Social and Behavioral Sciences Commons^™

Older, Online And First: Recommendations For Retention And Success, Cathy Stone, Sarah Elizabeth O'Shea

Faculty of Social Sciences - Papers (Archive)

The university student population in Australia contains increasing numbers of older students returning to learning after a significant gap in their educational journey. Many are choosing to enrol online to combine their studies with other time-consuming responsibilities. This article examines the nature of this online student experience with a focus on those aged 25 and over who are the first in their families to embark on university studies. Drawing on interviews conducted with both staff and students operating in this virtual space, as well as other related research and literature, this article offers recommendations to higher education institutions and educators …

Total Diet Score As A Valid Method Of Measuring Diet Quality Among Older Adults, Joanna Russell, Victoria M. Flood, Ali Sadeghpour, Bamini Gopinath, Paul Mitchell

Faculty of Social Sciences - Papers (Archive)

Background and Objectives: This study aimed to determine the accuracy of a diet quality measurement tool, the Total Diet Score (TDS) using two validation methods; firstly the TDS calculated from a food frequency questionnaire (FFQ) was compared to the TDS calculated from weighed food records (WFRs); secondly the TDS was compared to a number of dietary biomarkers. Methods and Study Design: Data were collected from a population based cohort study located in the Blue Mountains region of Sydney, Australia. To compare dietary assessment tools, a sub sample of 75 subjects (aged 63 to 83 years) completed the FFQ and three, …

Too Much Medicine In Older People? Deprescribing Through Shared Decision Making, Jesse Jansen, Vasi Naganathan, Stacy M. Carter, Andrew J. Mclachlan, Brooke Nickel, Les Irwig, Carissa Bonner, Jenny Doust, Jim Colvin, Aine Heaney, Robin Turner, Kirsten Mccaffery

Faculty of Social Sciences - Papers (Archive)

Too much medicine is an increasingly recognised problem, and one manifestation is inappropriate polypharmacy in older people. Polypharmacy is usually defined as taking more than five regular prescribed medicines. It can be appropriate (when potential benefits outweigh potential harms) but increases the risk of older people experiencing adverse drug reactions, impaired physical and cognitive function, and hospital admission. There is limited evidence to inform polypharmacy in older people, especially those with multimorbidity, cognitive impairment, or frailty. Systematic reviews of medication withdrawal trials (deprescribing) show that reducing specific classes of medicines may decrease adverse events and improve quality of life. Two …

Navigating The Knowledge Sets Of Older Learners: Exploring The Concept Of Experiential Capital Amongst First-In-Family Mature Age Students, Sarah Elizabeth O'Shea

Faculty of Social Sciences - Papers (Archive)

This paper is based upon research with university students who were first in their family to come to university. The studies sought to explore how attending university impacted upon both the learners and their families, particularly the intergenerational implications of this attendance. Drawing on in-depth interviews conducted with older university students, this paper will focus on how this mature cohort articulated the ways in which they drew upon life and work experiences in their transition to university. The research indicates that these learners had access to additional capitals in the higher education environment including what has been termed as 'experiential …

Food Insecurity And Poor Diet Quality Are Associated With Reduced Quality Of Life In Older Adults, Joanna C. Russell, Victoria M. Flood, Heather Yeatman, Jie Jin Wang, Paul Mitchell

Faculty of Social Sciences - Papers (Archive)

Aim: The aim of this study was to examine the relationships of food security and diet quality with health related quality of life (HRQoL) in a cohort of older Australians. Methods: Data were collected as part of the Blue Mountains Eye Study, a cohort study of community-living individuals aged 49 years and over. A 12-item food security survey, the Short-form 36-item (SF-36) health survey, assessing four physical and four mental domains of HRQoL, and a food frequency questionnaire (FFQ) were completed by 2642 participants. The Total Diet Score (TDS) (maximum score 20) measured diet quality based on food intake from …

