2012 NARI Annual Report

bringing research

to life

2011 - 2012 Annual report

Front cover: Older people taking part in a virtual home exercise program will tap into the latest video game technology and the National Broadband Network.

Trying the program are NARI volunteers, from left, Sue Healy and Zelma Riddell. (See Exercising on Broadband, pages 8 & 17)

OuR mISSIONto be a centre of excellence in Australia for research into ageing and improving the life

and health of older people.

OuR HISTORynAri has been a pioneer, nationally

and internationally, in healthy ageing research since it began on 16 April 1975, at a time when

the concept of an ageing society was often dismissed. the University of Melbourne and

the then Mount royal hospital signed an agreement to create a national research institute for the purpose

of gerontological research and geriatric medicine.

OuR vISIONto lead the way in ageing research

nationally, where our research results are promptly translated into best clinical

practice and adopted by policy makers and the aged care sector, to benefit people from all cultural backgrounds whether they are

living in urban, rural or remote areas of Australia.

OuR wORknAri is recognised as a leading

research institute focusing on major health issues affecting older people, especially falls and balance, pain, dementia, physical activity, healthy ageing, and depression and anxiety.

nAri is renowned for its expertise in program evaluation, innovative use of the latest

technology in its research projects and successful professional

education program.

President’s Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Executive Director’s Report . . . . . . . . . . . . . . . . . . . . . . . . . 3

Board of Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 9

Research Report

BiomEDical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 - 13

HEaltH PRomotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 - 18

SERvicE DEvEloPmEnt anD Evaluation . . . . . . . . . . . . . . 19 - 21

corporate Division . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 - 25

Publications and major conference Presentations . . . 26 - 35

Working together . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 - 40

Supporting naRi . . . . . . . . . . . . . . . . . . . . . inside back cover

Contents

Enjoying NARI’s ‘thank you’ afternoon tea for volunteers are John and Doreen Nunn.

President’s Report

“The need for research on all

aspects of ageing and improving the life

experience of older Australians has never

been greater.”

pAge 2 president’s Report

We are all ageing. Our nation is facing an

unprecedented growth in the proportion

of older people and that will require

greater focus on research and policy

development.

NARI's work will make a valuable

contribution to the development of

government policy responses, as well as

providing guidance to us all on ‘ageing

well’ and ‘positive ageing’.

I am pleased to present to you the NARI

Annual Report for 2011-2012. In my

inaugural President’s report, I wish to

pay tribute to my predecessor, the Hon

Michael MacKellar AM. Michael steered

the Institute through a period of

growth and consolidation. His confident

stewardship over six years as board

president has allowed the Institute to

flourish and expand. His are big shoes

to fill.

Since joining the NARI Board, I have

been impressed by the quality and

range of NARI’s research. However, my

enthusiasm is tempered by frustration

at the disparity between the burden of

disease encountered by people as they

age and the reluctance of funding bodies

to invest in ageing research at a level that

reflects health care expenditure for this

population.

Funding for ageing research reflects

social attitudes to issues facing older

people, and this could be construed as

ageist and discriminatory.

Our vision is for a holistic approach to

ageing research, (similar to the New

Dynamics in Ageing multi and

interdisciplinary research program in the

United Kingdom), which would lead to

a more cohesive approach to research

efforts to improve the quality of life for

people as they age.

NARI is well placed to support this vision.

Even with lean resources, the calibre and

quantity of NARI’s work is remarkable.

Yet, imagine what could be achieved if

research funding dedicated to ageing

were increased to a more realistic and

equitable level.

Daily care for the oldest and frailest

people in our community often

contradicts evidence and, in many

instances, basic human rights to pain

relief, social engagement and

self-determination are neglected.

In my professional life, I hear of

older people whose quality of

life, and perhaps longevity,

could be improved by

really attending to the

person and applying

good evidence-based

research.

NARI is a unique

institution in Australia.

During the almost four

decades of its existence, NARI

has produced a vast quantum of

research that has impacted significantly

on aged care policy and practice in

Australia. NARI researchers have created

many of the shifts in practice related to

dementia, pain and falls prevention, and

developed assessment and care models

that have improved continuity of care and

services. Now, as governments worldwide

seek to improve care for the increasing

number of older people, many of them are

considering Australia’s innovative models.

For example, Aged Care Assessment

Teams, which NARI was instrumental in

developing, are now accepted as best

practice.

This year, NARI became a company

limited by guarantee under the

Commonwealth Corporations Act. This

aligns us with similar organisations

and also ensures a sound and modern

governance framework.

We are refreshing our relationships with

key stakeholders, including government,

the University of Melbourne and

Melbourne Health. We also look forward

to greater collaboration with all of our

partners and contributors.

The new company

structure led to

the Board being

restructured and

several members

retiring. I wish to thank

Bob Solly, Ian Allsop and

David Simmons for their

commitment and contribution,

and look forward to their ongoing

involvement as friends of NARI. Colin

Smith, who has stepped down as treasurer,

was renowned for his invaluable financial

and budgetary planning and management.

I welcome the new Treasurer, David

Plowman, who brings much experience

and dedication to this role.

In conclusion, I thank our partners who

enrich our research effort and share our

passion for a more equitable world for

older people; our funders who recognise

and foster NARI’s expertise; the Board

members who continue to work for and

strongly support the Institute, and the

researchers, staff and volunteers ably

led by the NARI Executive Director,

Professor David Ames.

Professor Ames has renewed his role with

NARI for another five years. We recognise

his great personal drive to enhance NARI's

reputation and reach, and I look

forward to working with

him in the years to come.

MichAel goRTon AM

pResidenT

federal governments. A key message in

our detailed response to the McKeon

Review of Health and Medical Research

was that ageing research needed a

greater financial investment to meet the

expected demand in health and aged

care services of our ageing population.

We highlighted the significant social

and economic contribution of older

Australians in our submissions to two

other government inquiries.

In addition to our three divisional

directors, I rely extensively upon our

Deputy Director Operations/Executive

Manager, Ms Debra O’Connor, who is a

constant inspiration in her dedication

to NARI and her innovative ideas about

future directions and opportunities.

I am fortunate to be surrounded by

inspiring colleagues and staff. Their

energy and commitment are reflected

in the vision we all share to improve the

health and wellbeing of older Australians.

My thanks also go to our collaborative

partners, government and philanthropic

funding partners, the generosity of

individual donors and our dedicated

volunteers for believing in this same

vision.

pRofessoR dAvid AMes

execuTive diRecToR

As I enter my sixth year as NARI Director,

I am pleased to report on several key

administrative changes and some exciting

research developments.

I have agreed to a five-year extension of

my contact with NARI and the University

of Melbourne, which was due to expire

in September 2012. This reflects my

confidence in NARI’s future (as I imagine

it represents a vote of confidence in me

by NARI and the University too!).

I consider it a privilege to continue

working with our outstanding staff and

Board of Directors.

As part of our move to a modernised and

robust governance structure, NARI has

become a company limited by guarantee

and the Board of Directors has been

restructured. I wish to thank the retiring

Board members for their generous

contributions in their honorary work for

NARI over many years.

A special mention must go to the Hon

Michael MacKellar AM for his major

influence in ensuring NARI flourished

during his term as president, from

2005-2011. With his characteristic

enthusiasm and persuasive charm, he

approached me in 2006 about taking on

my current role and I have greatly valued

his support and dedication.

Among Michael’s achievements are his

major role in developing a new strategic

plan for NARI, the considerable expansion

of NARI’s staff and budget, and fostering

our links with state and federal politicians.

I am pleased that he is staying on as a

Board member, continuing to share his

immense wisdom and experience. Our

new Board President, Michael Gorton AM,

brings impressive experience in the health

field, and inspires us with his energy and

zeal about ways to enhance NARI’s future.

Within the pages of this report, there are

many examples of the research excellence

that NARI exemplifies. Being awarded

our third National Health and Medical

Research Council (NHMRC) grant in two

years certainly confirms NARI’s leading

role in ageing research. The latest project

is investigating the effectiveness of an

exercise program in reducing depression

among carers of older people with

chronic illnesses. Led by Dr Briony Dow

(Director of Health Promotion), the study

builds upon our expertise in exercise and

lifestyle interventions.

Continuing major projects include

Professor Stephen Gibson’s (NARI Deputy

Director) NHMRC-funded study into the

effectiveness of analgesic medication

in decreasing aggressive behaviour in

people with dementia and Dr Colleen

Doyle’s (Director of Service Development

and Evaluation) novel study funded

by beyondblue that involves providing

cognitive behavioural therapy over the

telephone to deal with depression and

anxiety in people with chronic lung

disease.

These three projects have the potential

to influence the way in which health

care is delivered in Australia and around

the world. The grants also reflect the

high professional standing of the NARI

divisional directors.

Exciting new projects include a

home-based exercise program using the

latest technology to improve the health

of older people, a choir for people with

dementia to enhance their quality of

life and tackling the early detection of

dementia among indigenous communities

in Victoria.

NARI continues to have a large number

of papers published in peer reviewed

journals. Our research findings are also

well received at conferences, nationally

and internationally. Within the last year,

NARI has had a key role in organising

two major conferences in Melbourne

– the Research and Standardisation in

Alzheimer’s Disease (RASAD 2012) and

the 9th Asia-Oceania Regional Congress

of Gerontology and Geriatrics.

We ensure our views about how to best

care and meet the needs of all Australians

as they age are known by state and

executive director’s Report pAge 3

Executive Director’s Report

Board of Directors

FinanCE, auDit anD Risk ManagEMEnt suB-CoMMittEEMr David Plowman (Chairperson), Professor David ames, Professor ian Everall, Mr Michael gorton, Mr John grace, the Hon Michael Mackellar, associate Professor Michael Murray

in attEnDanCE: Mr nick Catton (Chief Financial officer) and naRi senior Executives - Dr Briony Dow, Dr Colleen Doyle, Professor stephen gibson, Ms Debra o’Connor

BusinEss DEvEloPMEnt anD stRatEgy suB-CoMMittEEMr Michael gorton (Chairperson), Professor David ames, Dr Peter Bradford, Ms sue Hendy, Ms Christine kotur, the Hon Michael Mackellar, associate Professor Michael Murray, associate Professor Elizabeth ozanne, Mr David Plowman

in attEnDanCE: naRi senior Executives – Dr Briony Dow, Dr Colleen Doyle, Professor stephen gibson, Ms Debra o’Connor

PREsiDEnt

Mr Michael gorton aM

PrincipalRussell Kennedy Pty Ltd

the Hon Michael Mackellar aM

(until 27/2/2012)

Present status: Director

ExECutivE DiRECtoR

Professor David ames

DirectorNational Ageing Research Institute

Professor of Ageing and HealthThe University of Melbourne

viCE PREsiDEnt

Mr John grace

International Project Lawyer

Mr Michael gorton aM

(until 27/2/2012)

sECREtaRy

Ms Christine kotur

Mr John grace

(until 27/2/2012)

Dr ian allsop

Management Consultant

(until 21/11/2011)

associate Professor Michael Murray

DirectorGeriatric MedicineSt Vincent’s Hospital

Dr Peter Bradford

Executive DirectorClinical Governance and Medical ServicesMelbourne Health

associate Professor Elizabeth ozanne

ChairResearch and Graduate StudiesSchool of Social WorkThe University of Melbourne

Mr David simmons

(until 21/11/2011)

Professor ian Everall

CATO Professor of PsychiatryThe University of Melbourne

Ms sue Hendy

Executive DirectorCouncil on the Ageing (Victoria)

Mr Bob solly

(until 21/11/2011)

tREasuRER

Mr David Plowman

International Project Lawyer

Mr Colin smith

FellowCertified Practising Accountants

(until 13/12/2012)

highlights pAge 5

Highlights

AWARdsResearch awards

BEst REsEaRCH PaPER

A paper published in the eminent journal,

Neurology, which stemmed from the

Australian Imaging, Biomarkers and

Lifestyle study led by Professor David

Ames (NARI Director), was awarded

the Best Paper 2012 de Leon Prize in

Neuroimaging from the International

Society to Advance Alzheimer’s Research

and Treatment.

Accelerated cortical atrophy in cognitively

normal elderly with high β-amyloid

deposition by Chételat et al reported on

the relationship between brain tissue

loss and the presence of the protein that

characterises Alzheimer’s disease.

(See full listing, page 27)

FEaR oF Falling

Dr Frances Batchelor received the Allied

Health Research Award during Austin

Health’s Research Week in October 2011,

for her poster about fear of falling after

people have had a stroke.

travelling fellowship

Professor Stephen Gibson (Director

of Biomedical) received an Australian

Academy of Sciences travelling fellowship

to attend major conferences on pain and

dementia in Germany and Brussels, during

June. The fellowship was awarded under

the Federal Government’s Australian

participation in European Cooperation

in the field of Scientific and Technical

Research.

special naRi awards

Drs Bruce Barber and Jean Tinney were

recipients of NARI Achievement Awards,

named after two former NARI directors

who attended NARI’s AGM in November

2011, to present the awards.

Dr Barber received the Derek Prinsley

Staff Award for his significant commitment

to NARI’s continued success. He is

active in research, coordinates NARI’s

education program, organises the seminar

program and always willingly accepts new

challenges.

Dr Tinney was presented with the Robert

Helme Research Award for her successful

research grant applications, reports and

publications. She has extensive experience

in education, training, cross-cultural

communication and qualitative research,

and contributes to NARI’s education

program.

NARI’s Annual Achievement Awards are named after two former NARI directors, at left, Professor Derek Prinsley (director 1976-1986) and, at right, Professor Robert Helme (director 1987-2000). For 2011, the Derek Prinsley Staff Award was presented to Dr Bruce Barber and the Robert Helme Research Award went to Dr Jean Tinney.

v

AchieveMenTsPhD

DEMEntia anD ExERCisE

PLAIWAN SUTTANON

Exercise improves the balance of people

with mild to moderate dementia and

reduces their risk of falls.

In Plaiwan Suttanon’s randomised

controlled trial, people in the intervention

group took part in a home-based exercise

program for six months. The simple

exercises, which participants did at least

five times weekly, were presented in an

instruction booklet, making it easy for

them to follow.

A physiotherapy lecturer from Thailand,

Plaiwan’s research has resulted in three

published papers with another accepted

for publication.

FUNDING: a scholarship from Thammasat

University (Bangkok)

SUPERVISORS: Professor Keith Hill (NARI/

Curtin University), Professor Karen Dodd

(La Trobe University) and Dr Catherine

Said (The University of Melbourne)

PHantoM liMB Pain

MELITA GIUMMARRA

Some amputees felt pain in their phantom

limb when they saw other people in pain,

and phantom limb pain was also associated

with memories of pain that occurred much

earlier in a person’s life.

These are among the many findings

from Melita Giummarra’s thesis on

phantom limb phenomena in which

people still experience their limb

after amputation.

Results of a questionnaire

administered to 280 amputees and

subsequent related studies have led

to Melita having 16 research papers

published.

FUNDING: NARI scholarship (12 months)

and a post graduate scholarship from

Monash University

SUPERVISORS: Professor Stephen Gibson

(NARI), Professor John Bradshaw (Monash

University), Professor Nellie

Georgiou-Karistianis (Monash University)

and Professor Mike Nicholls (The

University of Melbourne)

“nARi is committed to building the next generation of

researchers interested in ageing, by supervising

phd students.” pRofessoR sTephen gibson

nARi depuTy diRecToR

pAge 6 highlights

Highlights

highlights pAge 7

AchieveMenTsPhD

REviEwing CaRE PaCkagEs

KIRSTEN MOORE

Family carers acknowledged that they

were receiving more services under a

Federal Government home care package

but most felt they needed more support.

Kirsten Moore interviewed family carers

about their experiences of the Extended

Aged Care at Home Dementia (EACHD)

packages in helping them to manage

a person, who has dementia and also

behavioural and psychological issues.

Carers were also concerned about the

complexity and inflexibility of the system,

and some had doubts about their case

manager’s expertise in helping them to

deal with challenging behaviours.

FUNDING: NARI scholarship (12 months)

and a scholarship from the Dementia

Collaborative Research Centre

(assessment and better care) at the

University of NSW

SUPERVISORS: Associate Professor

Elizabeth Ozanne (The University of

Melbourne), Professor David Ames (NARI)

and Dr Briony Dow (NARI)

MusiC anD DEMEntia

LORETTA QUINN

Although music therapy had no long-term

benefits for people with dementia, music

therapist Loretta Quinn was aware of

participants interacting and enjoying the

music sessions.

Loretta created a blind randomised

controlled trial to meet all the rigorous

Cochrane music review standards.

As dementia is a disorder that leads to

progressive deterioration of function,

she suggests it may be better to assess

the benefits of music or diversional

therapy programs with both qualitative

data (interviews and observation) and

quantitative data (formal testing).

Diversional therapy includes activities like

reminiscing and movement.

FUNDING: JO & JR Wicking Trust,

NARI and TIME for dementia (La Trobe

University)

SUPERVISORS: Dr Bruce Barber (NARI)

and Associate Professor Denise Grocke

(The University of Melbourne)

new roles

DR BRIONY DOW (Director of Health

Promotion) was appointed president-elect

of the National Council of the Australian

Association of Gerontology (AAG).

She also chairs the AAG collaborating

research centres, comprising 19

organisations dealing with ageing

research. AAG is the peak body in

Australia for research into ageing.

NARI fellow, PROFESSOR KEITH HILL,

who started his research career at the

Institute and retains a part-time NARI

appointment, is Head of the School of

Physiotherapy at Curtin University in

Perth.

He also became president-elect of the

Asia-Oceania Regional Council of the

International Association of Gerontology

and Geriatrics.

“nARi is a fantastic place to study. i stepped

into an environment where my interest in older people and the ageing process was everyone else’s interest.”

dR loReTTA Quinn

Highlights

pAge 8 highlights

ReseARchMajor study to help carers

NARI received a $700,000 National Health

and Medical Research Council grant to

investigate the effectiveness of an

exercise program in reducing depression,

and improving the wellbeing of older

people and their carers.

The three-year study was launched by the

Minister for Mental Health and Ageing, the

Hon Mark Butler, at NARI in November 2011.

Research has shown the value of physical

activity for older people but it can be

challenging for carers to find time to

exercise regularly.

Headed by Dr Briony Dow (Director of

Health Promotion), the project also

involves the University of Melbourne,

Carers Victoria and Carers’ Choice Ballarat.

Participants are required for this study.

(See page 17)

therapy over the phone

In an Australian-first study, psychologists

will provide eight cognitive behaviour

therapy sessions over the telephone to

treat depression and anxiety in people

with chronic obstructive pulmonary

disease, which is a lung disease.

Dr Colleen Doyle (Director of Service

Development and Evaluation) leads the

study which is funded by beyondblue.

Cognitive behaviour therapy over the

phone has been shown to be successful

for treating some health issues. The

intervention is less costly than face-to-face

therapy and more accessible to people

with limited mobility.

Participants with COPD are required for

this study. (See page 20)

Dementia, pain and aggression

Recruitment and testing have commenced

for a NHMRC-funded study investigating

whether analgesic medication helps

to decrease agitation and aggressive

behaviour in people with dementia.

This is the first randomised controlled

study in Australia, assessing the link

between two common and complex

issues – unrelieved pain in older people

in residential aged care facilities, and the

behavioural and psychological symptoms

of dementia that are often difficult to

manage in this target group.

Heading the project are Professor Stephen

Gibson (NARI Deputy Director) and

Professor David Ames (NARI Director).

(See page 12)

innovative ideas

ExERCising on BRoaDBanD

Older people will use the latest video game

technology to take part in a six-month,

virtual exercise program in their homes.

The study is assessing the benefits of

combining technology and an exercise

program in helping older people to improve

their physical and mental wellbeing.

(See page 17)

tHE MagiC oF MusiC

Music seemed to enhance the quality of life

for people with moderate dementia who

joined a small choir, as part of a pilot study.

A similar concept will be trialled in a

program involving a residential aged care

facility and secondary students.

(See page 20)

DEMEntia in inDigEnous PEoPlE

Highlights

An assessment questionnaire, specifically

developed for diagnosing dementia in

Aboriginal people living in the Kimberley

region, will be adapted to use with older

indigenous people in regional and urban

Victoria. The project aims to increase

awareness of dementia in these

communities, which tends to be higher

and occur much earlier than in the

general population.

(See page 13)

Dedicated NARI volunteer Zelma Riddell, third from left, was keen to chat with the Minister for Mental Health and Ageing, the Hon Mark Butler, when he visited NARI to launch a major study tackling depression among carers. They are with Dr Elizabeth Cyarto (NARI research fellow), Dr Briony Dow (Director of Health Promotion) and Professor Stephen Gibson (NARI Deputy Director).

Photo courtesy: National Health and Medical Research Council

highlights pAge 9

shARing ReseARch alzheimer’s experts in Melbourne

NARI Director, Professor David Ames,

assisted in organising a major research

conference in Melbourne, attended by

200 world experts on Alzheimer’s disease.

