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  • 1
    Online Resource
    Online Resource
    Risk Factors for Depression in Long-term Care: A Prospective Observational Cohort Study
    Informa UK Limited ; 2021
    In:  Clinical Gerontologist Vol. 44, No. 2 ( 2021-03-15), p. 112-125
    Details
    In: Clinical Gerontologist, Informa UK Limited, Vol. 44, No. 2 ( 2021-03-15), p. 112-125
    Type of Medium: Online Resource
    ISSN: 0731-7115 , 1545-2301
    URL: Article
    DOI: 10.1080/07317115.2019.1635548
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2068455-1
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  • 2
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    Study protocol for ELders AT Ease (ELATE): a cluster randomised controlled trial of cognitive behaviour therapy to reduce depressive symptoms in aged care residents
    Springer Science and Business Media LLC ; 2023
    In:  BMC Geriatrics Vol. 23, No. 1 ( 2023-09-12)
    Details
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-09-12)
    Abstract: This protocol describes a study of the effectiveness of cognitive behaviour therapy (CBT) for reducing depressive symptoms in older adults living in residential aged care (RAC) facilities in Australia. Depressive symptoms are highly prevalent in this population, yet the benefits of CBT for reducing such symptoms in RAC facilities have not been widely investigated. Elders at Ease (ELATE) is a 16-session CBT intervention designed for implementation in RAC facilities. The intervention includes cognitive, behavioural and reminiscence strategies and is delivered by mental health trainees (MHTs) in collaboration with RAC facility staff and residents’ family. Methods and analysis ELATE will be evaluated using a cluster randomised trial comparing outcomes for residents who participate in the intervention with those living in usual care control facilities. The participants are RAC residents aged 65 years or above, with depressive symptoms (Patient Health Questionnaire-2 ≥ 3) and normal cognition or mild cognitive impairment (Standardised Mini Mental Status Examination ≥ 21). They are assessed at four time points: baseline prior to randomisation (T1), mid-treatment (T2; 2.5 months post randomisation), post-treatment (T3; 5 months post-randomisation) and 3-month follow-up (T4; 8 months post randomisation). The primary outcome is change in depressive symptoms between T1 and T3. Secondary outcomes are depressive symptoms at T4, anxiety, suicide ideation, sleep problems, quality of life, staff and family knowledge of late-life depression, stress levels and efficacy in caring for residents, and MHT levels of geropsychology competencies. Residents receiving the intervention are hypothesised to report a greater decrease in depressive symptoms between T1 and T3 compared to residents receiving usual care. The primary analysis is a regression, clustered over site to account for correlated readings, and independent variables are condition and depressive symptoms at T1. A cost-utility analysis is also undertaken. Discussion ELATE is a comprehensive CBT intervention for reducing depressive symptoms in RAC residents. It is designed to be implemented in collaboration with facility staff and residents’ families, individually tailored to residents with normal cognition to mild cognitive impairment and delivered by trainee therapists. ELATE offers a model that may be widely applicable across the RAC sector. Trial registration Trial registered with the Australian and New Zealand Clinical Trial Registry (ANZCTR) Number ACTRN12619001037190, prospectively registered on 22 July 2019.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/s12877-023-04257-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2059865-8
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  • 3
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    A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents
    Springer Science and Business Media LLC ; 2020
    In:  BMC Geriatrics Vol. 20, No. 1 ( 2020-12)
    Details
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Depression rates are high in residential aged care (RAC) facilities, with newly admitted residents at particular risk. New approaches to address depression in this population are urgently required, particularly psychological interventions suitable for widespread use across the RAC sector. The Program to Enhance Adjustment to Residential Living (PEARL) is a brief intervention, designed to provide individually tailored care approaches to meet the psychological needs of newly admitted residents, delivered in collaboration with facility staff. Methods PEARL will be evaluated using a cluster randomised controlled design, comparing outcomes for residents who participate in the intervention with those residing in care as usual control facilities. Participants are RAC residents aged 60 years or above, with normal cognition or mild-moderate cognitive impairment, who relocated to the facility within the previous 4 weeks. The primary outcomes are depressive symptoms and disorders, with secondary outcomes including anxiety, stress, quality of life, adjustment to RAC, and functional dependence, analysed on an intention to treat basis using multilevel modelling. Discussion PEARL is an intervention based on self-determination theory, designed to reduce depression in newly admitted residents by tailoring day to day care to meet their psychological needs. This simple psychological approach offers an alternative care model to the current over-reliance of antidepressant medications. Trial registration ACTRN12616001726448 ; Registered 16 December 2016 with the Australian New Zealand Clinical Trials Registry.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/s12877-020-1492-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
