Data sharing is not applicable to this article as no new data were created or analyzed in this study.

To produce plausible estimates of the number of Aboriginal and/or Torres Strait Islander people living with dementia within Australia disaggregated by state and territory to mid-century. The Wilson-Grossman variation of the Hamilton-Perry projection model was used to prepare state and territory projections of the Aboriginal and/or Torres Strait Islander population, 2021-2051. Data from the Australian Bureau of Statistics Census (2021) and Australian Institute of Health and Welfare 2021 were used to estimate the number of people living with dementia 2021-2051. From 2021 to 2051, the Australian Aboriginal and/or Torres Strait Islander population is projected to grow across all states and territories. By 2051, there will be an increasing number and proportion of the population aged over 45, 65 and 80 years, with this increase varying by jurisdiction. This pattern of ageing will see an increase in the number of Aboriginal and/or Torres Strait Islander people living with dementia, regardless of assumptions about future dementia prevalence. This increase will vary in magnitude by juristiction, doubling in the Northern Territory and increasing more than fivefold in the Australian Capital Terrritory, New South Wales, Tasmania and Queensland. Sensitivity analyses of alternative dementia scenarios produce highly similar results. Between 2021 and 2051, the estimated number of Aboriginal and/or Torres Strait Islander people living with dementia is projected to increase. Combined with regional demographic variations, this trend highlights the urgent need for targeted responses at both local and national levels.

This study aimed to evaluate the impact of Orem's self-care theory on self-care behaviours in older patients with chronic heart failure. A prospective randomised controlled trial that involved 104 older patients with heart failure who were admitted to the cardiology department of our hospital between November 2021 and April 2023. Participants were randomly assigned to either the control group or the study group. The study group received comprehensive nursing based on Orem's self-care deficit theory (OSCD), while the control group received standard nursing care. The two groups' self-care ability, medication adherence and mental health were compared. After the intervention, the study group demonstrated significantly better self-care ability and medication adherence than the control group. Additionally, the improvement in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores in the study group was significantly greater than in the control group. The study group also experienced fewer readmissions within 1 year than the control group. Implementing comprehensive nursing based on Orem's self-care theory in patients with chronic heart failure can significantly enhance self-care ability, improve medication adherence, enhance mental health and reduce readmission rates. Integrating Orem's self-care theory into routine heart failure management encourages a more holistic and empowering approach to care. It supports patient independence, strengthens nurse-patient engagement and may help health-care systems reduce readmission-related costs. This model is particularly valuable in managing chronic illnesses among older adults, where self-efficacy and adherence are often compromised.

Given the rising physical and cognitive risks associated with ageing, consistent engagement in physical activity is essential for alleviating these risks and fostering active ageing. This study investigated the mediating role of perceived health in the relationship between leisure-based outdoor physical activity involvement and psychological resilience among older adults. This cross-sectional study, conducted in 2023-2024, utilised a convenience sampling method to collect data from older adults in Türkiye who engage in outdoor physical activities. Data were collected using the Leisure Involvement Scale (LIS), Perceived Health Outcomes in Recreation Scale (PHORS) and Brief Resilience Scale (BRS). In line with the objective of the study, a mediation analysis was conducted using the PROCESS macro for data analysis. The analyses revealed positive associations between outdoor physical activity involvement, perceived health and psychological resilience. Specifically, outdoor physical activity involvement was to positively influence perceived health and psychological resilience. Moreover, health perception was identified as a mediator in the relationship between outdoor physical activity involvement and psychological resilience. The findings suggest that participation in outdoor physical activities not only enhances health perception and psychological resilience but also highlights the crucial role of health perception as a bridge between them. It has been observed that outdoor physical activities positively influence the resilience of older adults through the mediating effect of health perception. Therefore, it is imperative to promote outdoor physical activities that foster active ageing, as they play a crucial role in enhancing the overall health-care framework for older adults.

