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OBJECTIVE To evaluate the efficacy of a home-based exercise programme added to usual medical care for the treatment of depression. DESIGN Prospective, two group parallel, randomised controlled study. SETTING Community-based. PATIENTS 200 adults aged 50 years or older deemed to be currently suffering from a clinical depressive illness and under the(More)
BACKGROUND Depression and falls are common and co-exist for older people. Safe management of each of these conditions is important to quality of life. METHODS A cross-sectional survey was used to examine medication use associated with injurious and non-injurious falls in 21,900 community-dwelling adults, aged 60 years or over from 383 Australian general(More)
BACKGROUND Problem drug use occurs within the medical fraternity as it does in other parts of the population. However, doctors have traditionally been discouraged from admitting vulnerability and frequently fail to recognise or respond to early signs of problem alcohol and drug use. OBJECTIVE This article aims to identify sequential strategies to assist(More)
BACKGROUND In Australia approximately 25% of Emergency Department (ED) attendances are via ambulance. ED overcrowding in Australia, as in many countries, is common. Measures to reduce overcrowding include the provision of enhanced timely primary care in the community for appropriate low risk injury and illness. Therefore paramedic assessment and referral to(More)
BACKGROUND Recruiting and retaining GPs for research can prove difficult, and may result in sub-optimal patient participation where GPs are required to recruit patients. Low participation rates may affect the validity of research. This paper describes a multi-faceted approach to maximise participation of GPs and their patients in intervention studies, using(More)
BACKGROUND There is significant controversy surrounding attention deficit hyperactivity disorder (ADHD). While the existence of this disorder is generally accepted, debate continues in relation to aspects of assessment, as well as the effectiveness and choice of treatment options and their continuation into adult life. Management is further complicated as(More)
BACKGROUND Thoughts about death and self-harm in old age have been commonly associated with the presence of depression, but other risk factors may also be important. AIMS To determine the independent association between suicidal ideation in later life and demographic, lifestyle, socioeconomic, psychiatric and medical factors. METHOD A cross-sectional(More)
BACKGROUND This study aimed to determine: (1) the prevalence of depression, anxiety, and depression associated with anxiety (DA); (2) the risk factor profile of depression, anxiety, and DA; (3) the course of depression, anxiety, and DA over 24 months. METHODS Two-year longitudinal study of 20,036 adults aged 60+ years. We used the Patient Health(More)
OBJECTIVES To estimate the prevalence of depression among older Australians with common medical morbidities, and to determine the association between poor physical health and depression in this age group. DESIGN Cross-sectional, postal questionnaire survey. SETTING AND PARTICIPANTS 20 183 community-dwelling adults aged 60 years and over, under the care(More)