Xiaoping Lin - Academia.edu (original) (raw)

Papers by Xiaoping Lin

Journal of the American Geriatrics Society

Innovation in Aging

Research Aims: This study seeks to understand whether those with dementia experience higher risk ... more Research Aims: This study seeks to understand whether those with dementia experience higher risk of death, using data from the ASPREE (ASPirin in Reducing Events in the Elderly) clinical trial study. Methods: ASPREE was a primary intervention trial of low-dose aspirin among healthy older people. The Australian cohort included 16,703 dementia-free participants aged 70 years and over at enrolment. Participants were triggered for dementia adjudication if cognitive test results were poorer than expected, self-reporting dementia diagnosis or memory problems, or dementia medications were detected. Incidental dementia was adjudicated by an international adjudication committee using the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) criteria and results of a neuropsychological battery and functional measures with medical record substantiation. Statistical analyses used a cox proportional hazards model. Results: As previously reported, 1052 participants (5.5%) died during a ...

BMC Geriatrics

Background Dementia was identified as a priority area for the development of a Clinical Quality R... more Background Dementia was identified as a priority area for the development of a Clinical Quality Registry (CQR) in Australia in 2016. The Australian Dementia Network (ADNeT) Registry is being established as part of the ADNeT initiative, with the primary objective of collecting data to monitor and enhance the quality of care and patient outcomes for people diagnosed with either dementia or Mild Cognitive Impairment (MCI). A secondary aim is to facilitate the recruitment of participants into dementia research and trials. This paper describes the Registry protocol. Methods The ADNeT Registry is a prospective CQR of patients newly diagnosed with either dementia or MCI. Eligible patients will be identified initially from memory clinics and individual medical specialists (e.g., geriatricians, psychiatrists and neurologists) involved in the diagnosis of dementia. Participants will be recruited using either an opt-out approach or waiver of consent based on three key determinants (capacity, p...

Journal of Family Studies

BMC cancer, Jan 21, 2018

Lung cancer is the leading cause of cancer mortality worldwide. Early diagnosis and treatment is ... more Lung cancer is the leading cause of cancer mortality worldwide. Early diagnosis and treatment is a key factor in reducing mortality and improving patient outcomes. To achieve this, it is important to understand the diagnostic pathways of cancer patients. Patients from Culturally and Linguistically Diverse (CALD) are a vulnerable group for lung cancer with higher mortality rates than Caucasian patients. The aim of this study is to explore differences in the lung cancer diagnostic pathways between CALD and Anglo-Australian patients and factors underlying these differences. This is a prospective, observational cohort study using a mixed-method approach. Quantitative data regarding time intervals in the lung cancer diagnostic pathways will be gathered via patient surveys, General practitioner (GP) review of general practice records, and case-note analysis of hospital records. Qualitative data will be gathered via structured interviews with lung cancer patients, GPs, and hospital special...

Clinical gerontologist, Jan 16, 2017

The number of people with dementia from culturally and linguistically diverse (CALD) backgrounds ... more The number of people with dementia from culturally and linguistically diverse (CALD) backgrounds is increasing dramatically in Australia. Accurate cognitive assessments of people from CALD backgrounds can be achieved with the use of skilled interpreters. This study aimed to explore the experience of interpreter-mediated assessments from the perspectives of clinicians, interpreters and carers. Consultations with interpreters, clinicians and carers were conducted through individual interviews and focus groups. The consultations explored participants' experiences of interpreter-mediated assessments, including perception of the interpreting process, roles of interpreters, and challenges associated with interpreter-mediated assessments. Four themes emerged across groups: (1) the importance of having professional interpreters, (2) different perceptions of the roles of interpreters, (3) clinicians' feelings of having less control over assessments, and (4) particular challenges asso...

International psychogeriatrics, Jan 8, 2017

Older Chinese people are one of the largest and fastest growing immigrant groups in Western count... more Older Chinese people are one of the largest and fastest growing immigrant groups in Western countries. The Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) are screening tools that have been specifically designed for older people. This study explored their validity, concurrent reliability, and cultural appropriateness for detecting depression and anxiety symptoms among older Chinese immigrants living in Melbourne, Australia. A total of 87 Chinese people were recruited from Chinese senior groups. Five screening tools were used, including the GDS, the GAI, the Hospital Anxiety and Depression Scale (HADS), the Kessler 10 (K10), and the Patient Health Questionnaire (PHQ-9). Data were collected through standardized interviews. The GDS and the GAI were found to be reliable and valid tools for detecting depression and anxiety in this sample. Based on the results of the five screening tools, approximately 20% of participants exhibited clinically significant symptom...

