Profiles

Lyn Goldberg

UTAS Home Associate Professor Lyn Goldberg

Lyn Goldberg

Associate Professor
Wicking Dementia Research & Education Centre

Room 421C (Level 4), Medical Science 1, Hobart CBD Campuses

+61 459 500 995 (phone)

Lyn.Goldberg@utas.edu.au

Aboriginal and Torres Strait Islander peoples have a five times higher risk of developing dementia than non-Indigenous Australians. This is one symptom of a greater problem – Australia’s First Nations peoples have long experienced poorer health than other Australians due to continued social inequalities over generations, a situation common to First Nations peoples around the world.

Associate Professor Goldberg’s research focuses on dementia risk and reduction, working with First Nations people in North-West Tasmania. In partnership with the Circular Head Aboriginal community and other members of her UTAS team, this work is developing a model that can be applied more widely in Australia and overseas.

‘I’ve always been interested in preventing ill-health,’ says Dr Goldberg. ‘But money tends to be more readily available for rehabilitation services.

‘I came to the Wicking Centre in 2014 as part of a multidisciplinary team. My background in speech pathology led to an initial focus on oral health in older people, including those with dementia.

‘The most exciting thing about my work is keeping people healthier and reducing dementia risk,’ she says. ‘Tasmania has poor statistics in the area of health, especially for its remote and rural communities, and I’m playing a role in changing that.’

Circular Head Aboriginal community

Associate Professor Goldberg is working alongside the Circular Head Aboriginal community in Tasmania’s North-West to develop models of health prevention and education that will ultimately benefit communities around the world facing similar problems.

‘Since 2016, funding of $1.2 million has been secured for the Circular Head Aboriginal community to educate members about dementia and modifiable risk factors,’ says Dr Goldberg. ‘When I first met the chief executive of the community, Dianne Baldock, there was concern about the increasing number of people developing dementia. Funding was needed to talk about this in the community, to hear from the community about its concerns and to work together to address modifiable risk factors.

‘Circular Head is classified as rural and remote. Burnie is the nearest city, an hour’s drive away. Many medical services are provided by people who come periodically into the local area. The onsite general practice is staffed by non-Aboriginal doctors, and misunderstandings can arise regarding the care needed by Aboriginal patients. Such misunderstandings have contributed to Aboriginal people not going to the doctor.’

Dr Goldberg explains that with an Aboriginal population of about 900 in the Smithton area, there is an urgent need for Aboriginal primary healthcare workers. ‘We now have funding for some community members to complete studies to take on this role, as an important and valuable cultural bridge between the Aboriginal community and non-Aboriginal doctors.’

A roadmap for dementia

Wicking’s Preventing Dementia MOOC (massive online open course) is proving invaluable here.

‘We’re helping people in the community to take this free five-week course. We can then see what has been learned and how, and what can be done to change lifestyle factors to reduce risks for dementia. It also helps us work out what else may be needed in the MOOC to help First Nations people feel listened to and recognised.’

A national initiative is now being funded by the NHMRC and the National Institute for Dementia Research to create a Dementia Research Roadmap for Aboriginal and Torres Strait Islander people. Dr Goldberg is on the committee overseeing this project, and members of the Circular Head Aboriginal community are assisting with its development.

An island model with global implications

Dr Goldberg grew up in Tasmania but studied and worked for many years overseas. ‘I’ve come full circle. I left for the US to do my Masters and doctorate, and gained valuable clinical and administrative experience. It’s good to be able to bring those skills back to Tasmania.

‘Tasmania can work as a model for island communities elsewhere. The Tasmanian Healthy Brain Project spearheaded by Professor James Vickers is one example – it aims to help Tasmanians understand risk factors for health, including dementia, and to combat those.

‘Not enough high school students go on to university in Tasmania. We now have funding for eight Aboriginal students from Circular Head to study in the Bachelor of Dementia Care (BDC) developed by the Wicking Centre. This is a fantastic opportunity for these students, for their community, and for us in the BDC team, as the students’ participation brings a First Nations’ perspective to the course. There is further flow-on in that it draws attention to the fact that there are indeed Aboriginal people in Tasmania and how we can learn about their rich history, culture, and traditions.’

Associate Professor Goldberg aims first to broaden the research impact by involving more Aboriginal communities within the state. ‘I work closely with Dianne Baldock in Circular Head. Di is a co-author on any research publications and co-writer on grant submissions. Our work has implications for similar communities around Australia and the world.’

Lyn's background is in speech pathology. After some years in clinical practice in the United States, she was recruited to be a Director at the American Speech-Language-Hearing Association (ASHA) in Washington, DC, focusing on policy development. She then moved into academia, teaching and conducting research in interprofessional education in gerontology, and swallowing, nutritional, and related quality of life issues in older adults. She served as a member of the Executive Board of ASHA and was later honoured as a Fellow of ASHA.

Her work at the Wicking Centre focuses on two areas: (a) oral and nutritional health of older adults with dementia, and (b) the scholarship of teaching and learning (SoTL), documenting the quality and impact of the Bachelor of Dementia Care program.

Biography

Before joining the University of Tasmania, Lyn was the John and Ruby Hendren Distinguished Professor of Communication Sciences and Disorders in the College of Health Sciences at Wichita State University (Wichita, Kansas, USA) with an adjunct position in Preventive Care at the University of Kansas School of Medicine.

Prior to this, she served as Associate Dean in the College of Health Sciences at Missouri State University (Missouri, USA).

Before that, she began her academic career at the George Washington University in Washington, DC (USA).

Her academic career followed seven years in association management at ASHA which was preceded by clinical practice in speech pathology. Lyn completed her undergraduate studies at the University of Melbourne and her graduate, doctoral, and post-doctoral studies in the United States.

Career summary

Qualifications

  • PhD, Wayne State Univ. (Detroit, Michigan), USA, 1995, The Effects of the Attenuation of Second and Third Format Frequencies on the Recognition of Stop Consonant Vowel Syllables in Aphasic and Non-aphasic subjects
  • MA, Western Michigan University (Kalamazoo, Michigan), USA, 1975
  • BSc, Lincoln Institute/University of Melbourne, Australia, 1972

Memberships

Professional practice

  • Australian Association of Gerontology (AAG)
  • American Speech‑Language‑Hearing Association (ASHA)
  • Dysphagia Research Society (DRS)
  • International Association of Logopedics and Phoniatrics (IALP)
  • International Society for the Scholarship of Teaching and Learning (ISSOTL)

Administrative expertise

  • Director, American Speech-language-Hearing Association (ASHA)
  • Executive Board member of ASHA
  • Associate Dean, Missouri State University

Teaching

Communication sciences, neurobiology of dementia, dementia care, dysphagia (swallowing disorders), oral health; nutrition; quality of life, interprofessional education

Teaching expertise

In Kansas, Dr Goldberg was a member of an interprofessional, inter-university team to facilitate interprofessional education. This involved simulation, using computerized manikins and standardized patients, with teams of students from medicine, pharmacy, nursing and allied health.

Teaching responsibility

Dr Goldberg teaches into Bachelor of Dementia Care M3S.

Units taught:

Research Invitations

  • Invitation to submit a paper to Obesity Research – Open Journal (July 2015) – paper is currently under review

View more on AssocProf Lyn Goldberg in WARP

Expertise

    • Oral health, swallowing function, nutritional health of adults with dementia
    • Secondary preventive care for older adults regarding tongue strength, swallowing function, and nutritional health
    • Interprofessional education

Research Themes

Lyn's research aligns to the University's theme of Better Health. Her focus is on the oral and nutritional health of adults with dementia, particularly those who live in residential care. Studies show that oral health is essential for physical and nutritional health and quality of life. However providing effective oral health care for adults in Australian residential aged care facilities (RACFs) remains a wicked problem.

