Ngaire Kerse
Datos Biográficos
| ID | 295308 |
|---|---|
| NOMBRE | Ngaire Kerse |
| NOMBRES | Ngaire |
| APELLIDO | Kerse |
| FIRMA | KERSE N |
| AFILIACIONES | University of Auckland |
| ORCID | 0000-0002-5992-3681 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAS | 182 |
| TOTAL COMO AUTOR | 30 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
The Experiences of Older Unpaid Carers in New Zealand
In an aging society, the substantial and enduring contribution to caring for an older person at home is often unpaid and largely invisible to policymakers and health professionals. Current research on caring roles has paid minimal attention to the views of older, unpaid carers looking after older adults. We explored the impact on the lifestyles of older unpaid carers of older people in Aotearoa New Zealand and the supports they would value. In th…
Hauora Māori – Māori health
Māori practices are an expression of autonomy in the face of enduring health system failure. Apart from lower immunisation rates, health outcomes were not different from other models of care, despite patients having higher health risk profiles. Across all models, primary care need was unmet for many Māori, despite increased clinical input. Funding must support under-resourced Māori practices and ensure accountability for the health outcomes of Mā…
Nurses’ work in relation to patient health outcomes
Transferring work to nurses in Traditional, Health Care Home, and Corporate practices, would release general practitioner clinical time for other work. Worse patient health outcomes were associated with higher patient need and higher clinical input. It is plausible that there is insufficient clinical input to meet the degree of patient need. More practitioner clinical time is required, especially in practices with high volumes of complex patients
Is there equity of patient health outcomes across models of general practice in Aotearoa New Zealand? A national cross-sectional study
Model-level associations with poor patient outcomes suggest inequity in measures that might be used to target investment in primary care
World guidelines for falls prevention and management for older adults
BACKGROUND: falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present. OBJECTIVES: to create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older a…
The Older Persons' Index of Multiple Deprivation
Existing indices of multiple deprivation exclude indicators specifically relevant to the population aged ≥65 years. In this study we create a whole-of-population cohort of people aged ≥65 years living in private dwellings and who completed the 2013 New Zealand Census of Populations and Dwellings to create an Older Persons' Index of Multiple Deprivation (OPIMD). We combined 22 indicators representing 6 domains of deprivation (Income, Housing, Heal…
Prevalence of Loneliness and Its Association With General and Health-Related Measures of Subjective Well-Being in a Longitudinal Bicultural Cohort of Older Adults in Advanced Age Living in New Zealand
Our findings of adverse impacts on subjective well-being corroborate other evidence, highlighting loneliness as a prime candidate for intervention-appropriate to cultural context-to improve well-being for adults in advanced age
Diagnostic Accuracy of 10/66 Dementia Protocol in Fijian-Indian Elders Living in New Zealand
The 10/66 dementia protocol was developed as a language and culture-fair instrument to estimate the prevalence of dementia in non-English speaking communities. The aim of this study was to validate the 10/66 dementia protocol in elders of Indian ethnicity born in the Fiji Islands (Fijian-Indian) living in New Zealand. To our knowledge, this is the first time a dementia diagnostic tool has been evaluated in the Fijian-Indian population in New Zeal…
Predictive factors for entry to long-term residential care in octogenarian Māori and non-Māori in New Zealand, LiLacs NZ cohort
Non-Māori participants (predominantly European) entered LTC at almost twice the rate of Māori. Factors differed between Māori and non-Māori. Potentially, the needs, preferences, expectations and/or values may differ correspondingly. Research with different cultural/ethnic groups is required to determine how these differences should inform service development
Gardens as resources in advanced age in Aotearoa NZ
Do household living arrangements explain gender and ethnicity differences in receipt of support services? Findings from LiLacs NZ Māori and non-Māori advanced age cohorts
Services providing practical support are a key component in the spectrum of social care assisting older people to age in place. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu/Life and Living in Advanced Age: A Cohort Study in New Zealand (LiLACS NZ), a longitudinal study of Māori and non-Māori in advanced age, aims to determine predictors of successful ageing and to understand trajectories of health and wellbeing. This paper investigates whether house…
Retrospective analysis of the 13-year trend in acute and elective surgery for patients aged 60 years and over at Auckland City Hospital, New Zealand
BACKGROUND: As the worldwide population has aged, the number of surgical procedures performed on older patients has increased. It is not known whether this increase has been proportional to growth in the elderly population. The aim of this study was to assess the population-adjusted incidence of acute and elective general and orthopaedic surgery in older patients at a tertiary hospital in New Zealand. METHODS: This was a retrospective study using…
