2020) [C1]
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Nova |
2020 |
Alley SJ, Samra P, Rebar AL, Schoeppe S, Parkinson L, Power D, et al., 'A focus group study of older adults' perceptions and preferences towards web-based physical activity interventions', INFORMATICS FOR HEALTH & SOCIAL CARE, 45 273-281 (2020) [C1]
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2019 |
Alley S, van Uffelen JGZ, Schoeppe S, Parkinson L, Hunt S, Power D, et al., 'Efficacy of a computer-tailored web-based physical activity intervention using Fitbits for older adults: a randomised controlled trial protocol', BMJ OPEN, 9 (2019)
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2019 |
Parkinson L, Radford K, 'Delivering inclusive and quality services in community and residential aged care settings', AUSTRALASIAN JOURNAL ON AGEING, 38 80-84 (2019)
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2019 |
Banbury A, Parkinson L, Gordon S, Wood D, 'Implementing a peer-support programme by group videoconferencing for isolated carers of people with dementia', Journal of Telemedicine and Telecare, 25 572-577 (2019) [C1]
Introduction: Carers support programmes are commonly delivered in person, limiting attendance opportunities for rural carers and others who have access barriers. Studies using tec... [more]
Introduction: Carers support programmes are commonly delivered in person, limiting attendance opportunities for rural carers and others who have access barriers. Studies using technology typically use text-based forums rather than real-time technology such as videoconferencing (VC). Delivering home-based carers support programmes by VC may mitigate barriers for accessing support. We report implementation findings for delivering a telehealth peer-support programme for isolated carers of people with dementia. Methods: Participants were recruited through aged care providers, peak bodies and media activities. Inclusion criteria were primary dementia caregiver with Internet access and being socially or geographically isolated. The study design was a staggered randomised waitlist design. Measures included the UCLA Loneliness Scale (ULS-6) and selected scales from the e-Health Literacy Questionnaire. Recruitment activities utilised digital processes. Participants completed a six-week programme delivered by VC. Qualitative data comprised logs detailing administration and IT procedures and difficulties. Post programme, 28 participants undertook semi-structured interviews. Data were analysed using descriptive statistics and thematic analysis. Results: There were 16 groups comprising 69 participants located throughout Australia, with 87% using their own devices. Technical issues were few but included connection problems, which were compounded by low digital literacy skills. Qualitative data themes included changing perceptions in using technology, differences in communicating by VC and technical support required. Recruitment activities were time-consuming and would benefit from IT tailored for group-based work. Eight groups continued to meet on a self-organised basis. Discussion: Providing peer-support groups using telehealth may have the potential to develop self-sustaining peer networks for isolated caregivers of people with dementia.
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2019 |
Parkinson L, 'AJA and the Australian Royal Commission into Aged Care Quality and Safety', AUSTRALASIAN JOURNAL ON AGEING, 38 77-77 (2019)
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2019 |
Parkinson L, Banbury A, Hillman W, Lee J, 'What are older people and their families looking for in an aged care services provider?', AUSTRALASIAN JOURNAL ON AGEING, 39 244-253 (2019) [C1]
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2019 |
O'Mullan C, Debattista J, Parkinson L, '"I'm in control: I'm not stumbling in the dark anymore": Midlife women's experiences of successfully negotiating safer sex with new partners', JOURNAL OF WOMEN & AGING, 31 73-88 (2019) [C1]
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2019 |
de Luca K, Wong A, Eklund A, Fernandez M, Byles JE, Parkinson L, et al., 'Multisite joint pain in older Australian women is associated with poorer psychosocial health and greater medication use', CHIROPRACTIC & MANUAL THERAPIES, 27 (2019) [C1]
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Nova |
2019 |
Samra PK, Rebar AL, Parkinson L, Van Uffelen JGZ, Schoeppe S, Power D, et al., 'Physical activity attitudes, preferences, and experiences of regionally-based Australia adults aged 65 years and older', Journal of Aging and Physical Activity, 27 446-451 (2019) [C1]
An understanding of physical activity attitudes, preferences, and experiences in older adults is important for informing interventions. Focus groups were conducted with 46 regiona... [more]
An understanding of physical activity attitudes, preferences, and experiences in older adults is important for informing interventions. Focus groups were conducted with 46 regionally-based Australian adults aged 65 years and older, who were not currently meeting activity recommendations. Content analysis revealed that participants mainly engaged in incidental activities such as gardening and household chores rather than planned exercise; however, leisure-time walking was also mentioned frequently. Although participants valued the physical and mental health benefits of physical activity, they reported being restricted by poor physical health, extreme weather, and fear of injury. Participants were interested in exercise groups and physical activity programs tailored to their existing physical health. The majority of participants reported preferring to be active with others. The findings from this study are useful in for informing future interventions specifically tailored to the needs of older adults in Australia.
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2018 |
Banbury A, Nancarrow S, Dart J, Gray L, Parkinson L, 'Telehealth interventions delivering home-based support group videoconferencing: Systematic review', Journal of Medical Internet Research, 20 1-17 (2018) [C1]
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Nova |
2018 |
O'Neill BJ, Dwyer T, Reid-Searl K, Parkinson L, 'Nursing staff intentions towards managing deteriorating health in nursing homes: A convergent parallel mixed-methods study using the theory of planned behaviour', Journal of Clinical Nursing, 27 e992-e1003 (2018) [C1]
Aims and objectives: To predict the factors that are most important in explaining nursing staff intentions towards early detection of the deteriorating health of a resident and pr... [more]
Aims and objectives: To predict the factors that are most important in explaining nursing staff intentions towards early detection of the deteriorating health of a resident and providing subacute care in the nursing home setting. Background: Nursing staff play a pivotal role in managing the deteriorating resident and determining whether the resident needs to be transferred to hospital or remain in the nursing home; however, there is a dearth of literature that explains the factors that influence their intentions. This information is needed to underpin hospital avoidance programs that aim to enhance nursing confidence and skills in this area. Design: A convergent parallel mixed-methods study, using the theory of planned behaviour as a framework. Methods: Surveys and focus groups were conducted with nursing staff (n¿=¿75) at a 94-bed nursing home at two points in time, prior to and following the implementation of a hospital avoidance program. The quantitative and qualitative data were analysed separately and merged during final analysis. Results: Nursing staff had strong intentions, a positive attitude that became significantly more positive with the hospital avoidance program in place, and a reasonable sense of control; however, the influence of important referents was the strongest predictor of intention towards managing residents with deteriorating health. Support from a hospital avoidance program empowered staff and increased confidence to intervene. Conclusion: The theory of planned behaviour served as an effective framework for identifying the strong influence referents had on nursing staff intentions around managing residents with deteriorating health. Although nursing staff had a reasonable sense of control over this area of their work, they believed they benefitted from a hospital avoidance program initiated by the nursing home. Relevance to clinical practice: Managers implementing hospital avoidance programs should consider the role of referents, appraise the known barriers and facilitators and take steps to identify those unique to their local situation. All levels of nursing staff play a role in preventing hospitalisation and should be consulted in the design, implementation and evaluation of any hospital avoidance strategies.
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2018 |
Parkinson L, 'Ethical boundaries', AUSTRALASIAN JOURNAL ON AGEING, 37 5-6 (2018)
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2018 |
Parkinson L, 'Useful reviews', AUSTRALASIAN JOURNAL ON AGEING, 37 87-87 (2018)
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2018 |
de Luca K, Parkinson L, Hunter S, Byles JE, 'Qualitative insights into the experience of pain in older Australian women with arthritis', Australasian Journal on Ageing, 37 210-216 (2018) [C1]
Objective: To explore qualitative insights into the pain experience of older women with quantitatively derived pain profiles. Methods: The sequential mixed methods design involved... [more]
Objective: To explore qualitative insights into the pain experience of older women with quantitatively derived pain profiles. Methods: The sequential mixed methods design involved applying quantitative pain profiles, derived from an earlier latent class analysis, to qualitative comments by a sample of older Australian women with arthritis. Data from a substudy of the Australian Longitudinal Study on Women's Health, mid-aged cohort, born 1946¿1951, were used. Inductive content analysis was conducted to explore qualitative insights into the experience of pain. Results: The average age of women was 64.6 years (±1.4). Within each derived pain profile, themes generated from the qualitative comments of women were concordant with the profile descriptors: ¿I manage my pain¿ for the uni-dimensional, mild pain profile (comments from 56 women); ¿I live with pain every day¿ and ¿I rely on medication regularly¿ for the moderate multidimensional pain profile (comments from 39 women); and ¿multiple pains¿, ¿I suffer with pain¿ and ¿I am unable and adjust¿ for the severe multidimensional pain profile (comments from 31 women). Conclusion: Women with different pain profiles used different language and strategies in managing their pain experience, information which can guide clinicians to provide more tailored support for self-management and care of arthritis pain.