Australian Health Review

The number of older people in the population is increasing faster than for any other age group. T... more The number of older people in the population is increasing faster than for any other age group. This population growth, while positive, is associated with increasing incidence of chronic and progressive diseases such as dementia. This requires older people to navigate services that may not be designed to meet their needs. This issue can be further amplified in culturally and linguistically diverse populations who often have limited English language proficiency and limited knowledge of diseases such as dementia. Health literacy, a person’s ability to access, understand, appraise and apply information about their health and health care, including navigating health services, is low among older people and even lower among older people born overseas. This paper describes findings from a recent research study which developed and used the Cultural Exchange Model. The model is based on a process of collaboration, whereby researchers, service providers and community members work together to ...

Australasian journal on ageing, 2017

To explore the role art centres in remote communities play for Aboriginal and Torres Strait Islan... more To explore the role art centres in remote communities play for Aboriginal and Torres Strait Islander Australians living with dementia. A comprehensive literature search was undertaken, with no restrictions on articles regarding year of publication. Art programmes have been found to be of benefit to both people living with dementia and their carers, particularly when programmes are administered in environments that are culturally revered. Findings indicate remote art centres play a key role in maintaining traditions, culture and practices unique to Aboriginal and Torres Strait Islanders, but there is a gap in knowledge regarding how they cater for the needs of people with dementia. Addressing this gap will be helpful in remote areas where prevalence of dementia is up to five times that of non-Aboriginal people, and there are limited health and support services. Further research is required to explore strengths and gaps of current practices.

International Psychogeriatrics, 2016

ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immig... more ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. Ho...

Journal of Intergenerational Relationships, Nov 30, 2009

... Marshall, VW, Matthew, SH and Rosenthal, CJ 1993. “Elusiveness of family life: A challenge fo... more ... Marshall, VW, Matthew, SH and Rosenthal, CJ 1993. “Elusiveness of family life: A challenge for the sociology of aging”. ... Most important, the grandparents provide a foundation for identity formation as grandchildren grow up (McKay & Caverly, 200428. ...

Australasian journal on ageing, Jan 11, 2016

The aim of this study was to improve our understanding of depression and anxiety among older immi... more The aim of this study was to improve our understanding of depression and anxiety among older immigrant Chinese Australians. The study was based on the National Ageing Research Institute's Cultural Exchange Model, an iterative process of exchange between researchers and stakeholders. The project involved a range of components including consultations with health professionals and community workers about perceptions of depression and anxiety within the Chinese community. This paper reports on these consultation findings. Thematic analysis generated five main categories to explain participants' perceptions of depression and anxiety within the Chinese community. Themes included: lack of knowledge; personal weakness rather than illness; stigma; somatisation; and experience of migration in later life. Responses to questions about education and information dissemination were collated separately and reported. Views of depression and anxiety among older Chinese people suggest that edu...

Asia-Pacific Psychiatry, 2015

Depression and anxiety are two common mental health problems among older people. There is evidenc... more Depression and anxiety are two common mental health problems among older people. There is evidence that using well-validated screening tools can improve detection of depression and anxiety among this group. The review explored the use of the Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) for screening depression and anxiety among older Chinese immigrants, one of the largest and fastest growing groups of older immigrants in Western society. It focused on the GDS and GAI because both are designed specifically for older people. Online literature searches were conducted in MEDLINE, CINAHL, and PsycINFO. A narrative approach was used to review included papers. A total of 21 articles were included. There were limited data on anxiety among older Chinese immigrants, with only one unpublished report identified. There were 13 studies (20 articles) using the GDS with this group. Results of these studies indicated that the GDS is a reliable tool in this population; however, there was limited validity data. Two versions of the GDS-15 have been used with older Chinese immigrants, including the standard GDS-15 and Mui's GDS-15. Prevalence of depression ranged between 20% and 30% in most reviewed studies. Results of this review have practical implications for clinicians in their use of these tools with older Chinese immigrants in Western countries, such as the different GDS versions. It also suggests a number of directions for future research, such as the inclusion of clinical samples and consideration of the diversity within this group.

