{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T11:29:36Z","timestamp":1781263776541,"version":"3.54.1"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Healthy Ageing Research Consortium"},{"name":"South Australian Department for Innovation and Skills"},{"name":"Hospital Research Foundation and Resthaven Inc"},{"name":"JSPS KAKENHI","award":["22\u00a0K10406"],"award-info":[{"award-number":["22\u00a0K10406"]}]},{"DOI":"10.13039\/501100001779","name":"Monash University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001779","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["APP1195460"],"award-info":[{"award-number":["APP1195460"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NHMRC Boosting Dementia Research Leadership Fellowship"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Understanding how analgesics are used in different countries can inform initiatives to improve the pharmacological management of pain in nursing homes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To compare patterns of analgesic use among Australian and Japanese nursing home residents; and explore Australian and Japanese healthcare professionals\u2019 perspectives on analgesic use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Part one involved a cross-sectional comparison among residents from 12 nursing homes in South Australia (N\u2009=\u2009550) in 2019 and four nursing homes in Tokyo (N\u2009=\u2009333) in 2020. Part two involved three focus groups with Australian and Japanese healthcare professionals (N\u2009=\u200916) in 2023. Qualitative data were deductively content analysed using the World Health Organization six-step Guide to Good Prescribing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Australian and Japanese residents were similar in age (median: 89 vs 87) and sex (female: 73% vs 73%). Overall, 74% of Australian and 11% of Japanese residents used regular oral acetaminophen, non-steroidal anti-inflammatory drugs or opioids. Australian and Japanese healthcare professionals described individualising pain management and the first-line use of acetaminophen. Australian participants described their therapeutic goal was to alleviate pain and reported analgesics were often prescribed on a regular basis. Japanese participants described their therapeutic goal was to minimise impacts of pain on daily activities and reported analgesics were often prescribed for short-term durations, corresponding to episodes of pain. Japanese participants described regulations that limit opioid use for non-cancer pain in nursing homes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Analgesic use is more prevalent in Australian than Japanese nursing homes. Differences in therapeutic goals, culture, analgesic regulations and treatment durations may contribute to this apparent difference.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afae024","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T13:48:43Z","timestamp":1709041723000},"source":"Crossref","is-referenced-by-count":11,"title":["A mixed-methods study on the pharmacological management of pain in Australian and Japanese nursing homes"],"prefix":"10.1093","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2228-5508","authenticated-orcid":false,"given":"Laura A","family":"Dowd","sequence":"first","affiliation":[{"name":"Centre for Medicine Use and Safety (CMUS) , Faculty of Pharmacy and Pharmaceutical Sciences, , Parkville, Victoria , Australia"},{"name":"Monash University , Faculty of Pharmacy and Pharmaceutical Sciences, , Parkville, Victoria , 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