Challenged but not threatened
Improving adherence to multiple medications in older people in primary care
BACKGROUND: Medication adherence is vital to ensuring optimal patient outcomes, particularly amongst multimorbid older people prescribed multiple medications. Interventions targeting adherence often lack a theoretical underpinning and this may impact on effectiveness. The theoretical domains framework (TDF) of behaviour can aid intervention development by systematically identifying key determinants of medication adherence. OBJECTIVES: This study …
Ethnic and Gender Differences in Preferred Activities among Māori and non-Māori of Advanced age in New Zealand
Attachment to place in advanced age
Changing the balance of social care for older people
The demographic ageing of New Zealand society, as elsewhere in the developed world, has dramatically increased the proportion of older people (aged 65 years and over) in the population. This has major policy implications for the future organisation of social care. Our objective was to test the effects on social care use, first, of putative changes in the overall disability profile of older people, and second, of alterations to the balance of thei…
Expressive Writing and Wound Healing in Older Adults
OBJECTIVE: To investigate whether expressive writing could speed wound reepithelialization in healthy, older adults. METHODS: In this randomized controlled trial, 49 healthy older adults aged 64 to 97 years were assigned to write for 20 minutes a day either about upsetting life events (Expressive Writing) or about daily activities (Time Management) for 3 consecutive days. Two weeks postwriting, 4-mm punch biopsy wounds were created on the inner, …
Met and unmet need for personal assistance among community-dwelling New Zealanders 75 years and over
Ageing in place initiatives that aim to keep older people out of hospitals and rest homes and in their own homes for longer have been at the forefront of aged care policy since the early 1990s. The success of these policies depends largely on the availability of a suitable home environment, a supportive social network and regular assessment to detect changes in the older person's health status and needs for support. The BRIGHT Trial was a randomi…
But I do believe you've got to accept that that's what life's about’
This paper explores older people's views, experiences and sources of bereavement support following the death of a spouse, family member or other significant individual. Telephone interviews were conducted with 28 bereaved older adults recruited from the Brief Risk Identification Geriatric Health Tool trial participants in three geographically diverse District Health Boards in New Zealand. Analysis adhered to the principles of grounded theory and …
OP16 How is Objectively Measured Physical Activity Associated with Falls and fear of Falling in Older Community Dwelling Men
Background Falls are a major cause of disability in older age and fear of falling (FOF) may limit physical activity. Associations between falls, fear of falling and objectively measured physical activity (PA) has been little studied, particularly in community-dwelling older adults. Methods The study sample was men participating in a prospective, population-based cohort study in 24 British towns provided questionnaire information on a history of f…
Resilience from the point of view of older people
Health equity in the New Zealand health care system
There is a struggle to put equity principles into practice, indicating will without enactment. Equity is not addressed systematically below strategic levels and equity does not shape funding decisions, program development, implementation and monitoring. Equity is not incentivized although examples of exceptional practice, driven by individuals, are evident across New Zealand
Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population
PURPOSE: Although screening for unipolar depression is controversial, it is potentially an efficient way to find undetected cases and improve diagnostic acumen. Using a reference standard, we aimed to validate the 2- and 9-question Patient Health Questionnaires (PHQ-2 and PHQ-9) in primary care settings. The PHQ-2 comprises the first 2 questions of the PHQ-9. METHODS: Consecutive adult patients attending Auckland family practices completed the PH…
The psychosocial health status of carers of persons with dementia
Older people and their social spaces
Resilience from the point of view of older people
Attachment to place in advanced age
Challenged but not threatened
Met and unmet need for personal assistance among community-dwelling New Zealanders 75 years and over
Ageing in place initiatives that aim to keep older people out of hospitals and rest homes and in their own homes for longer have been at the forefront of aged care policy since the early 1990s. The success of these policies depends largely on the availability of a suitable home environment, a supportive social network and regular assessment to detect changes in the older person's health status and needs for support. The BRIGHT Trial was a randomi…
Gardens as resources in advanced age in Aotearoa NZ
