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Full-Text Articles in Medicine and Health Sciences

Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe Jan 2019

Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe

Faculty of Health Sciences Publications

Objective to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care. Design parallel randomised controlled trial with integrated health economic study. Setting NCFs, in Adelaide South Australia. Subjects people aged 70 years and older who were recovering from hip fracture surgery and were walking prior to hip fracture. Measurements primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months. Results participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks ...


Psychotropic Medications In Older People In Residential Care Facilities And Associations With Quality Of Life: A Cross-Sectional Study, Stephanie L. Harrison, Clare E. Bradley, Rachel Milte, Enwu Liu, Lisa K. O'Donnell, Sarah N. Hilmer, Maria Crotty Jan 2018

Psychotropic Medications In Older People In Residential Care Facilities And Associations With Quality Of Life: A Cross-Sectional Study, Stephanie L. Harrison, Clare E. Bradley, Rachel Milte, Enwu Liu, Lisa K. O'Donnell, Sarah N. Hilmer, Maria Crotty

Faculty of Health Sciences Publications

Background: Psychotropic medications have been associated with many adverse outcomes in older people living in residential care. Home-like models of residential care may be preferable to traditional models of care and we hypothesized that this model may impact on the prevalence of psychotropic medications. The objectives were to: 1) examine associations between psychotropic medications and quality of life in older adults living in residential care facilities with a high prevalence of cognitive impairment and dementia and 2) determine if there was a difference in prevalence of psychotropic medications in facilities which provide a small group home-like model of residential care ...


The Quality Of Life When A Partner Has Substance Use Problems: A Scoping Review, Bente Birkeland, Kim Foster, Anne S. Selbekk, Magnhild M. Høie, Torleif Ruud, Bente Weimand Jan 2018

The Quality Of Life When A Partner Has Substance Use Problems: A Scoping Review, Bente Birkeland, Kim Foster, Anne S. Selbekk, Magnhild M. Høie, Torleif Ruud, Bente Weimand

Faculty of Health Sciences Publications

Objective: To examine the existing body of knowledge on quality of life (QoL) in partners of people with substance use problems (PP-SUPs) to provide a synthesized summary of the evidence and identify gaps in our knowledge on the QoL of PP-SUPs. Methods: A systematic scoping review was performed. Publications indexed in EMBASE, Medline, PsycINFO, CINAHL, SocINDEX, and CENTRAL were searched for original, empirical, peer-reviewed, full-length research papers that examined QoL in PP-SUPs. Research papers identified through a manual search of key references and known references by co-authors were also included. A total of 3070 abstracts were screened, 41 full-text papers ...


Self-Concept Of Children With Cerebral Palsy, Sau Kuan Cheong Nov 2017

Self-Concept Of Children With Cerebral Palsy, Sau Kuan Cheong

Theses

Self-concept is the perception that individuals have of themselves across different aspects of life such as academic performance or appearance. The Self-Concept Feedback Loop proposed for this research program conceptualised self-concept as developing through an interactive and iterative process involving social experiences and the cognitive processes of individuals. Through this process, individuals evaluate their behaviour or attributes against their internal standards. Subsequently, this evaluation influences their self-concept. In the general population, low self-concept has been linked to a range of negative outcomes, including poor academic achievement, and behaviour and mental health problems. However, research into the self-concept of children with ...


The Effects Of Cognitive-Behavioral Therapy For Eating Disorders On Quality Of Life: A Meta-Analysis [Accepted Manuscript], Jake Linardon, Leah Brennan Jan 2017

The Effects Of Cognitive-Behavioral Therapy For Eating Disorders On Quality Of Life: A Meta-Analysis [Accepted Manuscript], Jake Linardon, Leah Brennan

Faculty of Health Sciences Publications

Objective

Meta‐analyses have documented the efficacy of cognitive‐behavioral therapy (CBT) for reducing symptoms of eating disorders. However, it is not known whether CBT for eating disorders can also improve quality of life (QoL). This meta‐analysis therefore examined the effects of CBT for eating disorders on subjective QoL and health‐related quality of life (QoL).

