title: Anxiety and Depression during Transition from Hospital to Community in Older Adults: Concepts of a Study to Explain Late Age Onset Depression.
abstract: The transition between extended hospitalization and discharge home to community-living contexts for older adults is a critical time period. This transition can have an impact on the health outcomes of older adults such as increasing the risk for health outcomes like falls, functional decline and depression and anxiety. The aim of this work is to identify and understand why older adults experience symptoms of depression and anxiety post-discharge and what factors are associated with this. This is a mixed methods study of adults aged 65 years and over who experienced a period of hospitalization longer than two weeks and return to community-living post-discharge. Participants will complete a questionnaire at baseline and additional monthly follow-up questionnaires for six months. Anxiety and depression and their resulting behaviors are major public health concerns and are significant determinants of health and wellbeing among the ageing population. There is a critical need for research into the impact of an extended period of hospitalization on the health status of older adults post-discharge from hospital. This research will provide evidence that will inform interventions and services provided for older adults after they have been discharged home from hospital care.
authors.affiliation: Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC 3199, Australia. aislinn.lalor@monash.edu.|Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. aislinn.lalor@monash.edu.
authors.forename: Aislinn F
authors.initials: AF
authors.lastname: Lalor
authors.affiliation: Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. ted.brown@monash.edu.|Department of Occupational Therapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC 3199, Australia. ted.brown@monash.edu.
authors.forename: Ted
authors.initials: T
authors.lastname: Brown
authors.affiliation: Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC 3199, Australia. lauren.robins@monash.edu.|Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. lauren.robins@monash.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Robins
authors.affiliation: Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC 3199, Australia. angel.lee@monashhealth.org.|Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. angel.lee@monashhealth.org.
authors.forename: Den-Ching Angel
authors.initials: DC
authors.lastname: Lee
authors.affiliation: Monash Health, Kingston Centre, Cheltenham, VIC 3192, Australia. daniel.oconnor2@monashhealth.org.
authors.forename: Daniel
authors.initials: D
authors.lastname: O'Connor
authors.affiliation: School of Primary Health Care, Monash University, Notting Hill, VIC 3168, Australia. grant.russell@monash.edu.
authors.forename: Grant
authors.initials: G
authors.lastname: Russell
authors.affiliation: School of Psychological Sciences, Monash University-Clayton Campus, Clayton, VIC 3800, Australia. rene.stolwyk@monash.edu.
authors.forename: Rene
authors.initials: R
authors.lastname: Stolwyk
authors.affiliation: Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. fiona.mcdermott@monash.edu.|School of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University-Caulfield Campus, Caulfield East, VIC 3145, Australia. fiona.mcdermott@monash.edu.
authors.forename: Fiona
authors.initials: F
authors.lastname: McDermott
authors.affiliation: Monash Health, Kingston Centre, Cheltenham, VIC 3192, Australia. christina.johnson@monashhealth.org.
authors.forename: Christina
authors.initials: C
authors.lastname: Johnson
authors.affiliation: Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC 3199, Australia. terrence.haines@monash.edu.|Monash Health, Allied Health Research Unit, Cheltenham, VIC 3192, Australia. terrence.haines@monash.edu.
authors.forename: Terry P
authors.initials: TP
authors.lastname: Haines
keywords: anxiety; community-living; depression; falls; health; hospitalization; older adult; post-discharge; wellbeing