Ethnic and Gender Differences in Preferred Activities among Māori and non-Māori of Advanced age in New Zealand
Changing the balance of social care for older people
The demographic ageing of New Zealand society, as elsewhere in the developed world, has dramatically increased the proportion of older people (aged 65 years and over) in the population. This has major policy implications for the future organisation of social care. Our objective was to test the effects on social care use, first, of putative changes in the overall disability profile of older people, and second, of alterations to the balance of thei…
But I do believe you've got to accept that that's what life's about’
This paper explores older people's views, experiences and sources of bereavement support following the death of a spouse, family member or other significant individual. Telephone interviews were conducted with 28 bereaved older adults recruited from the Brief Risk Identification Geriatric Health Tool trial participants in three geographically diverse District Health Boards in New Zealand. Analysis adhered to the principles of grounded theory and …
Intercultural Residential Care in New Zealand
Along with other Organization for Economic Cooperation and Development (OECD) countries, New Zealand’s society is aging such that an increase in the number of older people requiring residential care is predicted. What cannot be foreseen is how culturally defined health beliefs affect the care given to older people in residential care. In this article, the authors describe and discuss the culturally based health beliefs of some Pacific Islands car…
Falls Assessment Clinical Trial (Fact)
The two recruitment strategies and the community based intervention delivery were feasible and successful, identifying a high risk group with multiple falls. Recruitment in the waiting room gave higher response rates but was less efficient than practice mail-out. Testing the effectiveness of an evidence based intervention in a 'real life' setting is important
The Healthy Steps Study
Australian and New Zealand Clinical Trials Registry ACTRN012606000023550
Older people and their social spaces
Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population
PURPOSE: Although screening for unipolar depression is controversial, it is potentially an efficient way to find undetected cases and improve diagnostic acumen. Using a reference standard, we aimed to validate the 2- and 9-question Patient Health Questionnaires (PHQ-2 and PHQ-9) in primary care settings. The PHQ-2 comprises the first 2 questions of the PHQ-9. METHODS: Consecutive adult patients attending Auckland family practices completed the PH…
Primary Care in an Aging Society
The authors describe the development of a microsimulation model of primary medical care in New Zealand for 2002 and demonstrate its ability to test the impact of demographic ageing, community support, and practitioner repertoire. Micro-level data were drawn from four sources: two iterations of the New Zealand Health Survey (NZHS 1996/1997 and 2002/2003); a national survey of ambulatory care in New Zealand (New Zealand National Primary Medical Car…
Health equity in the New Zealand health care system
There is a struggle to put equity principles into practice, indicating will without enactment. Equity is not addressed systematically below strategic levels and equity does not shape funding decisions, program development, implementation and monitoring. Equity is not incentivized although examples of exceptional practice, driven by individuals, are evident across New Zealand
OP16 How is Objectively Measured Physical Activity Associated with Falls and fear of Falling in Older Community Dwelling Men
Background Falls are a major cause of disability in older age and fear of falling (FOF) may limit physical activity. Associations between falls, fear of falling and objectively measured physical activity (PA) has been little studied, particularly in community-dwelling older adults. Methods The study sample was men participating in a prospective, population-based cohort study in 24 British towns provided questionnaire information on a history of f…
Resilience from the point of view of older people
Expressive Writing and Wound Healing in Older Adults
OBJECTIVE: To investigate whether expressive writing could speed wound reepithelialization in healthy, older adults. METHODS: In this randomized controlled trial, 49 healthy older adults aged 64 to 97 years were assigned to write for 20 minutes a day either about upsetting life events (Expressive Writing) or about daily activities (Time Management) for 3 consecutive days. Two weeks postwriting, 4-mm punch biopsy wounds were created on the inner, …
Met and unmet need for personal assistance among community-dwelling New Zealanders 75 years and over
Ageing in place initiatives that aim to keep older people out of hospitals and rest homes and in their own homes for longer have been at the forefront of aged care policy since the early 1990s. The success of these policies depends largely on the availability of a suitable home environment, a supportive social network and regular assessment to detect changes in the older person's health status and needs for support. The BRIGHT Trial was a randomi…
But I do believe you've got to accept that that's what life's about’