The Research and Standardisation in

Alzheimer’s Disease (RASAD 2012)

Conference in March aimed to set

common standards for research and

validate imaging, biomarkers and lifestyle

strategies for use in Alzheimer’s research

centres throughout the world.

The conference, convened by the

Australian Imaging, Biomarkers and

Lifestyle Flagship Study of Ageing, was

attended by researchers, clinicians, and

industry, regulatory and government

leaders.

RASAD was supported by the CSIRO,

Science and Industry Endowment Fund,

Alzheimer’s Association USA and the

Foundation for the National Institutes

of Health.

ageing well together

NARI had strong links with the 9th

Asia-Oceania Regional Congress of

Gerontology and Geriatrics, in

Melbourne in October 2011, attended

by 900 participants from 28 countries.

Professor Keith Hill (NARI fellow)

chaired the conference organising

committee, and committee members

included PhD student Claudia Meyer and

Board member David Simmons.

NARI researchers presented about 20

research papers and Dr Briony Dow,

Dr Frances Batchelor and Betty

Haralambous hosted workshops.

The four-day Congress, which explored

the theme, Ageing well together: regional

perspectives, was organised by the

Australian Association of Gerontology

(AAG) and the New Zealand Association

of Gerontology.

ageing and different cultures

The ageing experience for people from

different cultures living in Australia was

the theme of NARI’s annual seminar,

co-presented with Alzheimer’s Australia

Vic, on 16 September to launch Dementia

Awareness Week 2011.

The Cultural Diversity and Ageing seminar

was generously hosted by Russell Kennedy

Pty Ltd.

Highlights included personal perspectives

on ageing from people from Finnish,

Russian-Jewish, Romanian and Lao

communities, and the importance of

promoting the health messages to older

people from culturally and linguistically

diverse (CALD) backgrounds, a group that

comprises one in five older people

in Australia.

Other presentations explored ageing

issues for Aboriginal communities,

positive ageing and human rights.

publicATionsaward-winning book

NARI Director, Professor David Ames, is

the lead editor of Dementia 4th Edition,

which has scooped two prominent

awards.

In September 2011, the 80-chapter

book was awarded the British Medical

Association prize for the best book of 2010

in the psychiatry category. The following

month, Dementia received the AJA Book

Award for 2011 from the Australasian

Journal on Ageing.

Dementia 4th Edition was published in

November 2010.

Highlights

“bringing together the best and latest ageing research in the region and presenting it in Melbourne

was a massive coup.”dR Tony coles

execuTive officeR AusTRAliAn AssociATion

of geRonTology

The analysis classified participants into

three cognitive behavioural groups of

which 40.4 per cent were ‘adaptive

copers’, 36.5 per cent were ‘dysfunctional’

and 23.1 per cent were ‘interpersonally

distressed’.

Possible cut-off points were also

identified to assist clinicians in

classifying patients into clusters for

creating individual treatment plans.

wHEn Pain is a CatastRoPHE

When older people with persistent pain

viewed their condition as a catastrophe,

this exacerbated their pain intensity and

depression, a study in collaboration with

the University of Sydney has revealed.

Constantly thinking about their health

issues and feeling helpless about the

situation were the two key factors that

either partially or significantly affected

people’s pain experience and feelings

of wellbeing.

More than 650 patients, aged 61 years

and over, completed questionnaires

measuring pain intensity, depression and

catastrophising as part of their initial

clinical assessment at a tertiary referral

pain centre.

Results showed that the subscale

relating to the concept of catastrophe in

the Pain-Related Self Statements was a

reliable and valid measure.

The study also highlighted the role of

cognitive processes in the pain experience

of older adults and the importance of

clinicians using interventions to reduce

any tendency to view a persistent pain

condition as devastating.

Research Report

pAge 10 Research Report

coMpleTed ReseARch Chronic pain

waiting in Pain

The median waiting time for the first

clinical assessment at a pain management

service after receiving a referral was 150

days for publicly-funded services and 38

days for privately-funded services.

This was a key finding from a review of

57 outpatient services for persistent pain

management in Australia that highlighted

the inadequacy of existing services to

meet patient demand. This review was by

the Australian Pain Society and NARI was

a collaborator in these studies.

The project also revealed that clinics

varied in the range of services offered,

including the type and duration of

allied-health pain management

programs, and fewer services were

available for children and in rural areas.

Pain in PEoPlE witH Ms

People with multiple sclerosis (MS)

experienced a higher level of depression

when they were struggling with three

key issues – their ability to take part in

activities, emotional distress from pain

and having limited social support.

Patients attending a MS rehabilitation

centre participated in a study which

used an existing cognitive behavioural

classification scheme that might enable

clinicians to better understand and treat

pain in the target group.

They completed the Pain Impact Rating

Questionnaire (measuring activity

interference, pain intensity, social support

and emotional distress), the General

Health Questionnaire-28 and the Multiple

Sclerosis Impact Scale-29 (assessing

disability level).

B i o m e d i c a l

Investigating pain and aggression in people with dementia are research assistant Leah Zelencich and research officer Steven Savvas. (See stories, pages 8 & 12)

Dementia

HEaRt DisEasE anD MEMoRy

Risk factors for heart disease seem

to have a role in influencing cognitive

function.

This finding emerged from baseline data

on 939 healthy participants involved in

two major longitudinal Australian studies

– the Women’s Healthy Ageing Project

and the Australian Imaging, Biomarkers

and Lifestyle study.

Data were combined on common

measures including vascular biomarkers,

physical health, cognition and lifestyle.

The influence of blood pressure, lipid

profile and risk of heart disease on

cognitive function was examined.

High blood pressure and higher readings

of low-density lipoprotein cholesterol

(LDL-C) levels were associated with

a lower performance in long-term

memory. Higher readings of high-density

lipoprotein cholesterol (HDL-C) appeared

to have a protective influence, as shown

by improved performance in verbal

learning.

As a follow up, results from the repeat

testing of participants are being analysed.

Pain anD PaRkinson’s DisEasE

The effectiveness of L-dopa medication

in controlling movement in people with

Parkinson’s disease may diminish before

dyskinesia (involuntary movements) recur,

according to a recent study.

Participants had their dopaminergic

medication withdrawn overnight and were

administered a standard L-dopa challenge,

and the effects monitored for six hours.

Results showed that the ‘positive mood’

was improved by L-dopa particularly for

those with severe dyskinetic symptoms,

though this effect did rebound and the

measures of fine movement worsened

depending on the severity of the dyskinesia.

Negative mood improved with L-dopa in

all groups and tended to remain stable.

The peak effects of L-dopa occurred much

earlier than the results from the Purdue

Pegboard test (measures fine and gross

motor dexterity).

iCy aPPRoaCH woRks

Caloric vestibular stimulation (CVS) had a

positive effect in reducing the severity of

pain in some people with persistent pain,

in the first randomised controlled trial of

this procedure.

Participants in the intervention group

reported small but significant reductions

in pain severity after CVS, which involves

squirting iced water into the external ear

canal. No similar results were evident in

the control group who were administered

an ice pack.

In addition, a small group reported a

relatively large reduction in allodynia

(pain sensitivity to normally non-painful

stimulation) from CVS.

Taking part in the study were people with

phantom limb pain, pain after spinal cord

injury and complex regional pain.

No significant changes were reported

on the effects of CVS on mood, though

the measure used might not have been

sensitive enough to detect such changes.

Research Report

Research Report pAge 11

B i o m e d i c a l

“i am delving into an amazing cache of information on older

women’s health that could reveal the elixir to healthy ageing.”

ARTi AppAnnAh, phd sTudenT And ReseARch officeR

foR The WoMen’s heAlThy Ageing pRojecT

PhD student Arti Appannah is also a research officer for the Women’s Healthy Ageing Project which comprises data collected from study participants for more than 20 years. (See stories, pages 11 & 12)

cuRRenT ReseARch Dementia

DEMEntia, Pain anD aggREssion

A NHMRC-funded study is investigating

whether using analgesic medications

to reduce pain in people with dementia

will also lessen the behavioural and

psychological symptoms of dementia

(BPSD), like agitation, aggression,

screaming and wandering.

The project has started to recruit 90

aged care residents who will be involved

in a six-week randomised controlled

trial. Participants will be randomised

to take one of the following – placebo,

paracetamol or paracetamol plus codeine.

Results will indicate whether analgesics

are effective in treating agitation and

other BPSD symptoms that may be

caused by pain.

Research Report


Healthy ageing

CHolEstERol anD MEMoRy

Significant variation in high-density

lipoprotein cholesterol (HDL-C) readings

over a decade during midlife may

contribute to memory issues after the

age of 55 years.

Participants in this study comprised 250

women from the longitudinal Women’s

Healthy Ageing Project.

Their serum lipids – total cholesterol,

HDL-C and low-density lipoprotein

cholesterol levels – had been measured

annually from 1992 to 2002. They also

completed cognitive tests in 2002 that

assessed processing speed and their

ability to recall past incidents.

The data analysis indicated that when

HDL-C levels fluctuated over the decade

during which the women were tested,

their short-term memory was affected

slightly as was their ability to recall

specific episodes from the past.

MinDing gRanDCHilDREn

Looking after grandchildren has little

impact on boosting memory, according

to a study involving about 200

post-menopausal women from the

longitudinal Women’s Healthy

Ageing Project.

Participants responded to a

questionnaire that explored the

grandmother role, self-rated memory

and psychological wellbeing.

Women who minded their grandchildren

once a week performed significantly

better on immediate recall tests

than women who looked after their

grandchildren for more than one day a

week. Though, the difference may be due

to stress, with the latter group feeling

their children’s demands to fulfil the

caring role.

There was no significant difference in

participants’ performance on cognitive

tests over two years between women

who minded grandchildren and those

who did not.

*The Women’s Healthy Ageing Project

(WHAP) comprises a large database of

information on women’s health from

midlife onwards. It is an extension of

the Women’s Midlife Project initiated by

Professor Lorraine Dennerstein in 1991.

B i o m e d i c a l

Delving into biomedical research, from left, Dr Bruce Barber (Deputy Director of Biomedical), Professor Stephen Gibson (Director of Biomedical), Leah Zelencich and Christel Lemmon.

a FulFilling tiME oF liFE

What influences the choices and

decisions that people make about their

life in later years so they feel fulfilled

and productive?

This question is being explored in a

project that is seeking information

about the experiences, perceptions,

needs and aspirations of people during

key transitional phases, for instance,

retirement from work or children

leaving home.

A questionnaire will be developed and

evaluated, and the results used to assist

people to manage changes in their roles

and circumstances so they are socially

connected and productive as they age.

EMotional HEaltH

Age-related changes in emotional health

are being investigated in a study funded

by the Helen Macpherson Smith Trust.

The project will assess the connection

between emotional responses and how

the brain processes memory and tasks in

healthy young adults and healthy older

people.

The results will lead to a database being

developed to show the normal effects of

healthy ageing. This will be an important

resource for evaluating changes in

emotional functions in older people

with psychological disorders, including

depression and dementia.

Research Report

Healthy ageing

is gooD HEaltH inHERitED?

Changes to the brain structure in later life

and IQ appear to be strongly inheritable,

according to preliminary findings in the

Older Australian Twins Study (OATS).

OATS has recruited more than 500 twins

aged 60 and over from Victoria, NSW

and Queensland, to assess the influence

of genetics and lifestyle on the ageing

process. NARI manages the study’s

Victorian component.

Reduced funding during 2012 has resulted

in only one NARI researcher working on

OATS. This year’s focus has been on

follow-up assessments and transferring

existing data to the study’s Sydney

headquarters.

OATS has applied for funding to resume

recruiting new study participants in 2013.


“creating health assessments that are

culturally appropriate for Aboriginal elders is a step

towards ensuring sensitive care and early disease detection

in their communities.”AssociATe pRofessoR

dinA loguidice MelbouRne heAlTh

an EaRly Diagnosis

The Australian Imaging, Biomarkers and

Lifestyle (AIBL) study of ageing has resulted

in more than 50 peer-reviewed published

papers and is acknowledged as one of two

leading studies of its type in the world.

This prospective study of 1112 older

people, with and without Alzheimer’s

disease (AD), aims to discover biological

markers that provide a diagnosis of AD

before symptoms become evident.

The study commenced in 2006 and

is funded by the Science Industry

Endowment Fund until December 2013.

More than 200 new volunteers have been

recruited to replace participants who

have been unable to continue in the study.

Participants have detailed assessments

every 18 months.

Volunteers are required for the AIBL study.

People with mild Alzheimer’s disease, diagnosed mild cognitive impairment, or healthy people over 70 who are concerned about their memory are eligible. For more information: www.aibl.csiro.au or phone Stacey Walker 03 9389 2930.

DEMEntia in inDigEnous PEoPlE

A cognitive assessment questionnaire

that was specifically developed for

diagnosing dementia in Aborigines living

in remote areas of Western Australia,

Northern Territory and Queensland will

be used in a Victorian study.

Phase 1 of the project, funded by

Alzheimer’s Australia Vic, involves

assessing the acceptability and

reliability of the Kimberley Indigenous

Cognitive Assessment (KICA) Scale

for older indigenous people living in

Victoria’s regional and urban areas.

Phase 2, which is not yet funded, will

evaluate the validity of the adapted KICA

scale for older indigenous people with

cognitive impairment living in Mildura

or Melbourne.

B i o m e d i c a l

FaMily RElationsHiPs

Complex cultural differences are evident

in intergenerational relationships

involving Australian-born older people

and older Chinese-born migrants,

according to the preliminary findings of

a study.

For example, while the Chinese

participants in the study had higher

expectations in their relationships

with their children than the Australian

participants, two-thirds of them did not

live in the traditional multigenerational

household. Of these, more than 90 per

cent indicated that they were satisfied

with such living arrangements.

The study investigated cultural

differences in older people’s relationships

with their adult children and the impact of

this experience on their mental health.


coMpleTed pRojecTs Dementia

tHE DEMEntia JouRnEy

More dementia services and related

networks are now available in the

Barwon-South Western (BSW) Region of

the Department of Health, partly due to a

Dementia Strategy introduced in 2007.

Having a regional strategy also led to a

greater awareness of people’s individual

journey with dementia.

A review of the expansion in dementia

services highlighted the work of the

Dementia Strategy project officer,

dementia networks and the Dementia

Strategy steering committee. Other

contributing factors were the

initiatives introduced by the state and

commonwealth governments.

As part of the review, maps of services

and organisations for people with

dementia in the region were developed.

the ageing experience

ConCERns aBout agED CaRE

Greater support for family carers, better

quality aged care and including older

people in decisions about their care are

among the concerns of older Australians,

according to a NARI review.

Commissioned by the National Aged Care

Alliance, the review analysed the

literature on consumer expectations of

aged care, and also the views of consumers

and carers as reflected in submissions to

the Productivity Commission’s inquiry,

Caring for Older Australians.

In other findings, consumers are seeking

a streamlined and easily accessible

system for aged care, and greater

consumer and carer control over home

care packages. These aspects seem to

have been addressed in the Productivity

Commission’s recommendations.

ConnECting gEnERations

How old are you... how old do you feel...

how old would you like to be?

These were among the questions

explored by 20 people (aged 17 to 23

years and 65 years plus) interviewed for

the Age Encounters video documentary.

This 10-minute film deals with age,

identity, and values and experiences

between the generations. The interviews

revealed a high level of empathy between

older and younger people.

The project, which involved NARI,

the Brotherhood of St Laurence and

Youthworx Production, was funded by the

Lord Mayor’s Charitable Foundation.

The film was launched in October in

Melbourne at a public forum, Ageing

Today – different perspectives about

growing old.

Age Encounters: http://www.mednwh.

unimelb.edu.au/news/media.htm

Research Report H e a l t h P ro m o t i o n

NARI research fellow, Dr Frances Batchelor, chatted with Prime Minister Julia Gillard about an innovative NARI project that uses the latest technology to present a home exercise program for older people. The project was being showcased at the Institute for a Broadband-Enabled Society at the University of Melbourne. (See stories, pages 8 &17)

Photo courtesy: Institute for a Broadband-Enabled Society

Research Report


H e a l t h P ro m o t i o n

“Mental illness can be hard to detect in

older people, as symptoms may not be reported or

physical conditions may be of greater concern.”

nARi RepoRT foR The benevolenT socieTy

slEEPlEss nigHts

About 70 per cent of older people, who

are living at home and have had a fall,

experienced interrupted sleep at night,

according to an analysis of data from a

randomised controlled trial.

Funded by the Department of Veterans’

Affairs, the analysis revealed that

the quality of sleep had no effect on

falls. However, people who only woke

occasionally tended to have a lower falls

rate than those who slept through the

night. This may be due to the threshold

effect of waking or ‘survivor’ instinct.

The analysis also cited nocturia (waking

during the night to go to the toilet)

as occurring in about 75 per cent of

people, with the prevalence being similar

for veterans, non-veterans, males and

females.

The original study evaluated a

multi-factorial falls prevention program

for older people living at home who

attended an emergency department

after a fall. Sleep quality was assessed

using the sleep item of the Assessment

of Quality of Life scale.

DEaling witH DEPREssion

Symptoms of depression are thought to

occur in approximately 10 to 15 per cent

of older people living in the community,

and a higher proportion of males over the

age of 85 years commit suicide than in

any other age group.

This disturbing snapshot emerges from

a briefing paper about supporting older

people who are experiencing or living

with mental illness. It was prepared by

NARI for The Benevolent Society.

One key message is that mental illness

is not a normal part of ageing but older

people can be vulnerable to mental

distress or illness.

Based on a literature review, the paper

highlights research evidence on the

symptoms and treatments of mental

illness in older people. It also focuses on

the support that the community aged

care sector (including care workers, case

managers, team leaders and managers)

can provide.

Preventing falls

Falls aFtER a stRokE

Within a fortnight of returning home

after rehabilitation, almost 30 per cent

of stroke patients had a fall, a pilot study

has revealed.

Patient surveys highlighted that people

had limited knowledge about the

increased risk of falls after a stroke, their

own risk of having a fall and strategies to

prevent falls.

The study, funded by a La Trobe

University faculty grant, involved

surveying stroke patients in the week

before they were discharged home.

The findings highlight the key role of

clinicians in educating stroke patients and

ensuring effective strategies to prevent

falls have been implemented before they

are discharged home.

a known Falls Risk

Urinary incontinence is a known risk factor

for falls but continence management

interventions in older people seem to

have no impact on reducing falls.

This finding has emerged from a

literature review that also highlighted the

lack of well-designed research studies

investigating this issue.

The project was funded by the Scobie

Mackinnon Trust.

Interventions identified in the literature

review included comparing the

effectiveness of specific medications

and individual treatment programs

developed by a continence nurse. The

latter comprised strategies like using

anticholinergics, pelvic floor muscle

training, dietary changes (increasing

daily fluid and fibre intakes) and

prompted toileting.

As a strong link has been established

between urinary incontinence and falls,

the study recommends that clinicians

comprehensively assess this issue as part

of their treatment plan for patients.



“Merilyn’s assessment results

have been fantastic since taking part in fAbs ii – there has been no deterioration in

her dementia and she has marginally improved.”

iAn jAckson husbAnd And cAReR

cuRRenT ReseARch Dementia

CHangEs to tHE BRain

Magnetic resonance imaging will be used

to assess if a 24-month, home-based

exercise program for older people with

mild memory problems slows down the

progression of the brain’s white matter

hyperintensities (WMH) which are linked

to dementia.

WMH are also associated with

cerebrovascular disease (CVD) risk

factors, including heart disease, high

cholesterol and lack of physical activity.

CVD affects the blood’s circulation to

the brain.

The aibl Active study will also measure

changes to participants’ cognition,

quality of life, functional fitness, level

of physical activity and biomarkers for

cognitive decline.

Funded by the NHMRC, the study has

been recruiting Melbourne participants

involved in the Australian Imaging,

Biomarkers and Lifestyle (AIBL) study

of ageing. Recruitment continues until

October 2012.

anotHER FaB stuDy

The Fitness for the Ageing Brain Study

II (FABS II) is the first randomised

controlled trial to investigate if physical

activity, such as walking, can slow the

rate of memory loss associated with

Alzheimer’s disease (AD).

Study participants are older adults with

mild to moderate AD and a ‘support

coach’ (friend or family member). People

in the intervention group take part

in a six-month, home-based program

of moderate exercise. The weekly

commitment is 2.5 hours.

Funded by the NHMRC, this intervention

could provide an affordable and safe

method, when combined with standard

pharmacological treatments, to

alleviate AD symptoms.

Recruitment for the study

continues until October 2012.

PatiEnts want to know

Almost all patients (90 per cent) wanted

to be told if they have been diagnosed

with dementia and 84 per cent expected

to be told, believing it was their right to

be informed and to know the truth.

Other reasons cited included being able

to make plans and put their affairs in

order, receive treatment and obtain help

or learn strategies to cope.