Method

Studies that assessed QoL before and after CBT for eating disorders were searched in the PsycInfo and Medline database. Thirty‐four articles met inclusion criteria. Pooled within and between‐groups Hedge's g were calculated at post‐treatment and follow‐up for ...


Associations Between Multimorbidity And Additional Burden For Working-Age Adults With Specific Forms Of Musculoskeletal Conditions: A Cross-Sectional Study, Dianne Lowe, Michael Taylor, Sophie Hill Jan 2017

Associations Between Multimorbidity And Additional Burden For Working-Age Adults With Specific Forms Of Musculoskeletal Conditions: A Cross-Sectional Study, Dianne Lowe, Michael Taylor, Sophie Hill

Faculty of Health Sciences Publications

Background
Multiple health conditions are increasingly a problem for adults with musculoskeletal conditions. However, multimorbidity research has focused primarily on the elderly and those with a limited subset of musculoskeletal disorders. We sought to determine whether associations between multimorbidity and additional burden differ with specific forms of musculoskeletal conditions among working-age adults.
Methods
Data were sourced from a nationally representative Australian survey. Specific musculoskeletal conditions examined were osteoarthritis; inflammatory arthritis; other forms of arthritis or arthropathies; musculoskeletal conditions not elsewhere specified; gout; back pain; soft tissue disorders; or osteoporosis. Multimorbidity was defined as the additional presence of one or more ...


An Australian Longitudinal Pilot Study Examining Health Determinants Of Cardiac Outcomes 12 Months Post Percutaneous Coronary Intervention, Karen-Leigh Edward, John Stephenson, Jo-Ann M. Giandinoto, Andrew Wilson, Robert Whitbourn, Jack Gutman, Andrew Newcomb Jan 2016

An Australian Longitudinal Pilot Study Examining Health Determinants Of Cardiac Outcomes 12 Months Post Percutaneous Coronary Intervention, Karen-Leigh Edward, John Stephenson, Jo-Ann M. Giandinoto, Andrew Wilson, Robert Whitbourn, Jack Gutman, Andrew Newcomb

Faculty of Health Sciences Publications

Background: Percutaneous coronary intervention (PCI) is a very common revascularisation procedure for coronary artery disease (CAD). The purpose of this study was to evaluate cardiac outcomes, health related quality of life (HRQoL), resilience and adherence behaviours in patients who have undergone a PCI at two time points (6 and 12 months) following their procedure. Methods: A longitudinal pilot study was conducted to observe the cardiac outcomes across a cohort of patients who had undergone a percutaneous coronary intervention (PCI). Participants who had undergone PCI 6 months prior were invited. Those participants who met the inclusion criteria and provided consent then ...


Return To The Workforce After First Hospitalization For Heart Failure: A Danish Nationwide Cohort Study, Rasmus Rørth, Chih Wong, Kristian Kragholm, Emil L. Fosbøl, Ulrik M. Mogensen, Morten Lamberts, Mark C. Petrie, Pardeep Jhund, Thomas A. Gerds, Christian Torp-Pedersen, Gunnar H. Gislason, John Mcmurray, Lars Kober, Søren L. Kristensen Jan 2016

Return To The Workforce After First Hospitalization For Heart Failure: A Danish Nationwide Cohort Study, Rasmus Rørth, Chih Wong, Kristian Kragholm, Emil L. Fosbøl, Ulrik M. Mogensen, Morten Lamberts, Mark C. Petrie, Pardeep Jhund, Thomas A. Gerds, Christian Torp-Pedersen, Gunnar H. Gislason, John Mcmurray, Lars Kober, Søren L. Kristensen

Faculty of Health Sciences Publications

Return to work is important financially, as a marker of functional status and for self-esteem in patients developing chronic illness. We examined return to work after first heart failure (HF) hospitalization.