Navigating The Knowledge Sets Of Older Learners: Exploring The Capitals Of First-Infamily Mature Age Students, Sarah Elizabeth O'Shea

Faculty of Social Sciences - Papers (Archive)

This paper is based upon research with Australian students who were the first in their family to come to university. The studies sought to explore how attending university impacted upon both the learners and their families, particularly the intergenerational implications of this attendance. Drawing on indepth interviews conducted with older university students enrolled in a medium sized regional university, this paper will focus on how this mature cohort articulated the ways in which they drew upon life and work experiences during their transition to university. Applying the Community Cultural Framework (Yosso, 2005) this article proposes that these learners brought a …

Sequential Processing In Young And Older Adults In The Equiprobable Auditory Go/Nogo Task, Robert J. Barry, Frances M. De Blasio, Adele E. Cave

Faculty of Social Sciences - Papers (Archive)

Objective: We recently proposed a sequential processing schema for the equiprobable auditory Go/NoGo task, based on a principal components analysis (PCA) of event-related potentials (ERPs) from a university student sample. Here we sought to replicate the schema, and use it to explore processing in well-functioning older adults. Methods: We compared behavioural responding and ERPs of 20 independent-living older adults (M_age = 68.2 years) to data from a sex- and handedness-matched group of university students (M_age = 20.4 years). ERPs had substantial latency differences between the groups, and hence were subjected to separate group temporal PCAs. Results: Component latencies …

Lift That Lid, Unscrew That Cap, Pull That Straw: The Challenges Of Hospital Food And Beverage Packaging For The Older User., Alison F. Bell, Karen L. Walton, Linda C. Tapsell, Alaster Yoxall

Faculty of Social Sciences - Papers (Archive)

Food and beverage packaging has been found to contribute to malnutrition amongst the older hospital patient. This paper examines the interaction of the older user and regular hospital food and beverage packaging and the role of strength and dexterity in relation to pack opening within a hospital context. Findings demonstrate that the most difficult packs to open require higher levels of dexterity than strength. Manufacturers need to incorporate both universal and transgenerational design principles to maximise pack 'openability' for the older user.

Perceived Value Of Using Energy Efficiently Among Low-Income Older Residents, Katherine A. Butler, Ross Gordon, Katherine Roggeveen, Gordon R. Waitt, Paul Cooper

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the World Social Marketing Conference, 19-21 April 2015, Sydney, Australia

Online Cognitive Training In Healthy Older Adults: A Preliminary Study On The Effects Of Single Versus Multi-Domain Training, Courtney C. Walton, Alexandra Kavanagh, Luke Downey, Justine Lomas, David A. Camfield, Con Stough

Faculty of Social Sciences - Papers (Archive)

It has been argued that cognitive training may be effective in improving cognitive performance in healthy older adults. However, inappropriate active control groups often hinder the validity of these claims. Additionally there are relatively few independent empirical studies on popular commercially available cognitive training programs. The current research extends on previous work to explore cognitive training employing a more robust control group. Twenty-eight healthy older adults (age: M = 64.18, SD = 6.9) completed either a multi-faceted online computerised cognitive training program or trained on a simple reaction time task for 20 minutes a day over a 28 day period. …

Water Water Everywhere And Not A Drop To Drink: The Challenge Of Bottled Water Provision To Older Users In Hospitals, Alison F. Bell, Karen L. Walton, Linda C. Tapsell

Faculty of Social Sciences - Papers (Archive)

Food and beverage packaging has been found to contribute to malnutrition amongst the older hospital patient. Reliance on bottled water as a hydration source for hospital patients is a growing phenomenon. This paper examines the interaction of the older user and bottled water packaging supplied in NSW hospitals. Findings demonstrate that water bottles are among the most difficult packs to open by older users and require high levels of hand strength. The provision of plastic bottled water in hospitals needs to be evaluated for system effectiveness: hydration intake, user experience and cost effectiveness.

