http://hdl.handle.net/10453/35218 2026-04-06T06:52:52Z http://hdl.handle.net/10453/194574 Title: The Effectiveness of Body Image Flexibility Interventions in Youth: A Systematic Review with Meta-Analysis Authors: Brichacek, AL; Neill, JT; Murray, K; Rieger, E; Watsford, C Abstract: Prevention programs that focus on enhancing positive body image may improve health and well-being in young people. Body image flexibility is a promising prevention approach, although its application with youth has yet to be comprehensively investigated. This systematic review evaluated the effectiveness of body image flexibility interventions among adolescents and emerging adults. There were 23 eligible studies (N = 2764, 91.3% female) published between 2004 and 2024. Random effects meta-analyses indicated that body image flexibility interventions led to immediate, g = 0.52 (13 studies, n = 1,045), and sustained, g = 0.27 (8 studies, n = 608, 1-week to 24-month follow-up) improvements in health outcomes and protected against adverse effects of body image threats, g = 0.33 (7 studies, n = 480), relative to no/minimal intervention controls. Improvements were largely attributable to reductions in body image concerns. Comparison with other evidence-based interventions, including cognitive and dissonance-based programs, suggested comparable effects. Randomized trials and universal programs demonstrated smaller improvements, and there was evidence of potential publication bias. Conclusions are thus limited by the quantity and quality of existing studies, with most focusing on emerging adult females. Recommendations are provided to address these limitations in future research and strengthen the reliability and generalizability of results. 2025-09-01T00:00:00Z http://hdl.handle.net/10453/193723 Title: Understanding how users of home-based aged care services with cognitive impairment rate their social care related quality of life. Authors: Phillipson, L; Caiels, J; Smith, L; Towers, A-M Abstract: BACKGROUND: Over the past decades, self-directed models of care have been implemented throughout the world to support older people, including those with dementia, to live at home. However, there is limited information about how self-directed home care is experienced by older people with cognitive impairment and dementia, and how their thinking informs their care choices and quality of life. METHODS: We used the ASCOT-Easy Read, a staggered reveal method, talk aloud techniques, probing questions, and physical assistance to support users of self-directed home care in Australia with cognitive impairment and dementia to discuss their Social Care Related Quality of Life (SCRQoL). Interviews were recorded, transcribed and analysed thematically in NVivo. Demographic, functional, cognitive and SCRQoL scores were analysed in Excel and SPSS. Analysis of both the quantitative and qualitative data for each participant allowed us to examine consistency or discordance between ratings and participants' comments about their experiences within each domain. RESULTS: Twenty six older people with cognitive impairment and/or dementia completed an interview. Ratings of SCRQoL were more favourable in lower order domains (e.g. food and drink, personal cleanliness, accommodation comfort and cleanliness and safety) than in the higher order domains (e.g. occupation and social participation). Overall SCRQOL also varied significantly from 0.40 to 0.97. Despite variable ratings, all participants described unmet needs associated with limitations in personal function and mobility, transport and the amount and flexibility of home care services they received. Qualitative comments suggest many experienced more significant limitations than some of their ratings may imply. This was attributed to adaptation and acceptance of limitations as a normal part of aging. The choice to remain living in one's own home was perceived as the most important outcome. CONCLUSIONS: Some older people living at home with cognitive impairment and/or dementia adapt and accept their limitations as a normal part of the aging process. This affects expectations about their lives at home and their support. Rather than relying on self-direction, supports to live well at home could be enhanced by a greater emphasis on comprehensive needs assessment and more supports to promote reablement and enhance personal and community level participation. 2025-01-04T00:00:00Z http://hdl.handle.net/10453/193719 Title: Holding up a Mirror: Intergenerational Interactions and Late Life Autism Diagnosis. Authors: West, S; Jackson, D; Cleary, M 2025-12-02T00:00:00Z http://hdl.handle.net/10453/193713 Title: Temporal trends in the prescription of low-dose antithrombotic and anti-inflammatory therapies in Germany (2022-2024). Authors: Kunz, M; Daudí, AE; Kieble, M; Laufs, U; Götzinger, F; Boeddinghaus, J; Leibundgut, G; Meier, CR; Müller, C; Schulz, M; Mahfoud, F Abstract: AIMS: This study aimed to investigate the prescription rates of low-dose antithrombotic and anti-inflammatory therapies in Germany from 2022 to 2024. METHODS: We analyzed national outpatient claims data from the German Institute for Drug Use Evaluation. Claims data for patients receiving the following medications were included: aspirin 100 mg, clopidogrel 75 mg, prasugrel 5 mg and 10 mg, ticagrelor 60 mg and 90 mg, rivaroxaban 2.5 mg, and colchicine 0.5 mg. Drug utilization was quantified using defined daily doses per 1000 Statutory Health-insured persons per day (DID, 10 DID = approximately 1% of the population receive the drug daily). RESULTS: In 2024, aspirin had the highest dispensing volume (47.4 DID), followed by clopidogrel (10.6 DID). All other substances were infrequently prescribed: prasugrel 5 mg (0.065 DID) and 10 mg (1.388 DID), ticagrelor 60 mg (0.103 DID) and 90 mg (0.978 DID), rivaroxaban 2.5 mg (1.535 DID), and colchicine (0.457 DID). Rivaroxaban 2.5 mg was the only drug showing a notable increase in utilization over time (+ 42% from 2022 to 2024). Cardiologists accounted for a small proportion of prescriptions (mean DID share 3.3%, 1.8% of all dispensed DDD). Aspirin use increased consistently with age, while rivaroxaban 2.5 mg peaked in the 70-74 age group. In contrast, ticagrelor 60 mg was more frequently prescribed in middle-aged patients. CONCLUSION: Despite the high prevalence of coronary artery disease (CAD), the use of long-term antithrombotic and anti-inflammatory therapies for secondary prevention in patients with CAD remains low in Germany, especially among older patients. 2025-10-07T00:00:00Z