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  • 4
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    Online Resource
    Examining knowledge translation in blood donor research: A review of vasovagal reaction literature
    Wiley ; 2021
    In:  Transfusion Vol. 61, No. 6 ( 2021-06), p. 1772-1779
    Details
    In: Transfusion, Wiley, Vol. 61, No. 6 ( 2021-06), p. 1772-1779
    Abstract: Knowledge translation focuses on the transfer of research findings into policy and practice. To provide insight into the state of knowledge translation in blood donor research, we undertook a rapid review of a key research area in the field with high potential for translation, vasovagal reactions (VVRs). We examined the number and nature of VVR‐related studies to determine the availability of research evidence, and mapped the included articles along the research‐to‐practice trajectory using the Knowledge to Action framework. Study Design and Methods PubMed, PsycINFO, CINAHL, and EMBASE were searched for peer‐reviewed journal articles from inception to October 2019 using the terms blood don* AND vasovagal OR faint* OR syncope. Results A total of 176 articles met our inclusion criteria. Studies relating to VVRs increased substantially from 1942 to 2019, with 84% published in the last 20 years. Articles were predominately observation (non‐intervention) studies (117; 66%), followed by intervention (knowledge inquiry) studies (31; 18%) and review (knowledge synthesis) studies (20; 11%). The evidence from intervention research was limited, with 14 strategies tested in 31 studies and often by the same research groups. Only 5 (3%) implementation and evaluation studies were found; all focused on evaluating the effects of a newly introduced intervention on VVR rates through uncontrolled or cross‐sectional study designs. Discussion VVR research is in the early stages of knowledge translation. More intervention research is needed to provide a robust evidence base as well as more published implementation research to share knowledge of translating research into policy and practice.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.v61.6
    DOI: 10.1111/trf.16391
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2018415-3
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  • 5
    Online Resource
    Online Resource
    Visits to general practitioners after iron‐related deferrals from blood donation in middle‐aged and older Australian blood donors
    Wiley ; 2021
    In:  Transfusion Vol. 61, No. 12 ( 2021-12), p. 3335-3343
    Details
    In: Transfusion, Wiley, Vol. 61, No. 12 ( 2021-12), p. 3335-3343
    Abstract: Australian Red Cross Lifeblood (Lifeblood) advises donors to visit their general practitioner (GP) for medical follow‐up if they are deferred from donating due to having a lower than acceptable level of hemoglobin (Hb) and/or serum ferritin (iron‐related deferrals). Methods We used the Sax Institute's 45 and Up Study data linked to Lifeblood's donor datasets and other health administrative datasets. We examined the rate of visits to a GP after iron‐related deferral from donation, and investigated whether an early visit to a GP (within 30 days following the deferral) had an impact on return to make successful donation within 12, 18, and 24 months compared to a delayed or no GP visit. Results A total of 1928 donors underwent iron‐related deferral. The rate of visits to a GP in the first month after deferral was double the rate observed a month prior. However, only 52.4% of those deferred visited a GP early with slightly more than half of those receiving an iron‐monitoring test. Return to donate over the 24 months was lower in donors visiting their GP early (adjusted Hazard Ratio [aHR] 0.86, 95% CI 0.77–0.97). Early GP visitors were likely to have a relatively poorer health than the delayed or no GP visit group. Conclusions Only half of the donors with an iron‐related deferral followed advice from Lifeblood and visited their GP within 30 days of deferral, and these donors have a significantly reduced likelihood of future successful blood donation which may be due to their relatively poorer health status.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.v61.12
    DOI: 10.1111/trf.16701
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2018415-3
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  • 6
    Online Resource
    Online Resource
    A randomized controlled trial of post‐donation communication materials to increase donor return following a vasovagal reaction
    Wiley ; 2023
    In:  Transfusion Vol. 63, No. 9 ( 2023-09), p. 1701-1709
    Details
    In: Transfusion, Wiley, Vol. 63, No. 9 ( 2023-09), p. 1701-1709