Poor oral health is particularly troublesome for residents with dementia who rely on others for care, and is strongly linked to aspiration pneumonia - and aspiration pneumonia is the most common reason residents with dementia are hospitalised, and re-hospitalised. These unplanned hospitalisations are associated with both poor health and economic outcomes compared to approaches that avoid hospitalisation. Well-controlled studies have documented the effectiveness of systematic oral care in preventing or reducing aspiration pneumonia and pneumonia-related transfers to hospital for residents with dementia.

Lyn is a member of an interprofessional team that has demonstrated that effective oral care improves health and quality of life, and shown how service provision in RACFs can be optimised to facilitate this. Yet, despite this evidence, the systematic implementation of best evidence oral care procedures has been minimal for the increasing number of adults with dementia who live in residential care in Australia.

Lyn's team plans to take this best evidence and translate it into best practice for these vulnerable adults. The overarching aim of their work is to implement systematic, evidence-based oral health intervention for adults with dementia in residential aged care facilities in Tasmania and other Australian states.

A key and novel facet of the intervention will be the establishment of interprofessional Communities of Practice (CoPs) in these states. The CoPs will comprise key RACF staff working together with dental, speech pathology, dietetic, dementia, palliative care, and geriatric experts from the community.

Collaboration

Lyn is currently involved in two international projects with her colleague, Dr Cynthia Heiss, in the USA. These projects are investigating (a) the effect of a period of light post-meal exercise to maintain stable glucose levels after carbohydrate intake in obese adults who are at-risk for diabetes and dementia; and (b) the effect of screening self-reported healthy older adults for tongue strength and perceptions of swallowing function for the early identification of sarcopenia and decreased swallowing ability. Lyn and Cynthia have a productive research history.

Awards

  • Awarded a total of $174,000 in university grants in the United States 2009-2013
  • CIA,Quality of life in older adults: Impact of swallowing disorders. Funded by the Gridley Hoover foundation through the Kansas Regional Institute on Aging (R50396, $20,000; 2009-2011)
  • CID, Systematic implementation of a modular progression for learning effectively (SIMPLE). Funded through the U.S. Department of Education Fund for Improvement of Post-Secondary Education Programs (FIPSE; $350,000, 2010-2012)

Current projects

  1. An observational study of the nutritional health of adults with dementia in residential care (Hobart-based).
  2. Post-meal exercise may attenuate the glycemic response to a carbohydrate load: Important implications for adults who are obese, with pre-diabetes or diabetes, and/or at-risk for dementia.
  3. Assessing tongue strength and swallowing function in self-rated healthy older adults and those living independently in residential care.

Fields of Research

  • Health Promotion (111712)
  • Aged Health Care (111702)
  • Dentistry (110599)
  • Aboriginal and Torres Strait Islander Health (111701)
  • Residential Client Care (111718)
  • Nutrition and Dietetics (111199)
  • Public Health and Health Services (111799)
  • Geriatrics and Gerontology (110308)
  • Medicine, Nursing and Health Curriculum and Pedagogy (130209)
  • Midwifery (111006)
  • Public Nutrition Intervention (111104)
  • Oral Medicine and Pathology (110505)
  • Primary Health Care (111717)
  • Aged Care Nursing (111001)
  • Microbiology (060599)
  • Medical and Health Sciences (119999)
  • Medical Microbiology (110899)
  • Neurosciences (110999)
  • Complementary and Alternative Medicine (110499)
  • Microbial Genetics (060503)
  • Maori Health (111713)
  • Sociology (160899)
  • Clinical and Sports Nutrition (111101)
  • Music Therapy (190408)
  • Higher Education (130103)
  • Medical Infection Agents (incl. Prions) (110802)
  • Clinical Pharmacy and Pharmacy Practice (111503)
  • Special Needs Dentistry (110509)
  • Preventive Medicine (111716)
  • Social Program Evaluation (160703)
  • Neurology and Neuromuscular Diseases (110904)
  • Clinical Nursing: Primary (Preventative) (111002)
  • Community Child Health (111704)
  • Dietetics and Nutrigenomics (111102)

Research Objectives

  • Health Education and Promotion (920205)
  • Dental Health (920402)
  • Health Related to Ageing (920502)
  • Evaluation of Health Outcomes (920204)
  • Rural Health (920506)
  • Health and Support Services (920299)
  • Nursing (920210)
  • Allied Health Therapies (excl. Mental Health Services) (920201)
  • Learner and Learning Processes (930102)
  • Aboriginal and Torres Strait Islander Health - Determinants of Health (920301)
  • Aboriginal and Torres Strait Islander Health - Health Status and Outcomes (920302)
  • Nutrition (920411)
  • Neurodegenerative Disorders Related to Ageing (920112)
  • Nervous System and Disorders (920111)
  • Health Policy Evaluation (920208)
  • Health Status (e.g. Indicators of Well-Being) (920408)
  • Social Structure and Health (920413)
  • Infectious Diseases (920109)
  • Learner and Learning Achievement (930101)
  • Health Inequalities (920206)
  • Child Health (920501)
  • Preventive Medicine (920412)
  • Cardiovascular System and Diseases (920103)
  • Arts and Leisure (950199)
  • Respiratory System and Diseases (incl. Asthma) (920115)
  • Music (950101)
  • Teaching and Instruction Technologies (930203)
  • Pedagogy (930201)

Publications

Lyn has over 30 years' experience in the field of medical and health sciences, initially as a clinician, then administratively, and then through her clinically-applied research. She has published 56 peer-reviewed papers, 28 of which have been published in the past 5 years, and two book chapters. According to Essential Science IndicatorsSM from Thomson Reuters, the journals in which she publishes are highly ranked and influential in the field of Clinical Medicine.

Lyn is recognised for her leadership in the area of interprofessional education and practice, and, with Cynthia Heiss, for her innovative development and use of validated portable tools to measure the energy expenditure, level of hydration, and nutritional status of adults with dementia and dysphagia in residential care. She is a member of the College of Reviewers for the journal of Higher Education Research and Development, serves on the Editorial Board of Communication Disorders Quarterly, reviews for highly ranked journals, and was an external reviewer for NHMRC in 2014, her first year back in Australia. In 2014, she received a publisher's award for the article, Goldberg, L.R. (2014). The importance of interprofessional education for students in communication sciences and disorders. Communication Disorders Quarterly. DOI: 10.1177/1525740114544701.

Total publications

88

Journal Article

(44 outputs)
YearCitationAltmetrics
2019Cox T, Hoang H, Goldberg LR, Baldock D, 'Aboriginal community understandings of dementia and responses to dementia care', Public Health, 172 pp. 15-21. ISSN 0033-3506 (2019) [Refereed Article]

DOI: 10.1016/j.puhe.2019.02.018 [eCite] [Details]

Co-authors: Cox T; Hoang H

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2019Crocombe LA, Allen P, Khan S, Godwin D, Bettiol S, et al., 'Preventable hospital admissions for oral health-related conditions in Australia: a descriptive analysis', Australian Journal of Rural Health ISSN 1038-5282 (In Press) [Refereed Article]

[eCite] [Details]

Co-authors: Crocombe LA; Allen P; Khan S; Godwin D; Bettiol S; Barnett T; Hoang H

2018Goldberg LR, Cox T, Hoang H, Baldock D, 'Addressing dementia with Indigenous peoples: a contributing initiative from the Circular Head Aboriginal community', Australian and New Zealand Journal of Public Health pp. 1-3. ISSN 1753-6405 (2018) [Contribution to Refereed Journal]

DOI: 10.1111/1753-6405.12798 [eCite] [Details]

Co-authors: Cox T; Hoang H

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2018Acharya A, Khan S, Hoang H, Bettiol SS, Goldberg L, et al., 'Dental conditions associated with preventable hospital admissions in Australia: a systematic literature review', Bmc Health Services Research, 18 pp. 1-12. ISSN 1472-6963 (2018) [Refereed Article]

DOI: 10.1186/s12913-018-3733-2 [eCite] [Details]