These are among the findings from

a study into the expectations and

experiences of patients and their families

when dementia has been diagnosed.

The study is also investigating how

patients and families adapt to the

diagnosis, and techniques that specialists

can use to assist patients and carers

to more easily remember information

provided during a consultation.

NARI’s aibl Active study is investigating the effectiveness of physical activity in delaying the progress of cerebrovascular disease in older people with memory complaints. From left, research assistant Emma Renehan with study participant Helen Smith.



Physical activity

MaJoR stuDy to HElP CaRERs

The effectiveness of a physical activity

program in reducing depression and

improving the wellbeing of carers

and care recipients is the focus of a

three-year, NHMRC-funded study.

In this randomised controlled trial,

participants will be allocated to one of

three groups – home exercise program,

social contact or usual care.

The physical activity intervention is

based on the Otago program, a

home-based physical exercise program

that has been shown to be effective in

improving balance, strength and function.

Research has shown the value of physical

activity for older people, but it can be

challenging for carers to find time to

exercise regularly.

Volunteers in Melbourne and Ballarat are required for the study.

Participants must be over 60 years, living at home and caring for someone who is also over 60. Contact Aurora Elmes 03 8387 2315 or [email protected]

PERsonality anD ExERCisE

Do personality and attitudes to ageing

affect the way older carers approach a

physical exercise program?

This concept is being investigated in a

study involving older carers who have

depression.

The study is assessing if personality

and attitudes to ageing impact on

the outcomes of a physical activity

intervention, such as carers’ adherence

and compliance to the program, and

whether or not their mental health

improves.

ExERCising on BRoaDBanD

Older people taking part in a six-month,

virtual exercise program in their homes

will tap into the latest Microsoft video

game technology and the National

Broadband Network.

At a set time each week, participants log

on to take part in an exercise class. On

screen, they see one another and the

peer instructor, as represented by an

avatar (a graphic).

The study aims to assess the benefits of

combining technology and an exercise

program in helping older people to

improve their physical and mental

wellbeing.

Collaborating with NARI on this 18-month

project are Moreland City Council, the

Institute for a Broadband-Enabled Society,

Microsoft, NBNCo, AARNet, Infoxchange,

Council on the Ageing (Victoria) and Merri

Community Health Services.

COOk FOR A CURE

NARI’s FABS II was among the projects supported by Research Australia’s Cook for a Cure fundraising campaign in May.

FABS II coordinator Dr Elizabeth Cyarto, second from left, attended the launch at Parliament House in Canberra. She is with Health Minister Tanya Plibersek, Dr Christine Bennett (Chair of Research Australia’s Board of Directors) and the ABC’s Annabel Crabb who hosted the event.

A key message was about valuing health and medical research in Australia and recognising the great achievements by researchers in this country that have changed the global face of medicine today.


Caring for older people

suBaCutE sERviCEs

Five projects, funded by the Department

of Health Victoria, are investigating

key areas related to Victoria’s subacute

services.

Work has commenced on three of the

projects – subacute service benchmarking

(developing and evaluating benchmarking

reports on activity, outcomes and

demographics of rehabilitation and

geriatric evaluation management {GEM}

services), developing a rehabilitation

model of care across the continuum that

is based on best available evidence and

recommending outcome measures to use

in subacute ambulatory care services.

The other projects involve reviewing

education and training opportunities

for health professionals working in

this sector, and updating guidelines for

the planning and design of subacute

units (including rehabilitation, GEM

and palliative care) and community

rehabilitation centres.

Healthy ageing

PRoMoting gooD HEaltH

Promoting good health in older people

is the theme of a scoping paper being

developed by NARI and the Council on

the Ageing (Victoria) for VicHealth.

The paper is identifying strategies

for effective evidence-based health

promotion policies, strategies and

activities, to encourage good health

and wellbeing in older men and women

in Victoria.

Health promotion programs identified

so far include health education, group

physical activity sessions, volunteer

programs and environmental concepts,

like age-friendly cities.

litERatuRE REviEw

What are the effective ways to promote

healthy ageing in a range of settings

where older people live?

This concept was explored by NARI

and Council on the Ageing (Victoria) in

a literature review for the Department

of Health Victoria. A draft report

has been completed.

The analysis provided an overview of

Australian and Victorian health policies,

the demographics for this group and the

evidence for various factors associated

with healthy ageing. It also considered

the effectiveness of strategies that are

used to promote healthy ageing for

people living at home, in residential

care and when needing hospital care.

Falls and balance

MigRainEs anD BalanCE

Balance problems in older people

with a history of migraines are being

investigated in a pilot study funded by

the Scobie Mackinnon Trust.

Migraines affect the brain so they may

also impact on balance, with these effects

possibly becoming evident as people age.

The study assesses balance performance

in people who have a history of migraines,

with or without symptoms of dizziness or

vertigo. Also being tested is a group of

people, matched by age and gender, and

with no history of migraines.

PREDiCting Falls

Does the burden of being a carer predict

falls in a care recipient especially after a

stroke?

This issue is the focus of a study funded

by a NARI internal grant.

Other aspects being investigated are the

possible differences in the relationship

between carer burden and falls in people

who have had a stroke compared to care

recipients with other diagnoses.

The study involves two components – a

systematic review of the literature on

carer burden and care recipient outcomes

in people with stroke, and new analyses

of carer burden and falls data from

the Caring is No Accident project. This

was a 2006 NARI study funded by the

Department of Health and Ageing.


toolkit

EnHanCing PalliativE CaRE

NARI developed an evidence-based toolkit

to enhance palliative care for older people

in hospital, for the Best care for older

people everywhere: The toolkit, for the

Department of Health Victoria.

The project involved identifying the

existing evidence base for a palliative

approach to care, surveying metropolitan

and regional health services to gain an

insight into staff knowledge, identifying

resources that hospitals are using for

palliative care and reviewing the literature

to identify key concepts.

During 2010-2011, NARI had developed a

pain domain and a consumer resource

for best care in hospital that were

incorporated into the toolkit. Other

topics in this valuable resource for health

services include assessment, continence,

nutrition, dementia, depression, skin

integrity, medication, delirium and

mobility.

coMpleTed pRojecTsProviding care

REsiDEntial CaRE FaCilitiEs

A pilot project has investigated residents’

experiences of new public sector,

residential aged care facilities that were

redeveloped between 2002 and 2008 in

the Gippsland and Hume Regions of the

Department of Health Victoria.

These facilities were built using the Aged

Care Residential Services Generic Brief

which was published by the Department

of Human Services in June 2000.

The project involved focus groups and

interviews with residents, families and

carers, and staff.

Two aged care facilities in Gippsland and

three in Hume were selected, representing

both high and low care facilities, specialist

dementia sections, and an aged persons’

mental health (APMH) facility that was

co-located with high and low care. The

facilities varied in size from 75 to 20 beds.

Findings and recommendations have been

presented to departmental stakeholders,

and a written report submitted for further

departmental feedback.

BEttER CoMMuniCation

A training program to enhance

staff-resident communication in

residential aged care facilities created

a positive impression.

A total of 15 facilities were involved in

piloting and evaluating the program,

for a project funded by the Ian Potter

Foundation.

Some facilities had difficulty in recruiting

staff to take part in the training, with a

key reason being that some staff felt they

had no time for a training program that

was not compulsory. This was often a valid

perception.

The program was led by a peer educator

in each facility, with support from the

research team.

The training package aims to raise

awareness of the role of communication

in the lives of residents, positive and

negative styles of communication,

person-centred care, and strategies for

identifying and overcoming barriers to

communication.

View the training program at: http://www.

nari.unimelb.edu.au/nari_research/nari_

research_service-rac.html

(Go to – Enhancing staff-resident

communication in residential care: pilot

of staff training materials)


Research Report Se r v i ce D eve l o p m e n t a n d Eva l u a t i o n

A choir for people with moderate dementia. Music therapist Dr Loretta Quinn conducted the choir for this NARI pilot study. (See story, page 20)

Dementia

tHE MagiC oF MusiC

People with moderate dementia

discovered the magic of music when they

joined a small choir for a NARI pilot study.

Preliminary results indicate that the

participants enjoyed the weekly sessions

and their quality of life, socialisation

and sleep were enhanced. The choir was

established by Annecto and conducted by

music therapist Dr Loretta Quinn.

NARI is continuing to trial the

effectiveness of the intervention in a pilot

program involving a residential aged care

facility in Brunswick and year 10 students

from a local secondary school.

Research Report


Research standards

EtHiCs anD DEMEntia

Recruiting people with dementia and their

carers for research studies in Australia

presents numerous ethical challenges.

Issues identified by a literature review

included substitute judgements (making

decisions on what you believe a person

would do), barriers to recruiting people

with dementia, how to determine a

person’s ability to give consent, and

gaining assent rather than consent from

participants.

Scoping interviews with service providers

and family carers revealed that personal

attitudes play a key role in whether people

living with dementia participated in

research studies.

The study was funded by a NARI

internal grant.

cuRRenT ReseARchDepression

tHERaPy ovER tHE PHonE

NARI volunteers have a key role in a

research project that is exploring the

effectiveness of providing telephone

support to people with chronic obstructive

pulmonary disease (COPD) and depression

or anxiety. COPD is a chronic lung disease.

Funded by beyondblue, the study

is comparing the effectiveness of

cognitive behaviour therapy provided by

psychologists, to psychosocial support

provided by specially trained NARI

volunteers, in reducing symptoms of

depression and anxiety in the target

group. Study participants receive weekly

telephone calls for eight weeks.

Recruitment of people with COPD is continuing for this project. Contact Maree Daly 03 8387 2657 or [email protected]

Se r v i ce D eve l o p m e n t a n d Eva l u a t i o n

“being invited to singapore university hospital to share our expertise in cognitive

behaviour therapy certainly highlights nARi’s international

research reputation.” MARee dAly

clinicAl psychologisT And ReseARch cooRdinAToR

An Australian-first study is providing cognitive behaviour therapy over the phone to deal with depression and anxiety in people with chronic lung disease. Heading the study is Dr Colleen Doyle (right) and project coordinator is Maree Daly.

toolkits

EnsuRing BEst CaRE

NARI is developing two evidence-based

toolkits for hospital staff caring for older

people to complement the Best care for

older people everywhere: The toolkit, for

the Department of Health Victoria.

The two areas being reviewed are

enhancing staff communication with older

people who have vision, hearing and/

or speech impairments, and minimising

functional decline in older people who

have difficulty swallowing.

Both projects involve identifying the

existing evidence base, surveying

hospital staff Victoria-wide to highlight

resources that are being used, and

reviewing the literature to identify

key messages and resources.

wEBsitE REviEw

The Victorian Government Department

of Health funded a review of the website

links on the Best care for older people

everywhere: The toolkit. See website:

www.health.vic.gov.au/older/toolkit/index.htm

The toolkit is an evidence-based resource

for the care of older people in hospital,

with a primary focus on minimising

functional decline amongst older patients.

In preparation for the release of The

toolkit’s second edition, expired links on

its website were identified and updates

recommended by the project team.

assEssing PEoPlE FRoM MultiCultuRal BaCkgRounDs

A training DVD and guidelines are being

developed to assist clinicians and

interpreters conducting cognitive

assessments of people from multicultural

backgrounds.

The project, funded by Alzheimer’s

Australia Research and the Institute for a

Broadband-Enabled Society, is exploring

the experiences and perceptions of the

clinician, family member and interpreter

in the assessment process.

The pilot program will also assess the

effectiveness of video conferencing for

this target group.

assisting staFF in REMotE aREas

NARI is evaluating a service that provides

advice and support to health care staff

living in remote areas and working

with people who care for someone with

dementia and challenging behaviours.

The Victorian Dementia Behaviour

Management Advisory Service (DBMAS)

has introduced the Collaborative Old

Age Psychiatry pilot project to support

DBMAS staff in the Northern Territory

and rural Victoria, where they are unable

to access specialist medical support.

The effectiveness of strategies, including

video and telephone conferencing for

professional development and case

reviews, will be evaluated when assessing

if this pilot service achieves its goals of

improved medical support, education and

collaboration for staff.

suPPoRting CaRERs

A NARI literature review is complementing

a national evaluation of the Extended Aged

Care at Home Dementia (EACHD) Program

to create a comprehensive snapshot of this

service.

The Commonwealth Government’s EACHD

Program provides community support

services to family carers of people with

dementia, to enable them to remain at

home longer and delay the move into

residential care.

The program’s evaluation, from

2006–2009, revealed that assistance with

personal care and needing respite were

the key reasons that carers of people with

dementia wanted community support

services.

As with the evaluation, the literature

review is focusing on behavioural and

psychological symptoms of dementia that

are most challenging to carers, carers’

goals for receiving support, the type of

services carers want and outcomes of the

support received.

Healthy ageing

REsiDEntial agED CaRE

The interrelationships between quality

indicators – falls, pressure ulcers, physical

restraint, taking nine or more medications

and unplanned weight loss – in residents in

public sector residential aged care services

(PSRACS) are being assessed.

Also being investigated in the study,

funded by Barwon Health, is the possible

link between these quality indicators and

other demographics, like age, gender and

length of stay at a facility.

The Department of Health Victoria introduced

quarterly reporting of quality indicators for

all PSRACS in Victoria in 2006.

The project involves analysing data of all

residents (about 400) in Barwon Health

PSRAC facilities at 31 March 2011.

The information will be used to identify

residents at greatest risk of developing

these adverse health issues.

Research Report


Se r v i ce D eve l o p m e n t a n d Eva l u a t i o n

Collaborations

NARI continues to work closely with many

organisations and institutions. This year,

NARI has broadened its collaborations

with provider organisations and peak

groups, enabling NARI to fulfil its vision to

develop and translate research into best

practice using a holistic perspective.

NARI regularly hosts visitors and guests

and this year was no exception. German

geriatrician Dr Albert Lukas and Dr Laurie

McNamara spent several months at the

Institute contributing to and generating

new research and writings about ageing.

Dr Irja Haapala started at NARI as an

honorary research fellow with an interest

in later life nutrition.

volunteers

At the essence of many NARI research

projects is the involvement of study

participants. NARI is fortunate to have a

core group of volunteers who regularly

and generously give their time to be part

of consultations and focus groups. Their

contribution and dedication are valued.

An equally wonderful team of volunteers

has been assisting in the corporate

area doing a range of administrative

projects and tasks that helps to ease the

pressure faced by the busy corporate

and education teams. The commitment

and positive energy of Janette Fly, Zelma

Riddell, Rose Sharman and Lisa Pang are

greatly appreciated.

Corporate Division

pAge 22 corporate division

Major developments at NARI during the

past year have led to new management

procedures being introduced or improved.

NARI became a company limited by

guarantee under the Commonwealth

Corporations Act in December 2011,

which necessitated new practices and

a reconfiguration of the governance

systems required to support NARI

and adhere to the new compliance

regulations. During 2011-2012, NARI

has also continued to make major

improvements to research governance,

financial reporting and IT systems.

Naturally, these changes have placed the

corporate team under some pressure.

Despite limited resources, the team has

worked tirelessly, tackling the challenging

times with energy and enthusiasm.

The loyalty and commitment of NARI’s

administration and professional office

staff as they multi-task in an extremely

busy environment must be commended.

NARI’s Deputy Director (Operations),

Debra O’Connor, has been working closely

with the new Board as it focuses on the

areas of strategic planning and NARI’s

formal affiliations and relationships

with key stakeholders, particularly the

University of Melbourne and Melbourne

Health. As these professional connections

were based on agreements created more

than two decades ago, it was important

for these to be reviewed.

Research governance

Regular updates ensure all NARI

staff members are familiar with key

concepts under the research governance

framework. New policies and procedures

are developed by the research

governance officer, Fiona Richardson.

Ms O’Connor attended the International

Organisation of Research Managers’

conference in Copenhagen in May 2012.

The conference was dominated by a large

Australian contingent that appears to be

leading the world in research governance

and research integrity systems. This

reaffirmed the importance of NARI’s

research being underpinned by a strong

research governance framework.

Facilities

Towards the end of 2011, NARI resumed

the tenancy of Building 29 after a minor

refurbishment. The seminar room has

also been updated and it has become

the main venue for all NARI education

programs.

Fundraising and development

By the time this Annual Report is

released, the new NARI website will have

been launched. The new-look website

concludes our rebranding phase which

began in mid-2011 and better reflects

NARI’s modern and innovative approach

to research.

Mary Marasco commenced early in 2012

and has reviewed internal information

and communication systems. In addition,

a review of communications by Mediawise

has highlighted several areas for major

improvement and these will be discussed

during the coming months.

Professional education

suCCEssFul woRksHoP PRogRaM

The past year has been a time to reflect

and review how NARI’s education

program can best meet the growing

demand Australia-wide for professional

education that involves translating

the latest research into best practice

in aged care.

During the past 12 months, the one-day

and two-day workshops have attracted

more than 350 aged care professionals.

The program, which was presented at

numerous locations in Melbourne, has

attracted a broad range of people from

the residential aged care and community

care sectors, including nurses, allied

health practitioners, and management

and policy practitioners.

Workshop topics included:

• managing falls in residential care

• managing falls in the community

• assessment and care planning

• managing pain in residential care

• physical activity for older adults

Participants’ feedback has been

extremely positive and many report

feeling inspired by the interactive

approach and the presenters, who

are NARI researchers or associates

with national and international

reputations in their area of expertise.

To meet the demand for education,

NARI has extended its current format to

present more seminars in the workplace

and introduced a half-day seminar series.

Pain in older people was the theme of the

inaugural seminar series attended by 45

health professionals. In the near future,

greater use of communication and video

technology will enable more health care

workers in the aged care sector to have

access to the latest research evidence for

best practice.

RECognising DEPREssion anD anxiEty

NARI will assist aged care workers to be

more aware of depression and anxiety

in older people, as part of an education

strategy developed by beyondblue: the

national depression initiative.

In June 20112, NARI was licensed to

present the beyondblue Professional

Education to Aged Care (PEAC) program

to aged care staff workers in residential

care facilities and community facilities.

NARI did a scoping study in 2009 for

beyondblue which provided the impetus

for creating the evidence-based PEAC

program. The study revealed that the

incidence of depression and anxiety in

Australia is particularly prevalent among

sub-groups of older people, including

people living in residential aged care,

those living with medical co-morbidities

(including dementia) and also carers.

NARI researchers involved in developing

PEAC will assist in presenting the

education program.

Education

education pAge 23

Tai chi session at a NARI falls prevention workshop.

“it is inspiring to hear the latest

research evidence and to learn how to use

this information in my work.”nARi WoRkshop

pARTicipAnT

Education

seminar series

DivERsE PRogRaM

The weekly seminar program, presented

by NARI and the Royal Park campus of the

Royal Melbourne Hospital, has continued

to be a rich, diverse and stimulating series

during the past 12 months.

A total of 50 speakers were involved in

42 seminars, where ageing was viewed

from many perspectives.

Topics ranged from medieval

representations of death to the regulation

of health professionals, rehabilitation

outcomes, elder abuse, residential and

community care, pain, falls, the role of

Vitamin B12 in cognitive decline, the

treatment of anxiety and depression,

and the latest in wound management.

Other presentations included

international experts discussing

cutting-edge imaging research techniques

used in dementia research and the

genetics of fronto-temporal dementia.

A local historian provided a fascinating

insight into the 160-year-old history of

the Royal Melbourne Hospital.

Dr thangam Balasubramanian (Royal melbourne Hospital)Cardiac arrest: a case presentation and discussion regarding treatment and factors affecting outcomes

Dr Jen alviar (Royal melbourne Hospital)Do patient-reported outcome instruments in hip and knee arthroplasty rehabilitation have robust measurement attributes?

novEmBER

Dr Sally Warmington (the university of melbourne)Engaging stories: medical students, patients and the clinical encounter

Professor nicola lautenschslager (the university of melbourne/St vincent’s aged Psychiatry Service)Is there enough evidence to recommend physical activity and cognitive activity to improve brain health in older adults with mild cognitive impairment and dementia?

Professor tom Bird (university of Washington, Seattle)The genetics of fronto-temporal dementia

Eileen moore (the university of melbourne/Barwon Health)Vitamin B12 is associated with rate of cognitive decline in Alzheimer’s disease: a pilot study of 801 Alzheimer’s disease patients

DEcEmBER

melanie Joosten (naRi) Age Encounters: age and intergenerational identity

associate Professor Sam Scherer (the university of melbourne) 2012: ageing descends upon the baby boom

2011

2012

pAge 24 education

July

Karen thode (DBmaS)The Dementia Behaviour Management Advisory Service in Victoria: what’s been happening?