Usability Testing Of Asthmawise With Older Adults, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi

Sandra Jones

There are many reasons why online self-management education is attractive to both patients and providers. AsthmaWise, an online self-management program, was developed using a Moodle platform, to enable older adults to learn asthma self-management skills. This study aimed to improve AsthmaWise through conducting: usability testing with a sample of end users; a cognitive walk-through undertaken by an independent health researcher; and assessment of content readability. A Perceived Health Web Site Usability Questionnaire score of 67% was achieved, indicating that there were usability issues that needed to be addressed. The cognitive walk-through and readability assessment identified unique issues that were not …

Where Do Older Australians Receive Their Health Information? Health Information Sources And Their Perceived Reliability, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Background: Chronic disease prevalence is increasing, in part due to the ageing population, adding further pressure to Australia's over-stretched primary health care services. While patients are encouraged to self-manage their chronic disease(s) in order to minimise the impact on their day-to-day functioning, little is known about where older adults receive health information and their perceptions of the reliability of these sources. Such knowledge would facilitate the development of self-management support strategies using health information sources that are acceptable to older adults. Methods: A cross-sectional design was utilised to investigate where older adults receive their health information and their perceptions of …

Asthmawise - A Field Of Dreams? The Results Of An Online Education Program Targeting Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Objectives: The aim of this study was to establish the feasibility and acceptability of an online asthma self-management program developed for older Australians with asthma. Methods: AsthmaWise, an internet education self-management program, was piloted for a 3-month period at the beginning of 2012. Participants were recruited using both online and offline strategies and were required to complete surveys, both pre- and post-intervention, in a repeated measures design. Results: Matched data were collected from 51 participants; the results showed AsthmaWise to be a feasible and acceptable method of delivering asthma education to the target population. Self-reported measures showed an increase in …

'Get Your Life Back': Process And Impact Evaluation Of An Asthma Social Marketing Campaign Targeting Older Adults, Uwana Evers, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Background: Asthma in older adults is underdiagnosed and poorly self-managed. This population has little knowledge about the key symptoms, the prevalence among older adults, and the serious consequences of untreated asthma. The purpose of this study was to undertake a multifaceted evaluation of a social marketing campaign to increase asthma awareness among older adults in a regional Australian community. Methods: A cohort of older adults in an intervention region (n = 316) and a control region (n = 394) were surveyed immediately prior to and following the social marketing campaign. Campaign awareness, message recall, materials recognition, and actions taken as …

Promoting Asthma Awareness To Older Adults: Formative Research For A Social Marketing Campaign, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

The limited existing research on the asthma perceptions of older adults suggests that this population perceives asthma to be a childhood disease and, therefore, believe that they are not susceptible to developing the condition as an adult. The asthma mortality rate is much higher for older adults than for children, and there is considerable negative impact on health-related quality of life. However, health promotion regarding asthma is rarely aimed at this population. To address this issue, social marketing campaign messages and materials about asthma were developed for an older adult population based on quantitative survey data. Through a series of …

The Devil Is In The Detail: Determining The Content Of An Internet Intervention For Older Adults With Asthma, Pippa Burns, Sandra C. Jones, Donald C. Iverson, Peter Caputi

Sandra Jones

Introduction: The Internet can support people to self-manage their asthma, while overcoming barriers frequently found in primary care. A user-centred design process was utilised to explore the types of asthma information older adults perceived to be beneficial in helping them manage their asthma and the website features they felt were desirable for an asthma education website. Methods: A survey package was mailed to 9,000 adults aged 55 years and over, whose contact details had been obtained from the Australian Electoral Commission. Four focus groups were also conducted covering: asthma management; asthma Internet information; and website features. The Technology Acceptance Model …

Asthma In Older Adults: The Need For Asthma Health Promotion Interventions, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