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Nova |
2018 |
Parkinson L, Banbury A, Livingstone A, Gordon S, Ray B, Byrne L, et al., 'Caring for carers of people with dementia: A protocol for harnessing innovation through deploying leading edge technologies to enable virtual support groups and services', Studies in Health Technology and Informatics, 246 29-41 (2018)
In rural Australia, knowledge and utilisation of support by informal carers is lacking. During the caregiving period, socioemotional support from family and friends plays an impor... [more]
In rural Australia, knowledge and utilisation of support by informal carers is lacking. During the caregiving period, socioemotional support from family and friends plays an important role in sustaining caregiving activities. Post-care, these social networks facilitate adjustment to role change and dealing with grief. Developing and improving access to peer support to enable carers to effectively cope with the challenges of caring may positively influence their caring experience. The primary objective of this project is to examine the response of isolated rural carers for older people with dementia to a videoconference (VC) based peer support and information program. Will participation in the program improve self-efficacy, quality of life, and mental health? Secondary objectives are to develop a VC based peer support program for isolated rural carers for older people with dementia, using a co-design approach; and to assess the feasibility of VC technology for enhancing social support to family caregivers in their homes. This project will collaboratively co-design and evaluate a facilitated VC peer support and information program to carers of people with dementia within rural areas. Carers will be recruited through community health and care providers. Program development will use an information sharing approach to facilitate social interaction. A focus of the project is to use off-the-shelf technology which will be more accessible than specialised bespoke solutions that are currently popular in this area of research. A mixed methods repeated measures randomized wait list design will be used to evaluate the project. The primary outcomes are self-efficacy, quality of life, and mental health. Secondary outcomes are perceived social support and user satisfaction with the technology, and intention to continue VC interaction.
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2017 |
de Luca K, Parkinson L, Downie A, Blyth F, Byles J, 'Three subgroups of pain profiles identified in 227 women with arthritis: a latent class analysis', Clinical Rheumatology, 36 625-634 (2017) [C1]
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Nova |
2017 |
Banbury A, Chamberlain D, Nancarrow S, Dart J, Gray L, Parkinson L, 'Can videoconferencing affect older people s engagement and perception of their social support in long-term conditions management: a social network analysis from the Telehealth Literacy Project', Health and Social Care in the Community, 25 938-950 (2017) [C1]
Social support is a key component in managing long-term conditions. As people age in their homes, there is a greater risk of social isolation, which can be ameliorated by informal... [more]
Social support is a key component in managing long-term conditions. As people age in their homes, there is a greater risk of social isolation, which can be ameliorated by informal support networks. This study examined the relationship between changes in social support networks for older people living in a regional area following weekly videoconference groups delivered to the home. Between February and June 2014, we delivered 44 weekly group meetings via videoconference to participants in a regional town in Australia. The meetings provided participants with education and an opportunity to discuss health issues and connect with others in similar circumstances. An uncontrolled, pre-post-test methodology was employed. A social network tool was completed by 45 (87%) participants either pre- or post-intervention, of which 24 (46%) participants completed the tool pre- and post-intervention. In addition, 14 semi-structured interviews and 4 focus groups were conducted. Following the intervention, participants identified increased membership of their social networks, although they did not identify individuals from the weekly videoconference groups. The most important social support networks remained the same pre- and post-intervention namely, health professionals, close family and partners. However, post-intervention participants identified friends and wider family as more important to managing their chronic condition compared to pre-intervention. Participants derived social support, in particular, companionship, emotional and informational support as well as feeling more engaged with life, from the weekly videoconference meetings. Videoconference education groups delivered into the home can provide social support and enhance self-management for older people with chronic conditions. They provide the opportunity to develop a virtual social support network containing new and diverse social connections.
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Nova |
2017 |
O'Neill BJ, Reid-Searl K, Dwyer T, Parkinson L, 'The deteriorating resident in residential aged care: A focus group study', Collegian, 24 563-570 (2017) [C1]
Aim To better understand aged care nursing staff perceptions regarding the deteriorating resident. Background Age and multiple comorbidities contribute to the likelihood of deteri... [more]
Aim To better understand aged care nursing staff perceptions regarding the deteriorating resident. Background Age and multiple comorbidities contribute to the likelihood of deteriorating health in the aged care setting and efforts are underway to prevent unnecessary hospitalisation. Aged care nursing staff play a key role in managing a deteriorating resident yet their perceptions regarding this area of their work is underreported. Method Thematic analysis of data from four focus groups comprised of nursing staff at a residential aged care facility in Australia was undertaken. Findings Six themes were identified: (1) Knowing the person. Because Personal Carers provide daily basic care they know residents intimately and are the first to notice changes. (2) Communicating changes. Multiple stakeholders need to know when a resident deteriorates and nurses are at the center of the communication process. (3) Staying ¿home¿. Nursing staff believe hospitalisation is traumatic for residents and prefer to keep them in familiar surroundings. (4) ¿What about me?¿ Other residents seek attention when staff focus on a deteriorating resident. (5) Workload implications. Caring for a deteriorating resident adds to an already heavy workload. (6) Feeling undervalued. Nursing staffs are not recognised for their important work. Conclusion To support nursing staff in their preference to keep residents in their ¿home¿, concerns regarding training, communication, workload, and feeling undervalued need to be further explored and addressed.
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2017 |
de Luca KE, Parkinson L, Haldeman S, Byles JE, Blyth F, 'The Relationship Between Spinal Pain and Comorbidity: A Cross-sectional Analysis of 579 Community-Dwelling, Older Australian Women', Journal of Manipulative and Physiological Therapeutics, 40 459-466 (2017) [C1]
Objectives The aims of this study were to (1) report the prevalence and explore the influence of spinal pain on quality of life and (2) assess the relationship between spinal pain... [more]
Objectives The aims of this study were to (1) report the prevalence and explore the influence of spinal pain on quality of life and (2) assess the relationship between spinal pain and the type and number of comorbidities. Methods This cross-sectional study comprised 579 community-dwelling, older Australian women. Women had ¿spinal pain¿ if they marked ¿yes¿ to neck pain, upper back pain, mid-back pain, and/or lower back pain. Descriptive statistics and binary logistic regression were performed to report the prevalence and explore the relationship between spinal pain and the type and number of comorbidities. Results A majority of women (55.8%) who returned surveys had spinal pain. Women with spinal pain had significantly lower physical and mental quality of life scores than women without spinal pain (Medical Outcomes Study: 36 Item Short Form Survey [SF-36] physical component summary: 40.1 ± 11.1 vs 49.0 ± 9.0, and SF-36 mental component summary: 50.0 ± 10.5 vs 53.9 ± 8.2, respectively). Having spinal pain was significantly associated with overweight and obesity (odds ratio 1.98 [95% confidence interval 1.3-2.96] and 2.12 [1.37-3.28]), diabetes (1.93 [1.01-3.67]), pulmonary comorbidity (1.66 [1.04-2.65]), and cardiovascular comorbidity (1.57 [1.07-2.28]). More than half of the women with spinal pain reported 2 or more comorbidities, with comorbidities significantly more common among women with spinal pain than among women without spinal pain. The odds of having spinal pain increased with an increasing number of comorbidities (2 comorbidities: 2.44 [1.47-4.04], 3 comorbidities: 3.07 [1.66-5.67], 4 comorbidities: 5.05 [1.64-15.54]). Conclusions Spinal pain is common in community-dwelling, older Australian women and is associated with greater disability and poorer quality of life. Diabetes, cardiovascular disease, pulmonary disease, and obesity appear to have a relationship with spinal pain. There was an incremental increase in the risk of spinal pain associated with increasing comorbidity count.