    Abstract: Vasovagal reactions (VVRs) are one of the primary reasons for people to stop donating blood. The aim of this study was to evaluate the impact of newly developed online communications on the rate of return of whole‐blood (WB) and plasma donors who experienced a VVR. Study Design and Methods First‐time and experienced WB and plasma donors who had a VVR without a loss of consciousness in the previous 3 days were randomly allocated to receive (a) an SMS sent 1–4 days post‐VVR ( n  = 2303), (b) an email sent 6–10 days post‐VVR ( n  = 2360), (c) both the SMS and the email ( n  = 2248), or (d) business‐as‐usual donor retention communications (control; n  = 2557). Donation data were extracted to determine subsequent donation attempts. Results For return within 3 months, WB donors in the Email Only condition had significantly increased odds of returning (OR: 1.26, 95%CI: 1.01–1.56). Subgroup analysis within WB donors showed increased odds of return for women sent the SMS and Email (OR: 1.50, 95%CI: 1.14–1.96) or the Email Only (OR: 1.44, 95%CI: 1.10–1.89), and for first‐time donors sent the Email Only (OR: 1.48, 95%CI: 1.07–2.05). At 6 months, only first‐time WB donors in the Email Only condition had significantly increased odds of returning (OR: 1.30, 95%CI: 1.01–1.69). No significant effects of the intervention were found for immediate or intermediate return for plasma donors. Discussion Sending an email addressing common donor concerns regarding VVRs increases WB donor retention, but additional strategies are needed for the effects to last and to retain plasma donors.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.v63.9
    DOI: 10.1111/trf.17494
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2018415-3
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  • 7
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    Offering new and returned donors the option to give plasma: implications for donor retention and donor adverse events
    Wiley ; 2021
    In:  Vox Sanguinis Vol. 116, No. 3 ( 2021-03), p. 273-280
    Details
    In: Vox Sanguinis, Wiley, Vol. 116, No. 3 ( 2021-03), p. 273-280
    Abstract: In 2018, Australian Red Cross Lifeblood changed its plasmapheresis eligibility criteria to allow donors to donate plasma without the requirement of a prior successful whole blood donation. This study evaluated the impact of this policy change on donor retention and donor safety. Materials and Methods All donors who had attempted to give their first plasma or whole blood donation from January to June 2018 were included in this retrospective cohort study. Donor characteristics and adverse events were analysed for this index donation, and the cohort was followed for 18 months to analyse time to return, subsequent donation frequency and predictors of return. Results Male and younger donors provided a significantly greater proportion of first donation plasma than females and older donors. New donors who gave plasma had the highest rate of donor adverse events, including vasovagal reactions and phlebotomy injuries. Nevertheless, donor retention was not affected, with more new donors returning and at a greater subsequent donation frequency after a plasma donation compared to new donors donating whole blood. First‐time plasma donors who had previously donated whole blood, however, had greater and quicker rates of return, and more subsequent donations. Conclusion Offering new donors the option to give plasma had a positive effect on donor return and subsequent donation frequency. Removing the requirement of a prior whole blood donation is a viable way to increase plasma collections although the combined effect of new donor status and plasmapheresis procedure on adverse event risk needs to be considered.
    Type of Medium: Online Resource
    ISSN: 0042-9007 , 1423-0410
    URL: Issue
    URL: Article
    DOI: 10.1111/vox.v116.3
    DOI: 10.1111/vox.12977
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 1483587-3
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  • 8
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    Facilitating donor compliance with strategies to prevent vasovagal reactions: comparison of web‐based and in‐center approaches
    Wiley ; 2017
    In:  Transfusion Vol. 57, No. 10 ( 2017-10), p. 2449-2457
    Details
    In: Transfusion, Wiley, Vol. 57, No. 10 ( 2017-10), p. 2449-2457
    Abstract: Research has documented beneficial effects of water loading (WL) and applied muscle tension (AMT) on reducing self‐reported vasovagal reactions (VVRs) in whole blood (WB) donors. However, the optimal approach to reducing VVRs using these strategies in routine blood collection practice is not known. This study evaluated the effectiveness of embedding newly developed web‐based and on‐site donor education materials to increase the use of these two prevention techniques during blood collection. STUDY DESIGN AND METHODS Two studies were conducted with WB donors. In Study 1, donors (n = 375) were randomly allocated to evaluate one of three forms of educational materials (video, webpage, card) in an online questionnaire. In Study 2, donors (n = 598) were randomly assigned to view either off‐site web‐based or in‐center educational materials and were surveyed after donation to assess compliance to the VVR prevention procedure and to self‐report VVR. RESULTS In Study 1, donors rated the video as having the highest message appeal and indicated greater likelihood to use AMT compared to the webpage and card. No differences were found in likelihood to use WL. In contrast, in Study 2, greater adherence to VVR prevention strategies was observed in donors who received the in‐center instruction card in comparison to those who received the web‐based materials. Examination of viewing data indicated that only a small number of donors had seen the web‐based materials. No significant effects of the techniques were found on self‐reported VVRs. CONCLUSION Providing on‐site instructions is the most effective method to increase donor compliance to VVR prevention techniques.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.2017.57.issue-10