International Journal of Play, 2012

ABSTRACT A playgroup was established in 2009 in a residential aged care facility. Qualitative dat... more ABSTRACT A playgroup was established in 2009 in a residential aged care facility. Qualitative data were collected at baseline and 6 months after commencement. Interviewer administered questionnaires were undertaken with residents at baseline and post implementation. Residents were also invited to attend a focus group. The parents and staff were asked to complete a questionnaire at baseline and at 6 months. This study focuses mainly on the experiences of residents involved in the playgroup. It also describes responses from parents about impact on residents and children and from staff about impact on residents and the facility to expand on the views of the residents. The playgroup, which comprised 16 weekly sessions, was found to have a positive effect for residents. The positive effects were identified as themes which included changing attitudes to residential aged care facilities and child behaviour, enjoyment, reflections on childhood, and increased intergenerational interaction and communication. A facilitated playgroup was effectively established in a residential aged care facility and residents reported overall positive experiences and were accepting of a playgroup in their place of residence. The paper considers the implications of this for wider application.

International Psychogeriatrics, 2011

There is a large body of published research relating to depression in residential homes for older... more There is a large body of published research relating to depression in residential homes for older people (also called long-term-care homes, and including both nursing homes and hostels) (Ames 1990; 1993; Seitz et al., 2010; Snowdon and Purandare, 2010; Snowdon, 2010). However, despite increased detection and more frequent treatment in recent years, depression remains a significant problem for many older people living in such settings. This guest editorial summarizes current knowledge about prevalence, etiology, detection and screening, treatment and outcomes of depression in residential homes and concludes with a summary of key issues requiring urgent future action.

The Gerontologist, 2014

Purpose: Older Chinese immigrants are one of the largest and fastest growing groups in Western so... more Purpose: Older Chinese immigrants are one of the largest and fastest growing groups in Western societies. This article used the solidarity-conflict model to synthesize current research examining parent-child relationships in this group. Methods: A comprehensive literature search was conducted in the CINAHL, Medline, and PubMed databases to identify relevant articles. A narrative approach was used to review the literature. Results: Thirty-six articles were identified. Compared with Caucasians, older Chinese immigrants are more likely to live with children and have higher filial expectations. However, considerable numbers live independently. Of these, most live in public housing and rely on the community rather than their children for instrumental help. Many older Chinese immigrants have adjusted their filial expectations and valued being independent. They also provide extensive household help to their children. There are indications of intergenerational conflict, probably due to generational differences in attitudes toward life and limited intergenerational contact. Implications: This review suggests that although filial piety continues to influence older parent-child relationship in Chinese immigrant families, many changes have occurred. These findings have important implications for service planning and delivery for this cultural group. This review also provides evidence for the utility of the solidarity-conflict model.

Educational Gerontology, 2010

... Lee , K. , Volans , PJ , & Gregory , N. ( 2003 ). Trainee clinical psychologi... more ... Lee , K. , Volans , PJ , & Gregory , N. ( 2003 ). Trainee clinical psychologists' views on recruitment to work with older people . Ageing & Society , 23 , 83 – 97 . View all references). ... Greenwald , AG , Banaji , MR , Rudman , LA , Farnham , SD , Nosek , BA , & Mellott , DS ( 2002 ). ...

Australasian Journal on Ageing, 2009

To investigate by randomised trial, health professional facilitated sessions aiming to overcome b... more To investigate by randomised trial, health professional facilitated sessions aiming to overcome barriers to physical activity (PA), improve readiness to undertake PA, increase PA participation and improve fitness among older Australian adults from Macedonian and Polish backgrounds. One hundred and twenty-one participants (mean age 70 years, 63% female) were block randomised to the intervention group (three one-hour group education and goal setting sessions over 7 weeks) or control group (one-hour health promotion talk) following baseline assessment, with reassessment approximately 9 weeks later. No significant differences were found between experimental groups in primary (Stages of Change Questionnaire (SocQ), steps per day and Human Activity Profile) or secondary outcomes. This study has highlighted methodological considerations for PA health promotion and research with older adults from culturally and linguistically diverse (CALD) backgrounds in a community setting. Investigation of older CALD adults' perceptions of what are 'adequate levels of PA' and methods of increasing PA is warranted.