Asthma is a serious health issue for older adults. Among Australians aged 55 years and older, asthma prevalence, morbidity, and mortality are relatively high by international comparison and compared to other age groups. As people age, the diagnosis of asthma becomes more complicated, primarily due to comorbid conditions. Treatment and self-management are also more difficult in this age group due to the different medications prescribed for multiple conditions. At the same time, older adults do not perceive that they are susceptible to developing asthma, and they do not consider asthma to be a particularly serious disease, especially compared to other …

The Asthma Knowledge And Perceptions Of Older Australian Adults: Implications For Social Marketing Campaigns, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

Objective: The purpose of this research is to gain an understanding of the asthma perceptions of older adults and identify gaps in their asthma knowledge. Methods: In regional New South Wales, Australia, a stratified, random sample of 4066 adults, aged 55 years and over, both with and without an asthma diagnosis, completed a survey based on the Health Belief Model about asthma knowledge and perceptions. Results: Almost half of the sample had experienced symptoms of breathlessness in the past four weeks. Breathlessness was a predictor of lower health ratings and poorer mood. Older adults reported low susceptibility to developing asthma. …

If At First You Don't Succeed: Older Consumers And Hospital Food & Beverage Packaging - A Matter Of Try, Try And Try Again!, Alison F. Bell, Karen L. Walton, Nicola Westblade, Kate Morson, Jacqueline S. Chevis, Leire Harries, Alaster Yoxall

Faculty of Social Sciences - Papers (Archive)

‘Openability’ of food and beverage packaging has been shown to be problematic for older consumers. Pressure on resources has seen the use of packaged food and beverages increase in Hospitals within the NSW region of Australia. Studies at the University of Wollongong have shown that not only is Hospital food & beverage packaging problematic, difficulty opening it was identified as a barrier to nutritional intake.

Given the serious nature of the problem, a series of studies have been undertaken by the University of Wollongong and Sheffield Hallam University, to evaluate the issues surrounding the ‘openability’ of this packaging in an …

Prevalence And Risk Factors Of Food Insecurity Among A Cohort Of Older Australians, Joanna Russell, Victoria M. Flood, Heather Yeatman, Paul Mitchell

Faculty of Social Sciences - Papers (Archive)

Objective

With ongoing national concern about food security, the aim of the study was to estimate the prevalence of food insecurity and to identify associated characteristics in a cohort of older Australians.

Design, setting and participants

The Blue Mountains Eye Study is a cohort study of community living participants aged 49 + years. The 12-item food security survey was completed by 3068 participants in the cross sectional study which comprised 2335 survivors from baseline and the recruitment of an additional 1174 eligible residents.

Main outcome measures

Prevalence of self reported food insecurity was calculated and multivariate logistic regression provided odds …

Eyes-Closed Vs. Eyes-Open Eeg In Young And Older Adults, Robert Barry, Frances M. De Blasio, Adele E. Cave

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the 17th World Congress of Psychophysiology (IOP2014) of the International Organization of Psychophysiology (IOP) Hiroshima, Japan, September 23rd to 27th, 2014

Combining The Health Belief Model And Social Marketing To Develop A Community-Level Campaign About Asthma For Older Adults, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Sandra Jones

This conceptual paper provides a rationale for combining health behaviour theory with a social marketing framework in order to develop a community-level asthma campaign for adults aged 55 years and older. The prevalence of asthma in older adults in Australia is approximately 10%, higher than in many other countries, and asthma mortality increases with age. In addition, older adults' perceptions of asthma causes and treatments are often inaccurate. Many older adults believe that asthma is a childhood disease and that the effects of the condition are relatively minor and would not impact on daily life. In order to address these …

Profiling The Silver Surfers: Which Older Australians Are Using The Internet?, Pippa Burns, Sandra C. Jones, Donald C. Iverson

Sandra Jones

Abstract presented at the 10th national emerging researchers in ageing conference, 24-25 November 2011

Breathlessness Is Not A Normal Part Of Aging: Development And Testing Of Asthma Awareness Messages For Older Australians, Sandra C. Jones, Uwana Evers, Donald C. Iverson, Peter Caputi, Sara Morgan, Michele Goldman