Dr mike Whishaw and Dr claire maddison (Royal melbourne Hospital)A case presentation from AC3

Dr Julie Ellis (aged care Services australia Group Pty ltd)Apathy or lack of initiative in people living with dementia

Dr charmaine chua (Royal melbourne Hospital)AC1 Case presentation

auGuStRachel Buckley (the university of melbourne)Predictors of memory change in a community sample of the elderly: cognition, affect, subjective memory complaints and biomarkers

associate Professor Fary Khan (Royal melbourne Hospital)Outcomes of high and low intensity rehabilitation programme for persons in chronic phase after Guillain-Barre Syndrome: a randomised controlled trial

Professor Barbara Workman (monash ageing and Research centre)Monash Ageing Research Centre – some recent, current and future research projects

Dr malcolm Hogg (Royal melbourne Hospital)Changing perspectives in pain management

claudia meyer (the university of melbourne/naRi)Implementation of a balance screening and home exercise program through existing health services

SEPtEmBER

Jeff Whittington (Royal melbourne Hospital)History of Royal Park campus

carolynne Bourne am (Bourne & associates)Eat bananas: identity abuse in the care of older Australians

Dr tony Snell and Dr Peter lange (Royal melbourne Hospital)AAICAD – Alzheimer’s Association International Conference on Alzheimer’s Disease: feedback from the Paris conference

octoBER

Dr Rebecca iseli (Royal melbourne Hospital)Mood cognition chronic illness and role of case management

Kirsten moore (the university of melbourne/naRi)Carer’s experiences of Extended Aged Care at Home Dementia (EACHD) Packages

FEBRuaRy

Dr mike Whishaw (Royal melbourne Hospital)Intravesical botulinum toxin

Dr colleen Doyle (naRi)Treatment of anxiety and depression in people with chronic obstructive pulmonary disease

Dr Peter lange (Royal melbourne Hospital)Development, implementation and analysis of a syncope pathway at the Royal Melbourne Hospital

maRcH

Dr Briony Dow and Emma Renehan (naRi)Evaluation of the Barwon-South Western Region Dementia Strategy

Dr Rebecca iseli, Sally James and ai Wei ng (Royal melbourne Hospital)Presentations from the National Wound Conference

Dr melita Giummarra (monash university)Experience of the body and phantom limb phenomena after amputation

mary Etty-leal (Royal melbourne Hospital)Anticholinergic medications

aPRil

lesley Dowson and Stephanie antonopoulos (naRi)Best practice in person-centred care for older Victorians and best care for older people everywhere: The toolkit. Victorian Department of Health Improving care for older people. Policy and NARI

michael Gorton am (Russell Kennedy Pty ltd)Regulation of health professionals: the latest information, including mandatory reporting

Dr mike Whishaw (Royal melbourne Hospital)Continence Conference updates

may

maree mastwyk (caulfield General medical centre)Expectations and experience of memory clinics: lessons from patients and their families

Dr Rosie Watson (university of newcastle, united Kingdom)Structural and diffusion tensor MRI in dementia with Lewy bodies

matt lowe (Royal melbourne Hospital)An interdisciplinary approach to the quality use of medications: now and into the future

Dr Jacqueline Gilbert (Royal melbourne Hospital)Salient messages from introduction and scope of dementia, mild cognitive impairment and cognitive decline sessions

Dr Kylie Staggard (Royal melbourne Hospital)Managing stroke in older patients

Dr chermaine chua (Royal melbourne Hospital)Younger onset dementia

Dr Elspeth Dean (Royal melbourne Hospital)Imaging and biomarkers in elderly population

Dr Peter lange (Royal melbourne Hospital)Updates regarding delirium

Dr Heather lane (St vincent’s Hospital)Decision making for older people with cancer: views and experiences of older people and their healthcare professionals

JunE

associate Professor Dina loGiudice and Kelly Burns (Royal melbourne Hospital)The care of cognition for older people in hospitals (Best Care for Older People)

Dr Eleanor Flynn (the university of melbourne)Images of death in medieval Books of Hours: why were they there?

Dr Kylie Staggard (Royal melbourne Hospital)Assessing fitness to drive: review of new guidelines

yen ying lim (the university of melbourne)Effect of Aâ burden and apolipoprotein E å4 on cognitive decline at 18 months in healthy older adults

“The nARi/RMh seminar program brings together researchers and

clinicians of all disciplines and provides a wonderful forum for translating research into

clinical practice.”

AssociATe pRofessoR Tony snell

RoyAl MelbouRne hospiTAl

phd

nARi supervisor: professor david Ames

RAchel buckleyDepartment of Psychology The University of MelbournePredictors of memory change in a community sample of the elderly: cognition, affect, subject memory complaints and biomarkers.

yen ying liMDepartment of Psychiatry The University of MelbourneThe nature of change in very early Alzheimer’s disease.

eileen MooReDepartment of Psychiatry The University of Melbourne Cognitive impairment and vitamin B12.

nARi supervisors: professor david Ames and dr briony dow

sAMAnThA loi Department of Psychiatry The University of MelbourneDo personal factors and attitudes in older carers act as moderating factors and limit the utility of physical activity as a public health intervention?

MARee MAsTWykDepartment of Psychiatry The University of MelbourneThe expectations and experience of the diagnosis of dementia: lessons from patients and their families.

nARi supervisor: dr bruce barber

pAMelA bRudeR Department of Anthropology The University of MelbourneIdentity transitions in ageing: communal singing as a means of maintaining identity.

jenny pATTeRson School of Psychology and Psychiatry Monash UniversityEvaluating the therapeutic effects of music interventions on depression in elderly aged care residents.

nARi supervisor: dr briony dow

xiAoping linDepartment of PsychologyThe University of MelbourneIntergenerational relationships in older people and their associations with mental health: a cultural study.

nARi supervisor: dr colleen doyle

chRis chiuSchool of Population Health The University of Melbourne

Economic evaluation of cognitive behaviour therapy to treat depression and anxiety in older people with chronic obstructive pulmonary disease.

eMily youSchool of Population Health The University of MelbourneThe effectiveness of case management in community support services for older people in Australia.

nARi supervisor: professor stephen gibson

veRonA cosTelloSchool of Nursing Monash UniversityOpioid use in patients with chronic pain.

nikki fRescosSchool of Allied Health La Trobe UniversityFoot pain and wound care.

bRAd WoodsDepartment of Psychology University of Sydney

Pain self-management in older persons.

nARi supervisor: professor keith hill

MislA shiek AhMAd Department of Medicine The University of MelbourneLongitudinal studies of anti-epileptic medication use on bone density, balance performance, and body composition – a twin and matched sibling study.

Willeke WAlshSchool of Physiotherapy The University of MelbourneFalls risk assessment in the acute hospital setting.

xiAo jing yAngSchool of Population Health The University of MelbourneEffectiveness of a screening program for early balance problems and targeted exercise interventions among community ambulant older people.

nARi supervisors: professor keith hill and dr briony dow

clAudiA MeyeRSchool of Physiotherapy La Trobe Universityknowledge translation of falls prevention strategies in people with dementia and their carers: what works?

doctor of Medical sciencenARi supervisor: professor stephen gibson

kevin young Department of Medical Science The University of MelbournePatterns and outcomes of chronic pain management in rehabilitation.

theses awarded: page 35

Education

education pAge 25

Mentoring students

MEDiCal stuDEnts anD sPECialists

NARI Director, Professor David Ames, is

chair of the six-week rehabilitation, aged

care, palliative care and psychiatry of

old age (RAPP) segment of the medical

course at the University of Melbourne. In

this role, he is a teacher and examiner.

NARI hosts the cognitive assessment

seminar on the first day of the program.

In 2013, the existing RAPP program will

be taught to the last group of students

in the old course during semester two

and for the first time to students in the

third year of the new four-year graduate

medical course. With the overlap between

the two courses in 2013, the program will

be reduced to five weeks, but only for

that year.

Victorian psychiatry trainees attend

NARI to receive 10 weeks of teaching

in the psychiatry of old age during the

first half of their third year of study on

the combined University of Melbourne/

Monash University Master of Medicine

(Psychiatry)/Master of Psychological

Medicine program, which provides

theoretical instruction to all psychiatry

trainees in Victoria. The psychiatry of

old age course is coordinated by

Professor Ames.

Research students – theses in progress

Publications and Major Conference Presentations

Papers in Peer Reviewed Journals

oRiginal REsEaRCH aRtiClEs1. acosta o, Fripp J, Dore v, Bourgeat P,

Favreau J-m, chételat G, Rueda a, villemagne vl, Szoeke c, ames D, Ellis Ka, martins Rn, masters cl, Rowe cc, Bonner E, Gris F, Xiao D, Raniga P, Barra v & Salvado o . (2012) Cortical surface mapping using topology correction, partial flattening and 3D shape context-based non-rigid registration for use in quantifying atrophy in Alzheimer’s disease. Journal of Neuroscience Methods, 205(1):96-109.

2. ahmad B, Hill K, o’Brien t & Wark J . (2011) Falls and fractures in patients chronically treated with antiepileptic drugs. Neurology. (in press)

3. almeida oP, Beer c, lautenschlager nt, arnolda l, alfonso H & Flicker l . (2012) Two-year course of cognitive function and mood in adults with congestive heart failure and coronary heart disease: the Heart-Mind Study. International Psychogeriatrics, 24(1):38-47.

4. almeida oP, Draper B, Pirkis J, Snowdon J, lautenschlager nt, Byrne G, Sim m, Stocks n, Kerse n, Flicker l & Pfaff JJ . (2012) Anxiety, depression and comorbid anxiety and depression: risk factors and outcome over two years. International Psychogeriatrics. [Epub ahead of print] doi:10.1017/S104161021200107X.

5. almeida oP, Garrido GJ, Beer c, lautenschlager nt, arnolda l &Flicker l . (2012) Cognitive and brain changes associated with ischaemic heart disease and heart failure. European Heart Journal, 33:1769-1776.

6. almeida oP, Pirkis J, Kerse n, Sim m, Flicker l, Snowdon J, Draper B, Byrne G, Goldney R, lautenschlager nt, Stocks n, alfonso H & Pfaff JJ . (2012) A randomised trial to reduce the prevalence of depression and self-harm behaviour in older primary care patients. Annals of Family Medicine, 10:347-356.

Project Reports1. Batchelor F, Dow B, Berlowitz D, Russell m,

Williams S & Hill K . Sleep and Falls: prevalence of subjective sleep difficulties in community-dwelling older fallers and relationship between sleep and falls. Final Report. Report to Department of Veterans’ Affairs, February 2012.

2. Dow B, Biggs S, Kimberley H & Joosten m . Age Encounters: exploring age and intergenerational identity. Report to Lord Mayor’s Charitable Foundation, 2011.

3. Dow B, Haralambous B, lin X & Gaffy E . Research to Practice Briefing 7: Supporting older people who are experiencing mental distress or living with a mental illness. Report to Benevolent Society, May 2012.

4. Dow B, Renehan E & Doyle c . Evaluation of the Barwon-South Western Region Dementia Strategy. Report to Department of Health Barwon-South Western Region, 2011.

5. Dow B, Renehan E, lin X, Joosten m, Hendy S, Harper S & Brasher K . Effective Health Promotion for Older Victorians. Report to Vic Health, 2012.

6. Dunt D, Doyle c, mcFarlane a, morris P, Hunter c & Day S . Impact of War Experiences on People Living with Dementia. Report to Department of Veterans’ Affairs, March 2012.

7. Haralambous B, antonopoulos S, ledgerwood K, lin X, Rayner v, vrantsidis F, Dow B, Runci S, o’connor D & loGiudice D . The Assessment of Older People with Dementia and Depression of Culturally and Linguistically Diverse Backgrounds: a review of current practice and the development of guidelines for Victorian Aged Care Assessment Services. Report to Victorian Department of Health, 2011.

8. moore K & Renehan E . Evaluation of Linking Lives Pilot: supporting younger people with dementia. Report to Alzheimer’s Australia Vic, 2011.

9. Quantum consulting, Doyle c, Hunter c & moore K . Review of the National Framework for Action on Dementia. Report to Australian Department of Health & Ageing, June 2011.

10. tinney J . Resident Experiences of Public Sector Residential Aged Care Facilities – Gippsland and Hume. Report to Victorian Department of Health, January 2012.

11. tinney J . Enhancing Staff-resident Communication in Residential Care: pilot of staff training materials. Report to Ian Potter Foundation, February 2012.

note: all books, book chapters, articles and reports known to have been published by naRi staff and associates in 2011-2012, and not previously listed in a naRi annual report, are included in this list . articles and books that were listed as ‘in press’ or as ‘epublished ahead of print’ in the last annual report, which are now definitively published, are here listed with their final publication details (iSBn and number of pages or volume and page numbers with doi number where available) .

Books1. De Waal H, ames D, lyketsos c & o’Brien Jt .

(2012) Designing Dementia Care Services. John Wiley, Chichester. (in press)

Chapters in Books1. ames D . (2012) Recurrent severe depression

and lithium. In: Managing Depression Growing Older. (eds. Eyers K, Parker G & Brodaty H). Allen and Unwin, Sydney. ISBN 978 1 74237 880 0, pp. 214-215.

2. Dow B, lin X, tinney J, Haralambous B & ames D . (2012) Research priorities in mood disorders in late life – an international perspective. In: Late Life Mood Disorders. (eds. Satajovic M, Reynolds C & Lavretsky H). (in press)

3. Doyle c, Daly m, Howard R & Dunt D . (2012) Chronic obstructive pulmonary disease. In: Chronic Disability. (ed. Chang E). Elsevier. (in press)

4. Dunt D, Robinson J, Doyle c, Baksheev G & Selvarajah S . (2011) Suicide in the ex-service community: Australian research and prevention efforts for veterans’ healthcare. In: Prager Handbook of Veterans Health. (ed. Miller T). Praeger. (in press)

5. lautenschlager nt . (2012) There was no time to say goodbye (case notes). In: A Guide for Professionals and Carers: Managing Depression Growing Older. (eds. Eyers K, Parker G & Brodaty H). Allen &Unwin, Sydney, pp. 166-167.

6. Ratcliffe J, Pezzullo l & Doyle c . (2012) Economic evaluation of dementia services: international and Australian perspectives. In: Designing Dementia Care Services. (eds. De Waal H, Ames D, Lyketsos C & O’Brien JT). John Wiley, Chichester. (in press)

7. Szoeke c, campbell S, chiu E & ames D . (2012) Vascular cognitive disorder. In: Clinical Manual of Alzheimer Disease and Other Dementias. (eds. Weiner MF & Lipton A). American Psychiatric Publishing, Washington, DC. ISBN 978-1-58562-422-5, pp. 171-191.

pAge 26 publications and Major conference presentations

International Psychogeriatrics has

an international editorial team which includes nARi’s

professor david Ames, who generously shares his

expertise with this influential peer reviewed journal.”

pRofessoR nicolA lAuTenschlAgeR ediToR, INTERNATIONAL

PSyCHOGERIATRICS

28. Dennerstein l, lehert P & Heinemann K . (2011) A global epidemiological study of variation of premenstrual symptoms with age and sociodemographic factors. Menopause International, 17(3):96-101.

29. Dennerstein l, lehert P & Heinemann K . (2012) Epidemiology of premenstrual symptoms and disorders. Menopause International, 18(2):48-51.

30. Doecke JD, laws Sm, Faux nG, Wilson W, Burnham Sc, lam c-P, mondal a, Bedo J, Bush ai, Brown B, De Ruyck K, Ellis Ka, Fowler c, Gupta vB, Head R, macauley l, Pertile K, Rowe cc, Rembach a, Rodrigues m, Rumble R, Szoeke c, taddei K, taddei t, trounson B, ames D, masters cl, martins Rn, for the alzheimer’s Disease neuroimaging initiative & the aiBl research group . (2012) Blood based protein biomarkers for diagnosis of Alzheimer’s disease. Annals of Neurology. (in press) [Epub ahead of print]

31. Doyle c, Dunt D, Pirkis J, Day S, Dare a & Wijesundara BJ . (2012) Media reports on dementia. Australasian Journal on Ageing, 31(2):96-101.

32. Dunt D & Doyle c . (2012) The Australian post-2000 experience of COPD: signs of progress though some old problems remain. International Journal of Chronic Obstructive Pulmonary Disease. (in press)

33. Evans aH, Farrell mJ, Gibson SJ, Helme RD & lim Sy . (2012) Dyskinetic patients show rebound-worsening of affect after an acute L-dopa challenge. Journal of Neurology, Neurosurgery and Psychiatry. (in press)

34. Evered l, Silbert B, Scott D, maruff P, ames D & choong P . (2011) Pre-existing cognitive impairment and mild cognitive impairment in subjects presenting for total hip joint replacement. Anesthesiology, 114(6):1297-1304. doi:10.1097/ALN.0b013e31821b1aab.

35. Faux n, Ellis K, Porter l, Fowler cJ, laws Sm, martins Rn, Pertile KK, Remback a, Rowe cc, Rumble Rl, Szoeke c, taddei K, taddei t, trounson Bo, villemagne vl, Ward v, ames D, masters cl, Bush a & the aiBl research group . (2011) Homocysteine, vitamin B12, and folic acid levels in Alzheimer’s disease, mild cognitive impairment and healthy elderly: baseline characteristics of the Australian Imaging, Biomarkers and Lifestyle study. Journal of Alzheimer’s Disease, 27(4):909-922.

36. Ford aH, Garrid GJ, Beer c, lautenschlager nt, arnolda l, Flicker l & almeida oP . (2012) Homocysteine, grey matter and cognitive function in adults with cardiovascular disease. PloS ONE, 7(3):e33345.

37 . Fryer cE, mackintosh Sm, Batchelor Fa, Hill KD, Said c & Whitehead c . (2012) The effect of limited English proficiency on falls risk and falls prevention after stroke. Age and Ageing, 41:104-107.

7. almeida oP, Pirkis J, Kerse n, Sim m, Flicker l, Snowdon J, Draper B, Byrne G, lautenschlager nt, Stocks n, alfonso H & Pfaff JJ . (2012) Socioeconomic disadvantage increases risk of prevalent and persistent depression in later life. Journal of Affective Disorders, 138:322-331.

8. andrews S, lea E, Haines t, nitz J, Haralambous B, moore K, Hill K & Robinson a . (2012) Reducing staff isolation and developing evidence-informed practice in the aged care environment through an action research approach to falls prevention. Advances in Nursing Science, 35(1):3-13. doi:10.1097/ANS.0b013e3182433b27.

9. anpalahan m & Gibson SJ . (2012) The prevalence of neurally mediated syncope in older patients presenting with unexplained falls. European Journal of Internal Medicine, 23(2):e48-52.

10. Barker a, Kamar J, tyndall t & Hill K . (2012) Reducing serious fall-related injuries in acute hospitals: are low-low beds a critical success factor? Journal of Advanced Nursing. (in press)

11. Batchelor F, Hill K, mackintosh S, Said c & Whitehead c . A multi-factorial falls prevention program in people with stroke returning home after rehabilitation: a randomized, controlled trial. Archives of Physical Medicine & Rehabilitation. (in press)

12. Batchelor Fa, Hill KD, mackintosh SF & Said cm . Falls efficacy and fear of falling in stroke: issues with measurement and interpretation. Disability and Rehabilitation. (in press)

13. Batouli SaH, Sachdev PS, Wen W, Wright mJ, Suo c, ames D & trollor Jn . (2012) The heritability of brain metabolites on protein magnetic resonance spectroscopy in older individuals. Neuroimage, 62(1):281-289. doi: 10/1016/j.neuroimage.2012.04.043.

14. Beer c, Horner B, Flicker l, Scherer S, lautenschlager nt, Bretland n, Flett P, Schaper F & almeida oP . (2011) A cluster-randomised controlled trial of staff education to improve the quality of life of people with dementia living in residential care: the DIRECT study. PLoS One, 6(11):e28155.

15. Biggs S, Haapala i & lowenstein a . (2011) Exploring generational intelligence as a model for examining the process of intergenerational relationships. Ageing & Society, 31:1107-1124.

16. Bird ml, Hill K & Fell J . (2012) A randomized controlled study investigating static and dynamic balance in older adults after training with therapeutic Pilates. Archives of Physical Medicine and Rehabilitation, 93(1):43-49.

17. Bird ml, Hill K, Robertson i, Ball m, Pittaway J & Williams aD . (2012) Vitamin D status, ankle strength and activity show seasonal variation in older adults: implications for winter falls in higher latitudes. Age and Ageing. (in press)

18. Brown Bm, Peiffer JJ, taddei K, lui J, laws S, Gupta vB, taddei t, Ward vK, Rodrigues m, Burnham S, Rainey-Smith S, Bush a, Ellis Ka, masters cl, ames D, macauley Sl, Szoeke c, Rowe cc, martins Rn for the aiBl research group . (2012) Physical activity and amyloid-β plasma and brain levels: results from the Australian Imaging, Biomarkers and Lifestyle study of ageing. Molecular Psychiatry. (in press)

19. chételat G, villemagne vl, villain n, Jones G, Ellis K, ames D, masters cl, Rowe cR & the aiBl research group . (2012) Accelerated cortical atrophy in cognitively normal elderly with high β-amyloid deposition. Neurology, 78(7):477-484. doi:10.1212/WNL.0b013e318246d67a.