    DOI: 10.1111/trf.14243
    Language: English
    Publisher: Wiley
    Publication Date: 2017
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  • 9
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    A systematic review of incentives in blood donation
    Wiley ; 2018
    In:  Transfusion Vol. 58, No. 1 ( 2018-01), p. 242-254
    Details
    In: Transfusion, Wiley, Vol. 58, No. 1 ( 2018-01), p. 242-254
    Abstract: Incentives are often used to enhance the effectiveness of recruitment and retention campaigns targeting blood donors. However, the degree to which incentives succeed in attracting and facilitating repeat donation is unclear. A systematic literature review, following PRISMA guidelines, investigated the existing empirical evidence regarding the use of monetary and nonmonetary incentives within blood donation. STUDY DESIGN AND METHODS A comprehensive search of relevant databases identified a total of 71 papers for inclusion in the review for defining and operationalizing incentives (Objective 1), of which nine papers empirically investigated attitudes toward incentives (Objective 2), 31 papers investigated the impact on blood donation behavior (Objective 3), and eight papers investigated the impact on blood safety (Objective 4). RESULTS Overall, research into the use of incentives in blood donation is limited, characterized by comparatively few studies, predominantly focused on whole blood donors, that are confounded by current operating context (paid or voluntary). No incentive has been identified that all segments of the nondonor and donor panel report positive attitudes toward, that has a positive impact on behavior, and that has no negative impact on blood safety. Certain incentives (i.e., discounts, tickets, gifts, and paid time off work) have the strongest evidence base for potential inclusion within voluntary nonremunerated (VNR) donation systems. CONCLUSION Due to the limited nature of the existing literature (particularly for apheresis donors) and inconsistencies observed within the results, additional research investigating the likely impact of introducing (or removing) monetary or nonmonetary incentives in VNR donor recruitment or retention is essential.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.2018.58.issue-1
    DOI: 10.1111/trf.14387
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2018415-3
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  • 10
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    Bringing new plasma donors back: testing the efficacy of telephone and e‐mail communications with first‐time donors
    Wiley ; 2020
    In:  Transfusion Vol. 60, No. 7 ( 2020-07), p. 1463-1469
    Details
    In: Transfusion, Wiley, Vol. 60, No. 7 ( 2020-07), p. 1463-1469
    Abstract: As demand for plasma‐derived products grows, retention of voluntary nonremunerated plasmapheresis donors is crucial for many blood collection agencies. Currently, there is limited evidence of how to encourage first‐time plasmapheresis donors to return and establish a high‐frequency donation routine. This study tested the effectiveness of an intervention designed to increase retention of first‐time plasmapheresis donors, increase donation frequency, and reduce time to return. STUDY DESIGN AND METHODS A total of 6788 first‐time plasmapheresis donors were randomly assigned to one of four conditions. Donors received an alternative e‐mail or the business‐as‐usual control e‐mail paired or not with a phone call. Outcomes were compared to the control e‐mail in intention‐to‐treat analyses. RESULTS Compared with control, donors in all intervention conditions were more likely to donate plasma as their first return donation in 6 months; however, there were no significant differences between intervention conditions. Rates of plasma donation in the alternative e‐mail, control e‐mail plus call, and alternative e‐mail plus call conditions were 17.0, 15.0, and 18.0% higher than control. While the extra donations obtained in the alternative e‐mail condition were cost neutral, the cost of one additional donation in the call conditions ranged from 20.14‐20.89 AUD (13.08‐13.56 USD). CONCLUSION Communications specifically designed to encourage first‐time plasmapheresis donors to view regular plasmapheresis donations as “easy”; to forward‐book more than one appointment; and to provide education about plasma are effective in encouraging donors to return to plasma, to donate more frequently, and to return faster.
    Type of Medium: Online Resource
    ISSN: 0041-1132 , 1537-2995
    URL: Issue
    URL: Article
    DOI: 10.1111/trf.v60.7
    DOI: 10.1111/trf.15787
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2018415-3
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