This paper explores older people's views, experiences and sources of bereavement support following the death of a spouse, family member or other significant individual. Telephone interviews were conducted with 28 bereaved older adults recruited from the Brief Risk Identification Geriatric Health Tool trial participants in three geographically diverse District Health Boards in New Zealand. Analysis adhered to the principles of grounded theory and …
Changing the balance of social care for older people
The demographic ageing of New Zealand society, as elsewhere in the developed world, has dramatically increased the proportion of older people (aged 65 years and over) in the population. This has major policy implications for the future organisation of social care. Our objective was to test the effects on social care use, first, of putative changes in the overall disability profile of older people, and second, of alterations to the balance of thei…
Ethnic and Gender Differences in Preferred Activities among Māori and non-Māori of Advanced age in New Zealand
Attachment to place in advanced age
Improving adherence to multiple medications in older people in primary care
BACKGROUND: Medication adherence is vital to ensuring optimal patient outcomes, particularly amongst multimorbid older people prescribed multiple medications. Interventions targeting adherence often lack a theoretical underpinning and this may impact on effectiveness. The theoretical domains framework (TDF) of behaviour can aid intervention development by systematically identifying key determinants of medication adherence. OBJECTIVES: This study …
Challenged but not threatened
Do household living arrangements explain gender and ethnicity differences in receipt of support services? Findings from LiLacs NZ Māori and non-Māori advanced age cohorts
Services providing practical support are a key component in the spectrum of social care assisting older people to age in place. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu/Life and Living in Advanced Age: A Cohort Study in New Zealand (LiLACS NZ), a longitudinal study of Māori and non-Māori in advanced age, aims to determine predictors of successful ageing and to understand trajectories of health and wellbeing. This paper investigates whether house…
Retrospective analysis of the 13-year trend in acute and elective surgery for patients aged 60 years and over at Auckland City Hospital, New Zealand
BACKGROUND: As the worldwide population has aged, the number of surgical procedures performed on older patients has increased. It is not known whether this increase has been proportional to growth in the elderly population. The aim of this study was to assess the population-adjusted incidence of acute and elective general and orthopaedic surgery in older patients at a tertiary hospital in New Zealand. METHODS: This was a retrospective study using…
Diagnostic Accuracy of 10/66 Dementia Protocol in Fijian-Indian Elders Living in New Zealand
The 10/66 dementia protocol was developed as a language and culture-fair instrument to estimate the prevalence of dementia in non-English speaking communities. The aim of this study was to validate the 10/66 dementia protocol in elders of Indian ethnicity born in the Fiji Islands (Fijian-Indian) living in New Zealand. To our knowledge, this is the first time a dementia diagnostic tool has been evaluated in the Fijian-Indian population in New Zeal…
Predictive factors for entry to long-term residential care in octogenarian Māori and non-Māori in New Zealand, LiLacs NZ cohort
Non-Māori participants (predominantly European) entered LTC at almost twice the rate of Māori. Factors differed between Māori and non-Māori. Potentially, the needs, preferences, expectations and/or values may differ correspondingly. Research with different cultural/ethnic groups is required to determine how these differences should inform service development
Gardens as resources in advanced age in Aotearoa NZ
World guidelines for falls prevention and management for older adults
BACKGROUND: falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present. OBJECTIVES: to create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older a…
The Older Persons' Index of Multiple Deprivation
Existing indices of multiple deprivation exclude indicators specifically relevant to the population aged ≥65 years. In this study we create a whole-of-population cohort of people aged ≥65 years living in private dwellings and who completed the 2013 New Zealand Census of Populations and Dwellings to create an Older Persons' Index of Multiple Deprivation (OPIMD). We combined 22 indicators representing 6 domains of deprivation (Income, Housing, Heal…
Prevalence of Loneliness and Its Association With General and Health-Related Measures of Subjective Well-Being in a Longitudinal Bicultural Cohort of Older Adults in Advanced Age Living in New Zealand
Our findings of adverse impacts on subjective well-being corroborate other evidence, highlighting loneliness as a prime candidate for intervention-appropriate to cultural context-to improve well-being for adults in advanced age
Medicine (28 obras) · Gerontology (18 obras) · Psychology (17 obras) · Health disparities and outcomes (15 obras) · Environmental health (11 obras) · Sociology (11 obras) · Nursing (10 obras) · Population (10 obras) · Migration, Aging, and Tourism Studies (8 obras) · Social Psychology (8 obras)