Leon Flicker
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View article: Development of a Memory Clinic at an Aboriginal Community‐Controlled Health Service: Profile of the First Patients
Development of a Memory Clinic at an Aboriginal Community‐Controlled Health Service: Profile of the First Patients Open
Objectives Dementia is the leading cause of burden of disease in older Australians. Older Aboriginal and Torres Strait Islander people experience an increased risk of cognitive impairment and dementia. This article describes the clinical p…
View article: Adaptation of the Good Spirit, Good Life quality of life tool for remote Indigenous Australians
Adaptation of the Good Spirit, Good Life quality of life tool for remote Indigenous Australians Open
Purpose The Good Spirit, Good Life (GSGL) assessment tool was co-developed in urban and regional Australia to address quality of life (QoL) for older Aboriginal and Torres Strait Islander peoples and inform culturally responsive care. This…
View article: Training community homecare workers to deliver falls prevention programmes: A mixed methods evaluation
Training community homecare workers to deliver falls prevention programmes: A mixed methods evaluation Open
Objective: To design and evaluate an education and training programme for community homecare workers to deliver falls prevention programmes to older homecare clients. Design: Mixed methods design. Setting: Community homecare organisation. …
View article: SAT-156 Associations of Testosterone, Dihydrotestosterone and Sex Hormone-binding Globulin with Risks of Cancer Death, Incident Cancer, and Incident Prostate Cancer in Men. Individual Participant Data Meta-analyses
SAT-156 Associations of Testosterone, Dihydrotestosterone and Sex Hormone-binding Globulin with Risks of Cancer Death, Incident Cancer, and Incident Prostate Cancer in Men. Individual Participant Data Meta-analyses Open
Disclosure: R.J. Marriott: None. K. Murray: None. L. Antonio: None. S. Bhasin: None. A.S. Dobs: None. L. Flicker: None. D.J. Handelsman: None. G.J. Hankey: None. R. Wilkening: None. A.M. Matsumoto: None. C. Ohlsson: None. E.S. Orwoll: None…
View article: Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming to Enhance Quality of Life for Aboriginal Australian Survivors of Stroke and Traumatic Brain Injury
Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming to Enhance Quality of Life for Aboriginal Australian Survivors of Stroke and Traumatic Brain Injury Open
Objective To determine the effect of cultural security training (CST) for health professionals and access to an Aboriginal Brain Injury Coordinator (ABIC) for Aboriginal Australians with stroke or traumatic brain injury (TBI). Design A ste…
View article: Process Evaluation of a Dementia Prevention Program for Aboriginal Australians (DAMPAA) Using a Theory of Change Framework
Process Evaluation of a Dementia Prevention Program for Aboriginal Australians (DAMPAA) Using a Theory of Change Framework Open
A co-designed, Aboriginal health practitioner–led dementia risk management program (DAMPAA) was implemented from 2021 to 2024 to address the growing concern of dementia among Aboriginal and Torres Strait Islander peoples in Western Austral…
View article: The Clock Is Not Enough: The Clock Drawing Test versus the Kimberley Indigenous Cognitive Assessment for Detecting Dementia in Older Aboriginal and Torres Strait Islander Adults
The Clock Is Not Enough: The Clock Drawing Test versus the Kimberley Indigenous Cognitive Assessment for Detecting Dementia in Older Aboriginal and Torres Strait Islander Adults Open
Introduction: We aimed to explore the performance of the Kimberley Indigenous Cognitive Assessment – Cognitive component (KICA-Cog) and the Clock Drawing Test (CDT) in older Aboriginal and Torres Strait Islander adults with dementia and wi…
View article: A Prototype Rapid Tool to Enhance Detection of Dementia for Aboriginal and Torres Strait Islander Peoples in Primary Care
A Prototype Rapid Tool to Enhance Detection of Dementia for Aboriginal and Torres Strait Islander Peoples in Primary Care Open
Introduction Dementia is prevalent within Aboriginal and Torres Strait Islander communities but clients attending primary care often remain undiagnosed. This project aimed to develop a rapid dementia screen for primary care. Methods Logist…
View article: A comparison of cognitive and health assessment tools used in a dementia prevention and risk management program for urban-dwelling older aboriginal Australians (DAMPAA)
A comparison of cognitive and health assessment tools used in a dementia prevention and risk management program for urban-dwelling older aboriginal Australians (DAMPAA) Open
Background: In partnership with Aboriginal Elders and Aboriginal community-controlled organisations, we developed a dementia risk management and prevention program for Aboriginal Australians aged ≥45 years. In this study, we report neurops…
View article: Multiple Long‐Term Conditions, Co‐Long‐Term Conditions and Polyvascular Disease: Considerations for Evidence Synthesis and Meta‐Analyses
Multiple Long‐Term Conditions, Co‐Long‐Term Conditions and Polyvascular Disease: Considerations for Evidence Synthesis and Meta‐Analyses Open
Cochrane's scientific strategy for 2025 to 2030 has four research priorities, including improving the lives of people living with multiple chronic conditions. The purpose of this article written by the Cochrane Thematic Group in Heart, Str…
View article: Detection of cognitive impairment, dementia and associated risk factors among Aboriginal and Torres Strait Islander peoples: Retrospective baseline audit results from a stepped‐wedge cluster‐randomised controlled trial
Detection of cognitive impairment, dementia and associated risk factors among Aboriginal and Torres Strait Islander peoples: Retrospective baseline audit results from a stepped‐wedge cluster‐randomised controlled trial Open
Objective Aboriginal and Torres Strait Islander peoples experience high rates of dementia, cognitive impairment not dementia (CIND) and associated risk factors. The objective of this paper is to outline baseline audit results of documented…
View article: Health Professional Perceptions of Delivering Hospital Falls Prevention Education—A Qualitative Study
Health Professional Perceptions of Delivering Hospital Falls Prevention Education—A Qualitative Study Open
Background: Providing patient falls prevention education can help reduce falls in hospitals, yet research exploring staff perceptions about providing falls education in hospitals is limited. Objective: We sought to determine enablers and b…