Asia-Pacific Psychiatry, 2011

Introduction: The prevalence of dementia in people from Culturally and Linguistically Diverse (CA... more Introduction: The prevalence of dementia in people from Culturally and Linguistically Diverse (CALD) backgrounds is predicted to increase. By 2026, Chinese and Vietnamese languages are projected to be the first and fourth most prevalent languages spoken by older people from CALD backgrounds living in Australia. Varying expressions of dementia literacy within these groups sometimes result in presentation to health services at a later stage of the disease. Methods: This paper aims to present a literature review on factors impacting on the early diagnosis of dementia in primary care. Cultural factors pertaining to older people of Chinese and Vietnamese backgrounds are identified and described. Results: The review found that despite the benefits and emphasis on early diagnosis of dementia, GPs′ uncertainty, insufficient training, ambivalent attitude and therapeutic nihilism have contributed to delayed diagnosis of dementia in CALD populations in primary care. Other factors included time pressures, poor remuneration and lack of CALD appropriate diagnostic tools and services. From the older Chinese and Vietnamese people and their families′ perspective, living arrangements, level of dementia literacy, symptom interpretation, stigma associated with dementia and their concept of morality significantly impacted on health-seeking behaviour, contributing to delayed presentation to GPs. Language barriers and lack of bilingual GPs were also found to be deterring factors. Discussion: There is a need to remove barriers impacting on the timely diagnosis of dementia in primary healthcare for older people from CALD backgrounds. Increasing CALD-appropriate services, workforce training, public awareness and removing stigma may assist.

The prevalence of dementia is increasing in Australia. Limited research is available on access to... more The prevalence of dementia is increasing in Australia. Limited research is available on access to Cognitive Dementia and Memory Services (CDAMS) for people with dementia from Culturally and Linguistically Diverse (CALD) communities. This study aimed to determine the barriers and enablers to accessing CDAMS for people with dementia and their families of Chinese and Vietnamese backgrounds. Consultations with community members, community workers and health professionals were conducted using the "Cultural Exchange Model" framework. For carers, barriers to accessing services included the complexity of the health system, lack of time, travel required to get to services, language barriers, interpreters and lack of knowledge of services. Similarly, community workers and health professionals identified language, interpreters, and community perceptions as key barriers to service access. Strategies to increase knowledge included providing information via radio, printed material and education in community group settings. The "Cultural Exchange Model" enabled engagement with and modification of the approaches to meet the needs of the targeted CALD communities.

Journal of the American Geriatrics Society

Innovation in Aging

Research Aims: This study seeks to understand whether those with dementia experience higher risk ... more Research Aims: This study seeks to understand whether those with dementia experience higher risk of death, using data from the ASPREE (ASPirin in Reducing Events in the Elderly) clinical trial study. Methods: ASPREE was a primary intervention trial of low-dose aspirin among healthy older people. The Australian cohort included 16,703 dementia-free participants aged 70 years and over at enrolment. Participants were triggered for dementia adjudication if cognitive test results were poorer than expected, self-reporting dementia diagnosis or memory problems, or dementia medications were detected. Incidental dementia was adjudicated by an international adjudication committee using the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) criteria and results of a neuropsychological battery and functional measures with medical record substantiation. Statistical analyses used a cox proportional hazards model. Results: As previously reported, 1052 participants (5.5%) died during a ...

BMC Geriatrics

Background Dementia was identified as a priority area for the development of a Clinical Quality R... more Background Dementia was identified as a priority area for the development of a Clinical Quality Registry (CQR) in Australia in 2016. The Australian Dementia Network (ADNeT) Registry is being established as part of the ADNeT initiative, with the primary objective of collecting data to monitor and enhance the quality of care and patient outcomes for people diagnosed with either dementia or Mild Cognitive Impairment (MCI). A secondary aim is to facilitate the recruitment of participants into dementia research and trials. This paper describes the Registry protocol. Methods The ADNeT Registry is a prospective CQR of patients newly diagnosed with either dementia or MCI. Eligible patients will be identified initially from memory clinics and individual medical specialists (e.g., geriatricians, psychiatrists and neurologists) involved in the diagnosis of dementia. Participants will be recruited using either an opt-out approach or waiver of consent based on three key determinants (capacity, p...

