Megan Corlis's research while affiliated with South Australian Health and Medical Research Institute and other places

Publications (54)

Article
Objective To describe patterns of use of the available Government-subsidised mental health services among people living in Australian residential aged care facilities.MethodsA retrospective population-based trend analysis was conducted, including all non-Indigenous people living in an Australian facility between 2012 and 2017. Adjusted incidence pr...
Article
Objectives: Little is known about how prepared the aged care system is to meet the specific needs of Care Leavers and Forgotten Australians. We explored service provider and advocate perspectives about the barriers and facilitators for appropriate and safe care for this group. Methods: Three focus groups with sixteen professional stakeholders ex...
Preprint
BACKGROUND Apathy is a frequent and under-recognized symptom of neurological disorders. Reduced goal directed behaviour caused by apathy is associated with poor outcomes for older adults in residential aged care. Recommended nonpharmacological treatments include person-centred therapy using information and communication technology. Virtual reality...
Article
Rationale/aim Medication administration is a complex and time‐consuming task in residential aged care facilities (RACFs). Understanding the time associated with each administration step may help identify opportunities to optimize medication management in RACFs. This study aimed to investigate the time taken to administer medications to residents, i...
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Introduction Apathy is a prevalent neuropsychiatric symptom for older adults residing in aged care. Left untreated, apathy has been associated with accelerated cognitive decline and increased risk of mortality. Reminiscence therapy is commonly used in aged care and has demonstrated to reduce apathy. Traditional methods of reminiscence use physical...
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Background There is a high burden of antipsychotic use in residential aged care facilities (RACFs) and there is concern regarding potential inappropriate prescribing of antipsychotics in response to mild behavioural symptoms. Antipsychotic use has been associated with a higher risk of mortality in community-dwelling older adults with dementia, but...
Article
Objectives To explore perceptions and expectations regarding aged care among older Forgotten Australians, informing better ways of delivering safe and inclusive care for this group. Methods In‐depth interviews were undertaken with sixteen Forgotten Australians to understand their perspectives, hopes and perceived barriers to receiving appropriate...
Article
Objective To evaluate the cost‐effectiveness of a 12‐week Exercise Physiology (EP) program for people living in a residential aged care facility. Methods A within‐study pre‐ and postintervention design to calculate incremental cost‐effectiveness ratios per quality‐adjusted life years gained. A health service provider perspective was used. Results...
Preprint
Background: Apathy is a prevalent neuropsychiatric symptom for older adults residing in aged care. Left untreated, apathy has been associated with accelerated cognitive decline and increased risk of mortality. Pharmacological interventions have not been established and can have side effects, placing a priority on the evaluation of non-pharmacologic...
Article
Objective Mental health disorders are a major health concern in older people and are associated with a higher risk of disability, frailty and early mortality. This study aimed to conduct a contemporary population-based assessment of the prevalence, trends and factors associated with mental health disorders in individuals who are living in permanent...
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Objectives Medications with anticholinergic or sedative effects are frequently used by older people but can increase risk of falls and adverse events; however, less is known about their effect on movement behaviour. Here we examine the cross-sectional association between medication use and movement behaviour in older adults living in residential ag...
Article
Objectives: To introduce the Registry of Senior Australians (ROSA) Outcome Monitoring System, which can monitor the quality and safety of care provided to individuals accessing residential aged care. Development and examination of twelve quality and safety indicators of care and their 2016 prevalence estimates are presented. Design: Retrospectiv...
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Potentially inappropriate medications (PIMs) can contribute to morbidity through exacerbations or progression of existing conditions among older people. In order to characterize the prevalence of PIMs according to the Beers Criteria in older Australians, three hundred and eleven participants were recruited from three residential aged care facilitie...
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Purpose: Being able to manage a complex medication regimen is key to older people continuing to live at home. This study determined the feasibility of a multi-component intervention to simplify medication regimens for people receiving community-based home care services. Patients and methods: Research nurses recruited people receiving community-b...