Citations: Scopus - 1

Co-authors: Acharya A; Khan S; Hoang H; Bettiol SS; Crocombe L

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2018Lea EJ, Goldberg LR, Price AD, Tierney LT, McInerney FJ, 'Best intentions or best practice? A case study of the nutritional needs and outcomes of a person with dementia living in a residential aged care home', International Journal of Nursing Practice, 25, (1) Article e12692. ISSN 1322-7114 (2018) [Refereed Article]

DOI: 10.1111/ijn.12692 [eCite] [Details]

Co-authors: Lea EJ; Price AD; Tierney LT; McInerney FJ

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2017Crocombe LA, Goldberg LR, Bell E, Seidel B, 'A comparative analysis of policies addressing rural oral health in eight English-speaking OECD countries', Rural and Remote Health, 17, (3) pp. 1-12. ISSN 1445-6354 (2017) [Refereed Article]

[eCite] [Details]

Co-authors: Crocombe LA; Bell E; Seidel B

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2017Goldberg LR, Crocombe LA, 'Advances in medical education and practice: role of massive open online courses', Advances in Medical Education and Practice, 8 pp. 603-609. ISSN 1179-7258 (2017) [Contribution to Refereed Journal]

DOI: 10.2147/AMEP.S115321 [eCite] [Details]

Citations: Web of Science - 10

Co-authors: Crocombe LA

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2017Lea EJ, Goldberg LR, Price AD, Tierney LT, McInerney F, 'Staff awareness of food and fluid care needs for older people with dementia in residential care: A qualitative study', Journal of clinical nursing, 26, (23-24) pp. 5169-5178. ISSN 0962-1067 (2017) [Refereed Article]

DOI: 10.1111/jocn.14066 [eCite] [Details]

Citations: Scopus - 4

Co-authors: Lea EJ; Price AD; Tierney LT; McInerney F

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2016Annear MJ, Goldberg LR, Lo A, Robinson A, 'Interprofessional curriculum development achieves results: Initial evidence from a dementia-care protocol', Journal of Interprofessional Care, 30, (3) pp. 391-393. ISSN 1356-1820 (2016) [Refereed Article]

DOI: 10.3109/13561820.2015.1117061 [eCite] [Details]

Citations: Scopus - 4Web of Science - 4

Co-authors: Annear MJ; Lo A; Robinson A

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2016Heiss CJ, Goldberg LR, 'Associations among visceral obesity, type 2 diabetes, and dementia', Journal of Obesity & Eating Disorders, 2, (2) Article 17. ISSN 2471-8203 (2016) [Refereed Article]

DOI: 10.21767/2471-8513.100027 [eCite] [Details]

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2015Goldberg LR, Bell EJ, King Carolyn, O'Mara C, McInerney F, et al., 'Relationship between participants' level of education and engagement in their completion of the Understanding Dementia Massive Open Online Course', BMC Medical Education, 15, (60) Article 60. ISSN 1472-6920 (2015) [Refereed Article]

DOI: 10.1186/s12909-015-0344-z [eCite] [Details]

Citations: Scopus - 43Web of Science - 41

Co-authors: Bell EJ; King Carolyn; O'Mara C; McInerney F; Robinson AL; Vickers JC

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2015Bell E, Campbell S, Goldberg LR, 'Nursing identity and patient-centredness in scholarly health services research: a computational text analysis of PubMed abstracts 1986-2013', BMC Health Services Research, 15 Article 3. ISSN 1472-6963 (2015) [Refereed Article]

DOI: 10.1186/s12913-014-0660-8 [eCite] [Details]

Citations: Scopus - 8Web of Science - 6

Co-authors: Bell E; Campbell S

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2015Goldberg LR, Canty A, 'Quality assurance in online learning: The contribution of computational linguistics analysis to criterion referenced assessment', eLearning Papers, (40) pp. 1-5. ISSN 1887-1542 (2015) [Refereed Article]

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Co-authors: Canty A

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2015Goldberg LR, Brown GR, Mosack VA, Fletcher PA, 'Student reflections following exposure to a case-based interprofessional learning experience: preliminary findings', Journal of Interprofessional Care, 29, (4) pp. 380-382. ISSN 1356-1820 (2015) [Refereed Article]

DOI: 10.3109/13561820.2014.969835 [eCite] [Details]

Citations: Scopus - 3Web of Science - 3

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2014Bell E, Crocombe L, Campbell S, Goldberg LR, Seidel BM, 'Understanding the research-policy divide for oral health inequality', Healthcare Policy, 10, (2) pp. 64-78. ISSN 1715-6572 (2014) [Refereed Article]

DOI: 10.12927/hcpol.2015.24037 [eCite] [Details]

Co-authors: Bell E; Crocombe L; Campbell S

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2014Goldberg LR, 'The importance of interprofessional education for students in communication sciences and disorders', Communication Disorders Quarterly, 36, (2) pp. 1-6. ISSN 1525-7401 (2014) [Refereed Article]

DOI: 10.1177/1525740114544701 [eCite] [Details]

Citations: Scopus - 5Web of Science - 4

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2014Goldberg LR, Heiss CJ, Parsons SD, Foley AS, Mefferd AS, et al., 'Hydration in older adults: The contribution of bioelectrical impedance analysis', International Journal of Speech-Language Pathology, 16, (3) pp. 273-281. ISSN 1754-9507 (2014) [Refereed Article]

DOI: 10.3109/17549507.2014.882989 [eCite] [Details]

Citations: Scopus - 12Web of Science - 10

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2014Goldberg LR, Scott Koontz J, 'Interprofessional Case-Based Problem-Solving: Learning from the CLARION Experience', Perspectives on Issues in Higher Education, 17 pp. 47-55. ISSN 1940-7521 (2014) [Professional, Non Refereed Article]

DOI: 10.1044/aihe17.2.47 [eCite] [Details]

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2013Goldberg LR, Heiss CJ, 'The Effect of Appearance on the Palatability of Thickened Apple Juice: A Pilot Study', Topics in Clinical Nutrition, 28, (2) pp. 154-162. ISSN 0883-5691 (2013) [Refereed Article]

DOI: 10.1097/TIN.0b013e31828d79df [eCite] [Details]

Citations: Scopus - 1Web of Science - 1

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2013Lira C, Tuel S, Goldberg LR, Powers N, Parham D, 'Diagnosing lactose intolerance: How PAs can facilitate breastfeeding: PAs who know how to test for diagnoses with symptoms similar to lactose intolerance may assist some mothers of colicky babies to continue breastfeeding', JAAPA, 26, (4) pp. 21-3. ISSN 1547-1896 (2013) [Refereed Article]

DOI: 10.1097/01720610-201304000-00005 [eCite] [Details]

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2012Goldberg LR, Heiss CJ, Yenter JA, Parham DF, Patterson JA, et al., 'Energy Expenditure During Chewing: A Comparison of 2 Measurement Methods', Topics in Clinical Nutrition, 27, (1) pp. 74-80. ISSN 0883-5691 (2012) [Refereed Article]

DOI: 10.1097/TIN.0b013e31824622c2 [eCite] [Details]

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2012Goldberg LR, Mosack V, Brickell J, 'Interprofessional Education In Healthcare: Establishing A Successful Dialogue For Students And Faculty', American Journal of Health Sciences, 3, (1) pp. 53-58. ISSN 2156-7794 (2012) [Refereed Article]

[eCite] [Details]

2012Heiss CJ, Goldberg LR, Weddig J, Brady H, 'Service-learning in dietetics courses: a benefit to the community and an opportunity for students to gain dietetics-related experience', Journal of the Academy of Nutrition and Dietetics, 112, (10) pp. 1524-1527. ISSN 2212-2672 (2012) [Refereed Article]

DOI: 10.1016/j.jand.2012.07.028 [eCite] [Details]

Citations: Scopus - 4Web of Science - 6

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2012McDaniel A, Goldberg LR, Powers NG, 'Midwifery in Kansas', Kansas Journal of Medicine, 5, (4) pp. 168-175. ISSN 1948-2035 (2012) [Refereed Article]