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Nova |
2017 |
O'Neill BJ, Dwyer T, Reid-Searl K, Parkinson L, 'Managing the deteriorating nursing home resident after the introduction of a hospital avoidance programme: a nursing perspective', SCANDINAVIAN JOURNAL OF CARING SCIENCES, 31 312-322 (2017)
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2017 |
Parkinson L, Waters DL, Franck L, 'Systematic review of the impact of osteoarthritis on health outcomes for comorbid disease in older people', OSTEOARTHRITIS AND CARTILAGE, 25 1751-1770 (2017)
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2017 |
Parkinson L, 'Continued growth', AUSTRALASIAN JOURNAL ON AGEING, 36 175-175 (2017)
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2017 |
Parkinson L, 'To review or not to review ...?', AUSTRALASIAN JOURNAL ON AGEING, 36 257-257 (2017)
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2017 |
Parkinson L, Sims J, 'What happens to your submission at Australasian Journal on Ageing?', AUSTRALASIAN JOURNAL ON AGEING, 36 87-88 (2017)
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2017 |
Parkinson L, 'Impact, quality and inclusiveness in Australasian Journal on Ageing', AUSTRALASIAN JOURNAL ON AGEING, 36 8-8 (2017)
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2016 |
Franck L, Molyneux N, Parkinson L, 'Systematic review of interventions addressing social isolation and depression in aged care clients', Quality of Life Research, 25 1395-1407 (2016) [C1]
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2016 |
Parkinson L, Moorin R, Peeters G, Byles J, Blyth F, Caughey G, et al., 'Incident osteoarthritis associated with increased allied health services use in 'baby boomer' Australian women', Australian and New Zealand journal of public health, 40 356-361 (2016) [C1]
OBJECTIVE: To explore impact of incident osteoarthritis (OA) on health services use by Australian women born 1946-51.... [more]
OBJECTIVE: To explore impact of incident osteoarthritis (OA) on health services use by Australian women born 1946-51.
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Nova |
2016 |
De Luca KE, Parkinson L, Byles JE, Lo TKT, Pollard HP, Blyth FM, 'The prevalence and cross-sectional associations of neuropathic-like pain among older, community-dwelling women with arthritis', Pain Medicine (United States), 17 1308-1316 (2016) [C1]
Objective. To estimate the prevalence and examine the associations of neuropathic-like pain in a community-based sample of older Australian women with arthritis. Design. Populatio... [more]
Objective. To estimate the prevalence and examine the associations of neuropathic-like pain in a community-based sample of older Australian women with arthritis. Design. Population based cross-sectional survey. Setting. Participants were recruited from the 1946- 1951 cohort of the Australian Longitudinal Study of Women¿s Health. Subjects. Women with self-reported arthritis (n = 147). Methods. Primary outcome measure was self- reported neuropathic-like pain, defined as scores =12 via the painDETECT screening tool. Descriptive statistics summarized health and socio-demographic characteristics, and comparisons made using student¿s t-test or Wilcoxon Rank Sum test, and Chisquare tests. Independent health and demographic variables were examined by univariable logistic regression, and significant variables included in multiple variable logistic regression modelling. Results. Thirty-nine women (26.5%) were screened as having neuropathic-like pain. Women with neuropathic-like pain were more likely to have poorer health, worse pain, higher pain catastrophizing, more fatigue, and more depression than women with nociceptive pain. Neuropathic-like pain was significantly associated with higher scores on the SF-MPQ sensory scale and pain catastrophizing scale, and with more medication use. Conclusions. Neuropathic-like pain in women with arthritis was common and is associated with greater disability and poorer quality of life.
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Nova |
2016 |
Lo TKT, Parkinson L, Cunich M, Byles J, 'Discordance between self-reported arthritis and musculoskeletal signs and symptoms in older women', BMC Musculoskeletal Disorders, 17 1-9 (2016) [C1]
Background: Arthritis is a gendered disease where women have a higher prevalence and more disability than men with arthritis of the same age. Health survey data is a major source ... [more]
Background: Arthritis is a gendered disease where women have a higher prevalence and more disability than men with arthritis of the same age. Health survey data is a major source of information for monitoring of the burden of arthritis. The validity of self-reported arthritis and the determinants of its accuracy among women have not been thoroughly studied. The objectives of this study were to: 1) examine the agreement between self-report diagnosed arthritis and musculoskeletal signs and symptoms in community-living older women; 2) estimate the sensitivity, specificity, and predictive values of self-reported arthritis; and 3) assess the factors associated with the disagreement. Methods: A cross-sectional survey of women was undertaken in 2012-13. The health survey asked women about diagnosed arthritis and musculoskeletal signs and symptoms. Agreement between self-reported arthritis and musculoskeletal signs symptoms was measured by Cohen's kappa. Sensitivity, specificity, and predictive values of self-reported arthritis were estimated using musculoskeletal signs and symptoms as the reference standard. Factors associated with disagreement between self-reported arthritis and the reference standard were examined using multiple logistic regression. Results: There were 223 participants self-reported arthritis and 347 did not. A greater number of participants who self-reported arthritis were obese compared to those who did not report arthritis. Those who reported arthritis had worse health, physical functioning, and arthritis symptom measures. Among the 570 participants, 198 had musculoskeletal signs and symptoms suggesting arthritis (the reference standard). Agreement between self-reported arthritis and the reference standard was moderate (kappa = 0.41). Sensitivity, specificity, and positive and negative predictive values of self-reported arthritis in older women were 66.7, 75.5, 59.2, and 81.0% respectively. Regression analysis results indicated that false-positive is associated with better health measured by the Short Form 36 physical summary score, the Health Assessment Questionnaire disability index, or the Western Ontario and McMaster University Osteoarthritis Index total score; whereas false-negative is negatively associated with these variables. Conclusion: While some women who reported diagnosed arthritis did not have recent musculoskeletal signs or symptoms, others with the signs and symptoms did not report diagnosed arthritis. Researchers should use caution when employing self-reported arthritis as the case-definition in epidemiological studies.
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Nova |
2016 |
Banbury A, Parkinson L, Nancarrow S, Dart J, Gray LC, Buckley J, 'Delivering patient education by group videoconferencing into the home: Lessons learnt from the Telehealth Literacy Project', JOURNAL OF TELEMEDICINE AND TELECARE, 22 483-488 (2016)
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2016 |
Parkinson L, 'Identifying the gaps - indigenous ageing', AUSTRALASIAN JOURNAL ON AGEING, 35 6-6 (2016)
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2016 |
Parkinson L, 'Getting published in Australasian Journal on Ageing', AUSTRALASIAN JOURNAL ON AGEING, 35 81-81 (2016)
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2016 |
Magin PJ, Morgan S, Tapley A, McCowan C, Parkinson L, Henderson KM, et al., 'Anticholinergic medicines in an older primary care population: a cross-sectional analysis of medicines levels of anticholinergic activity and clinical indications', Journal of Clinical Pharmacy and Therapeutics, 41 486-492 (2016) [C1]
What is known and objectives: Adverse clinical outcomes have been associated with cumulative anticholinergic burden (to which low-potency as well as high-potency anticholinergic m... [more]
What is known and objectives: Adverse clinical outcomes have been associated with cumulative anticholinergic burden (to which low-potency as well as high-potency anticholinergic medicines contribute). The clinical indications for which anticholinergic medicines are prescribed (and thus the ¿phenotype¿ of patients with anticholinergic burden) have not been established. We sought to establish the overall prevalence of prescribing of anticholinergic medicines, the prevalence of prescribing of low-, medium- and high-potency anticholinergic medicines, and the clinical indications for which the medicines were prescribed in an older primary care population. Methods: This was a cross-sectional analysis of a cohort study of Australian early-career general practitioners¿ (GPs¿) clinical consultations ¿ the Registrar Clinical Encounters in Training (ReCEnT) study. In ReCEnT, GPs collect detailed data (including medicines prescribed and their clinical indication) for 60 consecutive patients, on up to three occasions 6 months apart. Anticholinergic medicines were categorized as levels 1 (low-potency) to 3 (high-potency) using the Anticholinergic Drug Scale (ADS). Results: During 2010¿2014, 879 early-career GPs (across five of Australia's six states) conducted 20 555 consultations with patients aged 65 years or older, representing 35 506 problems/diagnoses. Anticholinergic medicines were prescribed in 10·4% [95% CIs 9·5¿10·5] of consultations. Of the total anticholinergic load of prescribed medicines (¿community anticholinergic load¿) 72·7% [95% CIs 71·0¿74·3] was contributed by Level 1 medicines, 0·8% [95% CIs 0·5¿1·3] by Level 2 medicines and 26·5% [95% CIs 24·8¿28·1] by Level 3 medicines. Cardiac (40·0%), Musculoskeletal (16·9%) and Respiratory (10·6%) were the most common indications associated with Level 1 anticholinergic prescription. For Level 2 and 3 medicines (combined data), Psychological (16·1%), Neurological (16·1%), Musculoskeletal (15·7%) and Urological (11·1%) indications were most common. What is new and conclusion: Anticholinergic medicines are frequently prescribed in Australian general practice, and the majority of the ¿community¿ anticholinergic burden is contributed by ¿low¿-anticholinergic potency medicines whose anticholinergic effects may be largely ¿invisible¿ to prescribing GPs. Furthermore, the clinical ¿phenotype¿ of the patient with high anticholinergic burden may be very different to common stereotypes (patients with urological, psychological or neurological problems), potentially making recognition of risk of anticholinergic adverse effects additionally problematic for GPs.
