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Annette J. Raynor, Fiona Iredale, Robert Crowther, Jane White, and Julie Dare

, & Lundin-Olsson, 2016 , p. 7). The importance of moving beyond maintenance to, where possible, a restorative approach has also been highlighted in a review of aged care funding in Australia, with the authors noting that “physical therapy interventions that include general wellness, restorative, or

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Natasha Reid, Justin W. Keogh, Paul Swinton, Paul A. Gardiner, and Timothy R. Henwood

Older adults living in residential aged care (RAC; also referred to as nursing homes) are a growing segment of the population ( de Souto Barreto, 2015 ). A key challenge in the RAC setting is the prevalence of sarcopenia ( Landi et al., 2013 ; Senior, Henwood, Beller, Mitchell, & Keogh, 2015 ) and

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Thorlene Egerton and Sandra G. Brauer

Background:

While physical activity is advocated for the elderly, little is known about the patterns of habitual activity of older people, particularly those in aged care. This study employed a novel approach to analyzing activity data to compare the temporal characteristics of daily activity between 15 older people living at home with 16 living in an aged care facility.

Methods:

The time spent standing and walking, and the number and duration of upright activity periods (greater than 1 minute) were monitored for 72 hr continuously.

Results:

Despite variation in all measures across the participants, those living in aged care spent significantly less time upright per day (2.3 hr vs. 7.2 hr), standing (1.6 hr vs. 5 hr), and walking (0.7 hr vs. 2.2 hr) than those living at home. Participants in both groups had a similar number of activity periods; however, the median activity period duration was less for those living in aged care (4 min vs. 8 min).

Conclusions:

Activity levels of both groups were low compared with recommendations. In particular, aged care residents were rarely upright for 30 min continuously, supporting the need for services to promote physical activity of older people particularly those living in aged care facilities.

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Justin W.L. Keogh, Nicola Power, Leslie Wooller, Patricia Lucas, and Chris Whatman

This mixed-methods, quasi-experimental pilot study examined whether the Nintendo Wii Sports (NWS) active video game (exergame) system could significantly improve the functional ability, physical activity levels, and quality of life of 34 older adults (4 men and 30 women, 83 ± 8 yr) living in 2 residential aged-care (RAC) centers. Change score analyses indicated the intervention group had significantly greater increases in bicep curl muscular endurance, physical activity levels, and psychological quality of life than the control group (p < .05). Analysis of the quotes underlying the 3 themes (feeling silly, feeling good; having fun; and something to look forward to) suggested that intervention group participants developed a sense of empowerment and achievement after some initial reluctance and anxiousness. They felt that the games were fun and provided an avenue for greater socialization. These results add some further support to the utilization of NWS exergames in the RAC context.

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Tim Henwood, Sharon Hetherington, Madeleine Purss, Kevin Rouse, Julie Morrow, and Michele Smith

expenditure will increase by 2050 and the demand for home assistance and residential aged care placement will more than triple ( Goss, 2008 ; Productivity Commission, 2012 ). At present, more than one million older Australians receive home care services each year ( Productivity Commission, 2012 ). Increasing

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Sharon Hetherington, Paul Swinton, Tim Henwood, Justin Keogh, Paul Gardiner, Anthony Tuckett, Kevin Rouse, and Tracy Comans

Globally the population is aging, and with increasing age a decline in functional capacity and reduced ability to remain living independently is observed. In Australia, projections to the year 2050 suggest that the demand for home assistance and residential aged-care placement will more than triple

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Cecilie Thøgersen-Ntoumani, Anthony Papathomas, Jonathan Foster, Eleanor Quested, and Nikos Ntoumanis

Independent living Retired (customer service officer) Old time and jive as a young adult 10 Male 70 Significant other Married Independent living Retired (purchasing officer) None 11 Female 83 Cognitively impaired Single Aged care facility Not reported Tango and waltz in the past 12 Female 80 Others tell her

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Claudia Meyer, Sophie Hill, Keith D. Hill, and Briony Dow

facilitate effective partnerships ( Armstrong et al., 2011 ). To be effective (in the context of falls prevention, or other health-related issues), a KB should be based within an existing health/aged care service, strategically positioned to understand the barriers and opportunities inherent in the delivery

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Lindsey Brett, Victoria Traynor, Paul Stapley, and Shahla Meedya

aged care residents: First information from the Aged Care Funding Instrument (Aged care statistics series no. 32, Cat. no. AGE 63). Canberra, Australia : Author . Beam , B. ( 2006 ). Therapists’ metacommunication strategies: A qualitative analysis . (Ph.D. thesis). Southern Illinois University

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Emma Renehan, Claudia Meyer, Rohan A. Elliott, Frances Batchelor, Catherine Said, Terry Haines, and Dianne Goeman

place, they give you all your meals and do all your washing for you and then come in of a night and tuck you into bed. . . . I’ve created a whole new atmosphere in this place by making them laugh. (P2, male, moved to residential aged care, control group) Falls outcomes From the interviews, three key