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2011Arena RA, Goldberg LR, Ingersoll CD, Larsen CD, Shelledy D, 'Research in the allied health professions: Why fund it? A report of the ASAHP research committee', Journal of Allied Health, 40, (3) pp. 161-166. ISSN 0090-7421 (2011) [Refereed Article]

PMID: 21927783 [eCite] [Details]

Citations: Scopus - 12

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2011Powers NG, Parham DF, Goldberg LR, 'Overcoming barriers to investigating mother-infant interactions in the first two hours of life', Journal of Human Lactation, 27, (3) pp. 286-292. ISSN 0890-3344 (2011) [Refereed Article]

DOI: 10.1177/0890334411409752 [eCite] [Details]

Citations: Web of Science - 1

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2010Goldberg LR, Heiss CJ, White L, Kaf WA, Becker A, et al., 'Methamphetamine exposure, iron deficiency, and implications for cognitive-communicative function: A case study', Communication Disorders Quarterly, 31, (3) pp. 183-192. ISSN 1525-7401 (2010) [Refereed Article]

DOI: 10.1177/1525740109340437 [eCite] [Details]

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2010Goldberg LR, Koontz JS, Downs D, Uhlig P, Kumar NG, et al., 'Infusing an inter-professional and inter-university perspective into healthcare education', Higher Education Research and Development, 29, (4) pp. 421-431. ISSN 0729-4360 (2010) [Refereed Article]

DOI: 10.1080/07294361003601875 [eCite] [Details]

Citations: Scopus - 5Web of Science - 4

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2010Goldberg LR, Parham DF, Coufal KL, Maeda M, Scudder RR, et al., 'Peer Review: The Importance of Education for Best Practice', Journal of College Teaching and Learning, 7, (2) pp. 71-84. ISSN 1544-0389 (2010) [Refereed Article]

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2010Heiss CJ, Goldberg LR, Dion N, 'Iron deficiency and overweight in a child exposed to methamphetamine in utero', Topics in Clinical Nutrition, 25, (2) pp. 160-164. ISSN 0883-5691 (2010) [Refereed Article]

DOI: 10.1097/TIN.0b013e3181dbb814 [eCite] [Details]

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2010Heiss CJ, Goldberg LR, Dzarnoski M, 'Registered dietitians and speech-language pathologists: an important partnership in Dysphagia management', Journal of the American Dietetic Association, 110, (9) pp. 1290, 1292-1293. ISSN 1878-3570 (2010) [Refereed Article]

DOI: 10.1016/j.jada.2010.07.014 [eCite] [Details]

Citations: Scopus - 10Web of Science - 7

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2009Goldberg LR, Coufal KL, 'Reflections on Service-Learning, Critical Thinking, and Cultural Competence', Journal of College Teaching and Learning, 6, (6) pp. 39-50. ISSN 1544-0389 (2009) [Refereed Article]

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2009Gomez GM, Goldberg LR, 'Audiologists and speech-language pathologists collaborate to help students with hearing loss', The ASHA Leader pp. 1. ISSN 1085-9586 (2009) [Professional, Refereed Article]

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2007Goldberg LR, 'Service-Learning as a Tool To Facilitate Cultural Competence', Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations pp. 3-7. ISSN 1940-753X (2007) [Professional, Refereed Article]

[eCite] [Details]

2007Gordon S, Goldberg LR, Rockwell JA, Netsell R, 'Feldenkrais-based Sensory Movement Technique and Breathing for Voice Production for the Stage', Voice and Speech Review, 5, (1) pp. 171-182. ISSN 2326-8263 (2007) [Refereed Article]

DOI: 10.1080/23268263.2007.10769756 [eCite] [Details]

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2007Rosen-Gustafsson B, Goldberg LR, 'Multilingualism and Multiculturalism in Europe: The Role of CPLOL and Its Relevance to Education Regarding Cultural Diversity in the United States', Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations pp. 8-11. ISSN 1940-753X (2007) [Professional, Refereed Article]

[eCite] [Details]

2006Goldberg LR, Richburg CM, Wood LA, 'Active Learning Through Service-Learning', Communication Disorders Quarterly, 27, (3) pp. 131-145. ISSN 1525-7401 (2006) [Refereed Article]

DOI: 10.1177/15257401060270030201 [eCite] [Details]

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2005Goldberg LR, Gordon S, Dion NM, Hellman CA, 'Understanding the voice: The value of interdisciplinary collaboration', Voice and Speech Review, 4, (1) pp. 339-349. ISSN 2326-8263 (2005) [Refereed Article]

DOI: 10.1080/23268263.2005.10739492 [eCite] [Details]

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2005Richburg CM, Goldberg LR, 'Teachers' Perceptions About Minimal Hearing Loss: A Role for Educational Audiologists', Communication Disorders Quarterly, 27, (1) pp. 4-19. ISSN 1525-7401 (2005) [Refereed Article]

DOI: 10.1177/15257401050270010301 [eCite] [Details]

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2005Richburg CM, Goldberg LR, 'Minimal Hearing Impairment: The Importance of Education', Perspectives on School-Based Issues pp. 4-7. ISSN 1940-7807 (2005) [Professional, Refereed Article]

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2004Goldberg LR, Richburg CM, 'Minimal Hearing Impairment: Major Myths With More Than Minimal Implications', Communication Disorders Quarterly, 25, (3) pp. 152-160. ISSN 1525-7401 (2004) [Refereed Article]

DOI: 10.1177/15257401040250030601 [eCite] [Details]

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2002Goldberg LR, Williams PS, Paul-Brown D, 'Leading the Change Effort: II. Developing a Systematic Framework for the Inclusion of Speech-Language Pathology Assistants in Service Delivery', Communication Disorders Quarterly, 24, (1) pp. 5-9. ISSN 1525-7401 (2002) [Refereed Article]

DOI: 10.1177/152574010202400102 [eCite] [Details]

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2002Goldberg LR, Williams PS, Paul-Brown D, 'Leading the Change Effort: I. Real and Perceived Challenges in Working with Speech-Language Pathology Assistants', Communication Disorders Quarterly, 23, (4) pp. 191-199. ISSN 1525-7401 (2002) [Refereed Article]

DOI: 10.1177/15257401020230040401 [eCite] [Details]

Citations: Scopus - 3

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2001Paul-Brown D, Goldberg LR, 'Current Policies and New Directions for Speech-Language Pathology Assistants', Language, Speech and Hearing Services in Schools, 32 pp. 4-17. ISSN 0161-1461 (2001) [Refereed Article]

DOI: 10.1044/0161-1461(2001/001) [eCite] [Details]

Citations: Scopus - 7Web of Science - 5

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Chapter in Book

(2 outputs)
YearCitationAltmetrics
2019Goldberg LR, Price AD, Becker SE, Bindoff A, 'The critical importance of a 'personhood lens' in reframing dementia care', Dementia as social experience: valuing life and care, CRC Press, G Macdonald and J Mears (ed) ISBN 9780815374572 (In Press) [Other Book Chapter]

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Co-authors: Price AD; Becker SE; Bindoff A

2018Goldberg LR, Price AD, Becker SE, Bindoff A, 'The critical importance of adopting a personhood lens' in reframing support and care for those with dementia', Dementia as Social Experience: Valuing Life and Care, Routledge, G Macdonald and J Mears (ed), United States, pp. 159-173. ISBN 9780815374572 (2018) [Research Book Chapter]

DOI: 10.4324/9781351241816-9 [eCite] [Details]

Co-authors: Price AD; Becker SE; Bindoff A

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Review

(1 outputs)
YearCitationAltmetrics
2016Heiss CJ, Goldberg LR, 'Post-meal exercise may attenuate the glycemic response to a carbohydrate load: important implications for adults who are obese, with pre-diabetes or diabetes, and/or at-risk for dementia', Obesity Research Open Journal, 2, (2) pp. 81-88. ISSN 2377-8385 (2016) [Substantial Review]

DOI: 10.17140/OROJ-2-113 [eCite] [Details]

