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  1. Article ; Online: Living well to the end.

    Savage, Roslyn

    Journal of physiotherapy

    2015  Volume 61, Issue 2, Page(s) 101

    Language English
    Publishing date 2015-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2015.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2001: Show issues Location:
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  2. Article ; Online: Effect of cognitive training on cognitive function in community-dwelling older people with mild-to-moderate dementia: A single-blind randomised controlled trial.

    Chantanachai, Thanwarat / Sturnieks, Daina L / Lord, Stephen R / Close, Jacqueline C T / Kurrle, Susan E / Delbaere, Kim / Payne, Narelle / Savage, Roslyn / Taylor, Morag E

    Australasian journal on ageing

    2024  

    Abstract: Objectives: The purpose of this assessor-blinded, randomised controlled trial was to determine the effect of computerised cognitive training (CT) on executive function, processing speed and working memory in 61 people with mild-to-moderate dementia.: ... ...

    Abstract Objectives: The purpose of this assessor-blinded, randomised controlled trial was to determine the effect of computerised cognitive training (CT) on executive function, processing speed and working memory in 61 people with mild-to-moderate dementia.
    Methods: The primary outcomes were forward Digit Span and Trail Making Tests (TMT) at the completion of the 6-month intervention. Secondary outcomes included cognitive and physical performance, rate of falls, participant and caregiver's quality of life and usability and adherence to the CT program. The study was registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12617000364370).
    Results: Intervention group (n = 31) participants averaged 81 min of CT per week, and system usability scores were acceptable (participants: 68.8 ± 22.1; caregivers: 79.4 ± 23.5). There were no statistically significant differences in cognitive or physical performance outcomes between the intervention and control groups at 6- or 12-months (between-group differences [95% CI] for primary outcomes at 6-months: Forward Digit Span -0.3 [-0.8, 0.3]; TMT-A 2.7 s [-14.1, 19.5]; TMT-B -17.1 s [-79.3, 45.2]). At the 12-month follow-up reassessment, the intervention group reported significantly more depressive symptoms and had lower caregiver-rated participant quality of life and higher caregiver quality of life compared to control.
    Conclusions: This study showed no benefit of the CT program on working memory, processing speed and executive function. Future studies are required to better understand how CT can be used to improve cognitive and physical functioning in older people with mild-moderate dementia.
    Language English
    Publishing date 2024-02-11
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.13283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5001: Show issues Location:
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  3. Article ; Online: Pilot feasibility study of a home-based fall prevention exercise program (StandingTall) delivered through a tablet computer (iPad) in older people with dementia.

    Taylor, Morag E / Close, Jacqueline C T / Lord, Stephen R / Kurrle, Susan E / Webster, Lyndell / Savage, Roslyn / Delbaere, Kim

    Australasian journal on ageing

    2019  Volume 39, Issue 3, Page(s) e278–e287

    Abstract: Objective: To assess the feasibility and safety of StandingTall-an individually tailored, progressive exercise program delivered through tablet computers-in community-dwelling older people with dementia.: Methods: Fifteen community-dwelling older ... ...

    Abstract Objective: To assess the feasibility and safety of StandingTall-an individually tailored, progressive exercise program delivered through tablet computers-in community-dwelling older people with dementia.
    Methods: Fifteen community-dwelling older people with dementia (mean age = 83 ± 8 years; Montreal Cognitive Assessment 16 ± 5) received StandingTall for 12 weeks with caregiver assistance. Feasibility and safety were assessed using the System Usability Scale (SUS; scores = 0-100; a priori target >65), Physical Activity Enjoyment Scale (PACES-8; scores = 8-56), adherence (exercise minutes) and adverse events.
    Results: Mean SUS scores were 68 ± 21/69 ± 15 (participants/caregivers). The mean PACES-8 score was 44 ± 8. In week 2, week 7 and week 12, mean (bias-corrected and accelerated 95% CI) exercise minutes were 37 (25-51), 49 (30-69) and 65 (28-104), respectively. In week 12, five participants exercised >115 minutes. One participant fell while exercising, without sustained injury.
    Conclusions: StandingTall had acceptable usability, scored well on enjoyment and was feasible for participants. These results provide support for further evaluation of StandingTall in a randomised controlled trial with falls as the primary outcome.
    MeSH term(s) Accidental Falls/prevention & control ; Aged ; Aged, 80 and over ; Computers, Handheld ; Dementia/diagnosis ; Exercise Therapy ; Feasibility Studies ; Humans ; Postural Balance
    Language English
    Publishing date 2019-09-19
    Publishing country Australia
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.12717
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Erratum to: Tailored Exercise and Home Hazard Reduction Program for Fall Prevention in Older People With Cognitive Impairment: The i-FOCIS Randomized Controlled Trial.