View article: Patient safety is our business! Staff perspectives on implementing hospital falls prevention education
Patient safety is our business! Staff perspectives on implementing hospital falls prevention education Open
Providing patients with falls prevention education reduces falls in hospitals, yet there is limited research on what influences successful implementation at the staff, ward and hospital levels. We engaged hospital-based health professional…
View article: Promoting Healthy Aging for Older People Living with Chronic Disease by Implementing Community Health Programs: A Randomized Controlled Feasibility Study
Promoting Healthy Aging for Older People Living with Chronic Disease by Implementing Community Health Programs: A Randomized Controlled Feasibility Study Open
The rising prevalence of chronic diseases could be mitigated by expanding community programs. This study aimed to evaluate the feasibility of delivering a community wellness program for older adults living with chronic disease. A two-group…
View article: Sociodemographic, lifestyle, and medical factors associated with calculated free testosterone concentrations in men: individual participant data meta-analyses
Sociodemographic, lifestyle, and medical factors associated with calculated free testosterone concentrations in men: individual participant data meta-analyses Open
OBJECTIVE: Sociodemographic, lifestyle, and medical variables influence total testosterone (T) and sex hormone-binding globulin (SHBG) concentrations. The relationship between these factors and "free" T remains unclear. We examined 21 soci…
View article: Intrinsic capacity and ageing well for Aboriginal people in remote Western Australia: a longitudinal cohort study
Intrinsic capacity and ageing well for Aboriginal people in remote Western Australia: a longitudinal cohort study Open
Objective To assess intrinsic capacity, an important component of ageing well, in older Aboriginal people living in remote Western Australia. Study design Longitudinal cohort study; secondary analysis of survey and clinical assessment data…
View article: Sociodemographic, lifestyle, and medical factors associated with calculated free testosterone concentrations in men: individual participant data meta-analyses
Sociodemographic, lifestyle, and medical factors associated with calculated free testosterone concentrations in men: individual participant data meta-analyses Open
Objective Sociodemographic, lifestyle, and medical variables influence total testosterone (T) and sex hormone-binding globulin (SHBG) concentrations. The relationship between these factors and “free” T remains unclear. We examined 21 socio…
View article: Community-based dementia risk management and prevention program for Aboriginal Australians (DAMPAA): a randomised controlled trial study protocol
Community-based dementia risk management and prevention program for Aboriginal Australians (DAMPAA): a randomised controlled trial study protocol Open
Introduction Aboriginal and Torres Strait Islander peoples are the First Peoples of Australia. Up to 45% of dementia in these populations is due to potentially modifiable risk factors. The Dementia Prevention and Risk Management Program fo…
View article: Balance and strength measures are associated with incident dementia in older men
Balance and strength measures are associated with incident dementia in older men Open
Background: As people age the risk of dementia increases. Balance and strength deteriorate with ageing, but their associations with dementia are not clear. We aimed to determine relationships of balance and strength performance with incide…
View article: Training community home care workers to deliver a tailored falls prevention Education and Exercise program to home care clients – TrEdEx an effectiveness-implementation study protocol
Training community home care workers to deliver a tailored falls prevention Education and Exercise program to home care clients – TrEdEx an effectiveness-implementation study protocol Open
Frail, older people receiving supportive care in the home are at high risk of falls and functional decline that leads to either unplanned hospital admissions or permanent residential care, making it difficult to safely remain at home. Comm…
View article: ‘You Just Struggle on Your Own’: Exploring Older People and Their Caregivers' Perspectives About Falls Prevention Education in Hospitals
‘You Just Struggle on Your Own’: Exploring Older People and Their Caregivers' Perspectives About Falls Prevention Education in Hospitals Open
Background Providing older patients with an opportunity to participate in individualised falls preventive education, has been shown to reduce hospital falls. However, few studies have explored older peoples' perspectives of hospital falls …
View article: The Association Between Injury Characteristics and in-Patient Outcomes in a Cohort of Adult Patients Admitted to a State Spinal Unit Following Spinal Injuries: A Retrospective Observational Study.
The Association Between Injury Characteristics and in-Patient Outcomes in a Cohort of Adult Patients Admitted to a State Spinal Unit Following Spinal Injuries: A Retrospective Observational Study. Open
Background Data: Spinal injuries are common and are associated with complications either directly related to the spinal injury itself, including autonomic or cord related events, or indirectly related medical complications. These complicat…
View article: Strength together: examining risk and protective factors associated with dementia and cognitive impairment in Aboriginal and Torres Strait Islander peoples through harmonisation of landmark studies
Strength together: examining risk and protective factors associated with dementia and cognitive impairment in Aboriginal and Torres Strait Islander peoples through harmonisation of landmark studies Open
Background Rates of dementia for Aboriginal and Torres Strait Islander peoples are three to five times greater compared to non-Indigenous Australians, with earlier age of onset. However, the risk and protective factors that drive these hig…
View article: Counting the Ways That Aboriginal and Torres Strait Islander Older People Participate in Their Communities and Culture
Counting the Ways That Aboriginal and Torres Strait Islander Older People Participate in Their Communities and Culture Open
Objectives This study aimed to determine the proportion of older Aboriginal and Torres Strait Islander peoples participating in cultural events and activities and determine the demographic and sociocultural characteristics associated with …