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Conference Publication

(39 outputs)
YearCitationAltmetrics
2019Acharya A, Crocombe L, Hoang Ha, Goldberg L, 'Access to oral health care on older population by socio-demographic factors', Rural Health and Collaborative Research Symposium, 2 July, Launceston, Tasmania (2019) [Conference Extract]

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Co-authors: Acharya A; Crocombe L; Hoang Ha

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2019Bhagat V, Hoang Ha, Crocombe L, Goldberg L, 'Geriatric oral healthcare in nursing education', Rural Health and Collaborative Research Symposium, 2 July, Launceston, Tasmania (2019) [Conference Extract]

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Co-authors: Hoang Ha; Crocombe L

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2019Goldberg L, 'Why interprofessional education and collaborative care is quality care', Australian Society of Special Care in Dentistry/Dental Health Services Victoria Conference, July 19-20, Melbourne, Victoria, pp. 1-26. (2019) [Keynote Presentation]

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2019Goldberg L, 'Modified texture diets: issues for consideration', Australian Society of Special Care in Dentistry/Dental Health Services Victoria Conference, July 19-20, Melbourne, Victoria, pp. 1-19. (2019) [Keynote Presentation]

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2019Goldberg LR, Crocombe L, Breen J, Bettiol SS, King AE, et al., 'Working interprofessionally to improve oral health and reduce aspiration pneumonia risk', 15th National Rural Health Conference, 24-27 March 2019, Hobart, Tasmania (2019) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe L; Bettiol SS; King AE; Kent K; Lea EJ; McInerney F

2019Khadka S, Bettiol S, Goldberg LR, King A, McCammon S, et al., 'Effect of a six-week period of evidence-based daily oral care on the oral microbiome of people with dementia living in residential aged care', Federation of European Microbiological Society Meeting - Microbiome, 18-21 July, New York, United States (2019) [Conference Extract]

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Co-authors: Bettiol S; King A; McCammon S; Crocombe L

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2019Khan S, Allen P, Bettiol SS, Goldberg LR, Crocombe LA, 'Do preventable hospital admissions for oral health-eelated conditions vary by geographical remoteness?', National Rural Health Conference 2019, 24-27 March 2019, Hobart, Tasmania (2019) [Conference Extract]

[eCite] [Details]

Co-authors: Khan S; Allen P; Bettiol SS; Crocombe LA

2019Lea E, Goldberg L, Price A, McInerney F, Doherty K, et al., 'Providing optimal nutrition in residential aged care: The role of staff and family knowledge', Australian Dementia Forum, 13-14 June, Hobart, Tasmania (2019) [Conference Extract]

[eCite] [Details]

Co-authors: Lea E; Price A; McInerney F; Doherty K; Johnstone A; Gray D

2019Bhagat V, Hoang H, Crocombe L, Goldberg L, 'Incorporating oral health into nursing curriculums: a systematic review', 53rd World Congress on Nursing and Health Care, 21-22 June 2019, Brisbane, Australia (2019) [Conference Extract]

[eCite] [Details]

Co-authors: Hoang H; Crocombe L

2018Crocombe L, Goldberg L, 'What can allied health professionals do about aged care oral health?', National Conference for Rural and Remote Allied Health Professionals, 12-14 September, Darwin, Northern Territory (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe L

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2018Crocombe L, Goldberg L, 'The worsening crisis in aged care oral health', Australian Dental and Oral Health Therapy Association 5th International Conference, 27-29 September, Hobart, Tasmania (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe L

2018Crocombe L, Goldberg L, Bettiol S, 'The importance of interprofessional teams in facilitating the oral health of older adults', ADOHTA 5th International Conference, 27-29 September 2018, Hobart, Tasmania (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe L; Bettiol S

2018Crocombe L, Goldberg L, Bettiol S, 'The worsening crisis in aged care oral health', APHCRI Primary Health Care Research Conference, 1-3 August, Melbourne, Victoria (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe L; Bettiol S

2018Crocombe LA, Bettiol SS, Goldberg LR, Khan S, 'Our Oral Health: What Does the Future Hold?', Tasmanian Health Conference Our health: What does the future hold?, 4 August 2018, Hobart, Tasmania (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe LA; Bettiol SS; Khan S

2018Crocombe LA, Godwin D, Barnett T, Hoang Ha, Allen P, et al., 'Preventable hospital admissions of Australians for oral health-related conditions', 96th General Session and Exhibition of the International Association for Dental Research, 25-28 July, London, England (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe LA; Godwin D; Barnett T; Hoang Ha; Allen P; Bettiol S

2018Crocombe LA, Goldberg LR, 'What can health managers do about the worsening crisis in aged care oral health?', Australasian College of Health Service Managers Conference, 18-21 September, Darwin, Northern Territory (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe LA

2018Crocombe LA, Goldberg LR, Bettiol S, 'Translating research into Practice Fellowship: Where to from here?', International Association of Dental Research Geriatric Oral Research Group Symposium, 24 July, London, England (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Crocombe LA; Bettiol S

2018Forbes AM, Vreugdenhil A, Goldberg L, Wood-Baker R, Morse A, 'Assessment of the effects of singing on respiratory function and wellbeing in people with dementia', 5th International Conference of the International Association for Music and Medicine: Final Program and Abstract Book, 7-10 June 2018, Barcelona Spain, pp. 51-52. (2018) [Conference Extract]

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Co-authors: Forbes AM; Vreugdenhil A; Wood-Baker R

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2018Goldberg L, Baldock D, 'Addressing dementia with Indigenous peoples: a contributing initiative from the Circular Head Aboriginal community', Australian Public Health Conference 2018, 26-28 September 2018, Cairns, Australia (2018) [Conference Extract]

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2018Goldberg L, Westbury J, Langmore S, Crocombe L, 'Effects of oral health screening on aspiration pneumonia risk for adults with dementia in residential aged care', 4th International Conference of Long-term Care Directors & Administrators, 1-3 August, Sydney, Australia (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Westbury J; Crocombe L

2018Goldberg LR, 'Two current funded initiatives to improve the lives of people with dementia', 2nd MARC Dementia Forum, 2 October 2018, Melbourne, Australia (2018) [Conference Extract]

[eCite] [Details]

2018Goldberg LR, Westbury J, Langmore SE, Crocombe LA, Kent K, et al., 'Oral health screening may decrease aspiration pneumonia risk for adults with dementia in residential aged care', Australia Dementia Forum, 3-5 June 2018, Sydney (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Westbury J; Crocombe LA; Kent K

2018Goldberg LR, Westbury JL, Langmore SE, Crocombe LA, Kent K, et al., 'Oral health screening may decrease aspiration pneumonia risk for adults with dementia in residential aged care', American Speech-Language-Hearing Association (ASHA) Convention, 15 - 17 November 2018, Boston, USA (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Westbury JL; Crocombe LA; Kent K

2018Khadka S, Bettiol S, King A, Goldberg LR, McCammon SA, et al., 'Comparison of DNA extraction and quantification methods to estimate bacterial load in oral cavity', Molecular Microbiology Meeting 2018, 11-12 April 2018, Sydney (2018) [Conference Extract]

[eCite] [Details]

Co-authors: Bettiol S; King A; McCammon SA; Crocombe LA

2018Lea EJ, Goldberg LR, Price AD, McInerney F, Doherty KV, et al., 'Barriers to optimising nutritional status in residents living with Dementia: rationale for development of meaningful engagement in nutritional understanding (MENU) project', 33rd International Conference of Alzheimer's Disease International, 26-29 July 2018, Chicago, USA (2018) [Conference Extract]

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Co-authors: Lea EJ; Price AD; McInerney F; Doherty KV

2017Goldberg L, Eccleston CEA, Lea E, Robinson A, 'The value of systematic interprofessional education for effective practice in dementia care', International Association of Gerontology and Geriatrics (IAGG) World Congress, 23-27 July 2017, San Francisco (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Eccleston CEA; Lea E; Robinson A