    Taylor, Morag E / Wesson, Jacqueline / Sherrington, Catherine / Hill, Keith D / Kurrle, Susan / Lord, Stephen R / Brodaty, Henry / Howard, Kirsten / O'Rourke, Sandra D / Clemson, Lindy / Payne, Narelle / Toson, Barbara / Webster, Lyndell / Savage, Roslyn / Zelma, Genevieve / Koch, Cecelia / John, Beatrice / Lockwood, Keri / Close, Jacqueline C T

    The journals of gerontology. Series A, Biological sciences and medical sciences

    2022  Volume 77, Issue 2, Page(s) e108

    Language English
    Publishing date 2022-02-04
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1223643-3
    ISSN 1758-535X ; 1079-5006
    ISSN (online) 1758-535X
    ISSN 1079-5006
    DOI 10.1093/gerona/glab316
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  5. Article ; Online: Tailored Exercise and Home Hazard Reduction Program for Fall Prevention in Older People With Cognitive Impairment: The i-FOCIS Randomized Controlled Trial.

    Taylor, Morag E / Wesson, Jacqueline / Sherrington, Catherine / Hill, Keith D / Kurrle, Susan / Lord, Stephen R / Brodaty, Henry / Howard, Kirsten / O'Rourke, Sandra D / Clemson, Lindy / Payne, Narelle / Toson, Barbara / Webster, Lyndell / Savage, Roslyn / Zelma, Genevieve / Koch, Cecelia / John, Beatrice / Lockwood, Keri / Close, Jacqueline C T

    The journals of gerontology. Series A, Biological sciences and medical sciences

    2020  Volume 76, Issue 4, Page(s) 655–665

    Abstract: Background: The evidence to support effective fall prevention strategies in older people with cognitive impairment (CI) is limited. The aim of this randomized controlled trial (RCT) was to determine the efficacy of a fall prevention intervention in ... ...

    Abstract Background: The evidence to support effective fall prevention strategies in older people with cognitive impairment (CI) is limited. The aim of this randomized controlled trial (RCT) was to determine the efficacy of a fall prevention intervention in older people with CI.
    Method: RCT involving 309 community-dwelling older people with CI. The intervention group (n = 153) received an individually prescribed home hazard reduction and home-based exercise program during the 12-month study period. The control group (n = 156) received usual care. The primary outcome was rate of falls. Secondary outcomes included faller/multiple faller status, physical function, and quality of life.
    Results: Participants' average age was 82 years (95% CI 82-83) and 49% were female. There was no significant difference in the rate of falls (incidence rate ratio [IRR] 1.05; 95% confidence interval [95% CI] 0.73-1.51). A sensitivity analysis, controlling for baseline differences and capping the number of falls at 12 (4 participants), revealed a nonsignificant reduction in fall rate in the intervention group (IRR 0.78; 95% CI 0.57-1.07). Analyses of secondary outcomes indicated the intervention significantly reduced the number of multiple fallers by 26% (RR 0.74; 95% CI 0.54-0.99) when adjusting for baseline differences. There was a differential impact on falls in relation to physical function (interaction term p-value = .023) with a significant reduction in fall rate in intervention group participants with better baseline physical function (IRR 0.60; 95% CI 0.37-0.98). There were no significant between-group differences for other secondary outcomes.
    Conclusions: This intervention did not significantly reduce the fall rate in community-dwelling older people with CI. The intervention did reduce the fall rate in participants with better baseline physical function.
    Clinical trials registration number: Australian and New Zealand Trials Registry ACTRN12614000603617.
    MeSH term(s) Accidental Falls/prevention & control ; Accidents, Home/prevention & control ; Accidents, Home/psychology ; Aged, 80 and over ; Australia/epidemiology ; Cognitive Dysfunction/complications ; Cognitive Dysfunction/physiopathology ; Cognitive Dysfunction/psychology ; Efficiency, Organizational ; Exercise Movement Techniques ; Exercise Therapy/methods ; Female ; Humans ; Incidence ; Independent Living/psychology ; Independent Living/standards ; Independent Living/statistics & numerical data ; Male ; New Zealand/epidemiology ; Outcome Assessment, Health Care/methods ; Outcome Assessment, Health Care/statistics & numerical data ; Physical Functional Performance ; Quality of Life ; Risk Reduction Behavior
    Language English
    Publishing date 2020-09-19
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 1223643-3
    ISSN 1758-535X ; 1079-5006
    ISSN (online) 1758-535X
    ISSN 1079-5006
    DOI 10.1093/gerona/glaa241
    Database MEDical Literature Analysis and Retrieval System OnLINE

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