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Background: Understanding the health profile, service, and medicine use of Australians in the aged care sector will help inform appropriate service provision for our ageing population. Aims: To examine the 2006‐2015 trends in (1) co‐morbidities and frailty of individuals accessing aged care and (2) health services, medicine use, and mortality after...
Article
Aim It is important for older adults to maintain the ability to be physically active, and to experience the benefits that physical activity brings. This study evaluates a 12‐week Accredited Exercise Physiologist‐led exercise program for vulnerable older adults living with dementia, delivered in a residential aged care facility in South Australia. T...
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In the SImplification of Medications Prescribed to Long-tErm care Residents (SIMPLER) cluster-randomized controlled trial, we evaluated the impact of structured medication regimen simplification on medication administration times, falls, hospitalization, and mortality at 8 residential aged care facilities (RACFs) at 12 month follow up. In total, 24...
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Introduction Many medicines have adverse effects which are difficult to detect and frequently go unrecognised. Pharmacist monitoring of changes in signs and symptoms of these adverse effects, which we describe as medicine-induced deterioration, may reduce the risk of developing frailty. The aim of this trial is to determine the effectiveness of a 1...
Article
Objective To assess the application of a structured process to consolidate the number of medication administration times for residents of aged care facilities. Design A nonblinded, matched-pair, cluster randomized controlled trial. Setting and Participants Permanent residents who were English-speaking and taking at least 1 regular medication, rec...
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Objectives: Regular physical activity for older adults as they age is important for maintaining not only physical function but also independence and self-worth. To be able to monitor changes in physical function, appropriate validated measures are required. Reliability of measures such as the timed-up-and-go, five-repetition sit-to-stand, handgrip...
Article
Objective: To examine the prevalence of psychotropic medicine dispensing before and after older people enter residential care. Design: Retrospective national cohort study; analysis of Registry of Senior Australians (ROSA) data. Setting, participants: All concession card-holding residents of government-subsidised residential aged care facilitie...
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Objective: To evaluate access to approved aged care services and factors associated with accessing these services. Methods: A retrospective cohort study was conducted (1/7/2003-30/6/2013). The incidence of accessing permanent residential, home and respite care services within one year, or transition care within 28 days of approval, was evaluated...
Article
Background: Apathy is a common symptom in neurological disorders, including dementia, and is associated with a faster rate of cognitive decline, reduced quality of life, and high caregiver burden. There is a lack of effective pharmacological treatments for apathy and nonpharmacological interventions are a preferred first line approach to treatment...
Preprint
BACKGROUND Apathy is a common symptom in neurological disorders, including dementia, and is associated with a faster rate of cognitive decline, reduced quality of life, and high caregiver burden. There is a lack of effective pharmacological treatments for apathy, and nonpharmacological interventions are a preferred first-line approach to treatment....
Preprint
Background and Objectives: Apathy is a common symptom in neurological disorders including dementia and is associated with a faster rate of cognitive decline, reduced quality of life and high carer burden. A lack of effective pharmacological treatments for apathy has placed an emphasis on non-pharmacological interventions. Virtual reality (VR) using...
Article
Objective: To explore variation in medication regimen complexity in residential aged care facilities (RACFs) according to resident age, length of stay, comorbidity, dementia severity, frailty, and dependence in activities of daily living (ADLs), and compare number of daily administration times and Medication Regimen Complexity Index (MRCI) as measu...
Article
Objectives: To examine the use of residential respite care and determine associations between respite care and total days spent in residential care (respite days plus long-term care days). Design: A retrospective cohort study of individuals accessing aged care services in Australia using the National Historical Cohort of the Registry of Senior A...
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Objective: To describe the co-design process in a project that "evaluated how the key worker role can best support people living with dementia in the community setting." Methods: People with dementia, care-partners, aged-care service experts, policymakers and academics utilised a co-design process to undertake a systematic literature review and...
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Objective: To systematically review literature reporting processes, impact and outcomes of medication review and reconciliation in Australian residential aged care facilities (RACFs). Methods: PubMed/MEDLINE, EMBASE, CINAHL, Informit Health and grey literature were searched from 1995 to July 2018. Studies reporting outcomes of a stand-alone medi...