2017Goldberg LR, Westbury J, Canty A, McInerney F, Vickers JC, et al., 'The Bachelor of Dementia Care: Education as an essential intervention in building dementia literacy', 32nd International Conference of Alzheimer's Disease International, 26-29 April 2017, Kyoto, Japan (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Westbury J; Canty A; McInerney F; Vickers JC; Robinson AL

2017Khadka S, Bettiol SS, Goldberg LR, King AE, Crocombe LA, 'Identification of type and load of oral microorganisms associated with ill health and aspiration pneumonia in people living in residential aged care', Tasmania Health Conference 2017, Hobart, Tasmania (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Bettiol SS; King AE; Crocombe LA

2017Lea E, Goldberg L, Price A, Tierney L, McInerney F, 'Optimising nutrition for adults with dementia: Residential communities care redesign opportunities', International Association of Gerontology and Geriatrics (IAGG) World Congress, July 23- 27 2017, San Francisco (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Lea E; Price A; Tierney L; McInerney F

2017Lea E, Goldberg L, Price A, Tierney L, McInerney F, 'The challenge of optimising nutrition for aged care residents with dementia', 2017 ACSA Conference, 16-17 November 2017, Hobart, Tasmania (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Lea E; Price A; Tierney L; McInerney F

2017Robinson AL, Vickers JC, Goldberg LR, Canty A, McInerney F, 'The successful and innovative Understanding Dementia Massive Open Online Course (UD MOOC)', International Association of Gerontology and Geriatrics (IAGG) World Congress, 23-27 July 2017, San Francisco (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Robinson AL; Vickers JC; Canty A; McInerney F

2017Goldberg LR, Canty A, King AE, Price AD, Carr AR, et al., 'Can mature -age non-traditional students succeed in an online Bachelor of Dementia Care program?', International Association of Gerontology and Geriatrics (IAGG) World Congress, San Francisco, 23-27 July 2017, San Francisco (2017) [Conference Extract]

[eCite] [Details]

Co-authors: Canty A; King AE; Price AD; Carr AR; Ziebell JM; Westbury JL; Elliot K-E

2016Goldberg LR, 'Speech Pathology Student's IPE Experience in Residential Aged Care', 2016 ASHA Convention, November 17-19, 2016, Philadelphia, Pennsylvania (2016) [Conference Extract]

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2015Canty A, Carr A, Elliott K-E, Goldberg L, King C, et al., 'The Wicking Dementia Research and Education Centre - Paving the way forward in online dementia education', Teaching Matters 2014 - Places and Spaces, 2-3 December, 2014, Launceston, Tasmania, pp. 47. (2015) [Conference Extract]

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Co-authors: Canty A; Carr A; Elliott K-E; King C; Kirkcaldie M; McInerney F; Price A; Robinson A; Tolman J; Vickers J

2015Canty A, Goldberg LR, Ziebell JM, Ceperkovic H, 'Meeting the challenge of designing and delivering an entry level unit of study to engage and inspire adult learners in online neuroscience education in a Bachelor of Dementia Care', ICERI2015 Proceedings, 18-20 November, 2015, Seville, Spain, pp. 3941-3951. ISBN 978-84-608-2657-6 (2015) [Non Refereed Conference Paper]

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Co-authors: Canty A; Ziebell JM; Ceperkovic H

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2014Canty A, Burke KF, Carr AR, Ceperkovic H, Elliott Kate-Ellen, et al., 'Online Learning and Aspirations in the Bachelor of Dementia Care degree', Aspirations Matter 2014, 5th December, 2014, Launceston, Tasmania (2014) [Conference Extract]

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Co-authors: Canty A; Burke KF; Carr AR; Ceperkovic H; Elliott Kate-Ellen; Grace A; Jestrimski JW; Kleinig KL; Landowski LM; Minstrell ML; Price AD

2014Goldberg LR, 'Investigating the Relationship between Dysphagia and Depression: The Contribution of the SWAL-QOL', 2014 The ASHA Convention, 20-22 November, 2014, Orlando, Florida (2014) [Conference Extract]

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2014Goldberg LR, Mosack V, 'Investigating the relationship between dysphagia and depression in older adults in a continuing care community', Speech Pathology Australia - National Conference, 18-21 May, 2014, Melbourne, Australia (2014) [Conference Extract]

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2010Goldberg LR, Rajagopalan J, 'Carbonated liquids: Helping clinicians understand their value and use in dysphagia management', International Association of Logopedics and Phoniatrics 28th World Congress, Athens, August 2010: Main Reports, August 22-26, 2010, Athens, Greece, pp. 504-509. ISBN 978-3805595391 (2010) [Refereed Conference Paper]

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Other Public Output

(2 outputs)
YearCitationAltmetrics
2017Cox T, Goldberg L, Hoang H, 'Circular Head Aboriginal Corporation: Community understandings of dementia and dementia care needs. Final report 2017', Faculty of Health, Centre for Rural Health and Wicking Dementia Care - University of Tasmania, Australia, pp. 1-12. (2017) [Report of Restricted Access]

[eCite] [Details]

Co-authors: Cox T; Hoang H

2016Crocombe L, Bell E, Campbell S, Goldberg L, Seidel B, 'Oral health policy: International implications for Australia. Final Report', Centre for Research Excellence in Primary Oral Health Care (2016) [Government or Industry Research]

[eCite] [Details]

Co-authors: Crocombe L; Bell E; Campbell S; Seidel B

Grants & Funding

Lyn and her team are awaiting the results of an NHMRC application to implement systematic oral health programs in residential care facilities. She also has an application to the Masonic Research Foundation under review.

With team members, she is conducting a funded study on nutritional health for adults in residential care and has applied to the Royal Hobart Hospital Research Foundation for continued funding to expand the project.