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Nova |
2016 |
Lo TKT, Parkinson L, Cunich M, Byles J, 'A 6-year trend of the healthcare costs of arthritis in a population-based cohort of older women', Expert Review of Pharmacoeconomics and Outcomes Research, 16 383-391 (2016) [C1]
Objective: To provide an accurate representation of the economic burden of arthritis by estimating the adjusted incremental healthcare cost of arthritis at multiple percentiles an... [more]
Objective: To provide an accurate representation of the economic burden of arthritis by estimating the adjusted incremental healthcare cost of arthritis at multiple percentiles and reporting the cost trends across time. Methods: A healthcare cost study based on health survey and linked administrative data, where costs were estimated from the government's perspective in dollars per person per year. Quantile regression was used to estimate the adjusted incremental cost at the 25th, 50th, 75th, 90th, and 95th percentiles. Results: Data from 4287 older Australian women were included. The median incremental healthcare cost of arthritis was, in 2012 Australian dollars, $480 (95% CI: $498¿759) in 2009; however, 5% of individuals had 5-times higher costs than the ¿average individual¿ with arthritis. Healthcare cost of arthritis did not increase significantly from 2003 to 2009. Conclusion: Healthcare cost of arthritis represents a substantial burden for the governments. Future research should continue to monitor the economic burden of arthritis.
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Nova |
2016 |
Lo TKT, Parkinson L, Cunich M, Byles J, 'Cost of arthritis: A systematic review of methodologies used for direct costs', Expert Review of Pharmacoeconomics and Outcomes Research, 16 51-65 (2016) [C1]
A substantial amount of healthcare and costs are attributable to arthritis, which is a very common chronic disease. This paper presents the results of a systematic review of arthr... [more]
A substantial amount of healthcare and costs are attributable to arthritis, which is a very common chronic disease. This paper presents the results of a systematic review of arthritis cost studies published from 2008 to 2013. MEDLINE, Embase, EconLit databases were searched, as well as governmental and nongovernmental organization websites. Seventy-one reports met the inclusion/exclusion criteria, and 24 studies were included in the review. Among these studies, common methods included the use of individual-level data, bottom-up costing approach, use of both an arthritis group and a control group to enable incremental cost computation of the disease, and use of regression methods such as generalized linear models and ordinary least squares regression to control for confounding variables. Estimates of the healthcare cost of arthritis varied considerably across the studies depending on the study methods, the form of arthritis and the population studied. In the USA, for example, the estimated healthcare cost of arthritis ranged from $1862 to $14,021 per person, per year. The reviewed study methods have strengths, weaknesses and potential improvements in relation to estimating the cost of disease, which are outlined in this paper. Caution must be exercised when these methods are applied to cost estimation and monitoring of the economic burden of arthritis.
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Nova |
2016 |
Navin Cristina TJ, Stewart Williams JA, Parkinson L, Sibbritt DW, Byles JE, 'Identification of diabetes, heart disease, hypertension and stroke in mid- and older-aged women: Comparing self-report and administrative hospital data records', Geriatrics and Gerontology International, 16 95-102 (2016) [C1]
Aim: To estimate the prevalence of diabetes, heart disease, hypertension and stroke in self-report and hospital data in two cohorts of women; measure sensitivity and agreement bet... [more]
Aim: To estimate the prevalence of diabetes, heart disease, hypertension and stroke in self-report and hospital data in two cohorts of women; measure sensitivity and agreement between data sources; and compare between cohorts. Methods: Women born between 1946-1951 and 1921-1926 who participated in the Australian Longitudinal Study on Women's Health (ALSWH); were New South Wales residents; and admitted to hospital (2004-2008) were included in the present study. The prevalence of diabetes, heart disease, hypertension and stroke was estimated using self-report (case1 at latest survey, case2 across multiple surveys) and hospital records. Agreement (kappa) and sensitivity (%) were calculated. Logistic regression measured the association between patient characteristics and agreement. Results: Hypertension had the highest prevalence and estimates were higher for older women: 32.5% case1, 45.4% case2, 12.8% in hospital data (1946-1951 cohort); 57.8% case1, 73.2% case2, 38.2% in hospital data (1921-1926 cohort). Agreement was substantial for diabetes: ¿=0.75 case1, ¿=0.70 case2 (1946-1951 cohort); ¿=0.77 case1, ¿=0.80 case2 (1921-1926 cohort), and lower for other conditions. The 1946-1951 cohort had 2.08 times the odds of agreement for hypertension (95% CI 1.56 to 2.78; P<0.0001), and 6.25 times the odds of agreement for heart disease (95% CI 4.35 to 10.0; P<0.0001), compared with the 1921-1926 cohort. Conclusion: Substantial agreement was found for diabetes, indicating accuracy of ascertainment using self-report or hospital data. Self-report data appears to be less accurate for heart disease and stroke. Hypertension was underestimated in hospital data. These findings have implications for epidemiological studies relying on self-report or administrative data.
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Nova |
2016 |
Lo TKT, Parkinson L, Cunich M, Byles J, 'Factors associated with the health care cost in older Australian women with arthritis: An application of the Andersen's Behavioural Model of Health Services Use', Public Health, 134 64-71 (2016) [C1]
Objective: Factors associated with the utilisation of health care have not been rigorously examined in people with arthritis. The objective of this study was to examine the determ... [more]
Objective: Factors associated with the utilisation of health care have not been rigorously examined in people with arthritis. The objective of this study was to examine the determinants of health care utilisation and costs in older women with arthritis using the Andersen's behavioural model as a framework. Study design: Longitudinal cohort study. Methods: Participants of Surveys 3 to 5 of the Australian Longitudinal Study on Women's Health who reported arthritis were included in the study. Information about health care utilisation and unit prices were based on linked Medicare Australia data, which included prescription medicines and health services. Total health care costs of participants with arthritis were measured for the years 2002 to 2003, 2005 to 2006, and 2008 to 2009, which corresponded to the survey years. Potential explanatory variables of the health care cost and other characteristics of the participants were collected from the health surveys. Explanatory variables were grouped into predisposing characteristics, enabling factors and need variables conforming to the Andersen's Behavioural Model of Health Services Use. Longitudinal data analysis was conducted using generalized estimating equations. Results: A total of 5834 observations were included for the three periods. Regression analysis results show that higher health care cost in older Australian women with arthritis was significantly associated with residing in an urban area, having supplementary health insurance coverage, more comorbid conditions, using complementary and alternative medicine, and worse physical functioning. It was also found that predisposing characteristics (such as the area of residence) and enabling factors (such as health insurance coverage) accounted for more variance in the health care cost than need variables (such as comorbid conditions). Conclusion: These results may indicate an inefficient and unfair allocation of subsidised health care among older Australian women with arthritis, where individuals with less enabling resources and more socio-economic disadvantages have a lower level of health care utilisation. Future research may focus on evaluating the effectiveness of policies designed to reduce excessive out-of-pocket costs and to improve equity in health care access in the older population.