20. clark E, Hill K & Punt D . (2012) Responsiveness of two scales to evaluate lateropulsion or pusher syndrome recovery after stroke. Archives of Physical Medicine and Rehabilitation, 93:149-155.

21. cole lJ, Gavrilescu m, Johnston la, Gibson SJ, Farrell mJ & Egan GF . (2011) The impact of Alzheimer’s disease on the functional connectivity between brain regions underlying pain perception. European Journal of Pain, 15(6):568. e1-11. [Epub 2011 Jan 22]

22. cyarto E, Dow B, vrantsidis F & meyer c . Promoting healthy ageing: development of the Healthy Ageing Quiz. Australasian Journal on Ageing. (in press)

23. cyarto Ev, Kuys S, Henwood t & Blackberry i . (2011) Can Wii™ work it out? Telecommunications Journal of Australia, 61(3):37.1-37.12.

24. Day l, Hill K, Jolley D, cicuttini F, Flicker l & Segal l . (2012) Impact of tai-chi on impairment, functional limitation and disability. A randomised controlled trial. Archives of Physical Medicine and Rehabilitation. (in press)

25. De morton n, Hill K, meyer c, moore K, Dow B & Jones c . (2011) Validation of the de Morton Mobility Index (DEMMI) with older community care recipients. Australasian Journal on Ageing, 30(4):220-225.

26. Delprado J, Kinsella G, ong B, Pike K, ames D, Storey E, Saling m, clare l, mulally E & Rand E . (2012) Clinical measures of prospective memory in amnestic mild cognitive impairment. Journal of the International Neuropsychological Society, 18(2):295-304. doi:10.1080/13803395.2011.633498.

27. Dennerstein l, lehert P & Heinemann K . (2011). Global study of women’s experiences of premenstrual symptoms and their effects on daily life. Menopause International, 17(3):88-95.

Publications and Major Conference PresentationsPublications and Major Conference Presentations

publications and Major conference presentations pAge 27


38. Gianoudis J, Bailey c, Sanders K, Ebeling P, nowson c, Hill K & Daly R . (2012) Osteo-cise: strong bones for life – protocol for a community based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures. BMC Musculoskeletal Disorders, 13(1):78.

39. Gibson SJ . (2012) What does an increased prevalence in behavioral and psychological symptoms of dementia in those individuals with pain mean? Pain, 153(2):261-262.

40. Gibson SJ & lussier D . (2012) Prevalence and relevance of pain in older persons. Pain Medicine, 13(S2):s23-s26.

41. Giummarra mJ, Gibson SJ, Georgiou-Karistianis n, nicholls mER, chou m & Bradshaw Jl . (2011) Late onset phantom pain following bowel surgery, thrombosis and chemotherapy. Journal of Medical Case Reports, 5(1):203.

42. Giummarra mJ, Gibson SJ, Georgiou-Karistianis n, nicholls mER, chou m & Bradshaw Jl . (2011) Maladaptive plasticity in amputees: imprinting of enduring intense or ‘core trauma’ experiences on phantom limb schemata. Clinical Journal of Pain, 27(8):691-698.

43. Giummarra mJ, Gibson SJ, Georgiou-Karistianis n, nicholls mER, chou m & Bradshaw Jl . (2011) The menacing phantom: what pulls the trigger? European Journal of Pain, 15(7):691.e1-8. [Epub 2011 Feb 11]

44. Haapala i, Biggs S, cederberg R & Kosonen a-l . (2012) Home economics teachers’ intentions and engagement in teaching sustainable development. Scandinavian Journal of Educational Research. [Epub ahead of print] doi:10.1080/00313831.2012.696213.

45. Haapala i, Prättälä R, Patja K, männikkö R, Hassinen m, Komulainen P & Rauramaa R . (2012) Age, marital status & changes in dietary habits in later life: a 21-year follow-up among Finnish women. Public Health Nutrition.[Epub ahead of print] doi:10.1017/S1368980012000602.

46. Haines t, nitz J, Grieve J, Barker a, moore K, Hill K, Haralambous B & Robinson a . (2011) Cost of falls: a potentially misleading indicator of burden of disease in health and residential care settings. Journal of Evaluation in Clinical Practice. (in press)

47. Hakkennes S, Brock K & Hill K . (2011) Selection for inpatient rehabilitation following acute stroke: a systematic review of the literature. Archives of Physical Medicine and Rehabilitation, 92:2057-2070.

48. Hakkennes S, Hill K, Brock K, Bernhardt J & churilov l. (2012) Accessing inpatient rehabilitation following severe stroke: age, mobility, pre-stroke function and hospital unit are associated with discharge to rehabilitation. International Journal of Rehabilitation Research. (in press)

49. Hempton c, Dow B, cortes-Simonet En, Ellis K, Koch S, loGiudice D, mastwyk m, livingston G, cooper c & ames D . (2011) Contrasting perceptions of health professionals and older people in Australia: what constitutes elder abuse? International Journal of Geriatric Psychiatry, 26(5):466-472.

50. Hill am, Hoffman t, Hill K, oliver D, Beer c, mcPhail S, Brauer S & Haines t . (2011) Evaluation of the sustained effect of in-patient falls prevention education and predictors of falls after discharge – follow up to a randomized controlled trial. Journal of Gerontology A: Biological Sciences Medical Sciences, 66(9):1001-1012.

51. Hill am, Hoffman t, Hill K, oliver D, Beer c, mcPhail S, Brauer S & Haines t . (2011) Factors associated with older patients’ engagement in exercise after hospital discharge. Archives of Physical Medicine and Rehabilitation, 92(9):1395-1403.

52. Hill am, Hoffman t, Hill K, oliver D, Beer c, mcPhail S, Brauer S & Haines t. (2011) Falls after discharge from hospital: is there a gap between older people’s knowledge about falls prevention strategies and the research evidence? The Gerontologist, 51(5):653-662.

53. Hogg m, Gibson SJ, Helou a, DeGabriele J & Farrell mJ . (2012) Waiting in pain: a systematic investigation into the provision of persistent pain services in Australia. Medical Journal of Australia, 196(6):386-390.

54. Hutchens R, Kinsella GJ, ong B, Pike KE, Parsons S, Storey E, ames D, Saling mm, mullaly E, Rand E & clare l . (2012) Knowledge and use of memory strategies in amnestic mild cognitive impairment. Psychology and Ageing. [Epub ahead of print] doi:10.1037/a0026256.

55. Kahn F, Pallant J & Gibson SJ . (2011) Cognitive-behavioral classifications of chronic pain in persons with Multiple Sclerosis MS and pain. International Journal of Rehabilitation Research, 34(3):235-242.

56. Kowal P, Gibson R, Wutzke S, Smith K, cotter P, Strivens E, lindeman m, loGiudice D & Broe tG . (2011). Roundtable discussion: data on ageing Aboriginal and Torres Strait Islander populations. World Medical & Health Policy, 3(3) article 7.

57. lautenschlager nt, cox K & cyarto Ev . (2012) The influence of exercise on brain ageing and dementia. BiochimicaetBiophysicaActa – Molecular Basis of Disease for Special Issue: Imaging Brain Aging, 1822:474-481.

58. lautenschlager nt, ihl R & müller WE . (2012) Ginkgo biloba extract EGb 761® in the context of current developments in the diagnosis and treatment of aged-related cognitive decline and Alzheimer’s disease: a research perspective. International Psychogeriatrics, 24 (Suppl.1):S46-S50.

59. lea E, andrews S, Hill K, Haines t, nitz J, Haralambous B, moore K & Robinson a . (2012) Beyond the ‘tick and flick’: facilitating best practice falls prevention through an action research approach. Journal of Clinical Nursing. (in press)

60. lee Sm, lin X, Haralambous B, Dow B, vrantsidis F, tinney J, Blackberry i, lautenschlager n & Giudice Dl . (2011) Factors impacting on early detection of dementia in older people of Asian background in primary healthcare. Asia-Pacific Psychiatry, 3(3):120-127. doi:10.1111/j.1758-5872.2011.00130.x.

61. lee t, mosing m, Henry J, trollor J, ames D, martin nG, Wright m, Sachdev P & the oatS team . (2012) Genetic influence on four measures of executive function and their covariation with general cognitive ability: the Older Australian Twins study. Behaviour Genetics. [Epub ahead of print] doi:10.1007/s10519-012-9526-1.

62. lee t, mosing m, Wright m, Henry J, trollor J, lammel a, ames D, martin n, Wright m & Sachdev PS . (2012) Genetic influences on five measures of processing speed and their covariation with general cognitive ability in the elderly: the Older Australian Twins study. Behaviour Genetics, 42(1):96-106. doi:10.1007/s10519-011-9474-1.

63. l eung S, loGiudice D, Schwarz J & Brand c .

64. lim yy, Ellis K, Harrington K, ames D, martins R, masters c, Rowe c, Szoeke c, Darby D & maruff P . (2012) Use of CogState brief battery in the assessment of Alzheimer’s disease related cognitive impairment in the Australian Imaging, Biomarkers and Lifestyle (AIBL) study. Journal of Clinical and Experimental Neuropsychology, 34(4):345-358. doi:10.1080/13803395.2011.643227.

65. lim yy, Ellis Ka, Pietrzak RH, ames D, Darby D, Harrington K, martins Rn, masters cl, Rowe c, Savage G, Szoeke c, villemagne v, & maruff P for the aiBl research group . (2012) Stronger effect of amyloid load than APOE genotype on cognitive decline in healthy older adults. Neurology. (in press)

Hospital doctors’ attitudes towards older people. Internal Medicine Journal, 41(4):308-314.


85. tang J, Ryburn B, Doyle c & Wells y . (2011) The psychology of respite care for people with dementia. Australian Psychologist, 46:1-7.

86. tropea J, amatya B, Brand ca & Expert advisory Group (including B Dow) . (2011) Use of consensus methods to select clinical indicators to assess activities to minimise functional decline among older hospitalised patients. Australian Health Review, 35(4):404-411.

87. villain n, chételat G, Grassiot B, Bourgeat P, Jones G, Ellis Ka, ames D, martins Rn, Eustache F, Salvado o, masters cl, Rowe cR, villemagne vl, & the aiBl research group . (2012) Regional dynamics of β-amyloid deposition in healthy elderly, Mild Cognitive Impairment and Alzheimer’s disease: a voxelwisePiB-PET longitudinal study. Brain. [Epub2012 May 23] doi:10.1093/brain/aws125.

88. Wittwer J, Webster K & Hill K . (2012) Music and metronome cues produce different effects on gait spatiotemporal measures but not gait variability in healthy older adults. Gait and Posture. (in press)

89. Wong Shee a, Phillips B & Hill K . (2012) Comparison of two fall risk assessment tools in a sub-acute hospital setting: falls prediction accuracy and implementation of targeted falls prevention. Archives of Gerontology and Geriatrics. (in press)

90. yang XJ, Hill K, moore K, Williams S, Dowson l, Borschmann K & Dharmage S . (2011) Older people’s balance concerns: real or imaginary? Journal of Clinical Gerontology & Geriatrics, 2(4):109-115.

91. yang XJ, Hill K, moore K, Williams S, Dowson l, Borschmann K & Dharmage S . (2012) Effectiveness of a targeted exercise intervention in reversing older people’s early balance dysfunction: a randomised controlled trial. Physical Therapy, 92(1):24-37.

REviEw aRtiClEs 1. Batchelor Fa, mackintosh SF, Said cm & Hill KD .

Falls after stroke. International Journal of Stroke. (in press)

2. cooper c, mukadam n, Katona c, lyketsos cG, ames D, Rabins P, Engedal K, De mendonça lima c, Blazer D, teri l, Brodaty H & livingston G . (2012) Systematic review of the effectiveness of non-pharmacological interventions to improve quality of life and wellbeing in people with dementia. International Psychogeriatrics, 24:856-870. doi:10.1017/S1041610211002614.

3. cooper c, mukadam n, Katona c, lyketsos cG, Blazer D, ames D, Rabins P, Brodaty H, De mendonça lima c & livingston G . (2012) Systematic review of the effectiveness of pharmacological interventions to improve quality of life and wellbeing in people with dementia. American Journal of Geriatric Psychiatry. (in press)

66. lim yy, Harrington K, ames D, Ellis Ka, lachovitszki R, Snyder P & maruff P . (2012) Short term stability of verbal memory impairment in mild cognitive impairment and Alzheimer’s disease measured using the International Shopping List Test. Journal of Clinical and Experimental Neuropsychology. [Epub2012 May 29] doi:10.1080/13803395.2012.689815.

67 loGiudice D, Strivens E, Smith K, atkinson D, Dwyer a, lautenschlager n, almeida oP & Flicker l . (2011) The KICA screen: the psychometric properties of a shortened version of the KICA (Kimberley Indigenous Cognitive Assessment). Australasian Journal on Ageing, 30(4):215-219.

68. lukas a, Schuler m, Fischer tW, Gibson SJ, Savvas Sm, nikolaus t & Denkinger m . (2012) Dementia and pain: a diagnostic challenge. ZeitschriftfürGerontologie und Geriatrie, 45(1):45-49. (in press)

69. manias E, Gibson SJ & Finch S . (2011) Testing an educational nursing intervention for pain assessment and management in older people. Pain Medicine, 12(8):1199-1215.

70. meyer c, Dow B, Bilney B, moore K, Bingham a & Hill K . (2012) Falls in older people receiving in-home informal care across Victoria: influence on care recipients and caregivers. Australasian Journal on Ageing, 31(1):6-12.

71. moore K, Hill K, Haines t, nitz J, Robinson a & Haralambous B . (2011) The state of physical environments in Australian residential aged care facilities. Australian Health Review, 35(4):412-417.

72. morello R, Barker a, Zavarsek S, Watts J, Haines t, Hill K, Sherrington c, Brand c, Jolley D & Stolewinder J . (2012) The 6-PACK program to decrease fall and fall-related injuries in acute hospitals: a protocol for an economic evaluation alongside a cluster randomised controlled trial. Injury Prevention, 18(2):e2.

73. morrison G, van langenberg DR, Gibson SJ & Gibson PR . (2012) Chronic pain in inflammatory bowel disease: an unrecognised problem. Gastroenterology. (in press)

74. nitz J, cyarto E, andrews S, Fearn m, Fu S, Haines t, Haralambous B, Hill K, Hunt S, lea E, moore K, Renehan E & Robinson a . (2012) Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care. Geriatric Nursing, 33(1):41-50.

75. Pal Sa, Dennerstein l & lehert P . (2011)Premenstrual symptoms in Pakistani women and their effect on activities of daily life. The Journal of the Pakistan Medical Association, 61(8):763-768.

76. Pike KE, Ellis Ka, villemagne vl, Good n, chételat G, ames D, Szoeke c, laws Sm, verdile G, martins Rn, masters cl & Rowe cc . (2011) Cognition and beta-amyloid in preclinical Alzheimer’s disease: data from the AIBL study. Neuropsychologia, 49(9):2384-2390.

77. Pike KE, Kinsella GJ, ong B, mullaly E, Rand E, Storey E, ames D, Saling m, clare l & Parsons S . (2012) Names and numberplates: quasi-everyday associative memory tasks for distinguishing amnestic mild cognitive impairment from healthy ageing. Journal of Clinical and Experimental Neuropsychology, 34(3):269-278.

78. Sachdev PS, lee t, lammel a, crawford J, trollor Jn, Wright mJ, Brodaty H, ames D, martin nG & the oatS research team . (2011) Cognitive functioning in elderly twins: the Older Australian Twins study. Australasian Journal on Ageing, 30 (Suppl. 2):17-23. doi:10.1111/j.1741-6612.2011.00534.x.

79. Smith K, Flicker l, Shadforth G, carroll E, atkinson D, lindeman m, Schaper F, lautenschlager nt, almeida oa & loGiudice D . (2011). ‘Gotta be sit down and worked out together’: views of Aboriginal caregivers and service providers on ways to improve dementia care for Aboriginal Australians. Rural Remote Health, 11(2):1650.

80. Sona a, Zhang P, ames D, Bush ai, lautenschlager nt, martins R, masters c, Rowe c, Szoeke c, taddei K, Ellis K & the aiBl research group . (2012) Predictors of rapid cognitive decline in Alzheimer’s disease: results from the Australian Imaging and Lifestyle (AIBL) study of ageing. International Psychogeriatrics, 24(2):197-204. [Epub ahead of print] doi:10.1017/S1041610211001335.

81. Spink m, Fotoohabadi mR, Wee E, landorf K, Hill K, lord S & menz H . (2011) Adherence to a podiatry intervention for falls prevention. BMC Geriatrics, 11(1):51.

82. Suttanon P, Hill K, Dodd K & Said c . (2011) Retest reliability of balance and mobility measurements in people with mild to moderate Alzheimer’s disease. International Psychogeriatrics, 23(7):1152-1159.

83. Suttanon P, Hill K, Dodd K, Said c, loGiudice D & lautenschlager n . (2012) Balance and mobility dysfunction, and falls risk in older people with mild to moderate Alzheimer’s disease. American Journal of Physical Medicine and Rehabilitation, 91(1):12-23.

84. Suttanon P, Hill K, Said c, Byrne n & Dodd K . (2012) Factors influencing commencement and adherence to a home-based balance exercise program for reducing risk of falls: perceptions of people with Alzheimer’s disease and their caregivers. International Psychogeriatrics, 24(7):1172-1182.



non-Peer Reviewed articles1. Dow B, Biggs S, Kimberly H, Joosten m,

o’connor D & Wardell D . (2011) Age Encounters. http://www.mednwh.unimelb.edu.au/news/media.htm

2. Doyle c . (2011) Caring for older Australians report. The Conversation, 8 August 2011. http://theconversation.edu.au/caring-for-older- australians-report-research-can-improve-quality-of-care-2738

3. Doyle c . (2012) Aged care reform: experts respond. The Conversation, 20 April 2012. http://theconversation.edu.au/aged-care- reform-experts-respond-6576

Major Conferences and lectures

PuBlisHED aBstRaCts oF intERnational ConFEREnCE PREsEntations

1. appannah a, Szoeke c, Ellis K, Rowe c, martins R, masters c, ames D, Bush a & the aiBl research group . (2012) Investigating cardiovascular risk factors on cognition: a two cohort study. Alzheimer’s and Dementia, 8 (Suppl. 2):P318.

2. Bourgeat P, Fripp J, Raniga P, Doré v, Zhou l, martins R, macaulay l, masters c, ames D, Ellis K, villemagne v, Rowe c, Salvado o & the aiBl research group . (2012) Longitudinal modeling of joint PIB/MRI changes in Alzheimer’s disease. Alzheimer’s and Dementia, 8 (Suppl. 2):P28.

3. Bourgeat P, Fripp J, Raniga P, Doré v, Zhou l, martins R, macaulay l, masters c, ames D, Ellis K, villemagne v, Rowe c, Salvado o & the aiBl research group . (2012) Longitudinal modeling of joint PIB/MRI changes in Alzheimer’s disease. Alzheimer’s and Dementia, 8 (Suppl. 2):P345.

4. Bourgeat P, Raniga P, Salvado o, Doré v, Zhou l, martins R, macaulay l, masters c, ames D, Ellis K, villemagne v, Rowe c, Fripp J & the aiBl research group . (2012) Classification of Alzheimer’s subject based on PIB-MR manifold learning. Alzheimer’s and Dementia, 8 (Suppl. 2):P28.

5. Bourgeat P, Raniga P, Salvado o, Doré v, Zhou l, martins R, macaulay l, masters c, ames D, Ellis K, villemagne v, Rowe c, Fripp J & the aiBl research group . (2012) Classification of Alzheimer’s subject based on PIB-MR manifold learning. Alzheimer’s and Dementia, 8 (Suppl. 2):P344.


4. Dowson l, moore K, tinney J, ledgerwood K & Dow B . (2012) Sleep in residential aged care: a review of the literature. Australian Journal of Advanced Nursing, 29(4):11-18.

5. Graven c, Brock K, Hill K & Joubert l . (2011) Are rehabilitation and/or care co-ordination interventions delivered in the community effective in reducing depression, facilitating participation, and improving quality of life after stroke? Disability and Rehabilitation, 33(17-18):1501-1520.

6. Head R, ames D, masters cl, Rowe cc & macauley l . (2012) The AIBL study: throwing light on amyloid and Alzheimer’s disease. Medical Journal of Australia, 196:376. doi:10.5694/mja12.10488.

7. Hill K & Wee R . (2012) Psychotropic drug use increases fall risk in older people: a review of interventions aimed at reducing the problem. Drugs and Ageing, 29(1):15-30.

8. Kurz aF, leucht S & lautenschlager nt . (2011) The clinical significance of cognition-focused interventions for cognitively impaired older adults. A systematic review of randomized controlled trials. International Psychogeriatrics, 23(9):1364-1375.

9. lautenschlager nt, cox K & cyarto Ev . (2012) The influence of exercise on brain ageing and dementia. BiochimicaetBiophysicaActa, 1822(3):474-481.