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Objective: To investigate the decision-making processes applied by people with dementia and family carers participating in using health economic approaches to value dementia-specific quality of life states. Methods: People with dementia (n = 13) and family carers (n = 14) participated in valuing quality of life states using two health economic a...
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Background: Aged care support services in Australia are delivered through home care packages, permanent residential care, respite care and transition care. This study aimed to determine age and gender specific incidence rates of aged care service utilisation in Australia between 2008-09 and 2015-16. Methods: This is a population-based epidmiolog...
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Introduction. Managing medication regimens is one of the most complex and burdensome tasks performed by older people, and can be prone to errors. People living with dementia may require medication administration assistance from formal and informal caregivers. Simplified medication regimens maintain the same therapeutic intent, but have less complex...
Article
The Student Education and Participation Program that has evolved at Helping Hand Aged Care over the past decade is based on ongoing research and evaluation, most of which has been undertaken in partnership with the University of South Australia (UniSA). The Program is structured to support Interprofessional Education (IPE) and represents an effecti...
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Introduction Australia’s ageing population puts significant demands on the aged care and healthcare sectors. To monitor the provision of aged care and healthcare services to older people, each government body has an individual data collection system. Together these systems can be the basis for creating the evidence necessary to support future alloc...
Article
As we age, maintaining physical functionality is important with respect to wellbeing and healthy ageing. For older adults with dementia this may be difficult, particularly in the residential aged care environment. This article reports the qualitative examination of an Exercise Physiologist-delivered exercise programme for residents with dementia. P...
Data
The Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE): explanatory statement and specific instructions.
Article
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Background Residents of aged care facilities use increasingly complex medication regimens. Reducing unnecessary medication regimen complexity (eg, by consolidating the number of administration times or using alternative formulations) may benefit residents and staff. Objective To develop and validate an implicit tool to facilitate medication regime...
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Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens’ jury to elicit views of members of the public regarding c...
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Background: The Student Education and Participation Program that has evolved at Helping Hand Aged Care over the past decade is based on ongoing research and evaluation, and a highly innovative example of the teaching nursing home model has emerged. Methods: Drawing on that body of work and findings from the national evaluation of Australia's TRA...
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Background: Complex medication regimens are highly prevalent in residential aged care facilities (RACFs). Strategies to reduce unnecessary complexity may be valuable because complex medication regimens can be burdensome for residents and are costly in terms of nursing time. The aim of this study is to investigate application of a structured process...
Article
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Introduction Generic instruments for assessing health-related quality of life may lack the sensitivity to detect changes in health specific to certain conditions, such as dementia. The Quality of Life in Alzheimer’s Disease (QOL-AD) is a widely used and well-validated condition-specific instrument for assessing health-related quality of life for pe...
Article
The Australian Government has recently committed to major policy reform in aged care, with the widespread introduction of consumer directed care (CDC) in community care. The main aims of this study were to assess the impact of CDC on the quality of life of older Australians. Quality of life was assessed using the EuroQoL 5 dimensions 5 level (EQ-5D...
Article
Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk...
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This paper reports on the evaluation of a teamwork intervention designed to introduce four evidence-based teamwork protocols. The aim of the intervention was to standardize and improve team communication and team leadership in care delivered in a residential aged care facility. The evaluation framework examined changes in understanding and practice...
Article
The study aimed to identify the shared issues and challenges being experienced by staff, their clients and informal carers, with the introduction of Consumer Directed Care (CDC). Secondary analysis was undertaken of data that had been initially collected, via semi-structured in-depth interviews, to inform the development of a discrete choice experi...

Citations

... In addition, the onset of dementia can trigger the re-emergence of traumatic stress symptoms even where these have been dormant for many years (8,9). Common hospital care practices (e.g., assisting with toileting and bathing) and environments (e.g., locked wards) have been identified as potential sources of distress for older trauma survivors (10,11). ...