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Nova |
2016 |
Parkinson L, Sims J, 'Where is Australasian Journal on Ageing being read?', AUSTRALASIAN JOURNAL ON AGEING, 35 231-231 (2016)
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2016 |
Lo T, Parkinson L, Cunich M, Byles J, 'Discordance between self-reported arthritis and musculoskeletal signs and symptoms in older women', BMC musculoskeletal disorders, 17 494 (2016)
BACKGROUND: Arthritis is a gendered disease where women have a higher prevalence and more disability than men with arthritis of the same age. Health survey data is a major source ... [more]
BACKGROUND: Arthritis is a gendered disease where women have a higher prevalence and more disability than men with arthritis of the same age. Health survey data is a major source of information for monitoring of the burden of arthritis. The validity of self-reported arthritis and the determinants of its accuracy among women have not been thoroughly studied. The objectives of this study were to: 1) examine the agreement between self-report diagnosed arthritis and musculoskeletal signs and symptoms in community-living older women; 2) estimate the sensitivity, specificity, and predictive values of self-reported arthritis; and 3) assess the factors associated with the disagreement. METHODS: A cross-sectional survey of women was undertaken in 2012-13. The health survey asked women about diagnosed arthritis and musculoskeletal signs and symptoms. Agreement between self-reported arthritis and musculoskeletal signs symptoms was measured by Cohen's kappa. Sensitivity, specificity, and predictive values of self-reported arthritis were estimated using musculoskeletal signs and symptoms as the reference standard. Factors associated with disagreement between self-reported arthritis and the reference standard were examined using multiple logistic regression. RESULTS: There were 223 participants self-reported arthritis and 347 did not. A greater number of participants who self-reported arthritis were obese compared to those who did not report arthritis. Those who reported arthritis had worse health, physical functioning, and arthritis symptom measures. Among the 570 participants, 198 had musculoskeletal signs and symptoms suggesting arthritis (the reference standard). Agreement between self-reported arthritis and the reference standard was moderate (kappa¿=¿0.41). Sensitivity, specificity, and positive and negative predictive values of self-reported arthritis in older women were 66.7, 75.5, 59.2, and 81.0% respectively. Regression analysis results indicated that false-positive is associated with better health measured by the Short Form 36 physical summary score, the Health Assessment Questionnaire disability index, or the Western Ontario and McMaster University Osteoarthritis Index total score; whereas false-negative is negatively associated with these variables. CONCLUSION: While some women who reported diagnosed arthritis did not have recent musculoskeletal signs or symptoms, others with the signs and symptoms did not report diagnosed arthritis. Researchers should use caution when employing self-reported arthritis as the case-definition in epidemiological studies.
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2015 |
de Luca K, Parkinson L, Pollard H, Byles J, Blyth F, 'How is the experience of pain measured in older, community-dwelling people with osteoarthritis? A systematic review of the literature', Rheumatology International, 35 1461-1472 (2015) [C1]
The objective of the study was to perform a systematic review to identify and appraise outcome measures and measures of pain that are used to assess the experience of pain by olde... [more]
The objective of the study was to perform a systematic review to identify and appraise outcome measures and measures of pain that are used to assess the experience of pain by older people with osteoarthritis, and to assess whether these measures are effective at capturing the multidimensional nature of the experience of this pain. A systematic review of five electronic databases from January 1996 to March 2013 was done. Inclusion criteria were cohort/observational and cross-sectional studies; specific diagnosis of OA; employed outcome measures of pain and/or health and/or quality of life which included questions about pain; and considered older adults. Articles were reviewed for methodological quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. A total of 14 publications met the inclusion criteria, and 11 discrete studies were included in the review. The studies used 21 different outcome measures, utilizing 13 measures of pain. Sensory, affective and cognitive dimensions of pain were captured by the measures, albeit studies predominantly measured intensity or severity alone. Measures of pain used in epidemiological studies do not adequately capture the multidimensional nature of the experience of pain in osteoarthritis. There is a fraught complexity in the multidimensionality of the experience of pain in osteoarthritis, and studies exploring osteoarthritis pain in older people should attempt to capture this multidimensionality by employing multiple valid and reliable outcome measures that capture specific dimensions of the pain experience.
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Nova |
2015 |
Parkinson L, Magin PJ, Thomson A, Byles JE, Caughey GE, Etherton-Beer C, et al., 'Anticholinergic burden in older women: not seeing the wood for the trees?', MEDICAL JOURNAL OF AUSTRALIA, 202 91-+ (2015) [C1]
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Nova |
2015 |
Lo TKT, Parkinson L, Cunich M, Byles J, 'Factors associated with higher healthcare costs in individuals living with arthritis: evidence from the quantile regression approach.', Expert Rev Pharmacoecon Outcomes Res, 15 833-841 (2015) [C1]
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Nova |
2015 |
O'Neill B, Parkinson L, Dwyer T, Reid-Searl K, 'Nursing home nurses' perceptions of emergency transfers from nursing homes to hospital: A review of qualitative studies using systematic methods', Geriatric Nursing, 36 423-430 (2015)
The aim is to describe nursing home nurses' perceptions around emergency transfers to hospital. Transfers are costly and traumatic for residents, and efforts are underway to ... [more]
The aim is to describe nursing home nurses' perceptions around emergency transfers to hospital. Transfers are costly and traumatic for residents, and efforts are underway to avoid hospitalization. Nurses play a key role in transfers, yet their views are underreported. A systematic review of qualitative studies was undertaken, guided by Joanna Briggs Institute methods. From seven reviewed studies, it was clear nursing home nurses are challenged by the complexity of the transfer process and understand their need for appropriate clinical knowledge, skills and resources. Communication is important, yet nurses often use persuasive and targeted communication. Ambiguity, strained relationships and negative perceptions of residents' experiences around hospitalization contribute to conflict and uncertainty. Nurses are more confident when there is a plan. Transferring a resident is a complex process and special skills, knowledge and resources are required, but may be lacking. Efforts to formalize the transfer process and improve communication and collaboration amongst all stakeholders is needed and would be well received.
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2015 |
Parkinson L, 'Tracking AJA progress', Australasian Journal on Ageing, 34 1 (2015)
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2015 |
Parkinson L, 'Succession planning for AJA', Australasian Journal on Ageing, 34 75-75 (2015)
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2015 |
Parkinson L, 'Staying topical', Australasian Journal on Ageing, 34 143 (2015)
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2015 |
Parkinson L, 'Thanks, events, news', Australasian Journal on Ageing, 34 213 (2015)
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2014 |
Banbury A, Parkinson L, Nancarrow S, Dart J, Gray L, Buckley J, 'Multi-site videoconferencing for home-based education of older people with chronic conditions: the Telehealth Literacy Project', Journal of Telemedicine and Telecare, 20 353-359 (2014)
We examined the acceptability of multi-site videoconferencing as a method of providing group education to older people in their homes. There were 9 groups comprising 52 participan... [more]
We examined the acceptability of multi-site videoconferencing as a method of providing group education to older people in their homes. There were 9 groups comprising 52 participants (mean age 73 years) with an average of four chronic conditions. Tablet computers or PCs were installed in participant¿s homes and connected to the Internet by the National Broadband Network (high-speed broad band network) or by the 4G wireless network. A health literacy and self-management programme was delivered by videoconference for 5 weeks. Participants were able to view and interact with all group members and the facilitator on their devices. During the study, 44 group videoconferences were conducted. Evaluation included 16 semi-structured interviews, 3 focus groups and a journal detailing project implementation. The participants reported enjoying home-based group education by videoconference and found the technology easy to use. Using home-based groups via videoconference was acceptable for providing group education, and considered particularly valuable for people living alone and/or with limited mobility. Audio difficulties were the most commonly reported problem. Participants connected with 4G experienced more problems (audio and visual) than participants on the National Broadband Network and those living in multi-dwelling residences reported more problems than those living in single-dwelling residences. Older people with little computer experience can be supported to use telehealth equipment. Telehealth has the potential to improve access to education about chronic disease self-management.