Patients With Heart Failure With Preserved Ejection Fraction And Low Levels Of Natriuretic Peptides, Wouter C. Meijers, Tialda Hoekstra, Trijntje Jaarsma, Dirk J. Van Veldhuisen, Rudolf A. De Boer Jan 2016

Patients With Heart Failure With Preserved Ejection Fraction And Low Levels Of Natriuretic Peptides, Wouter C. Meijers, Tialda Hoekstra, Trijntje Jaarsma, Dirk J. Van Veldhuisen, Rudolf A. De Boer

Faculty of Health Sciences Publications

Heart failure with preserved ejection fraction (HFpEF) is common and its management remains difficult. B-type natriuretic peptide (BNP) levels are used to diagnose heart failure, and as an entry criterion for inclusion into trials. We investigated a population of HFpEF patients who had been randomised into a study based on clinical parameters, and compared those with low BNP levels to those with elevated BNP levels.


Characteristics Of Individuals Presenting To Treatment For Primary Alcohol Problems Versus Other Drug Problems In The Australian Patient Pathways Study, Dan Lubman, Joshua B. B. Garfield, Victoria Manning, Lynda Berends, David Best, Janette Mugavin, Tina Lam, Penny Buykx, Andrew Larner, Belinda K. Lloyd, Robin Room, Steve Allsop Jan 2016

Characteristics Of Individuals Presenting To Treatment For Primary Alcohol Problems Versus Other Drug Problems In The Australian Patient Pathways Study, Dan Lubman, Joshua B. B. Garfield, Victoria Manning, Lynda Berends, David Best, Janette Mugavin, Tina Lam, Penny Buykx, Andrew Larner, Belinda K. Lloyd, Robin Room, Steve Allsop

Faculty of Health Sciences Publications

Background People seeking treatment for substance use disorders often have additional health and social issues. Although individuals presenting with alcohol as the primary drug of concern (PDOC) account for nearly half of all treatment episodes to the Australian alcohol and other drug (AOD) service system, previous treatment cohort studies have focused only on the profile of Australian heroin or methamphetamine users. While studies overseas indicate that clients seeking treatment primarily for their drinking are less likely to experience social and economic marginalisation than those seeking treatment primarily for illicit or pharmaceutical drug use, very little research has directly compared individuals ...


Assessing Stability In Mild And Moderate Parkinson's Disease: Can Clinical Measures Provide Insight? [Accepted Manuscript], Ryan P. Hubble, Peter A. Silburn, Geraldine A. Naughton Jan 2016

Assessing Stability In Mild And Moderate Parkinson's Disease: Can Clinical Measures Provide Insight? [Accepted Manuscript], Ryan P. Hubble, Peter A. Silburn, Geraldine A. Naughton

Faculty of Health Sciences Publications

This cross-sectional study aimed to investigate the relationship between accelerometer-derived measures of movement rhythmicity and clinical measures of mobility, balance confidence and gait difficulty in people with Parkinson’s disease (PD). Twenty-nine independently-living PD patients (Hoehn & Yahr Stages 1–3) with no history of significant injury or orthopaedic/deep brain stimulation surgery were recruited from a database of patients who had expressed an interest to participate in research. Participants completed clinical assessments of mobility, postural stability, balance confidence and symptom severity, while head and trunk rhythmicity was evaluated during gait using accelerometers. Following data collection, patients were stratified based on ...


Assessment Of An Established Dialysis Nurse Practitioner Model Of Care Using Mixed Methods Research [Accepted Manuscript], Melissa Jayne Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha Marie Mcevedy, Robyn Langham Jan 2015

Assessment Of An Established Dialysis Nurse Practitioner Model Of Care Using Mixed Methods Research [Accepted Manuscript], Melissa Jayne Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha Marie Mcevedy, Robyn Langham

Faculty of Health Sciences Publications

Aims and Objectives: To assess a dialysis nurse practitioner ( NP ) model of care by examining satisfaction, quality of life ( QOL ) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses. Design: Mixed methods. Methods: Database analyses of dialysis indices amongst a sample ( n = 45 ) of haemodialysis patients; a survey ( n = 27 ) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample ( n = 10 ) of nurses. Results: Nurses commended the NP role, with five themes emerging: “managing and co-ordinating”, “streamlining and alleviating”, “developing capability”, “supporting innovation and quality” and “connecting rurally”. Patients’ average age was 66 years ...