Funding Summary

Number of grants

13

Total funding

$3,600,272

Projects

NutriCog Tasmania: Effective identification of older inpatients at-risk for poor nutrition (2019)$10,000
Description
This project will determine the best tool to identify older patients with cognitive impairment who are at-risk for poor nutrition. This will help hospital services address needs of people with cognitive impairment to reduce nutritional deterioration linked to poor clinical outcomes.
Funding
Royal Hobart Hospital Research Foundation ($10,000)
Scheme
Grant-Incubator
Administered By
University of Tasmania
Research Team
Lea EJ; Goldberg LR; Ramsden CM; Symes J; McInerney F; Nicklason F
Year
2019
Preventative Health Research in Rural and Regional Communities (Tasmania) (2019 - 2021)$2,400,000
Description
An ageing Australia will increasingly impact social, health and economic activity, as exemplified in complex disorders such as dementia. Obesity is also increasing at a rapid rate and is a major antecedent risk factor for a range of chronic illnesses. Both conditions will be a particular challenge for rural and regional communities as they have the highest rates of related risk factors and chronic illness, and also relatively reduced access to specialist medical services and preventative health programs. This proposal focusses on dementia and obesity in north-west Tasmania, developing innovative initiatives to manage and reduce risk of these conditions, which will reduce medical procedures overall including presentations to hospital. The program involves two major projects: the Island Study Linking Ageing and Neurodegenerative Disease (ISLAND) and the Critical Age Periods for Impacting Obesogenic Lifestyles (CAPITOL) study. The ISLAND study will involve a pragmatic clustered randomised controlled on interventions for major potentially modifiable risk factors for dementia, including obesity, physical activity, diabetes, smoking, hypertension, depression and cognitive stimulation/education, most of which are antecedents to chronic illness. The CAPITOL study will facilitate a transdisciplinary professional network to build a community-specific, sustainable approach to supporting children and families in relation to physical health and wellbeing. This project will identify enabling contextual factors which influence engagement in healthy physical play practices; foster buy-in from families (at multiple entry points); improve school readiness (through enhancing outcomes for children (0-8 years) in the AEDC domain of physical health and wellbeing), and generate sustainable communities of practice. North-west Tasmania is an ideal test-bed to develop preventative health strategies that are relevant and scalable to other Australian rural and regional communities.
Funding
Medical Research Future Fund ($2,400,000)
Scheme
Grant - Keeping Australians Out of Hospital
Administered By
University of Tasmania
Research Team
Vickers JC; Hills AP; Goldberg LR; Byrne N; Farrow M; Hughes RM; Klekociuk SZ; Ahuja KDK; Courtney-Pratt HM; Patterson KAE
Period
2019 - 2021
Developing a protocol to predicting health outcomes through oral microbes (2018)$9,917
Description
Older people in residential aged care are vulnerable to aspiration pneumonia, which is a primary reason for hospitalisation. Links have been drawn between this vulnerability and poor oral hygiene, prompting interventions in teeth cleaning. To determine the effectiveness of teeth-cleaning interventions objective measures are needed, such as microbiological testing. The goal of this study is to develop and validate a microbiological measure of effective oral hygiene to be used in a large-scale intervention targeting oral hygiene in residential aged care facilities.
Funding
University of Tasmania ($9,917)
Scheme
Grant- Research Enhancement Program
Administered By
University of Tasmania
Research Team
Bettiol SS; Crocombe LA; Goldberg LR; King AE
Year
2018
Developing a robust laboratory protocol for analyzing oral swabs for pathogenic or key microbiological flora (2018)$8,122
Description
The aim of this subproject is to develop and validate a qPCR protocol for analysing solutions derived from swabs of oral tissue to quantify numbers and distribution of pathogenic bacterial species within a complex microbiological ecology. This protocol will later be used to determine the change in type and load of oral microorganisms following a period of daily oral hygiene.
Funding
Australian Dental Health Foundation ($8,122)
Scheme
Grant-Wrigley Foundation Community Service Grant
Administered By
University of Tasmania
Research Team
Crocombe LA; Bettiol SS; Goldberg LR; King AE
Year
2018
Building Aboriginal Community Capacity to Address Dementia (2018)$76,798
Description
This project enables two Aboriginal members of the Circular Head community in North West Tasmania to qualify as Aboriginal Primary Health Care Workers. Their education will be provided by a qualified Aboriginal educator from a mainland program. This program will probably be the Victorian Aboriginal Community Controlled Health Organisation, Inc. (VACCHO), an approved Registered Training Organisation (RTO). The two students will complete a TAFE Certificate IV program in Aboriginal Primary Health Care (Practice).When community-based Aboriginal doctors are not available, as is the case in Circular Head, studies show that Aboriginal Primary Health Care Workers provide a valuable and necessary cultural bridge between Aboriginal community members and non-Aboriginal medical professionals to access and maintain continuity of care. Aboriginal Primary Health Care Workers are approved to collect the information needed for annual, government-funded health checks for Aboriginal and Torres Strait Islander peoples. They provide a range of culturally-sensitive and holistic health care services and advice, including assistance with medication, blood tests, advocacy, and collaborative liaison with other health professionals and government and non-government organisations. Having qualified Aboriginal Primary Health Care Workers within the Circular Head community is important. Across age ranges and genders, it has been well-documented that Aboriginal people are at greater risk than non-Aboriginal people for chronic diseases that increase susceptibility to dementia, including Type 2 diabetes, obesity, and cardiovascular disease. The risk from these chronic diseases is heightened by the consequences of repeated head injury, depression, physical inactivity, smoking, substance abuse, limited education, childhood stress, and loss of social and cultural connectivity. Furthermore, while government funding provides free one hour/once a year health checks for Aboriginal and Torres Strait Islander peoples through the Close the Gap program, less than 30 of the over 900 Aboriginal people in Circular Head have accessed these free health checks. As a result, information on the medical diagnoses and health needs of community members is currently not available and the potential of the database maintained in the Aboriginal Health Centre is not realised.
Funding
Equity Trustees Limited ($76,798)
Scheme
Grant
Administered By
University of Tasmania
Research Team
Goldberg LR; Baldock D
Year
2018
Cultural obligations of care: Building Aboriginal community capacity to address dementia (2018)$14,016
Description
Elders and leaders of the Circular Head Aboriginal community have identified the communitys vulnerability to dementia as a growing public health concern, particularly the increasing risk related to obesity and the compounding consequences of Type 2 diabetes. Our recent work together has documented the cultural obligation community members feel to address this concern about dementia.However, there is a tension between community members inherent obligation, and their limited knowledge about dementia, and limited understanding of the known risk factors than can be modifiable, through lifestyle changes, across age ranges.1,2 Further, while approximately 900 people identify as Aboriginal in Circular Head (11% of the areas general population), less than 30 have accessed free, government-funded, annual health checks for Indigenous peoples.Our NHMRC proposal will present a community-led solution to address a community-identified concern by focusing on 3 aims: (i) to increase the number of community members who access the free health checks, (ii) to decrease community members vulnerability to dementia by monitoring theirhealth and risk factors that can be decreased through life style changes, with a particular focus on obesity and diabetes, and (iii) to increase community members satisfaction with reduced dementia risk through their increased understanding of dementia and how risk factors can be modified. We plan a four-year study.
Funding
University of Tasmania ($14,016)
Scheme
Grant- Research Enhancement Program
Administered By
University of Tasmania
Research Team
Goldberg LR; Kent K; Baldock D
Year
2018
Come Learn with Me: An Aboriginal Student Mentoring Initiative (2018)$9,700
Funding
University of Tasmania ($9,700)
Scheme
Grant-Indigenous Student Success Program
Administered By
University of Tasmania
Research Team
Goldberg LR; Baldock D
Year
2018
Meaningful Engagement in Nutritional Understanding: Best choices for aged care (2018 - 2019)$90,000
Description
The MENU project will implement best practice care changes to improve nutrition care and reduce malnutrition risk for people with dementia in residential aged care.
Funding
Tasmanian Community Fund ($90,000)
Scheme
Grant
Administered By
University of Tasmania
Research Team
Lea EJ; Goldberg LR; Price AD; McInerney F; Doherty KV; Beattie E; Isenring L
Period
2018 - 2019
Medication management in people with dementia living in the community (2018)$9,289
Description
The number of people with dementia living in their own homes exceeds those living in residential care and expected to increase markedly with the ageing population and recent Australian Government policy initiatives encouraging people to remain supported at home. People with dementia frequently suffer from multiple medical conditions, resulting in increasingly complex medication regimes. The majority also display behavioural and psychological symptoms which are often treated with psychotropic medication, contrary to current professional guidance. Inappropriate medication use is a significant problem in residential care, yet the degree of inappropriate medication use in people with dementia living at home is uncharted. Similarly, we know that the most common complaints about residential aged care relate to medication management; however, little is known about how medication of community-dwelling people with dementia is managed. In this project we aim to: 1. Investigate the appropriateness of medication use in community-based people with dementia and, 2. Develop an increased understanding of the needs and experiences of people with dementia and the nursing, care staff, health practitioners and relatives that provide care for them with regards to medication management. The knowledge gained from this project will inform future initiatives aimed at improving the quality of medication in the increasing number of older Australians with dementia living in their own homes.