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2014 |
Parkinson L, 'Our place in the world', Australasian Journal on Ageing, 33 1-1 (2014)
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2014 |
Parkinson L, 'Keeping us all honest: Publication ethics and AJA', Australasian Journal on Ageing, 33 71-71 (2014)
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2014 |
Byles JE, Mackenzie L, Redman S, Parkinson L, Leigh L, Curryer C, 'Supporting housing and neighbourhoods for healthy ageing: Findings from the Housing and Independent Living Study (HAIL)', Australasian Journal on Ageing, 33 29-35 (2014) [C1]
Aim: To identify the extent to which homes and neighbourhoods of older community-dwelling people are 'supportive'. Method: Cross-sectional survey, in-home observation an... [more]
Aim: To identify the extent to which homes and neighbourhoods of older community-dwelling people are 'supportive'. Method: Cross-sectional survey, in-home observation and interviews involving 202 participants (75-79 years). Measures included SF-36 health-related quality of life and Late Life Function and Disability Instrument (LLFDI) scores, and self-reported home usability, access, safety and neighbourhood. Associations between home and neighbourhood characteristics were assessed using ¿2-tests, t-tests and Pearson correlations. Results: Older people rated neighbourhood satisfaction highly (3.0 men, 3.2 women; 4 being the highest score). Many homes failed objective adaptability and safety ratings, particularly bathrooms (80% did not have a shower grab rail, 77% did not have non-slip floors); 27% of homes scored =8 of 25 possible hazards. There were significant correlations between perceptions of housing and neighbourhood and SF-36 and disability scores. Conclusion: Many homes and neighbourhoods may not accommodate increased frailty or disability of older people into the future. © 2012 ACOTA.
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Nova |
2014 |
Parkinson L, 'Successes and changes', Australasian Journal on Ageing, 33 139-139 (2014)
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2014 |
Liddle J, Parkinson L, Sibbritt D, 'Health-related factors associated with participation in creative hobbies by Australian women aged in their eighties', Arts and Health, 6 132-142 (2014) [C1]
Background: Population-based epidemiological studies can contribute to the spectrum of research evidence regarding the potential role of the arts in improving health and well-bein... [more]
Background: Population-based epidemiological studies can contribute to the spectrum of research evidence regarding the potential role of the arts in improving health and well-being among older people. To date, these studies are uncommon. The aim of the current study was to investigate health-related factors associated with participation in creative hobbies in women aged in their eighties living in Australia. Method: Descriptive and regression analyses were performed on data from the Australian Longitudinal Study on Women's Health 2008 postal survey of women born 1921-1926 (n = 5470). Results: Creative hobbies were undertaken by 52.7% of the sample and positively associated with physical health (IADL), health-related quality of life (general health, social functioning) and other social and demographic indicators. Conclusion: The relationship between participation in creative hobbies and health in older women is likely to be complex and influenced by many factors including individual physical capacity and independence as well as access to art-making activities. © 2013 Taylor & Francis.
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Nova |
2014 |
de Luca K, Parkinson L, Byles J, 'A study protocol for the profile of pain in older women: Assessing the multi dimensional nature of the experience of pain in arthritis', Chiropractic and Manual Therapies, 22 (2014) [C3]
Background: Arthritis is a significant contributor to illness, pain and disability and imposes a considerable burden upon the community. Pain is a cardinal symptom of arthritis an... [more]
Background: Arthritis is a significant contributor to illness, pain and disability and imposes a considerable burden upon the community. Pain is a cardinal symptom of arthritis and has significant implications on biopsychosocial wellbeing. The multidimensional nature of the experience of pain in arthritis has not been well defined in community-based samples. Aims: The two aims of this study are to generate profiles of pain from a community sample of older women and to compare profiles for women with and without arthritis. Methods: The sub study is a cross-sectional postal survey of 700 Australian community-based women. The survey includes a range of measures on health, arthritis and pain that will be used to examine the multidimensional nature of the experience of pain in arthritis and generate profiles of pain. Discussion: With no core set of measures for the evaluation of arthritis pain, this survey was created from an amalgamation of measures to capture multiple dimensions of pain. Findings from this study will assist in defining the symptom of pain in arthritis and may lead to further research in evidence-based treatment options for people with arthritis.
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2014 |
Brewer GJ, Parkinson L, Tucker C, Landorf C, 'Socially sustainable suburbia: Linking neighbourhood characteristics to health outcomes in an ageing population', International Journal of Interdisciplinary Social and Community Studies, 8 1-18 (2014) [C1]
With populations ageing across the developed world, there is increasing interest in the impact of the urban environment on the capacity of people to age in place. This is a signif... [more]
With populations ageing across the developed world, there is increasing interest in the impact of the urban environment on the capacity of people to age in place. This is a significant issue not only for the quality of life of older people but also for the longer-term sustainability of cities and neighbourhoods. This paper presents findings from a cross-disciplinary pilot research study that addresses the link between health in older Australians and urban sustainability. The paper details a unique neighbourhood assessment method that explores associations between subjective and objective measures of neighbourhood characteristics and health for community dwelling people aged 55 years and over. The results reveal that health is a major pre-occupation for the study group but social interaction and the built environment are major influences on quality of life. It is anticipated that the pilot study will lead to the development of guidelines for the design of sustainable urban environments that respond to the health needs of an increasingly diverse ageing population.
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Nova |
2013 |
Byles J, Tavener M, Robinson I, Parkinson L, Stevenson D, Leigh L, et al., 'Transforming retirement: new definitions of life after work.', Journal of Women & Aging, 25 24-44 (2013) [C1]
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Nova |
2013 |
Peeters G, Parkinson L, Badley E, Brown WJ, Dobson A, Mishra G, 'LONGITUDINAL VARIATIONS IN REPORTING DOCTOR-DIAGNOSED ARTHRITIS REFLECT CONTEMPORANEOUS SEVERITY OF SYMPTOMS AND DISABILITY', ANNALS OF THE RHEUMATIC DISEASES, 71 456-456 (2013)
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Nova |
2013 |
Parkinson L, 'Evolving AJA', Australasian Journal on Ageing, 32 1 (2013)
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2013 |
Parkinson L, 'Contributing to AJA', Australasian Journal on Ageing, 32 145 (2013)
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2013 |
Parkinson L, 'Thirty years and counting', Australasian Journal on Ageing, 32 1-2 (2013)
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2013 |
Parkinson L, Richardson K, Sims J, Wells Y, Naganathan V, Brooke E, Lindley R, 'Identifying seminal papers in the Australasian Journal on Ageing 1982-2011: A Delphi consensus approach', Australasian Journal on Ageing, 32 6-11 (2013)
Aims: The aim of this study was to identify seminal Australasian Journal on Ageing papers published over 30 years through a Delphi consensus process. Method: The main data collect... [more]
Aims: The aim of this study was to identify seminal Australasian Journal on Ageing papers published over 30 years through a Delphi consensus process. Method: The main data collection was a three-round Delphi consensus study with 38 past and current members of the Australasian Journal on Ageing Editorial Board, Editorial Team and Management Committee. Results: Three papers were agreed as top-ranking. One of the top-ranking articles was also highly cited. One article was published in the 1990s, two in 2001. Conclusions: While it is difficult to judge how well the top-ranking papers represent seminal papers arising over 30 years, these papers do represent three different research strengths in Australasia, they do span three different disciplines, and they do reflect some of the diversity that characterises ageing research in Australasia over 30 years. © 2013 ACOTA.
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2013 |
Parkinson L, 'Onwards and upwards', Australasian Journal on Ageing, 32 197-197 (2013)
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2013 |
Parkinson L, Sibbritt D, Bolton P, van Rotterdam J, Villadsen I, 'Well-being outcomes of chiropractic intervention for lower back pain: a systematic review', CLINICAL RHEUMATOLOGY, 32 167-180 (2013) [C1]
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Nova |
2013 |
Liddle JLM, Parkinson L, Sibbritt DW, 'Purpose and pleasure in late life: Conceptualising older women's participation in art and craft activities', Journal of Aging Studies, 27 330-338 (2013) [C1]
The fourth age, as the last stage of life, represents a final challenge to find personal meaning in the face of changing capacities, illness and disability. Participation in value... [more]
The fourth age, as the last stage of life, represents a final challenge to find personal meaning in the face of changing capacities, illness and disability. Participation in valued activities is important for sustaining interest in life and has been associated with enhanced health and well-being. Art and craft activities are a popular form of participation amongst women in late life with growing international interest in the potential for these types of activities to maintain health and well-being and address problems of social isolation. Drawing on open text comments from 114 women enrolled in the Australian Longitudinal Study on Women's Health and in-depth interviews with 23 women all aged in their eighties, this paper explores the nature of older women's participation in art and craft activities and conceptualises links between participation in these activities and health and well-being in late life. Participation in art and craft activities is complex and dynamic, comprising cognitive and physical processes infused with emotion and occurs in the context of social relationships, physical spaces, physical ailments and beliefs about the value of the activities. By participating in art and craft activities, older women find purpose in their lives, contributing to their subjective well-being whilst helping and being appreciated by others. They develop a self view as enabled and as such take on new art and craft challenges, continue to learn and develop as art and craft makers and remain open to new possibilities. © 2013 Elsevier Inc.