The Rapid Assessment Of Disability - Informing The Development Of An Instrument To Measure The Effectiveness Of Disability Inclusive Development Through A Qualitative Study In Bangladesh, Nafisa L. Huq, Tanya Edmonds, Sally Baker, Ljoudmila Busija, Alexandra Devine, Kathy Fotis, Manjula Marella, Nicolas Goujon, Jill Keeffe Jan 2013

The Rapid Assessment Of Disability - Informing The Development Of An Instrument To Measure The Effectiveness Of Disability Inclusive Development Through A Qualitative Study In Bangladesh, Nafisa L. Huq, Tanya Edmonds, Sally Baker, Ljoudmila Busija, Alexandra Devine, Kathy Fotis, Manjula Marella, Nicolas Goujon, Jill Keeffe

Faculty of Health Sciences Publications

Purpose: The Rapid Assessment of Disability (RAD) questionnaire was developed to provide governments and development agencies with an appropriate instrument to determine the prevalence of people with disability within their target populations, and to design and evaluate the effectiveness of disability inclusive activities in addressing their priorities and needs. The RAD questionnaire was developed using two conceptual frameworks: the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), and the International Classification of Functioning, Disability and Health (ICF). Existing instruments were reviewed to inform the structure and content of the RAD questionnaire. The RAD questionnaire that was developed ...


Outdoor Physical Activity And Self Rated Health In Older Adults Living In Two Regions Of The U.S., Jacqueline Kerr, James F. Sallis, Brian E. Saelens, Kelli L. Cain, Terry L. Conway, Lawrence D. Frank, Abby C. King Jan 2012

Outdoor Physical Activity And Self Rated Health In Older Adults Living In Two Regions Of The U.S., Jacqueline Kerr, James F. Sallis, Brian E. Saelens, Kelli L. Cain, Terry L. Conway, Lawrence D. Frank, Abby C. King

Faculty of Health Sciences Publications

Background: Older adults spend little time outdoors and many are physically inactive. The relationship between outdoor physical activity and self rated health has not been studied in older adults. This paper aimed to assess the relation of location of physical activity to self rated health and physical activity minutes. This was an observational study of ambulatory adults 66 years and older conducted in 2005–2008. Participants (N = 754) completed survey measures of physical activity location and self rated health, and wore an accelerometer to objectively assess physical activity. A mixed model linear regression procedure adjusted for neighborhood clustering effects. Differences ...


Assessment Of Long-Term Effects Of Irbesartan On Heart Failure With Preserved Ejection Fraction As Measured By The Minnesota Living With Heart Failure Questionnaire In The Irbesartan In Heart Failure With Preserved Systolic Function (I-Preserve) Trial, Thomas S. Rector, Peter E. Carson, Inder S. Anand, John Mcmurray, Michael R. Zile, Robert Mckelvie, Michel Komajda, Michael Kuskowski, Barry M. Massie Jan 2012

Assessment Of Long-Term Effects Of Irbesartan On Heart Failure With Preserved Ejection Fraction As Measured By The Minnesota Living With Heart Failure Questionnaire In The Irbesartan In Heart Failure With Preserved Systolic Function (I-Preserve) Trial, Thomas S. Rector, Peter E. Carson, Inder S. Anand, John Mcmurray, Michael R. Zile, Robert Mckelvie, Michel Komajda, Michael Kuskowski, Barry M. Massie

Faculty of Health Sciences Publications

The Minnesota Living with Heart Failure Questionnaire (MLHFQ) was used in a large, multinational, randomized, placebo-controlled trial to measure adverse effects of heart failure with preserved ejection fraction (HF-PEF) on patients' lives and the effects of irbesartan.