Funding
University of Tasmania ($9,289)
Scheme
Grant-Strategic Research
Administered By
University of Tasmania
Research Team
Breen JL; Courtney-Pratt HM; Goldberg LR; Wimmer BC
Year
2018
Improving the Health and Well-Being of Tasmanian Aboriginal People - One Community's Focus on Individualised Support, Specialised Training, and Leadership in Dementia Care (2017 - 2019)$834,757
Description
This project enables 10 members of the Circular Head Aboriginal community to study in the award-winning, online Bachelor of Dementia Care program. The program will include completion of a Certificate III in Individual Support (Ageing, Home and Community) providing within-community experience with adults with dementia. This innovative coupling of authentic, culturally-appropriate experiential learning with broad and deep academic knowledge about dementia and evidence-based care will provide students with a work-related qualification embedded within a culturally-appropriate university education. This will increase the capacity of this Aboriginal community to provide care for its members with dementia, a documented concern. It will also establish a pathway to improve students access to and success in higher education and the professional workforce, including academia, and counteract the negative influences of rurality and low socio-economic status on educational opportunity.
Funding
Department of Health (Cth) ($834,757)
Scheme
Grant-Dementia and Aged Care Services
Administered By
University of Tasmania
Research Team
Cox TD; Goldberg LR; Baldock D; Price AD; Hoang THH; Cross DMG
Period
2017 - 2019
Assessment of the effects of singing on the respiratory function and wellbeing in people with dementia (2017)$9,765
Description
This project is a pilot study of the potential of group singing to improve respiratory function and wellbeing for people with dementia.
Funding
University of Tasmania ($9,765)
Scheme
Grant-CAL Hothouse Research Enhancement Program
Administered By
University of Tasmania
Research Team
Forbes AM; Goldberg LR; Vreugdenhil AJ; Smithies KE
Year
2017
Improving the Oral Health of Tasmanians in Residential Aged Care (2017)$28,336
Description
This project seeks to improve and maintain the oral health of people who move into residential aged care by providing an objective way to document they are receiving effective oral care. The project is a staff initiative. It is the result of a suggestion by staff at the Fred French and Peace Haven Homes of Masonic Care Tasmania, Inc. during their participation in a current federally-funded initiative with researchers at the University of Tasmania. The specific aim of the funded project is to decrease cases of aspiration pneumonia through testing the effectiveness of a new model of oral health care. Staff have suggested the value of adding an objective way to obtain and regularly analyse oral bacteria and this is the focus of the project we are presenting to the TCF.Residents in aged care are particularly vulnerable to aspiration pneumonia. This type of pneumonia is directly related to poor oral health. Poor oral health alters the type of bacteria growing in the mouth and throat. If residents have a swallowing problem (dysphagia), they are more likely to aspirate material into their lungs. If residents with dysphagia have poor oral health, they aspirate pathogenic bacteria and this greatly increases the likelihood of aspiration pneumonia, resulting in unplanned hospitalisations and death. In Australia, the cost burden of this acquired pneumonia has been estimated at more than $500 million each year. The funded model being evaluated has three essential components: (i)Increase staff knowledge with the support of a Community of Practice including residents, healthcare professionals, community members, residential community leaders, legislators (to bridge the practice-policy divide), and on-site supervised dental/oral health therapy, nursing, and medical students,(ii)Provide daily evidence-based oral care a 3-month period of 2-minutes of teeth cleaning after meals using timed electric or regular toothbrushes, or daily denture care. For residents who cannot adjust to the electric toothbrushes, staff are developing 2-minute strategies for using regular toothbrushes, e.g., brushing to a series of enjoyed and resident selected 2-minute recorded songs,(iii)Monitor compliance from their ongoing experience, staff have suggested the potential advantages of the proposed objective and regular analysis of oral bacteria.Increasing and maintaining residents oral health will decrease the load of pathogenic oral bacteria and thus decrease residents risk for developing aspiration pneumonia. Understanding the type of pathogenic oral bacteria that are associated with aspiration pneumonia and ill health will further support staff to provide daily oral care. Bacteria will be gathered from non-invasive swabs of tissue from residents gum, hard palate, cheek, and tongue. Results of these regular analyses will reinforce how effective oral care can reduce the clinical indications of aspiration pneumonia and ill health and the personal and economic consequences of unplanned transfers or admissions to hospital. This cost-effective model can then be easily implemented in any residential aged care community.
Funding
Tasmanian Community Fund ($28,336)
Scheme
Grant
Administered By
University of Tasmania
Research Team
Goldberg LR; Crocombe LA; Bettiol SS; King AE; Legge S
Year
2017
Sustained Effective Oral Care to Significantly Reduce Aspiration Pneumonia experienced by Adults with Dementia in Residential Care (2016 - 2017)$99,572
Description
Oral care is critical to keeping the mouth clean and the body and brain as healthy as possible. This is especially the case for adults with dementia who rely on others for care. With poor oral health, harmful bacteria throughout the mouth cause tooth decay, gum inflammation, gum disease, and tooth loss. Frequently adults with dementia take multiple medications and the side-effects of these medications include reducing saliva and drying the mouth which in turn increase the harmful oral bacteria. When these harmful bacteria are breathed (or aspirated) into the lungs, the lungs become infected and aspiration pneumonia results. Adults with dementia, particularly those who live in residential communities, are vulnerable to aspiration pneumonia as they are often frail, not well nourished, have complicating medical conditions such as diabetes, heart disease, lung disease, and swallowing problems, as well as needing help from others for their care. We know, from published studies, that vulnerable adults who have their own teeth need to brush their teeth for 2 minutes after each meal. Adults who wear dentures need to clean their dentures each day and take them out when they are planning to sleep. Whether they have their own teeth or wear dentures, all adults with dementia also need to rinse their mouth after each meal. Unfortunately, oral care for adults with dementia in residential communities remains inconsistent and fragmentary. Our studies have documented the barriers, real and perceived, that prevent systematic oral care and we have developed a protocol to overcome these barriers. This protocol has five components: (1) establishment of an innovative Community of Practice (CoP) including health care professionals in the community-at-large, policy-makers, and consumers, together with visionary residential care leaders and nurse-carer champion partners to support staff and drive practice change; (2) education of nurse-carer champions by CoP members; (3) ongoing education and training of all point-of-care staff by nurse-carer champions as they work with RACF-based dental/oral health therapy students, and are supported by CoP members and online resources; (4) implementation of daily evidence-based oral care by staff; and (5) regular audits of daily oral care by nurse-carer champions and the students to ensure its sustained implementation.To measure the effectiveness of our protocol, we will follow 60 residents in each of two residential care communities in Tasmania. We will document the number of cases of aspiration pneumonia these residents experience before and after a 3-month period of daily evidence-based oral care (component 4 of the protocol). We also will document the number of times these residents have been transferred to hospital or admitted to hospital before and after the 3-month period of daily oral care. To document improvements in the residents oral, nutritional and general health and their quality-of-life (QOL), we will use the following measures that are appropriate for adults with dementia: (i) Oral Health Assessment Tool (OHAT), (ii) Mini-Nutritional Assessment (MNA), (iii) 3-day food record, (iv) Yale Swallow Protocol that identifies any signs of swallowing difficulty, (v) Sit-to-Stand Manoeuvre that identifies any difficulties with strength and movement, and (vi) the EuroQol-5 dimension tool that documents residents perceptions of their ability to move, care for themselves, and participate in daily activities along with any pain, discomfort or anxiety they are experiencing. We will administer these measures to the residents before and after the 3-month period of evidence-based daily oral care. We will analyse the data and write reports about the findings. We will publish these reports in academic journals and magazines that are widely-read by the public. We will network with social media outlets (radio, television, and Facebook sites) and policy-makers to share our findings as widely as possible. We antic
Funding
Dementia Collaborative Research Centre ($99,572)
Scheme
Grant-Project
Administered By
University of Tasmania
Research Team
Goldberg LR; Crocombe LA; Robinson AL; Lea EJ; Breen JL; Palmer AJ; McInerney F; Jones I; Beattie E; Toye C; Brennan DS; Heiss C
Period
2016 - 2017

Research Supervision

Over the last 5 years she was in the US, Lyn supervised 11 students in speech pathology, nursing, and physician assistant studies as they completed their Master's degrees and theses, and assisted five of these students in the publication of their work. She has supervised students from varied disciplines throughout her academic career and is seeking HDR candidates who are interested in clinical research with older adults, including those in residential care.

Current

3

Current

DegreeTitleCommenced
PhDIdentification of Type and Load of Oral Microorganisms Associated with the Clinical Signs of Aspiration Pneumonia and Ill Health in People Living in Residential Aged Care2017
PhDBuilding Future Workforce Capability: Nursing students' attitude and knowledge towards geriatric oral health care in Australia and, strategies to improve their competency2018
PhDAccess to Oral Health Care Among Older People by Socioeconomic Status2018