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Nova |
2013 |
Parkinson L, Curryer C, Gibberd A, Cunich M, Byles JE, 'Good agreement between self-report and centralized hospitalizations data for arthritis-related surgeries', JOURNAL OF CLINICAL EPIDEMIOLOGY, 66 1128-1134 (2013) [C1]
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Nova |
2013 |
Peeters G, Parkinson L, Badley E, Jones M, Brown WJ, Dobson AJ, Mishra GD, 'Contemporaneous Severity of Symptoms and Functioning Reflected by Variations in Reporting Doctor-Diagnosed Osteoarthritis', ARTHRITIS CARE & RESEARCH, 65 945-953 (2013) [C1]
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Nova |
2013 |
Dolja-Gore X, Byles J, Parkinson L, Young A, Pit S, 'Accuracy of self-reported medicines use compared to pharmaceutical claims data amongst a national sample of older Australian women', Open Journal of Epidemiology, 03 25-32 (2013) [C1]
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Nova |
2012 |
Parkinson L, 'Mission for the next triennium', AUSTRALASIAN JOURNAL ON AGEING, 31 1-1 (2012)
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2012 |
Parkinson L, 'Looking back and looking forward', AUSTRALASIAN JOURNAL ON AGEING, 31 139-139 (2012)
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2012 |
Parkinson L, 'AJA planning and perceptions', AUSTRALASIAN JOURNAL ON AGEING, 31 205-205 (2012)
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2012 |
Reid MG, Parkinson L, Gibson RE, Schofield PW, D'Este CA, Attia JR, et al., 'Memory Complaint Questionnaire performed poorly as screening tool: Validation against psychometric tests and affective measures', Journal of Clinical Epidemiology, 65 199-205 (2012) [C1]
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Nova |
2012 |
Liddle JLM, Parkinson L, Sibbritt DW, 'Painting pictures and playing musical instruments: Change in participation and relationship to health in older women', Australasian Journal on Ageing, 31 218-221 (2012) [C1]
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Nova |
2011 |
Parkinson L, Dolja-Gore X, Gibson RE, Doran E, Notley L, Stewart Williams JA, et al., 'An observational study of the discrediting of COX-2 NSAIDs in Australia: Vioxx or class effect?', BMC Public Health, 11 892 (2011) [C1]
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Nova |
2011 |
Byles JE, Dolja-Gore X, Loxton DJ, Parkinson L, Stewart Williams JA, 'Women's uptake of medicare benefits schedule mental health items for general practitioners, psychologists and other allied mental health professionals', Medical Journal of Australia, 194 175-179 (2011) [C1]
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Nova |
2011 |
Perry L, Bellchambers HL, Howie AJ, Moxey AJ, Parkinson L, Capra S, Byles JE, 'Examination of the utility of the Promoting Action on Research Implementation in Health Services framework for implementation of evidence based practice in residential aged care settings', Journal of Advanced Nursing, 67 2139-2150 (2011) [C1]
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Nova |
2011 |
Parkinson L, 'Challenging ERA', AUSTRALASIAN JOURNAL ON AGEING, 30 1-1 (2011) [C3]
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2011 |
Parkinson L, '... of beancounters and men ...', AUSTRALASIAN JOURNAL ON AGEING, 30 53-53 (2011) [C3]
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2011 |
Parkinson L, 'Changing of the guard', AUSTRALASIAN JOURNAL ON AGEING, 30 107-107 (2011) [C3]
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2011 |
Parkinson L, 'Ageing and spirituality across faiths and cultures (book review)', Australasian Journal on Ageing, 30 49 (2011) [C3]
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Nova |
2010 |
Parkinson L, Gibson RE, Robinson IA, Byles JE, 'Older women and arthritis: Tracking impact over time', Australasian Journal on Ageing, 29 155-160 (2010) [C1]
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Nova |
2010 |
Parkinson L, Warburton J, Sibbritt DW, Byles JE, 'Volunteering and older women: Psychosocial and health predictors of participation', Aging and Mental Health, 14 917-927 (2010) [C1]
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Nova |
2010 |
Parkinson L, 'Times they are a'changing', AUSTRALASIAN JOURNAL ON AGEING, 29 53-53 (2010) [C3]
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2010 |
Parkinson L, 'News and views', AUSTRALASIAN JOURNAL ON AGEING, 29 99-99 (2010) [C3]
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2009 |
Parkinson L, 'A vision for our journal.', Australasian journal on ageing, 28 50 (2009)
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2008 |
Doi SAR, Abbas JMK, Parkinson L, Chakraborty J, Akanji AO, 'LDL species heterogeneity in the atherogenic dyslipidemia of polycystic ovary syndrome', American Journal of Clinical Pathology, 129 802-810 (2008) [C1]
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Nova |
2008 |
Adams J, Parkinson L, Sanson-Fisher RW, Walsh RA, 'Enhancing self-report of adolescent smoking: The effects of bogus pipeline and anonymity', Addictive Behaviors, 33 1291-1296 (2008) [C1]
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Nova |
2007 |
Carter GL, Clover K, Parkinson L, Rainbird K, Kerridge I, Ravenscroft P, et al., 'Mental health and other clinical correlates of euthanasia attitudes in an Australian outpatient cancer population', Psycho-Oncology, 16 295-303 (2007) [C1]
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2007 |
Parkinson L, Chiarelli PE, Byrne JM, Gibson RE, McNeill S, Lloyd G, et al., 'Continence promotion for older hospital patients following surgery for fractured neck of femur: Pilot of a randomized controlled trial', Clinical Interventions in Aging, 2 705-714 (2007) [C1]
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2007 |
Byles JE, Parkinson L, Nair BR, Watson JF, Valentine ME, 'Determining priorities for research in ageing: A community survey', Australasian Journal on Ageing, 26 71-76 (2007) [C1]
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2006 |
Parkinson L, Rainbird K, Kerridge I, Clover K, Ravenscroft P, Cavenagh J, Carter GL, 'Patients' attitudes towards euthanasia and physician-assisted suicide: a systematic review of the literature published over fifteen years', Monash Bioethics Review, 25 19-43 (2006) [C1]
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Nova |
2006 |
Vindigni D, Parkinson L, Rivett DA, Da Costa C, Perkins JJ, Walker BF, Blunden S, 'Developing a musculo-skeletal screening survey for Indigenous Australians living in rural communities', Rural & Remote Health, 6 (2006) [C1]
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2006 |
Chiarelli PE, Byles JE, Parkinson L, Gibson RE, 'Changes in lower urinary tract symptoms following surgery for fractured neck of femur', Australian and New Zealand Continence Journal, 12 90-92 (2006) [C1]
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2006 |
Byles JE, Young AF, Furuya H, Parkinson L, 'A drink to healthy aging: The association between older women's use of alcohol and their health-related quality of life', Journal of the American Geriatrics Society, 54 1341-1347 (2006) [C1]
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Nova |
2005 |
Byles JE, D'Este CA, Parkinson L, O'Connell R, Treloar C, 'Single index of multimorbidity did not predict multiple outcomes', Journal of Clinical Epidemiology, 58 997-1005 (2005) [C1]
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Nova |
2005 |
Byles JE, Chiarelli PE, Hacker AH, Bruin CT, Cockburn JD, Parkinson L, 'An evaluation of three community-based projects to improve care for incontinence', International Urogynecology Journal, 16 29-38 (2005) [C1]
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Nova |
2005 |
Vindigni D, Parkinson L, Walker B, Rivett DA, Blunden S, Perkins JJ, 'A community-based sports massage course for Aboriginal health workers', Australian Journal of Rural Health, 13 111-115 (2005) [C1]
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2005 |
Corkrey R, Parkinson L, Bates L, 'Pressing the key pad: Trial of a novel approach to health promotion advice', Preventive Medicine, 41 657-666 (2005) [C1]
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2005 |
Parkinson L, Rainbird KJ, Kerridge I, Carter GL, Cavenagh J, McPhee JR, Ravenscroft P, 'Cancer patients attitudes towards euthanasia and physician-assisted suicide: The influence of question wording and patients own definitions on responses', Journal of Bioethical Inquiry, 2 82-89 (2005) [C1]
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2005 |
Corkrey R, Parkinson L, Bates L, Green S, Htun AT, 'Pilot of a novel cervical screening intervention: interactive voice response', Australian and New Zealand Journal of Public Health, 29 261-264 (2005) [C1]