... Their past experiences of trauma can generate distrust and fear of institutional care especially when the quality of care is uncertain. 5 In aged and dementia care, psychological literacy and mental health skills of the workforce is often lower than in healthcare settings and has not traditionally been prioritised within aged care models. 6 Unlike mental health services, 7 few aged care services have processes in place to identify the trauma-related needs of residents or to deliver organisational responses to meet these needs. ...
... 9 18 20 21 32 34 36 39 43 Additionally, the ROSA platform has been used to examine the experience of individuals with highly prevalent and often understudied conditions in older people in these settings, for example, eye 44 and mental health. 17 The ROSA platform has also allowed for the examination of aspects of services (eg, built environment) 45 and new technology (eg, mobile radiological services) 46 that can affect older people's health and quality of care received in this setting. ...
... International comparisons or benchmarking can be useful for identifying countries with similar systems to increase understanding of what works and areas for improvement in aged care. Quality measurement and indicators currently in use mainly focus on clinical aspects of care (Inacio et al., 2020;O'Reilly et al., 2010) and have often originated from those developed within other areas of the health care system (Jeon et al., 2019). The ability of these systems to capture incidents and impacts on residents within the aged care setting is not well understood (Jeon et al., 2019;Winsvold Prang & Jelsness-Jørgensen, 2014). ...
... PIM exposure was reported in 43% of older adults living in LTC facilities [7], which is more than 20% higher than noted among older adults living in the local community [8,9]; this indicated a much higher risk of PIM use among older adults living in facilities. The main factors influencing PIM use among older adults living in nursing facilities include polypharmacy, concomitant diseases, such as falls, fractures, and chronic diseases [10][11][12][13]. Moreover, although the risk of PIM use is known to increase in patients with dementia or other mental illnesses that require care [14,15], one study has reported that the risk of PIM use decreases following nursing home admission in patients with dementia [16]; however, this conclusion remains controversial. ...
... [5][6][7][8] Elderly patients often have high rates of comorbidity and polypharmacy and are more sensitive to adverse drug events due to changes in pharmacokinetics and pharmacodynamics. 9 10 Thus, measures that involve medication review to reduce medication discrepancies in elderly patients are needed to ensure the effectiveness and safety of their medications. 1 3 Medication reconciliation is identified as a major intervention to reduce medication discrepancies. 1 11 12 The WHO defines medication reconciliation as a formal process in which healthcare professionals partner with Strengths and limitation of this study ► This study will provide new evidence of the effectiveness of a tailored medication reconciliation programme for the incidence of medication discrepancy at county hospital in China. ...
... For example, Sareddakis et al. conducted reminiscence therapy using virtual reality (VR) technology as a cutting-edge method. Although VR-based reminiscence therapy showed promising results in their study, the study participants were a mix of those with and without cognitive dysfunction (Saredakis et al., 2020). They subsequently implemented a VR intervention with persons with dementia, but the results of the VR intervention were not significantly different than those of the usual reminiscence therapy or control groups (Saredakis et al., 2021). ...
... [17][18][19] As the number of people using aged care services in Australia grows, and the age at admission and medical complexity increases, greater attention to the management of chronic health conditions is required. 6,20 Given that most residents in RACFs receive their medications under supervision of carers and nurses, greater adherence to prescribed treatments compared to older adults in the community who are more likely to self-manage their medications, would be expected. In this study, we aimed to examine how gout management in RACFs aligns with current recommendations. ...
... In this descriptive study using data from a 12-month randomised controlled trial (18), this study aims to examine the frailty trajectory of 248 older adults living in residential aged care facilities in Australia. We graphically represent the frailty trajectory of each person according to trial arms, and explore the possible reasons for rapid changes in frailty (e.g., non-frail to death within 6 months) by examining individual case notes. ...
... Participants in this study were residents living in two wings of a residential aged care facility (one a secure memory unit, the other a supported living unit), in a residential aged care facility in metropolitan Australia. Participants provided voluntary informed written consent to participate in the collection of movement behaviour data and to share their demographic data and medication records with researchers as part of an Exercise Physiology in Aged Care program (Parfitt et al., 2020). In cases where residents were unable to provide consent, voluntary informed written consent was provided by an individual resident's next of kin or authorised representative. ...