Journal of Family Studies

BMC cancer, Jan 21, 2018

Lung cancer is the leading cause of cancer mortality worldwide. Early diagnosis and treatment is ... more Lung cancer is the leading cause of cancer mortality worldwide. Early diagnosis and treatment is a key factor in reducing mortality and improving patient outcomes. To achieve this, it is important to understand the diagnostic pathways of cancer patients. Patients from Culturally and Linguistically Diverse (CALD) are a vulnerable group for lung cancer with higher mortality rates than Caucasian patients. The aim of this study is to explore differences in the lung cancer diagnostic pathways between CALD and Anglo-Australian patients and factors underlying these differences. This is a prospective, observational cohort study using a mixed-method approach. Quantitative data regarding time intervals in the lung cancer diagnostic pathways will be gathered via patient surveys, General practitioner (GP) review of general practice records, and case-note analysis of hospital records. Qualitative data will be gathered via structured interviews with lung cancer patients, GPs, and hospital special...

Clinical gerontologist, Jan 16, 2017

The number of people with dementia from culturally and linguistically diverse (CALD) backgrounds ... more The number of people with dementia from culturally and linguistically diverse (CALD) backgrounds is increasing dramatically in Australia. Accurate cognitive assessments of people from CALD backgrounds can be achieved with the use of skilled interpreters. This study aimed to explore the experience of interpreter-mediated assessments from the perspectives of clinicians, interpreters and carers. Consultations with interpreters, clinicians and carers were conducted through individual interviews and focus groups. The consultations explored participants' experiences of interpreter-mediated assessments, including perception of the interpreting process, roles of interpreters, and challenges associated with interpreter-mediated assessments. Four themes emerged across groups: (1) the importance of having professional interpreters, (2) different perceptions of the roles of interpreters, (3) clinicians' feelings of having less control over assessments, and (4) particular challenges asso...

International psychogeriatrics, Jan 8, 2017

Older Chinese people are one of the largest and fastest growing immigrant groups in Western count... more Older Chinese people are one of the largest and fastest growing immigrant groups in Western countries. The Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) are screening tools that have been specifically designed for older people. This study explored their validity, concurrent reliability, and cultural appropriateness for detecting depression and anxiety symptoms among older Chinese immigrants living in Melbourne, Australia. A total of 87 Chinese people were recruited from Chinese senior groups. Five screening tools were used, including the GDS, the GAI, the Hospital Anxiety and Depression Scale (HADS), the Kessler 10 (K10), and the Patient Health Questionnaire (PHQ-9). Data were collected through standardized interviews. The GDS and the GAI were found to be reliable and valid tools for detecting depression and anxiety in this sample. Based on the results of the five screening tools, approximately 20% of participants exhibited clinically significant symptom...

Australian Health Review

The number of older people in the population is increasing faster than for any other age group. T... more The number of older people in the population is increasing faster than for any other age group. This population growth, while positive, is associated with increasing incidence of chronic and progressive diseases such as dementia. This requires older people to navigate services that may not be designed to meet their needs. This issue can be further amplified in culturally and linguistically diverse populations who often have limited English language proficiency and limited knowledge of diseases such as dementia. Health literacy, a person’s ability to access, understand, appraise and apply information about their health and health care, including navigating health services, is low among older people and even lower among older people born overseas. This paper describes findings from a recent research study which developed and used the Cultural Exchange Model. The model is based on a process of collaboration, whereby researchers, service providers and community members work together to ...

Australasian journal on ageing, 2017

To explore the role art centres in remote communities play for Aboriginal and Torres Strait Islan... more To explore the role art centres in remote communities play for Aboriginal and Torres Strait Islander Australians living with dementia. A comprehensive literature search was undertaken, with no restrictions on articles regarding year of publication. Art programmes have been found to be of benefit to both people living with dementia and their carers, particularly when programmes are administered in environments that are culturally revered. Findings indicate remote art centres play a key role in maintaining traditions, culture and practices unique to Aboriginal and Torres Strait Islanders, but there is a gap in knowledge regarding how they cater for the needs of people with dementia. Addressing this gap will be helpful in remote areas where prevalence of dementia is up to five times that of non-Aboriginal people, and there are limited health and support services. Further research is required to explore strengths and gaps of current practices.

International Psychogeriatrics, 2016

ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immig... more ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. Ho...

Journal of Intergenerational Relationships, Nov 30, 2009

... Marshall, VW, Matthew, SH and Rosenthal, CJ 1993. “Elusiveness of family life: A challenge fo... more ... Marshall, VW, Matthew, SH and Rosenthal, CJ 1993. “Elusiveness of family life: A challenge for the sociology of aging”. ... Most important, the grandparents provide a foundation for identity formation as grandchildren grow up (McKay & Caverly, 200428. ...