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2005 |
Parkinson L, Rainbird K, Kerridge I, Carter G, McPhee J, Ravenscroft P, Clover K, 'Older people's attitudes towards euthanasia and physician-assisted suicide: cancer patients versus the general community', AUSTRALASIAN JOURNAL ON AGEING, 24 A8-A9 (2005)
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2005 |
Vindigni D, Walker BF, Jamison JR, Da Costa C, Parkinson L, Blunden S, 'Low back pain risk factors in a large rural Australian Aboriginal community. An opportunity for managing co-morbidities', Chiropractic & Osteopathy, 13 online (2005) [C1]
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2004 |
Green S, Parkinson L, Bonevski B, Considine RJ, 'Community health needs assessment for health service planning: realising consumer participation in the health service setting', Health Promotion Journal of Australia, 15 142-150 (2004) [C1]
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2004 |
Byles J, Smith PW, Everingham C, Stevenson D, Parkinson L, Young A, 'Women consider retirement: a critical investigation of attitudes towards work and retirement in three generations of Australian women', AUSTRALASIAN JOURNAL ON AGEING, 23 A19-A19 (2004)
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2004 |
Byles J, Furuya H, Young A, Parkinson L, 'A drink to your health: behaviours, benefits, and risks of alcohol use among older women', AUSTRALASIAN JOURNAL ON AGEING, 23 A38-A38 (2004)
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2004 |
Vindigni D, Griffen D, Perkins JJ, Da Costa C, Parkinson L, 'Prevalence of musculoskeletal conditions, associated pain and disability and the barriers to managing these conditions in a rural, Australian Aboriginal community', Rural and Remote Health, online (2004) [C1] |
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2004 |
Vindigni D, Parkinson L, Blunden S, Perkins JJ, Rivett DA, Walker BF, 'Aboriginal health in Aboriginal hands: development, delivery and evaluation of a training programme for Aboriginal health workers to promote the musculoskeletal health of Indigenous people living in a rural community', Rural and Remote Health, 4 281 (2004) [C1] |
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2004 |
Corkrey R, Parkinson L, 'Generalized Electronic Interviewing System (GEIS): A program and scripting method for conducting interviews in multiple modes', Behaviour Research Methods, Instruments and Computers, 36 784-796 (2004) [C1]
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2003 |
Byles JE, Heinze R, Nair BR, Parkinson L, 'Medication use among older Australian veterans & war widows', Internal Medicine Journal, 33 388-391 (2003) [C3]
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2003 |
Parkinson L, Astley B, Peterkin D, Page C, Hampson A, 'Health promotion in childcare centres: a survey of sun protection policy and practice', Australian and New Zealand Journal of Public Health, 27 520-523 (2003) [C1]
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2002 |
Corkrey SR, Parkinson L, 'Interactive voice response: Review of studies 1989-2000', Behavior Research Methods, Instruments and Computers: a journal of the Psychonomic Society, 34 342-353 (2002) [C1]
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Nova |
2002 |
Corkrey SR, Parkinson L, 'A comparison of four computer-based telephone interviewing methods: Getting answers to sensitive questions', Behavior Research Methods, Instruments and Computers: a journal of the Psychonomic Society, 34 354-363 (2002) [C1]
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Nova |
2002 |
Evans L, Lloyd DM, Considine RJ, Parkinson L, 'Contrasting views of staff and patients regarding psychosocial care for Australian women who miscarry: a hospital based study', Australian and New Zealand Journal of Obstetrics and Gynecology, 42 155-160 (2002) [C1]
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2001 |
McGrath KKM, Hancock L, Foster KM, 'Compliance with clinical guidelines for blood transfusion practice: how can changes be maintained?', MEDICAL JOURNAL OF AUSTRALIA, 174 435-435 (2001)
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2001 |
Douglas C, Kerridge I, McPhee J, Parkinson L, Spigelman AD, Rainbird K, 'The intention to hasten death: a survey of attitudes and prctices of surgeons in Australia', Medical Journal of Australia, 175 511-515 (2001) [C1]
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2001 |
McGrath K, Parkinson L, Foster K, 'Compliance with clinical guidelines for blood transfusion practice: how can changes be maintained?', Medical Journal of Australia, 174 13 (2001) [C3] |
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2001 |
Parkinson L, Sanson-Fisher RW, Perkins JJ, Girgis A, Howley P, Schofield M, 'The effect of a community action intervention on adolescent smoking rates in rural Australian Towns: the CART project', Preventive Medicine, 32 332-340 (2001) [C1]
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Nova |
2001 |
Parkinson L, Sanson-Fisher RW, Perkins JJ, Corkrey SR, Burton R, Reid S, 'Effect of a community action intervention on cervical cancer screening rates in rural Australian towns: The CART Project', Preventive Medicine, 32 109-117 (2001) [C1]
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2001 |
Parkinson L, Sanson-Fisher RW, Perkins JJ, McClintock A, Howley P, Gibberd RW, 'Effect of a community action program on adult quit smoking rates in rural Australian towns: the CART project', Preventive Medicine, 32 118-127 (2001) [C1]
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2001 |
Bates LI, Parkinson L, Peterkin D, ''A little encouragement': health services and domestic violence', International Journal of Health C are Quality Assurance, 14 49-56 (2001) [C2]
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2000 |
Bellamy S, Gibberd RW, Hancock L, Howley PP, Kenne, Klar N, et al., 'Analysis of dichotomous outcome data for community intervention studies', Statistical Methods in Medical Research, 9 135-159 (2000) [C1]
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Nova |
1999 |
Warner-Smith M, Parkinson L, 'Satisfaction with the process of lead remediation in an urban Australian community', Australian and New Zealand Journal of Public Health, 23 617-621 (1999) [C1]
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1998 |
Parkinson L, Sanson-Fisher RW, Kentish LM, 'Cervical cancer screening in rural NSW: Health Insurance Commission data compared with self-report', Australian and New Zealand Journal of Public Health, 22 307-312 (1998) [C1]
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1997 |
Hancock L, SansonFisher RW, Redman S, Burton R, Burton L, Butler J, et al., 'Community action for health promotion: A review of methods and outcomes 1990-1995', AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 13 229-239 (1997)
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1996 |
SansonFisher R, Redman S, Hancock L, Halpin S, Clarke P, Schofield M, et al., 'Developing methodologies for evaluating community-wide health promotion', HEALTH PROMOTION INTERNATIONAL, 11 227-236 (1996)
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1996 |
Hancock L, SansonFisher R, Redman S, Burton R, Burton L, Butler J, et al., 'Community action for cancer prevention: Overview of the cancer action in rural towns (CART) project, Australia', HEALTH PROMOTION INTERNATIONAL, 11 277-290 (1996)
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1996 |
Hancock L, SansonFisher R, Redman S, Reid A, Tripodi T, 'Knowledge of cancer risk reduction practices in rural towns of New South Wales', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 20 529-537 (1996)
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1995 |
BATES L, REDMAN S, BROWN W, HANCOCK L, 'DOMESTIC VIOLENCE EXPERIENCED BY WOMEN ATTENDING AN ACCIDENT AND EMERGENCY DEPARTMENT', AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 19 293-299 (1995)
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1992 |
HANCOCK L, WALSH R, HENRY DA, REDMAN S, SANSONFISHER R, 'DRUG-USE IN AUSTRALIA - A COMMUNITY PREVALENCE STUDY', MEDICAL JOURNAL OF AUSTRALIA, 156 759-764 (1992)
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1992 |
HANCOCK L, HENRY DA, SANSONFISHER RW, 'ASPIRIN USE IN CHILDREN - HEEDING THE WARNING', AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 16 35-37 (1992)
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1991 |
HANCOCK L, HENNRIKUS D, HENRY DA, SANSONFISHER R, WALSH R, LEWIS JH, 'AGREEMENT BETWEEN 2 MEASURES OF DRUG-USE IN A LOW-PREVALENCE POPULATION', ADDICTIVE BEHAVIORS, 16 507-516 (1991)
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