10. lee Sm, lin X, Haralambous B, Dow B, vrantsidis F, tinney J, Blackberry i, lautenschlager nt & loGiudice D . A review of factors impacting on early detection of dementia in older people of Asian background in primary healthcare. Asia Pacific Psychiatry, 3:120-127.

11. levinger P, Wallman S & Hill K . (2012) Balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk, and effectiveness of exercise interventions. European Review of Ageing and Physical Activity, 9(1):17-25.

12. moore E, mander a, ames D, carne RP, Sanders Km & Watters DaK . (2012) Cognitive impairment and vitamin B12: a review. International Psychogeriatrics, 24:541-556. doi:10.1017/S1041610211002511.

13. Wittwer J, Webster K & Hill K . (2012) Rhythmic auditory cueing to improve walking in patients with neurological conditions other than Parkinson’s Disease – what is the evidence? Disability and Rehabilitation. (in press)

EDitoRials 1. Barber B, ames D, Ellis K, martins R,

masters c & Szoeke c . (2012) Lifestyle and late life cognitive health: sufficient evidence to act now? International Psychogeriatrics, 24:683-688. doi:10.1017/S1041610211002912.

2. Dow B & Joosten m . (2012) Understanding elder abuse: a social rights perspective. International Psychogeriatrics, 24(6):853-855.

3. Dow B, lin X, tinney J, Haralambous B & ames D . (2011) (Guest Editorial) Depression in residential care homes for older people. International Psychogeriatrics, 23(5):681-699. doi:10.1017/S1041610211000494.

4. Goh a, lautenschlager n & chiu E . Adversity and resilience in ageing – exploring lessons from our seniors. Ageing International. (in press)

5. Haapala i, Hodge a, tseng m, mcneill G & yngve a . (2012) Nutritional environments affecting the future of our children. Public Health Nutrition, 15(6):949-950.

6. Haapala i, tseng m, Hodge a, yngve a & mcneill G . (2011) Nutritional well-being among older people. Public Health Nutrition, 14(11):1891-1892.

7. Hodge a, Haapala i, yngve a, mcneill G & tseng m . (2012) A refresher in research publication ethics. Public Health Nutrition, 15(3):377-378.

8. yngve a, Haapala i, Hodge a, mcneill G & tseng m . (2011) Children in public health nutrition. Public Health Nutrition, 14(7):1131-1132.

9. yngve a, Haapala i, Hodge a, mcneill G & tseng m . (2011) Vitamin D, dietary patterns, and food acquisition. Public Health Nutrition, 14(9):1511-1512.

10. yngve a, Haapala i, Hodge a, mcneill G & tseng m . (2012) Public health nutrition and the environment. Public Health Nutrition, 15(2):187-188.

11. yngve a, Haapala i, Hodge a, mcneill G & tseng m . (2012) Food labels for consumers, motivated or otherwise. Public Health Nutrition, 15(5):757-758.

12. yngve a, Hodge a, tseng m, Haapala i & mcneill G . (2011) Public health nutrition interventions can be simple and effective. Public Health Nutrition, 14(8):1321-1322.

13. yngve a, tseng m, mcneill G, Haapala i & Hodge a . (2011) The year that passed – 2011. Public Health Nutrition, 14(12):2081-2082.

14. yngve a, tseng m, mcneill G, Haapala i & Hodge a . (2012) 2012 – starting with overweight and obesity. Public Health Nutrition, 15(1):1-2.

15. yngve a, tseng m, Hodge a, Haapala i & mcneill G. (2012) World nutrition 2012 – a global public health nutrition opportunity. Public Health Nutrition, 15(4):567.


23. Grigg J, Szoeke c, Ellis K, Rowe c, Desmond P, masters c & ames D . (2012) AIBLWHAP: methodology and baseline characteristics of a population-based sample recruited for a longitudinal study of risk factors and later-life cognitive decline. Alzheimer’s and Dementia, 8 (Suppl. 2):P321-P322.

24. Gupta v, Wilson a, Rainey-Smith S, laws Sm, Bush a, Ellis K, macaulay l, Rowe c, Szoeke c, taddei K, ames D, masters c, martins R & the aiBl research group . (2012) Establishing apolipoprotein E as a biomarker for Alzheimer’s disease: Australian Imaging, Biomarkers and Lifestyle study of ageing. Alzheimer’s and Dementia, 8 (Suppl. 2):P110.

25. Jones a, Graham P, Ellis K, ames D, Savage G & aiBl research group . (2012) Can memory profiling predict progression to Alzheimer’s disease in amnestic mild cognitive impairment? Alzheimer’s and Dementia, 8 (Suppl. 2):P358.

26. Kamer a, Ellis K, Kinsella G, ames D, martins R, Rowe c, macaulay l, Szoeke c, masters c & aiBl research group . (2012) APOE and cognitive dysfunction in Alzheimer’s dementia and mild cognitive impairment. Alzheimer’s and Dementia, 8 (Suppl. 2):P537-538.

27. Kinsella G, ames D, Storey E, ong B, Pike K, mullally E, Rand E, clare l, Saling m & Parsons S . (2012) Knowledge-transfer following cognitive intervention for amnestic mild cognitive impairment. Alzheimer’s and Dementia, 8 (Suppl. 2):P235.

28. lautenschlager n . (2011) Is there enough evidence to recommend physical activity to improve brain health in older adults with mild cognitive impairment and dementia? International Psychogeriatrics, 23:S35.

29. lautenschlager nt . (2011) What is the potential for delaying Alzheimer’s Disease by vascular risk factor reduction? Alzheimer’s and Dementia, 7(4)(Suppl. 1):S285.

30. lautenschlager n, Goh a, chiu E & yastrubetskaya o . (2011) Quantitative motor assessment in patients with mild to moderate Alzheimer’s disease (AD). International Psychogeriatrics, 23:S286.

31. laws S, Bender S, Rainey-Smith S, Wilson a, Gupta vB, De Ruyck K, Bush a, Ellis K, macaulay l, Rowe c, Szoeke c, taddei K, ames D, masters c, martins R & the aiBl study group . (2012) Alzheimer’s disease-related changes in plasma cortisol levels and gene involvement in the AIBL study. Alzheimer’s and Dementia, 8 (Suppl. 2):P407.

32. laws S, lam cP, mondal a, Bush a, Ellis K, macaulay l, Rowe c, taddei K, Szoeke c, ames D, masters c, martins R & the aiBl study group . (2012) Gene combination associations with Alzheimer’s disease risk and quantitative traits in the AIBL study. Alzheimer’s and Dementia, 8 (Suppl. 2):P678.

6. Brown B, Peiffer J, Gupta vB, taddei K, Salvado o, villemagne v, Rainey-Smith S, Ellis K, ames D, Rowe c, masters c, Szoeke c, martins R & aiBl research group . (2012) Level of physical activity is associated with hippocampal atrophy in a subgroup of the AIBL cohort. Alzheimer’s and Dementia, 8 (Suppl. 2):P494.

7. Burnham S, Graham P, Wilson W, ames D, macaulay l, martins R, masters c, marruff P, Rowe c, Szoeke c, aiBl research group, Ryan l, & Ellis K . (2012) Intensity of dementia through latent variable modelling (1-DELV) in the AIBL cohort. Alzheimer’s and Dementia, 8 (Suppl. 2):P131.

8. Burnham S, Wilson W, Graham P, Kiiveri H, ames D, macaulay l, martins R, masters c, Rowe c, Salvado o, Szoeke c, villemagne v, aiBl research group & Ellis K . (2012) Cognitive assessments as estimators of neocortical beta-amyloid burden in the AIBL cohort. Alzheimer’s and Dementia, 8 (Suppl. 2):P130.

9. chen K, lowndes G, ames D & Szoeke c . (2012) Variability in mid-life high density lipoprotein cholesterol (HDL-C) is related to poorer late-life episodic memory: the Women’s Healthy Ageing Project (WHAP). Alzheimer’s and Dementia, 8 (Suppl. 2):P499.

10. chen K, lowndes G, ames D & Szoeke c . (2012) The influence of midlife cholesterol on late-life cognition: the Women’s Healthy Ageing Project (WHAP). Alzheimer’s and Dementia, 8 (Suppl. 2):P596.

11. chong tWH, lautenschlager nt, Doyle cJ, cox Kl, cyarto Ev, Ellis Ka, ames D, Walker a, yastrubetskaya o & aiBl investigators . (2011) Perspectives on physical activity programs for older adults with and without cognitive impairment (FABSQual: Fitness for the Ageing Brain Qualitative Study). International Psychogeriatrics, 23:S179.

12. chua c, Henderson v, ames D, Dennerstein l & Szoeke c . (2012) DHEAS and cognitive function in post-menopausal women: the Women’s Healthy Aging study. Alzheimer’s and Dementia, 8 (Suppl. 2):P575.

13. cox K, Flicker l, almeida o, Greenop K, Hendricks J, Phillips m & lautenschlager n . (2012) Gender differences in adherence to a home-based physical activity program in older adults with memory problems: FABS (Fitness for the Ageing Brain Study). Alzheimer’s & Dementia, 8(4)(Suppl.2):S236-237.

14. cox K, Flicker l, almeida o, Greenop KR, Hendricks J, Phillips m & lautenschlager nt . (2012) The predictors of short- and long-term physical activity levels of older adults from FABS (Fitness for the Ageing Brain Study). Alzheimer’s & Dementia, 8(4)(Suppl.2):S82-83.

15. cyarto E, cox K, Desmond P, ames D, Szoeke c, Salvado o, Sharman m, Ellis K, Phal P, masters c, Rowe c, martins R & lautenschlager n . (2012) AIBL Active: a randomized controlled trial of physical activity to delay the progression of white matter hyperintensities on MRI in older adults at risk of cognitive decline. Alzheimer’s and Dementia, 8 (Suppl. 2):P506.

16. Doré v, Fripp J, Bourgeat P, acosta o, Zhou l, Raniga P, martins R, macauley l, Ellis K, masters c, ames D, villemagne v, Rowe c, Salvado o & the aiBl research group . (2012) Longitudinal analysis of cortical thickness in PIB+ and PIB- healthy elderly controls. Alzheimer’s and Dementia, 8 (Suppl. 2):P34.

17. Doré v, Fripp J, Bourgeat P, acosta o, Zhou l, Raniga P, martins R, macauley l, Ellis K, masters c, ames D, villemagne v, Rowe c, Salvado o & the aiBl research group . (2012) Longitudinal analysis of cortical thickness in PIB+ and PIB- healthy elderly controls. Alzheimer’s and Dementia, 8 (Suppl. 2):P248.

18. Ellis K, lim yy, ames D, Darby D, Harrington K, martins R, masters c, Rowe c, Savage G, Szoeke c, villemagne v, maruff P & aiBl research group . (2012) Aβ amyloid, cognition and APOE genotype in the preclinical stages of Alzheimer’s disease. Alzheimer’s and Dementia, 8 (Suppl. 2):P556-557.

19. Ellis K, maruff P, martins R, masters c, mcBride S, macaulay l, Rowe c, Rainey-Smith S, Rembach a, Savage G, Szoeke c, taddei K, villemagne v, Zhang P, ames D & aiBl research group . (2012) Rates of conversion to MCI and Alzheimer’s in the Australian Imaging, Biomarkers and Lifestyle (AIBL) cohort over 36 months. Alzheimer’s and Dementia, 8 (Suppl. 2):P484-485.

20. Evered l, Silbert B, ames D, marruff P & Scott D . (2012) Does general anaesthesia exacerbate Alzheimer’s disease? Alzheimer’s and Dementia, 8 (Suppl. 2):P208-P209.

21. Faux n, Burnham S, Wilson W, Jones G, laws S, Bedo J, ames D, Bush ai, Doecke J, Ellis K, Head R, Kiiveri H, macaulay l, martins R, masters c, Rowe c, Salvado o, Szoeke c, villemagne v & the aiBl research group . (2012) An update on an AIBL blood-based biomarker panel for the prediction of Aβ burden. Alzheimer’s and Dementia, 8 (Suppl. 2):P283.

22. Gardner S, Rainey-Smith S, Gu y, taddei K, laws S, Gupta v, ames D, Ellis K, Head R, macaulay l, masters c, Rowe c, Szoeke c, clifton P, Keogh J, Scarmeas n, martins R & aiBl research group . (2012) Diet, neuroimaging biomarkers and Alzheimer’s disease: data from the Australian Imaging, Biomarkers and Lifestyle study of ageing. Alzheimer’s and Dementia, 8 (Suppl. 2):P503.



5. ames D, Elllis K, morris J, Petersen R, maruff P & Savage G . Panel discussion – chair. Current issues in cognitive assessment for Alzheimer’s disease research. Research and Standardization in Alzheimer’s Disease, Melbourne, Australia, March 2012.

6. ames D . Public lecture. Consumers and researchers fighting Alzheimer’s disease together – response. Research and Standardization in Alzheimer’s Disease, Melbourne, Australia, March 2012.

7. ames D . Closing remarks. Research and Standardization in Alzheimer’s Disease, Melbourne, Australia, March 2012.

8. ames D & the aiBl investigators . Three year follow up results from the AIBL study of ageing. Alzheimer’s Disease International, London, UK, March 2012.

9. Barber B . Music therapy for the symptoms of dementia: a randomised study. 9th Asia-Oceania Regional Conference of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

10. Biggs S, Simmons B, Kimberley H, lowenstein a & Haapala i . Digital divides and intergenerational empathy. (Symposium: Age and Generation in a Connected World). IFA 11th Global Conference on Ageing, Prague, Czech Republic, May 2012.

11. Bird ml, Hill K, Robertson i, Ball m, Pittaway J, ahuja K, Beckett J & Williams a . Seasonal variation in strength, activity and vitamin D. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

12. Blackberry i, Haralambous B, lin X, cortes n, tinney J, Walker c & Dow B . Positive ageing: a chronic disease self-management peer education program for people from CALD background. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

13. chong t, lautenschlager n, Doyle c, cox K, cyarto E, Ellis K, ames D, Walker S, yastrubetskaya o & aiBl investigators . Perspectives on physical activity programs for older adults with and without cognitive impairment (FABSQual: Fitness for the Ageing Brain Qualitative Study) (poster). International Psychogeriatric Association 15th International Congress, Den Haag, The Netherlands, September 2011

14. cyarto E . Helping older adults to maintain functional fitness in the ‘real world’: recommendations for home- and centre-based exercise programs. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.


33. lim yy, Ellis K, ames D, Harrington K, martins R, masters c, Rowe c, Savage G, Szoeke c, villemagne v, Pietrzak R, maruff P & aiBl research group . (2012) Effect of Aβ burden and apolipoprotein E ε4 on cognitive decline at 18 months in healthy older adults. Alzheimer’s and Dementia, 8 (Suppl. 2):P439.

34. lim yy, Harrington K, Ellis K, ames D, ashwood t, Jaeger J, lachovitzki R, martins R, masters c, Rowe c, Savage G, Szoeke c, villemagne v, Darby D & maruff P . (2012) The Australian Imaging, Biomarkers and Lifestyle-Rate of Change sub-study: rationale, design, acceptability and pilot data for the first three months of assessment. Alzheimer’s and Dementia, 8 (Suppl. 2):P557.

35. loGiudice D, Smith K, atkinson D, carroll E, Shaper F, Shadforth G, murphy R, lautenschlager n & Flicker l . (2012) Lungurra Ngoora: a pilot model of care for aged and disabled in a remote Australian Aboriginal community – can it work? Alzheimer’s and Dementia, 8(4) (Suppl. 2):S384.

36. Raffelt D, tournier JD, crozier S, Ellis K, martins R, villemagne v, masters c, ames D, Rowe c, Salvado o & connelly a . (2012) Apparent fibre density: a novel MRI approach that identifies specific white matter tracts affected by Alzheimer’s disease and MCI. Alzheimer’s and Dementia, 8 (Suppl. 2):P61.

37. Raffelt D, tournierJD, crozier S, Ellis K, martins R, villemagne v, masters c, ames D, Rowe c, Salvado o & connelly a . (2012) Apparent fibre density: a novel MRI approach that identifies specific white matter tracts affected by Alzheimer’s disease and MCI. Alzheimer’s and Dementia, 8 (Suppl. 2):P690.

38. Rainey-Smith S, Brown B, De Ruyck K, laws S, Wilson a, Gupta vB, ames D, Ellis K, taddei K, Head R, macaulay l, masters c, Rowe c, Szoeke c, martins R & the aiBl research group . (2012) Alzheimer’s disease-related changes in plasma brain-derived neurotrophic factor levels: data from the AIBL study. Alzheimer’s and Dementia, 8 (Suppl. 2):P407-408.

39. Restrepo c, Saling m, yates P, villemagne v, ames D, Bush a, Faux n, martins R, masters c, Rowe c, Szoeke c, Ellis K & aiBl research group . (2012) The effects of vascular risk factors on cognition in older adults: data from the AIBL study. Alzheimer’s and Dementia, 8 (Suppl. 2):P635.

40. Rowe c, Ellis K, Brown B, Bourgeat P, Faux n, martins R, Salvado o, masters c, ames D & villemagne v . (2012) Cognition, hippocampal volume and fibrillar Aβ burden as predictors of cognitive decline: three-year follow-up results from AIBL. Alzheimer’s and Dementia, 8 (Suppl. 2):P433.

41. Sachdev P, trollor a, lammel a, lee t, Wright m, ames D, Brodaty H, Wen W & the oatS research team . (2012) Recent findings from the Older Australian Twins Study (OATS). Alzheimer’s and Dementia, 8 (Suppl. 2):P675.

42. Szoeke c, Ellis K, Zhang P, Rowe c, martins R, masters c, ames D & aiBl research group . (2012) A return to clinical skills in the early diagnosis of Alzheimer’s disease Alzheimer’s and Dementia, 8 (Suppl. 2):P491.

43. villemagne v, Ellis K, chételat G, Brown B, Bourgeat P, Jones G, martins R, Salvado o, ames D, masters c & Rowe c . (2012) Relation between rates of Aβ deposition, APOE genotype and cognition: results from a 3- to 5-year longitudinal study. Alzheimer’s and Dementia, 8 (Suppl. 2):P113.

44. yates P, Desmond P, Raniga P, Phal P, Steward c, Salvado o, martins R, Salinas S, Ellis K, Szoeke c, masters c, ames D & Rowe c . (2012) Incidence and associations of lobar microbleeds: results from the Australian Imaging, Biomarkers and Lifestyle study of ageing (AIBL). Alzheimer’s and Dementia, 8 (Suppl. 2):P616.

otHER intERnational ConFEREnCE PREsEntations

1. ames D . Medical and scientific advances in prevention and treatment of dementia. 6th UK Dementia Congress, Liverpool, UK, November 2011.

2. ames D . Amyloid imaging, blood biomarkers and lifestyle factors in the detection and prevention of early Alzheimer’s disease: the Australian Imaging, Biomarkers and Lifestyle (AIBL) study of ageing. Topics in de Ouderengeneesknude en Ouderenzorg, Maastricht, the Netherlands, March 2012.

3. ames D . Plenary address. Alzheimer’s disease: why does it matter to everybody and what are we doing about it? First World Congress on Healthy Ageing, Kuala Lumpur, Malaysia, March 2012.

4. ames D . Invited symposium. Detection and management of late-life depression. First World Congress on Healthy Ageing, Kuala Lumpur, Malaysia, March 2012.


34. Hill am, Hoffman t, Beer c, mcPhail S, Hill K, oliver D, Brauer S & Haines t . Falls after discharge from hospital: is there a gap between older peoples’ knowledge about falls prevention strategies and the research evidence? 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

35. Hill am, mcPhail S, Hoffman t, Beer c, Hill K, Brauer S & Haines t . Predictors of falls after hospital discharge: followup to a randomized controlled trial. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

36. Hill K . Invited speaker. Exercise approaches for prevention of frailty. 1st World Congress on Healthy Ageing, Kuala Lumpur, Malaysia, March 2012.

37. Hill K . The FLASSH falls prevention trial for people post stroke. Presentation in symposia - Management of People with Stroke who Fall. 7th World Congress for Neurorehabilitation, Melbourne, Australia, May 2012.

38. Hill K & lee FS . Invited speakers/workshop. Falls and injury prevention. 1st World Congress on Healthy Ageing, Kuala Lumpur, Malaysia, March 2012.