Australasian journal on ageing, Jan 11, 2016

The aim of this study was to improve our understanding of depression and anxiety among older immi... more The aim of this study was to improve our understanding of depression and anxiety among older immigrant Chinese Australians. The study was based on the National Ageing Research Institute's Cultural Exchange Model, an iterative process of exchange between researchers and stakeholders. The project involved a range of components including consultations with health professionals and community workers about perceptions of depression and anxiety within the Chinese community. This paper reports on these consultation findings. Thematic analysis generated five main categories to explain participants' perceptions of depression and anxiety within the Chinese community. Themes included: lack of knowledge; personal weakness rather than illness; stigma; somatisation; and experience of migration in later life. Responses to questions about education and information dissemination were collated separately and reported. Views of depression and anxiety among older Chinese people suggest that edu...

Asia-Pacific Psychiatry, 2015

Depression and anxiety are two common mental health problems among older people. There is evidenc... more Depression and anxiety are two common mental health problems among older people. There is evidence that using well-validated screening tools can improve detection of depression and anxiety among this group. The review explored the use of the Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) for screening depression and anxiety among older Chinese immigrants, one of the largest and fastest growing groups of older immigrants in Western society. It focused on the GDS and GAI because both are designed specifically for older people. Online literature searches were conducted in MEDLINE, CINAHL, and PsycINFO. A narrative approach was used to review included papers. A total of 21 articles were included. There were limited data on anxiety among older Chinese immigrants, with only one unpublished report identified. There were 13 studies (20 articles) using the GDS with this group. Results of these studies indicated that the GDS is a reliable tool in this population; however, there was limited validity data. Two versions of the GDS-15 have been used with older Chinese immigrants, including the standard GDS-15 and Mui's GDS-15. Prevalence of depression ranged between 20% and 30% in most reviewed studies. Results of this review have practical implications for clinicians in their use of these tools with older Chinese immigrants in Western countries, such as the different GDS versions. It also suggests a number of directions for future research, such as the inclusion of clinical samples and consideration of the diversity within this group.

International Journal of Play, 2012

ABSTRACT A playgroup was established in 2009 in a residential aged care facility. Qualitative dat... more ABSTRACT A playgroup was established in 2009 in a residential aged care facility. Qualitative data were collected at baseline and 6 months after commencement. Interviewer administered questionnaires were undertaken with residents at baseline and post implementation. Residents were also invited to attend a focus group. The parents and staff were asked to complete a questionnaire at baseline and at 6 months. This study focuses mainly on the experiences of residents involved in the playgroup. It also describes responses from parents about impact on residents and children and from staff about impact on residents and the facility to expand on the views of the residents. The playgroup, which comprised 16 weekly sessions, was found to have a positive effect for residents. The positive effects were identified as themes which included changing attitudes to residential aged care facilities and child behaviour, enjoyment, reflections on childhood, and increased intergenerational interaction and communication. A facilitated playgroup was effectively established in a residential aged care facility and residents reported overall positive experiences and were accepting of a playgroup in their place of residence. The paper considers the implications of this for wider application.

International Psychogeriatrics, 2011

There is a large body of published research relating to depression in residential homes for older... more There is a large body of published research relating to depression in residential homes for older people (also called long-term-care homes, and including both nursing homes and hostels) (Ames 1990; 1993; Seitz et al., 2010; Snowdon and Purandare, 2010; Snowdon, 2010). However, despite increased detection and more frequent treatment in recent years, depression remains a significant problem for many older people living in such settings. This guest editorial summarizes current knowledge about prevalence, etiology, detection and screening, treatment and outcomes of depression in residential homes and concludes with a summary of key issues requiring urgent future action.

The Gerontologist, 2014

Purpose: Older Chinese immigrants are one of the largest and fastest growing groups in Western so... more Purpose: Older Chinese immigrants are one of the largest and fastest growing groups in Western societies. This article used the solidarity-conflict model to synthesize current research examining parent-child relationships in this group. Methods: A comprehensive literature search was conducted in the CINAHL, Medline, and PubMed databases to identify relevant articles. A narrative approach was used to review the literature. Results: Thirty-six articles were identified. Compared with Caucasians, older Chinese immigrants are more likely to live with children and have higher filial expectations. However, considerable numbers live independently. Of these, most live in public housing and rely on the community rather than their children for instrumental help. Many older Chinese immigrants have adjusted their filial expectations and valued being independent. They also provide extensive household help to their children. There are indications of intergenerational conflict, probably due to generational differences in attitudes toward life and limited intergenerational contact. Implications: This review suggests that although filial piety continues to influence older parent-child relationship in Chinese immigrant families, many changes have occurred. These findings have important implications for service planning and delivery for this cultural group. This review also provides evidence for the utility of the solidarity-conflict model.