Sandra Jones

At least 420,000 Australian adults aged 55 years and over, or one in 10, currently have asthma (Australian Centre for Asthma Monitoring 2008). Asthma is under-diagnosed, often misdiagnosed, and undertreated in the older adult population in Australia (Gibson, McDonald and Marks 2010, Marks and Poulos 2005, Wilson et al 2001) as it is overseas. Contrary to the perception that asthma is a childhood disease, asthma can develop in older adults (Adams and Ruffin 2005). The risk of dying from asthma increases with age (AIHW 2010). While the overall mortality rate has decreased by almost 70% since 1989, much of this …

Assessing Alcohol Consumption In Older Adults: Looking For A Solution To Inform Evaluation Of Social Marketing Campaigns, Sandra C. Jones, Lance Barrie, Laura Robinson

Sandra Jones

Alcohol consumption in older people presents unique challenges due to changes in body composition, co-morbid conditions and associated mediations, as well as a reduction in metabolic capacity. As such, this generation has been identified as an at-risk group by the NHRMC (NHRMC, 2011). For the purpose of this paper "older" adults are individuals aged 65 years and over. The NHMRC produced guidelines for minimising the risks associated with alcohol consumption in 2001 (NHMRC, 2001). While the 2001 NHMRC guidelines did not provide specific recommendations regarding levels of consumption for older people the revised 2009 guidelines recommend, 'Older people are advised …

Estimation Of Dietary Flavonoid Intake And Cognitive Performance In Older Adults With Alzheimer's Type Dementia, Katherine Caldwell, Karen E. Charlton, Steven J. Roodenrys

Faculty of Social Sciences - Papers (Archive)

Abstract presented at The Nutrition Society of Australia and Nutrition Society of New Zealand 2013 Joint Annual Scientific Meeting, 4-6 December 2013, Brisbane, Australia

The Asthma Knowledge And Perceptions Of Older Australian Adults: Implications For Social Marketing Campaigns, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Faculty of Social Sciences - Papers (Archive)

Objective: The purpose of this research is to gain an understanding of the asthma perceptions of older adults and identify gaps in their asthma knowledge. Methods: In regional New South Wales, Australia, a stratified, random sample of 4066 adults, aged 55 years and over, both with and without an asthma diagnosis, completed a survey based on the Health Belief Model about asthma knowledge and perceptions. Results: Almost half of the sample had experienced symptoms of breathlessness in the past four weeks. Breathlessness was a predictor of lower health ratings and poorer mood. Older adults reported low susceptibility to developing asthma. …

Asthma In Older Adults: The Need For Asthma Health Promotion Interventions, Uwana Evers, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Faculty of Social Sciences - Papers (Archive)

Asthma is a serious health issue for older adults. Among Australians aged 55 years and older, asthma prevalence, morbidity, and mortality are relatively high by international comparison and compared to other age groups. As people age, the diagnosis of asthma becomes more complicated, primarily due to comorbid conditions. Treatment and self-management are also more difficult in this age group due to the different medications prescribed for multiple conditions. At the same time, older adults do not perceive that they are susceptible to developing asthma, and they do not consider asthma to be a particularly serious disease, especially compared to other …

Usability Testing Of Asthmawise With Older Adults, Pippa Burns, Sandra C. Jones, Don Iverson, Peter Caputi

Faculty of Social Sciences - Papers (Archive)

There are many reasons why online self-management education is attractive to both patients and providers. AsthmaWise, an online self-management program, was developed using a Moodle platform, to enable older adults to learn asthma self-management skills. This study aimed to improve AsthmaWise through conducting: usability testing with a sample of end users; a cognitive walk-through undertaken by an independent health researcher; and assessment of content readability. A Perceived Health Web Site Usability Questionnaire score of 67% was achieved, indicating that there were usability issues that needed to be addressed. The cognitive walk-through and readability assessment identified unique issues that were not …