39. lim E, mcDonald G, Hill K, Fisher J, Brand c, Hill S, cotton J, mcPherson a, Summers m, Wills J, coulson m & Kelaher m . Embracing a strong consumer participation model in research at Arthritis Victoria. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

40. lin X, Bryant c, Dow B & Boldero J . Older people’s relationships with their adult children: a cultural study. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

41. loGiudice D, Dow B, vrantsidis F, Rayner v, o’connor D & Runci S . A review of translated cognitive assessment tools to assess Culturally and Linguistically Diverse (CALD) older people. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

42. meyer c, Batchelor F, Hill K, Williams S, yang XJ, Renehan E & cortes n . Balance screening and home exercise: physiotherapy views on translating research into practice. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

43. moore K, ozanne E, Dow B & ames D . Meeting the needs of family members caring for those with advanced dementia: the role of Extended Aged Care at Home Dementia Packages in Australia. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

15. cyarto E, cox K, almeida o, Flicker l, ames D, Byrne G, Hill K & lautenschlager n . Considerations for engaging patients with Alzheimer’s disease in physical activity research. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

16. cyarto E, o’connor D, Batchelor F, Dow B, cornick K & Haack R . Ageing well at home with broadband. IFA 11th Global Conference on Ageing, Prague, Czech Republic, May 2012.

17. Dow B . Health promotion for older men and women: 10 years on. IFA 11th Global Conference on Ageing, Prague, Czech Republic, May 2012.

18. Dow B, Berlowitz D, Williams S, Batchelor F, crowley K, Russell m, lin X, Hill K, Wilkinson v & Borschmann K . Falls and disturbed sleep patterns in older people: a pilot study. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

19. Dow B, Biggs S, Kimberley H & Joosten m . Age and intergenerational identity: the Youthworx project responding to age prejudice. IFA 11th Global Conference on Ageing, Prague, Czech Republic, May 2012.

20. Dow B, Haralambous B, Bryant c, loGiudice D, tinney J, Renehan E, lin X, ames D & meyer c . Current status of research and education in older age depression and anxiety in Australia. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

21. Doyle c, Bhar S, antonopoulos S & Fearn m . Randomised controlled trial of cognitive behaviour therapy to treat anxiety and depression in people with COPD. Psychology and Ageing Interest Group Conference, Melbourne, Australia, November 2011.

22. Doyle c & Dunt D . Dementia in the news: quality of media coverage. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

23. Doyle c, Rayner v, tinney J, White v & Hunter c . Supporting family carers and people with dementia in the community (poster). International Psychogeriatric Association 15th International Congress, Den Haag, The Netherlands, September 2011.

24. Evans K, Said c, Hill K, mackintosh S, Batchelor F & Whitehead c . Curb negotiation following stroke. 9thAsia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

25. Gianoudis J, Bailey c, Ebeling PR, nowson c, Sanders K, Hill K & Daly Rm . Effects of high velocity power and functional training on BMD and physical function in high risk older adults: a 12-month randomised controlled trial. American Society of Bone and Mineral Research Meeting, San Diego, USA, September 2011.

26. Gibson SJ . Opening keynote address. Pain and dementia. COST Initiative and 4th Conference on Pain and Impaired Cognition, Lieden, Netherlands, January 2012.

27. Gibson SJ . Master class. Pain in older persons. Hong Kong Health Authority, Hong Kong, February 2012.

28. Gibson SJ . Plenary lecture. Hong Kong Pain Society, Hong Kong, February 2012.

29. Haapala i, tervo l & Biggs S . Generational intelligence in service provision in rural settings: encouraging younger people to work with older adults. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

30. Haapala i, Kosonen a-l, Biggs S & cederberg R . How satisfied are you: home economics teachers’ views on current practice in education for sustainable development (poster). 10th International JTEFS/BBCC Conference: Sustainable Development. Culture. Education – Reorientation of Teacher Education towards Sustainability through Theory and Practice, University of Eastern Finland, Savonlinna, Finland, May 2012.

31. Hakkennes S, Hill K, Brock K, Bernhardt J & churilov l . Accessing inpatient rehabilitation following severe stroke: age, mobility, pre-stroke function and hospital unit are associated with discharge to rehabilitation. 7th World Congress for Neurorehabilitation, Melbourne, Australia, May 2012.

32. Haralambous B & Dow B . Social justice in service provision for older overseas born Australians. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

33. Haralambous B, tinney J, lin X, Rayner v, vrantsidis F, Dow B, lautenschlager n & loGiudice D . An education program to improve referral to memory clinic services for older people of Asian background in Melbourne. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.



15. ames D . Something must be done: the thorny problem of BPSD. Lundbeck Sponsored Education session for specialists, Hobart, October 2011.

16. ames D . Public lecture. The AIBL study: what has been achieved in five years? State Library of Western Australia, Perth, October 2011.

17. ames D . Review of papers in preparation and planned data analyses. Science of AIBL Day, CSIRO, Parkville, November 2011.

18. ames D . Brain changes and behaviour. Sex, Delirium, the Brain and Dementia, Carlton, December 2011.

19. ames D . New developments in dementia research. NARI Volunteers Thank You Day, Moonee Ponds, December 2011.

20. ames D, Darby D, Dorevitch m, Draper B, Hopwood m, James K . & mccabe m . Clinical conundrums – panel discussion. The 2012 Masterclass in Alzheimer’s disease, Melbourne, February 2012.

21. ames D . The AIBL study. Riverside House, Richmond, February 2012.

22. ames D . AIBL update. AIBL Industry Update Dinner, Melbourne, March 2012.

23. ames D . Psychoses in late life. Victorian Geriatric Medicine Training Programme, Caritas Christi Hospice, Melbourne, April 2012.

24. ames D . Aged psychiatry. Geriatric Medicine Department, Rumailah Hospital, Doha, Qatar, April 2012.

25. ames D . Depression in the elderly. Department of Psychiatry, Doha, Qatar, April 2012.

26. ames D . Assessment and management of cognitive impairment and dementia. Department of Psychiatry, Doha, Qatar, April 2012.

27. ames D . Managing agitation and aggression in dementia (with Ms Lynnette Robb). DBMAS Education Session, Sale, May 2012.

28. ames D . Aggression management in dementia for GPs. Warrnambool Hospital, Warrnambool, May 2012.

29. ames D . Managing agitation and aggression in dementia (with Ms Wendy Hall). DBMAS Education Session, Warrnambool, May 2012.

30. ames D & Ellis K . 36 month cohort details and progress update. Science of AIBL Day, CSIRO, Parkville, November 2011.

31. ames D, Judd S, Jackman J, Snir S, chenoweth l, Heinrich J & Baume P . Debate. Nursing homes: a good move? National Dementia Research Forum, Sydney, September 2011.


44. ngo tt, Barsdell Wn, chou mJ, nunn a, arnold c, Brown DJ, Hill St, Gibson SJ & miller Sm . Effects of a non-invasive vestibulocortical activation technique in persistent pain states. 8th World Congress of IBRO, Florence, Italy, July 2011.

45. Parker c, Hill K & mcBurney H . Discharge destination when functional incidental training is added to the bed-based Transition Care Program. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

46. Suttanon P, Hill K, Dodd K, Said c, loGiudice D & lautenschlager n . Falls risk and balance dysfunction in older people with Alzheimer’s disease. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

47. Szoeke c . Lifestyle intervention for healthy ageing. International round table Alzheimer’s Association, Washington, DC, USA, 2011.

48. Szoeke c . Clinical call of the Australian Worldwide Disease Initiative. American Academy of Neurology (AAN), New Orleans, Louisiana, USA, April 2012.

49. Szoeke c . A simple word list recall identifies healthy participants at risk for progression to mild cognitive impairment or Alzheimer’s disease. Australian and New Zealand Association of Neurologists (ANZAN), 13th Asian-Oceanian Congress of Neurology, Melbourne, Australia, June 2012.

50. Szoeke c, Dennerstein l, Henderson v & ames D . Self-reported cognitive impairment and objective cognitive decline in ageing: the Women’s Healthy Ageing Project. International Conference on Alzheimer’s Disease, Paris, France, July 2011.

51. Szoeke c, Ellis K, Zhang P, Savage G, Fahey m, Rowe c & ames D . Healthy older adults in the AIBL cohort at risk for cognitive decline. International Conference on Alzheimer’s Disease, Paris, France, July 2011.

52. tinney J & Renehan E . Enhancing staff-resident communication in residential aged care: pilot of staff training materials. 9th Asia-Oceania Regional Congress of Gerontology and Geriatrics, Melbourne, Australia, October 2011.

53. vrantsidis F, Hill K, clemson l, lovarini m, Russell m & Day l . Development and evaluation of falls prevention program sustainability guidelines and training program. 9th Asia-Oceania Regional Congress of Geriatrics and Gerontology, Melbourne, Australia, October 2011.

otHER ConFEREnCEs anD MEEtings

1. ames D . The AIBL study of ageing – its contribution to the pre-symptomatic diagnosis of Alzheimer’s disease. RANZCP Advanced trainees in Old Age Psychiatry, St George’s Hospital, Kew, July 2011.

2. ames D . Cognitive impairment and psychosis. DBMAS Regional Education Session, Wangaratta TAFE, Wangaratta, July 2011.

3. ames D . Update on understanding and management of dementia. DBMAS General Practitioner Education event, Wangaratta, July 2011.

4. ames D . “I am a baby boomer and I can’t remember doctor.” What does this mean? Tips on assessment. Lundbeck Institute Alumni Meeting, Werribee, August 2011.

5. ames D . MCI workshop. GP Masterclass in Alzheimer’s Disease, Melbourne, September 2011.

6. ames D . BPSD workshop. GP Masterclass in Alzheimer’s Disease, Melbourne, September 2011.

7. ames D . Chair – Clinical conundrums session. GP Masterclass in Alzheimer’s Disease, Melbourne, September 2011.

8. ames D . The FABS II and AIBL expansion studies. Alzheimer’s Australia Public Lecture for Alzheimer’s Week, Melbourne, September 2011.

9. ames D . AIBL update. AC4R Annual Meeting, Sydney, September 2011.

10. ames D . Something must be done: the thorny problem of BPSD. Lundbeck sponsored education session for specialists, Richmond, September 2011.

11. ames D . AIBL study – achievements, prospects and further research. AIBL Volunteers Seminar, University of Melbourne, Hawthorn Campus, September 2011.

12. ames D . The AIBL study: prevention and better diagnosis of dementia in Australia. Austin Health CADMS Annual Conference: Dementia, Vascular Disease and Delirium, Ivanhoe, October 2011.

13. ames D . Public lecture. Why does dementia matter and what are we doing about it? Institute of Advanced Studies, University of Western Australia, Perth, October 2011.

14. ames D . The contribution of the AIBL study to knowledge about Alzheimer’s disease – reflections on five years of collaborative research. Medical Symposium: A New Era in Healthy Ageing, Western Australian Centre for Health and Ageing, Royal Perth Hospital, October 2011.


60. Woodward m & ames D . How long before she goes to a nursing home? (Workshop given three times). The 2012 Masterclass in Alzheimer’s Disease, Melbourne, February 2012.

61. yates i, ames D, Beard J, o’connor m, Kimberley H & Wardell D . Panel discussion. Public forum – Ageing Today: different perspectives on growing old, Melbourne, October 2011.

Completed theses1. marie-louise Bird PhD . School of Human Life

Sciences, University of Tasmania. The effect of exercise and physical activity on intrinsic physical fall risks. 2007-2012.

2. melita Giummarra PhD . School of Psychology & Psychiatry, Monash University. Phantom limb phenomena: the unity of self and body. 2005-2011 (part-time).

3. Kirsten moore PhD . Department of Social Work, The University of Melbourne. Informal carers’ experiences of Extended Aged Care at Home Dementia packages: issues of access, quantity and quality of care. 2009-2012.

4. loretta Quinn PhD . Faculty of VCA and Music, The University of Melbourne. The therapeutic effects of music therapy and diversional therapy on language deficits in older people with dementia. 2006-2012.

5. Plaiwan Suttanon PhD . School of Physiotherapy, La Trobe University. Balance and falls risk in Alzheimer’s disease: magnitude of the problem and feasibility of a balance exercise program. 2007-2012.

32. Barber B . Pain in residential aged care. PhysioCo Annual Physiotherapy Conference, Melbourne, August 2011.

33. Barber B . Lecture: Music for dementia and Parkinson’s disease. School of Psychology, Monash University, March 2012.

34. Barber B . UBS Lecture: Music and ageing. University of Melbourne, March 2012.

35. Barber B . Friendship and older people: a public or private responsibility? LGPRO Conference, Melbourne, October 2011.

36. Dow B . Social isolation and older people: what works? A National Roundtable Forum, Melbourne, November 2011.

37. Dow B . Age Encounters Forum, Queens University, Dublin, Ireland, June 2012.

38. Dowson l, Gibson S, Dow B, cyarto E, ledgerwood K & Hewitt a . Best care for older people everywhere: The toolkit. Developing the pain domain. SACS Chronic Pain Forum, Department of Health Melbourne, October 2011.

39. Dowson l, cyarto E, Haralambous B & Gaffy E . Best care for older people everywhere: The toolkit consumer resource. Health Services and Policy Evaluation Conference, Adelaide, December 2011.

40. Doyle c . The health sector has to prepare not only for a population boom, but will feel the full effects of an ageing population. 2nd Annual Population Health Summit 2050, Melbourne, September 2011.

41. Doyle c, Bhar S & antonopoulos S . Anxiety and depression in people with COPD. Psychology and Ageing National Conference, Melbourne, November 2011.

42. Gibson S . Keynote address. Residential Aged Care Coalition Meeting, Melbourne, August 2011.

43. Gibson S . Opening address. Optimising the management of pain, Melbourne, August 2011.

44. Gibson S . Presentation. Grand Rounds, Mayo Clinic, Phoenix, USA, September 2011.

45. Gibson S . Plenary address. Australian Physiotherapy Association Annual Scientific Conference, Brisbane, October 2011.

46. Gibson S . Plenary address. Australian College of Nurse Practitioners Annual Scientific Conference, Adelaide, October 2011.

47. Gibson S . Lecture. Australian Faculty of Pain Medicine National Outcomes Initiative, Canberra, October 2011.

48. Gibson S . Lecture. Medico-legal aspects of pain. Australian Medical Association, Melbourne, November 2011.

49. Gibson S . Topical panel discussion. Department of Health and Ageing Dementia Training Study Centres Meeting, Sydney, December 2011.

50. Gibson S . Invited topical session. Altered pain sensitivity in different types of dementia. Australian Pain Society 32nd Annual Scientific Conference, Melbourne, April 2012.

51. Gibson S . Invited topical session. Educational program for pain management in residential aged care. Australian Pain Society 32nd Annual Scientific Conference, Melbourne, April 2012.

52. Gibson S . Plenary lecture. Pain management in persons with dementia. Alliance for Improving the Management of Pain, Brisbane, April 2012.

53. Gibson S . Plenary lecture. Management of pain in persons with dementia. Pain management in the older person, Sydney, May 2012.

54. moore K, ozanne E, Dow B & ames D . Extended Aged Care at Home Dementia packages and the intersection with residential care. 10th National Emerging Researchers in Ageing Conference, Sydney, September 2011.

55. Rayner v, loGiudice D, Haralambous B, lin X, vrantsidis F, tinney J, Dow B, lautenschlager n & Blackberry i . An education program to improve referral to Memory Clinic Services for older people of Asian background living in Melbourne. Alzheimer’s Australia 14th National Conference, Brisbane, May 2011.

56. Shiek ahmad B, Hill K, o’Brien t & Wark J . Falls and fractures in patients chronically treated with antiepileptic drugs. Australian and New Zealand Bone and Mineral Society Conference, Gold Coast, September 2011.

57. Szoeke c . The Australian Imaging, Biomarkers and Lifestyle study update II: research and standardisation in Alzheimer’s disease. International Alzheimer’s Disease Initiative, July 2011.

58. vrantsidis F, loGiudice D, Dow B, Rayner v, Runci S & o’connor D . A review of available translated cognitive assessment tools to assess older people from culturally and linguistically diverse (CALD) backgrounds. Alzheimer’s Australia 14th National Conference, Brisbane, May 2011.

59. Wittwer J, Webster K & Hill K . Do rhythmic auditory cues improve walking in patients with neurological conditions other than Parkinson’s disease? A systematic review. Australian Physiotherapy Association Conference, Brisbane, October 2011.



ContractorsFinanCE & PayRoll

Mr Nick Catton*

Mr Brian Fleming* (until May 2012)

it & wEBsitE suPPoRt

Mr Rik Casama* (until Dec 2011)

Mr Gihan de Mel

Mr Reid Hutchinson (from Jan 2012)

Ms Joanne Missen (from May 2012)

Mr Gena Shoykhet * (until Dec 2011)

* Subcontracted from the Mental Health Research Institute

HonoraryPRoFEssoRial FEllows

Professor Simon Biggs BSc PhD AFBPS

Professor Edmond Chiu AM MBBS DPM FRANZCP

Professor Lorraine Dennerstein AO MBBS PhD DPM FRANZCP

Professor Leon Flicker MBBs PhD FRACP

Professor Robert Helme MBBS (Hons) PhD FRACP FFPMANZCA

Professor Nicola Lautenschlager MD FRANZCP

Professor John McCallum BEcon (Hons) Psych (Qld) BPhil MPhil DPhil (Oxon)

Professor Robert Williamson AO BSc MSc PhD FRCPath FRCP FRS FAA

visiting sEnioR REsEaRCH FEllow

Dr Irja Haapala MSc RClinNutr TeacherCert PhD RNutr

sEnioR REsEaRCH FEllows

Dr Carolyn Arnold

Associate Professor Martin Delatycki

Dr Eleanor Flynn

Associate Professor Nellie Georgiou-Karistianis

Associate Professor Anthony Hannan

Associate Professor Benny Katz

Associate Professor Farees (Fary) Khan

Clinical Associate Professor Dina LoGiudice

Associate Professor Stephen Macfarlane

Professor Fran McInerney

Reverend Laurence McNamara CM

Clinical Associate Professor Sam Scherer

Associate Professor Olga Yastrubetskaya

working together

pAge 36 Working Together

nARi sTAffResearchDiRECtoR

Professor David Ames BA MD FRCPsych FRANZCP

DEPuty DiRECtoR

Professor Stephen Gibson BBSc (Hons) PhD MAPS (Director of Biomedical)

PRinCiPal FEllows

Dr Briony Dow BSW MA PhD (Director of Health Promotion)

Professor Colleen Doyle BA (Hons) PhD MAPS (Director of Service Development and Evaluation)

Professor Keith Hill BAppScPT Grad Dip Physio PhD

sEnioR REsEaRCH FEllows

Professor Jacques Joubert MB ChB MRCP MD FRACP

Associate Professor Cassandra Szoeke PhD MBBS BSc (Hons)

REsEaRCH FEllows

Dr J Bruce Barber BEd MEd PhD

Dr Frances Batchelor BAppSc (Physio) MHSt PhD

Dr Irene Blackberry MD PhD

Dr Elizabeth Cyarto BSc (Hons Kin) MSc PhD

Ms Maree Daly MAPS BBSc (Hons) MClinPsy (from Jan 2012)

Ms Betty Haralambous BSW MSW

Dr Kirsten Moore BA (Hons) PhD

Mr Steven Savvas BHlthSci (HonsPysch) (from July 2011)

Dr Jean Tinney BA Dip Ed MAppl Ling PhD

REsEaRCH oFFiCERs

Ms Arti Appannah BA (Hon) MA Org Psy

Ms Leslie Dowson BSc (Hons) MBioethics

Ms Marcia Fearn BA (Hons)

Mr David Jackson RN

Ms Christel Lemmon BSc MSc

Ms Fiona Pazsa BPhysio (Hons)

Ms Freda Vrantsidis BBSc Post Grad InfServ

Ms Sue Williams BSc BAppSc (Phyt) MPhysio

sEnioR PRoJECt oFFiCERs

Ms Janelle Hearn BAppSc (HumMove) GDip (ExRehab) MAppSc (ExRehab) (from May 2012)

REsEaRCH assistants

Ms Stephanie Antonopoulos BSc Grad Dip Psych

Ms Aurora Elmes BCA MSW (from May 2012)

Ms Ellen Gaffy B PsySc (Hons)

Ms Melanie Joosten MA (Editing) MSWMs (from May 2012)

Ms Xiaoping Lin Grad Dip Psych PG Dip Psych

Ms Caroline Marczak BAppSci (ExerSportSci) Grad Dip ExerRehab

Ms Tabitha Nash BA (Psych Hons) DipEd (until Nov 2011)

Ms Victoria Rayner BBSc (Hons)

Ms Emma Renehan BAppSc (ExSci) (Hons)

Ms Stacey Walker Cert IT

Ms Leah Zelencich BPsySc (Hons) (from July 2011)

australian association of gerontologyDr Tony Coles BA (Hons) PhD

Mr Savio D’Sa MBA (Int) MCom (from Mar 2012)

Ms Rebecca-Kate Nayton (Jan 2012 – Feb 2012)

Corporate servicesDEPuty DiRECtoR - oPERations

Ms Debra O’Connor BA BSW MSW MBL

aDMinistRation

Ms Annemarie Atapattu

Ms Lynette Bon BHA Dip Art History

Ms Kathy Callahan (until Sep 2011)

Mr Alex Connelly BSW (until Dec 2011)