Educational Gerontology, 2010

... Lee , K. , Volans , PJ , & Gregory , N. ( 2003 ). Trainee clinical psychologi... more ... Lee , K. , Volans , PJ , & Gregory , N. ( 2003 ). Trainee clinical psychologists' views on recruitment to work with older people . Ageing & Society , 23 , 83 – 97 . View all references). ... Greenwald , AG , Banaji , MR , Rudman , LA , Farnham , SD , Nosek , BA , & Mellott , DS ( 2002 ). ...

Australasian Journal on Ageing, 2009

To investigate by randomised trial, health professional facilitated sessions aiming to overcome b... more To investigate by randomised trial, health professional facilitated sessions aiming to overcome barriers to physical activity (PA), improve readiness to undertake PA, increase PA participation and improve fitness among older Australian adults from Macedonian and Polish backgrounds. One hundred and twenty-one participants (mean age 70 years, 63% female) were block randomised to the intervention group (three one-hour group education and goal setting sessions over 7 weeks) or control group (one-hour health promotion talk) following baseline assessment, with reassessment approximately 9 weeks later. No significant differences were found between experimental groups in primary (Stages of Change Questionnaire (SocQ), steps per day and Human Activity Profile) or secondary outcomes. This study has highlighted methodological considerations for PA health promotion and research with older adults from culturally and linguistically diverse (CALD) backgrounds in a community setting. Investigation of older CALD adults' perceptions of what are 'adequate levels of PA' and methods of increasing PA is warranted.

Asia-Pacific Psychiatry, 2011

Introduction: The prevalence of dementia in people from Culturally and Linguistically Diverse (CA... more Introduction: The prevalence of dementia in people from Culturally and Linguistically Diverse (CALD) backgrounds is predicted to increase. By 2026, Chinese and Vietnamese languages are projected to be the first and fourth most prevalent languages spoken by older people from CALD backgrounds living in Australia. Varying expressions of dementia literacy within these groups sometimes result in presentation to health services at a later stage of the disease. Methods: This paper aims to present a literature review on factors impacting on the early diagnosis of dementia in primary care. Cultural factors pertaining to older people of Chinese and Vietnamese backgrounds are identified and described. Results: The review found that despite the benefits and emphasis on early diagnosis of dementia, GPs′ uncertainty, insufficient training, ambivalent attitude and therapeutic nihilism have contributed to delayed diagnosis of dementia in CALD populations in primary care. Other factors included time pressures, poor remuneration and lack of CALD appropriate diagnostic tools and services. From the older Chinese and Vietnamese people and their families′ perspective, living arrangements, level of dementia literacy, symptom interpretation, stigma associated with dementia and their concept of morality significantly impacted on health-seeking behaviour, contributing to delayed presentation to GPs. Language barriers and lack of bilingual GPs were also found to be deterring factors. Discussion: There is a need to remove barriers impacting on the timely diagnosis of dementia in primary healthcare for older people from CALD backgrounds. Increasing CALD-appropriate services, workforce training, public awareness and removing stigma may assist.

The prevalence of dementia is increasing in Australia. Limited research is available on access to... more The prevalence of dementia is increasing in Australia. Limited research is available on access to Cognitive Dementia and Memory Services (CDAMS) for people with dementia from Culturally and Linguistically Diverse (CALD) communities. This study aimed to determine the barriers and enablers to accessing CDAMS for people with dementia and their families of Chinese and Vietnamese backgrounds. Consultations with community members, community workers and health professionals were conducted using the "Cultural Exchange Model" framework. For carers, barriers to accessing services included the complexity of the health system, lack of time, travel required to get to services, language barriers, interpreters and lack of knowledge of services. Similarly, community workers and health professionals identified language, interpreters, and community perceptions as key barriers to service access. Strategies to increase knowledge included providing information via radio, printed material and education in community group settings. The "Cultural Exchange Model" enabled engagement with and modification of the approaches to meet the needs of the targeted CALD communities.