Little is known about the psychosocial care of older people presenting to the emergency department (ED), or whether their psychosocial well-being during and after an ED admission can be enhanced. People over the age of 65 years experiencing psychosocial distress and mental health concerns have higher rates of ED admission than those without. As part of a larger mixed-methods study investigating the relationships between older people's psychosocial well-being and emergency care, this study aimed to explore the experiences of older people in ED and their influence on patient psychosocial well-being. Participants aged 65 years or older receiving care in a large Australian public hospital ED were invited to participate in a telephone interview soon after discharge. Interviews were audio recorded and transcribed. Transcripts were analysed thematically. Eleven people (five women) aged 68-87 years participated in semi-structured interviews. Analyses revealed three overarching themes: 'interpersonal interactions', 'quality of care' and 'physical environment'. The theme 'interpersonal interactions' had two subthemes: 'communication' and 'human contact'. The three subthemes of 'quality of care' were 'appropriate care', 'psychological care' and 'unmet needs'. Physical environment referred to participant impressions of the ED setting. We found that staff sensitivity in their interactions with patients and their efforts to promote patients' physical comfort and protect their privacy influenced the psychosocial well-being of older adults in the ED. Based on the findings, we present a set of recommendations for enhancing the psychosocial care of older adults during ED admission.

The increasing number of technological interventions related to Parkinson's disease (PD) signifies growing research interest in the PD technological domain. It remains unknown how these interventions could affect the psychosocial health of people with PD. This systematic review aims to explore how technological interventions affect people with PD psychosocial well-being and their perception towards these interventions. A systematic review was conducted using Cochrane Library®, Embase®, IEEE Xplore Digital Library®, PsycInfo®, PubMed® and Web of Science® databases following PRISMA guidelines. Two individual assessors conducted quality appraisals using the Mixed Method Appraisal Tool. Both quantitative narrative and qualitative thematic synthesis were adopted to analyse the extracted data. This review included 27 articles with 752 people with PD, with seven categories of technologies implemented in physical rehabilitation. Qualitative findings indicated the overarching theme of coping with technological intervention. Three themes were identified: user perception of intervention design and functional appropriateness, attitude shift and coping, and perceived benefits from technological interventions. Unsuccessful coping attempts and overcomplicated intervention designs induced negative emotions and affected the psychosocial well-being of people with PD. Although most PD technological interventions focused on physical rehabilitation, people with PD reported a psychosocial gain in improved autonomy and reinforced social relationships during the intervention period. A better rewardability intervention design was considered more satisfying and could promote self-acceptance rather than stress-inducing. Interventions' technological complexity should match participants' expectations and technological literacy to facilitate the coping process with the intervention for people with PD. More research would be required to quantify the reported psychosocial gain and examine the technological literacy of people with PD when designing a more appropriate intervention regime.

This study evaluated the feasibility, acceptability and outcomes of the Positive Ageing Digital Storytelling Intergenerational Program (PADSIP) for older adults by examining program feasibility, satisfaction and changes in loneliness; feelings of being understood; self-views and attitudes towards ageing. A mixed-method, single-arm design was used. Thirty-seven older adults (M = 78.25, SD = 8.88) completed questionnaires at baseline and postprogram. Thirty-one of whom also participated in a follow-up semi-structured interview or focus group. The program demonstrated high feasibility, with each person attending an average of 94% of sessions. All participants completed the program. Acceptability was strong, with participants highly recommending the program. Identity validation significantly improved postprogram; mood, loneliness and life satisfaction also trended towards improvement. Participants valued intergenerational interactions, the opportunity to connect with others, and to reminisce and share their stories. This intergenerational digital storytelling program was well-attended, acceptable and associated with increased identity validation for older adults, suggesting viability and potential benefits. Future research is needed to evaluate long-term outcomes of the program and to assess its feasibility in residential aged care settings.

Social connection is important for healthy ageing, yet the ability of older people to participate in community and social activities can be limited. Connections for Ageing Well was a program for older people delivered within the community that enabled participants to select information topics and activities to meet their individual needs and preferences. It aimed to promote social connection with a focus on learning and being active. The evaluation of the program measured its success in meeting its objectives. Program attendees were invited to complete a questionnaire at the conclusion of the program (postprogram evaluation survey) and to participate in a focus group. Data collected by the questionnaire were analysed descriptively, and data from the focus group were analysed through a phenomenological lens and coded thematically. Although participants reported high levels of social connectedness before the program, almost all met someone new (96%) and some of these friendships continued after the program. Nearly half (46%) of survey respondents reported a greater knowledge of how to access community programs and services. Participants described learning something new and sharing this knowledge with others. Others reported enjoying the active fresh air sessions and having a renewed interest in physical activity. All evaluation participants agreed they would recommend the program to others and focus group attendees expressed overwhelming positivity about the program. The program was successful in achieving its objectives and provided new evidence of the effectiveness of an intervention designed to foster social connectedness that enabled participants to select program components to suit their individual needs and preferences.