Mr Nicolas Cortes-Simonet BScBpsych (Hons) (until Dec 2011)

Ms Karla Elliott BA (until Dec 2011)

Ms Linda Emmanuel

Ms Janette Fly

Ms Mary Marasco AMusA BMus Grad Dip App Fin MA (Music) (from Mar 2012)

Ms Joan Mould LLB

Ms Joanne Poon (from Mar 2012)

Ms Fiona Richardson Dip App Sc (Nursing) Grad Dip HlthSc (H Prom &Edcn)

Ms Gail Roberts RN BA (BSocSc) MA (SocSc) Grad Dip (Couns) (from Dec 2011)

FinanCE & PayRoll

Ms Sarra Stewart (from May 2012)

Dr Kathryn Ellis

Dr Anita Goh

Dr Samantha Loi

Ms Bernadette Parker

Ms Alissa Westphal (to Dec 2011)

Associate Professor Olga Yastrubetskaya

Melbourne HealthAssociate Professor Caroline Brand

Professor Stephen Davis

Mr Colin Dawson

Dr Patricia Desmond

Dr Malcolm Hogg

Ms Cherie Hunter

Ms Georgie Kemp

Dr Danny Liew

Clinical Associate Professor Dina LoGiudice

Ms Anne McGann

Dr Pramit Phal

Ms Jo-anne Slee

Dr Tony Snell

Ms Felicity Topp

Dr Peter Wong

Mental Health Research instituteProfessor Colin Masters

Professor Ashley Bush

Ms Harriet Downing

Ms Belinda Dridan

Dr Kathryn Ellis

Mr Christopher Fowler

Ms Karra Harrington

Mr Adrian Kamer

Ms Yumiko Matsumoto

Ms Kelly Pertile

Dr Alan Rembach

Ms Carolina Restrepo

Ms Jo Robertson

Ms Rebecca Rumble

Mr Brett Trounson

REsEaRCH FEllows

Dr Phyllis Chua

Dr Andrew Churchyard

Dr Kathryn Ellis

Dr Anita Goh

Ms Ruth Hertan

Ms Maree Mastwyk

Dr Alice Rota-Bartelink

Dr Dennis Velakoulis

visiting FEllows

Dr Albert Lukas

Reverend Laurence McNamara CM

Research studentsPHD

Ms Baemisla Shiek Ahmad MD

Ms Arti Appannah BA (Hon) MA Org Psy

Ms Marie-Louise Bird BAppScPT (until May 2012)

Ms Pamela Bruder MA, Anthropology

Ms Rachel Buckley BSc (Hons)

Ms Katherine Campbell BA Psych (Hons) MAPS

Mr Chris Chiu BBiomedSc BSc (Hons) MPH

Ms Leonie Cole BSc (Hons)

Ms Verona Costello RN

Ms Catherine Devas BBSc (Hons)

Ms Nikki Frescos BAppSci (Pod)

Ms Melita Giummarra BA (Hons)

Ms Tessa Jones BA (Hons)

Ms Rene Kharsis MSc

Ms Yen Ying Lim BA (Psych) BAppSci (Psych Hons) MPsych (Clinical)

Ms Xiaoping Lin Grad Dip (Psych) PG Dip Psych

Dr Samantha Loi GradCertPOA FRANZCP MMed MBBS BMedSc

Ms Maree Mastwyck BNursing

Ms Claudia Meyer BAppScPT Cert Hydro MPH

Ms Eileen Moore BSc (Hons)

Ms Kirsten Moore BA (Hons) (until April 2012)

Mr David Nadebaum BSc (Hons)

Ms Jenny Patterson BA Hon

Ms Loretta Quinn RN (Div 1) Post Grad Dip (Music Therapy) MMus AMusA (until March 2012)

Ms Plaiwan Suttanon BSc (Physio) MSc (Physio) (until March 2012)

Ms Willeke Walsh BAppScPT

Mr Bradley Wood BA (Hons) MSc

Ms Xiao Jing Yang BMed MWomen’sHlth MHlthSc (Aged Services)

Ms Emily You MSocScHServMgt

DoCtoR oF MEDiCal sCiEnCE

Dr Kevin Young MBBS FAFRM FPMANZCA

DoCtoR oF PsyCHology

Ms Jing (Karen) Chen

HonouRs

Ms Alice Aitkenhead

Mr Alexander Blizzard

Ms Katherine Burns

MastERs

Ms Winifred Beevers

Mr Guy Campbell

Ms Karen Evans

Ms Melanie Joosten

Ms Maggie Yu

RantZCP FPoa

Dr Sabah Khalid

Dr Lorien Porter

otHER stuDEnts

Ms Esther Cramer

Ms Amy Jess

Ms May Low

Ms Chang-Yin (April) Tu

Ms Angela Vanderzeil

associates of the instituteAssociate Professor Benny Katz MBBS FRACP

Dr James Tulloch MBBS MMed FRACP

institute ConsultantsHayes-Knight, Accountants

Dr Christine Walker PhD

academic unit for Psychiatry of old ageProfessor Nicola Lautenschlager (Director)

Ms Stephanie Antonopoulos

Professor Edmond Chiu

working together

Working Together pAge 37

Professor Linsey Howie, School of Occupational Therapy

Professor Glynda Kinsella, School of Psychological Science

Professor Rhonda Nay, Director of the Australian Centre for Evidence Based Aged Care

Dr Kerryn Pike, School of Psychological Science

Dr Bridget Ryburn Regan, Australian Institute of Primary Care

Associate Professor Nora Shields, Faculty of Health Sciences

Dr Kate Webster, Musculoskeletal Research Centre

Professor Yvonne Wells, Lincoln Centre for Research on Ageing

other CollaboratorsMs Beverley Adams, Ballarat Health Service

Dr Patricia Addamo, Institute of Sport, Exercise and Active Living (ISEAL), Victoria University

Professor Osvaldo Almeida, University of Western Australia

Dr Jocelyn Angus, Victoria University

Dr Kana Appadurai, University of Queensland

Mr David Basic, Liverpool Hospital, NSW

Professor Elizabeth Beattie, Queensland University of Technology

Dr Christopher Beer, University of Western Australia

Dr David Berlowitz, Institute for Breathing and Sleep

Dr Sunil Bhar, Swinburne University of Technology

Dr Mark Boughey, Centre for Palliative Care Education and Research

Dr Kim Brock, St Vincent’s Health

Professor Henry Brodaty, University of NSW

Mr Colin Brown, WestBay Alliance

Dr Kate Burns, Flinders University

Associate Professor Gerard Byrne, University of Queensland

Dr Dominique Cadilhac, National Stroke Research Institute

Mr Sean Casey, NBNCo

Dr Michael Chou, Caulfield General Medical Centre

Ms Janet Cobdon, Bendigo Health Service

Dr David Conforti, Liverpool Hospital, NSW

Professor Mark Cook, St Vincent’s Health

Mr Stephen Cornelissen, Mercy Health

Dr Kay Cox, University of Western Australia

working together


Edith Cowan university waProfessor Ralph Martins

Dr Stephanie Rainey-Smith

Dr Matt Sharman

Associate Professor Christine Toye

the university of MelbourneProfessor Kim Bennell, School of Health Sciences

Professor Simon Biggs, Research and Policy Centre, Brotherhood of St Laurence

Dr Christina Bryant, Senior Lecturer in Clinical Psychology: The University of Melbourne and the Royal Women’s Hospital

Dr Tracey Bucknell, School of Health Sciences

Dr Kate Cornick, Institute for a Broadband-Enabled Society (IBES)

Dr Susan Day, Centre for Health Policy, Programs and Economics, School of Population Health

Associate Professor Shyamali Dharmage, School of Population Health

Professor David Dunt, Centre for Health Policy, Programs and Economics, School of Population Health

Dr Kathleen Gray, IBES

Associate Professor Denise Grocke, Faculty of Music

Dr Philomena Horsley, Centre for Women’s Health, Gender and Society

Dr Arthur Hsueh, School of Population Health

Dr Cecily Hunter, Centre for Health Policy, Programs and Economics, School of Population Health

Associate Professor Lynette Joubert, School of Health Sciences

Dr Shanika Karunasekera, Computer Science and Software Engineering

Dr Ecosse Lamoureux, Centre for Eye Research Australia

Dr Qiao-Xin Li, Department of Pathology

Dr Noel Lythgo, School of Health Sciences

Dr Elizabeth Manias, School of Health Sciences

Dr Rosemary Mann, McCaughey Centre: VicHealth Centre for the Promotion of Mental Health and Community Wellbeing

Associate Professor Rodrigo Marino, Melbourne Dental School

Professor Terry Nolan, School of Population Health

Professor Terry O’Brien, Department of Medicine

Associate Professor Elizabeth Ozanne, School of Health Sciences

Professor Marcus Pandy, Department of Mechanical Engineering

Dr Melissa Russell, School of Population Health

Dr Cathy Said, School of Health Sciences

Dr Anthony Schache, Department of Mechanical Engineering

Professor John Wark, Department of Medicine

Monash universityProfessor John Bradshaw, Department of Psychology

Professor Collette Browning, Healthy Ageing Research Centre

Ms Erin Cassell, Accident Research Centre

Associate Professor Peteris Darzins, Ageing Research Centre

Dr Lesley Day, Accident Research Centre

Dr Susan Feldman, Acting Director, HARU

Associate Professor Nellie Georgiou-Karistianis, Department of Psychology

Associate Professor Terry Haines, Southern Physiotherapy School

Professor Joe Ibrahim, Department of Medicine and Peninsula Health

Professor George Mendelson, Caulfield Pain Management Centre, Department of Medicine

Professor Daniel O’Connor, Department of Psychiatry

Associate Professor Chris Reid, Monash Centre of Cardiovascular Research and Education in Therapeutics

Dr Jane Sims, Healthy Ageing Research Unit, Department of Medicine

Dr Samia Toukhsati, School of Psychology and Psychiatry

Dr Jo Wainer, School of Rural Health

Professor Barbara Workman, kingston Pain Management Centre, Department of Medicine

la trobe universityDr Catherine Barrett, Australian Research Centre in Sex, Health and Society

Associate Professor Julie Bernhardt, School of Physiotherapy

Professor Karen Dodd, School of Physiotherapy

Dr Julie Ellis, School of Nursing

Dr Deirdre Fetherstonhaugh, Australian Centre for Evidence Based Aged Care

Dr Ian Gardner, Lincoln Centre for Research on Ageing

Dr Olivier Salvado, CSIRO Preventative Health Flagship ICT, Royal Brisbane and Women’s Hospital

Ms Delys Sargeant, Council on the Ageing (Victoria)

Dr Jenny Schwarz, Western Health

Mr Peter Scott, Infoxchange

Dr Ellen Skladzien, Alzheimer’s Australia

Ms Robyn Smith, Northern Health

Mr Benji Soosai, St Vincent’s Hospital

Mr David Spriggs, Infoxchange

Mr Mark Staaf, Australian Nursing Federation

Mr Evan Stanyer, Bendigo Health

Associate Professor Suresh Sundram, Northern Health

Dr Julian Trollor, University of NSW

Ms Paula Trood, Benetas

Ms Tess Tsindos, Community Development, City of Melbourne

Ms Katherine Utry, Department of Health Victoria

Dr Tharshan Vaithianthan, National ICT Australia

Dr Victor Villemagne, ARMC

Mr David Wardell, youthworx

Pastor Gordon Wegener, Lutheran Church of Australia

Ms Janet Weir-Phyland, Caulfield Hospital

Ms Jeanne Williams, Southern Health

Ms Kate Wise, Carers’ Choice (Ballarat)

Associate Professor Michael Woodward, ARMC

Dr Margie Wright, Queensland Institute of Medical Research

Ms Susan Wyatt, Ageing and Inclusion, City of Melbourne

Dr Hua Yong, Cancer Council of Victoria

Mr Dennis Young, National Stroke Research Institute

Mr Paul Zanatta, Community Living & Policy, ACCV

Ms Rachel Zordan, Centre for Palliative Care Education and Research

Professor Rodney Croft, University of Wollongong

Mr Andrew Dalton, ADHealth Pty Ltd

Ms Keren Day, Ballarat Health Services

Mr David Dembo, Microsoft

Associate Professor Helen Dewey, National Stroke Research Institute

Mr Jason Doherty, Playgroup Australia

Professor Geoff Donnan, National Stroke Research Institute

Ms Nicole Doran, Department of Health Victoria

Associate Professor Michael Dorevitch, Austin Health

Ms Gayle Dougherty, Barwon Health

Mr Doug Farmer, AARNet

Dr Michael Farrell, Florey Neuroscience Institutes

Dr Maree Farrow, Alzheimer’s Australia

Ms Jenny Fitzgerald, Ballarat Health Service

Ms Sarah Fogg, Benevolent Society NSW and Queensland

Mr Alberto Furlan, Potter Foundation

Dr Jane Fyfield, Department of Veterans’ Affairs

Ms Lisa Gill, Alfred Health

Ms Jennifer Grieve, Clarence Estate

Mr Alan Gruner, Benetas

Ms Rebecca Haack, City of Moreland

Professor Richard Head, CSIRO Health Sector, Adelaide

Ms Sue Hendy, Council on the Ageing (Victoria)

Ms Cecilia Hernandez, Ageing and Inclusion, City of Melbourne

Ms Karen Heseltine, Barwon Health

Ms Cheryl Hines, Carers’ Choice (Ballarat)

Ms Teresa Kalinowska, Doutta Galla Community Health

Mr Peter Keller, Neuroscience Trials Australia

Dr Helen Kimberley, Brotherhood of St Laurence

Associate Professor Susan Koch, Royal District Nursing Service

Ms Andrea Lammel, University of New South Wales

Ms Sharon Lane, South West Respite Network

Dr Sook Meng Lee, Western Health - Cognitive, Dementia and Memory Service

Ms Teresa Lee, University of New South Wales

Dr Michael Leong, Princess Alexandra Hospital, Queensland

Professor Chris Levi, John Hunter Hospital, NSW

Ms Michele Lewis, mecwacare

Dr Melissa Lindeman, Centre for Remote Health, Northern Territory

Mr Bryan Lippman, Wintringham

Ms Christine Lloyd, St Vincent’s Hospital, Melbourne

Ms Amanda Lovell, Lovell Foundation

Dr Shylie Mackintosh, University of South Australia

Ms Kate Mangion, Western Health

Ms Maree McCabe, Alzheimer’s Australia Vic

Dr Lynette McKenzie, University of Sydney

Ms Marie Marotta, Department of Health Victoria

Professor Nick Martin, Queensland Institute of Medical Research

Mr Peter Matwijiw, National Seniors Australia

Associate Professor Phillip Maude, RMIT

Ms Lynette Moore, Alzheimer’s Australia Vic

Ms Virginia Moore, Brightwater Group

Ms Caroline Mulcahey, Carers Victoria

Ms Anne Muldowney, Carers Victoria

Dr Kate Murray, The Royal Victorian Eye and Ear Hospital, and Dizzy Day Clinics

Associate Professor Michael Murray, St George’s Hospital

Dr Jenny Nitz, University of Queensland

Dr Emerald Ong, St George’s Health Service

Dr Kristen Pearson, Australian Society for Geriatric Medicine

Dr Beverley Phillips, Ballarat Health Service

Dr Gill Pierce, Carers Victoria

Professor Remco Polman, ISEAL, Victoria University

Mr Steve Power, Benetas

Ms Peita Price, Merri Community Health Services

Ms Amodha Ratnayeke, Infoxchange

Mr Glenn Rees, Alzheimer’s Australia

Ms Grace Roberto, Alzheimer’s Australia Vic

Professor Christopher Rowe, ARMC

Dr Jeff Rowland, The Prince Charles Hospital, Queensland

Ms Leah Rushford, Department of Health Victoria

Mr Jack Sach, Alzheimer’s Australia Vic

Professor Perminder Sachdev, University of New South Wales

working together

Working Together pAge 39

Inner East Community Health Service

Inner South Community Health Service

Institute for a Broadband-Enabled Society

Institute for Breathing and Sleep

John Hunter Hospital

Launceston General Hospital

mecwacare

Melbourne Health

Mental Health Research Institute

Mercy Health

Merri Community Health Services

Mildura Aboriginal Health Services

National ICT Australia

National Neuroscience Facility

National Seniors Australia

Neuroscience Trials Australia

Neuroscience Victoria

Playgroup Victoria

Royal Freemasons

Russell Kennedy Pty Ltd

Southern Health

St George’s Health Service

St Vincent’s Health

Sunbury Community Health

The University of Melbourne

The University of Queensland

The University of Western Australia

Vision 2020 Australia

Wintringham

XBio Systems

working together


international CollaboratorsDr Qasim Iftikhar Ahmad, Genentech Alzheimer’s Disease Clinical Development Pty Ltd, US

Dr D Barneto, Santa Creu de Vic Hospital, Barcelona, Spain

Mr Michel Bédard, McMaster University, Canada

Dr Karen Burnell, University of Portsmouth, Uk

Professor Alistair Burns, University of Manchester, Uk

Dr Claudia Cooper, University College London, Uk

Dr G Gambassi, Centro Medicina Invecchiamento, Universita Cattolica Sacro Cuore, Rome, Italy

Professor Maurice Giraud, Dijon Hospital, Burgundy, France

Dr Ferraz Gonçalves, Palliative Care Unit, Portuguese Cancer Institute, Proto, Portugal

Dr H Guarda, Centro de Saude da Lapa, Lisbon, Portugal

Professor Thomas Hadjistavropoulos, Department of Psychology, University of Regina, Canada

Professor Jan Hamers, Department of Health Care and Nursing Science, Maastricht University, The Netherlands

Professor David Johnston, University of Waterloo, Ontario, Canada

Dr Ian Leong, Tan Tock Seng Hospital, Singapore

Professor James Lindesay, University of Leicester, Uk

Professor Gillian Livingston, University College London, Uk

Dr David Lussier, McGill University, Montreal, Canada

Dr Frank Monacelli, Department of Internal Medicine and Medical Specialties, University of Study, Genoa, Italy

Professor Thierry Moulin, Besancon University, France

Professor Tze Pin Ng, Singapore University, Singapore

Professor John O’Brien, University of Newcastle upon Tyne, Uk

Dr P Odetti, Unit of Geriatrics, Department of Internal Medicine and Medical Specialties, University of Study, Genoa, Italy

Dr David Oliver, Institute of Health Sciences, The University of Reading, Uk

Dr JM Perez-Castejon Garrote, CSS Clinica Barceloneta, Barcelona, Spain

Dr Gisele Pickering, University of Clermont, France

Dr Craig Ritchie, Imperial College London, Uk

Professor Karen Ritchie, INSERM Montpellier, France

Professor Erik Scherder, University of Gronigen, The Netherlands

Dr Said Serbouti, Palliative Care Unit, Regional Hospital, Metz-Thionville, France

Professor Kenneth Shulman, University of Toronto, Canada

Professor Michael Thau, Centre for Biomedical Research in Music, Colorado State University, US

Dr Bernare Wary, Palliative Care Unit, Regional Hospital, Metz-Thionville, France

Professor Debra Weiner, University of Pittsburgh, US

Professor Robert Yezierski, Comprehensive Pain Research Center, University of Florida, US

Dr Sandra Zwakhalen, Department of Health Care and Nursing Science, Maastricht University, The Netherlands.

organisationsAboriginal Community Elders Services

Aged and Community Care Victoria (ACCV)

Alfred Health

Alzheimer’s Australia

Alzheimer’s Australia Vic

Association for the Blind

Austin Health

Australian Association of Gerontology

Australian Association of Gerontology (Victoria)

Australian Lung Foundation

Australian Unity

Baptcare

Barwon Health

Benetas

Bentleigh Bayside Community Health

beyondblue: the national depression initiative

Carers’ Choice (Ballarat)

Carers Victoria

Caulfield Community Health

Centre for Eye Research Australia

Council on the Ageing (Victoria)

CSIRO

Deloitte Access Economics

Doutta Galla Community Health

Edith Cowan University

Supporting NARI

nAri needs yoUr sUpport …

As a not-for-profit, self-funded research institute, NARI relies on its

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further develop its evidenced-based research program.

Currently, we are administering about 55 research projects focused

on age-related health concerns, such as chronic pain, dementia, falls

and balance and older women’s health. In addition, we investigate

the cultural, ethical, psychological and educational perspectives

surrounding health issues.

We develop strategies and interventions to improve the symptoms of health

problems or prevent them from recurring. NARI is all about positive ageing.

you can contribute to NARI …

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i have my health checked for free.”

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i believe if you can help – then

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Phone: 03 8387 2305 Email: [email protected]

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Front cover: Older people taking part in a virtual home exercise program will tap into the latest video game technology and the National Broadband Network.

Trying the program are NARI volunteers, from left, Sue Healy and Zelma Riddell. (See Exercising on Broadband, pages 8 & 17) Editorial consultant: Eileen Vamos Design and layout: Lisa Hamilton

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Documents

2012 NARI Annual Report