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Dr. Lorna Roe

Research Assistant Professor (Public Health & Primary Care)
Research Assistant Professor (Trinity Inst. of Neurosciences (TCIN))
3/4 FOSTER PLACE
      
Profile Photo

Dr. Lorna Roe

Research Assistant Professor (Public Health & Primary Care)
3/4 FOSTER PLACE

 loroe@tcd.ie

 3531896 2762

Research Assistant Professor (Trinity Inst. of Neurosciences (TCIN))


Lorna Roe is a Research Assistant Professor at the Centre for Health Policy and Management in Trinity College Dublin. Lorna is an Alumnus of the HRB SPHERE programme, completing her PHD in Health Services Research and Population Health Sciences in Trinity College Dublin in Ireland 2015. The PhD focused on improving care for older adults living with frailty. It was a mixed methods study, using data from The Irish Longitudinal Study on Ageing (TILDA) in addition to qualitative interviews. Previous work experience includes Social Policy Officer in Age Action, where she worked in the Community and Voluntary Pillar of the Governments' Social Partnership process. There are a number of strands to Lorna's research interests including: Gerontology; ageing trajectories, complexity of needs, frailty and cognitive decline, design of care pathways, healthy ageing and self-determination for older adults. Health economic analysis; health service utilisation and access, particularly econometric analyses to estimate the patterns and costs of frailty and cognitive decline among older adults. Policy analysis; using a whole systems approach to examine access/quality of health and social care for older adults and healthy ageing. Analysis of large datasets, survey, census and administrative data and international comparability of longitudinal ageing datasets. An emerging research area of interest includes exploring how diverse identity impacts on healthy ageing, including the appropriateness and accessibility of health and social care services.
  Ageing, memory and other cognitive processes   Ageing, stroke, dementia   Frailty   Health policy   HEALTH SERVICES RESEARCH   Health status and inequalities
Project Title
 Frailty-related Outcomes and health Care USe (FOCUS)
From
September 2016
To
February 2018
Summary
This study is investigating patterns and trajectories of frailty-related health service use over three waves of the TILDA study spanning six years and the impact on mortality, health and social outcomes in Ireland.
Funding Agency
Health Service Executive
Programme
HAPAI
Project Type
Health services research
Project Title
 The Frail Brain and the Frail Body: Impact of FRAILty and COGnitive impairment on trajectories, patterns and costs in care in old age
From
November 2019
To
October 2027
Summary
Background: Healthcare needs and service use increase with frailty. Frailty is closely linked with cognitive impairment, but not all those who are cognitively impaired are frail. It is not well understood how the combination of frailty and cognitive impairment are related to patterns of illness, service use and cost of care. Aim: We will use data from the Irish Longitudinal Study on Ageing (TILDA) to examine: 1. The prevalence of physical and cognitive frailty and incident risk of severe cognitive impairment 2. The drivers of patterns and costs of care Methods: We aim to use data from wave 1 to wave 5 of the Irish Longitudinal Study on Ageing (TILDA). Respondent"s socio-economic data, health data (frailty, chronic illness, disability, falls, and measures of cognition) and healthcare utilisation (primary, secondary, long term care, medication, informal care) will be used. In the context of future pressures on public budgets from population ageing, examining the determinants of healthcare utilisation and costs with frailty and cognitive impairment can assist policymakers in designing appropriate interventions (e.g., increasing use of primary prevention) to control expenditure, improve population health and better project the effects
Funding Agency
Health Research Board
Project Title
 Retrospective cohort study of healthcare utilisation among ADults with frailty in Ireland and the United States (RADIUS)
From
2017
To
2018
Summary
This study is a collaboration between Queens University, Icahn School of Medicine at Mount Sinai and Trinity College Dublin, exploring the patterns of healthcare utilization among frail older people and risk of mortality across three countries.
Funding Agency
Faculty of Health Sciences Trinity College Dublin
Programme
Deans Fund
Project Type
Health services research

Details Date
Co-delivered a masterclass "Improving outcomes through identification of frailty" to the Northern Ireland Frailty Network Autumn conference 10/2019
A written representation to the Citizens Assembly entitled "How we best respond to the challenges and opportunities of an ageing population on the Irish health and social care system" 19/07/17
Invited speaker on the topic 'Models of integrated care for frail older people' at the 1st National Clinical Care Programme for Older People conference, Royal College of Physicians, Dublin, Ireland 05/2015
Developed a workshop 'Brain Health and Diversity: Perspectives from the LGBT+ community' in conjunction with Fellows at the Global Brain Health Institute with contributions from the TCD School of Law and School of Nursing, political representatives, members of LGBT+ representative groups and older adults who identified as LGBT+ 04/06/2019
Publication of an opinion piece in the Irish Times 'Older LGBT+ people face significant obstacles in Irish society' to coincide with Pride Festival 28/06/2019
I assisted in the organisation and design of the conference "Exploring the establishment of a statutory homecare scheme in Ireland" co-run by the Irish Gerontological Society (IGS) and the Irish Social Policy Association (ISPA) Key experts discussed aspects of such a statutory homecare scheme from a number of perspectives including clinical, economic and policy. Speakers included: Brendan Courtney (RTE presenter), Elaine O Connor (Connolly Hospital & Irish Gerontological Society), Justin Moran (Age Action), Virginia Pye (Public Health Nursing, HSE), Maeve O'Brien (Department of Health), Dr. Rachel Kiersey (Health Research Board), Dr Catriona Murphy (Dublin City University/TILDA), Prof. Desmond O"Neill (Consultant Geriatrician, Tallaght Hospital), Padraic Fleming (SPHeRE/NUI Maynooth), Prof Eamon O'Shea (Irish Centre for Social Gerontology), Dr Siobhan Kennelly (National Clinical Care Programme for Older People) and Michael Fitzgerald (HSE Services for Older People) 26/05/2017
Publication of an opinion piece for the Irish Independent entitled 'Finding sustainable funding for homecare is in all our best interests' in the aftermath of the broadcast of the documentary "We need to talk about Dad" which had started a national debate about the provision of public homecare services in Ireland 21/01/2017
Details Date From Date To
Atlantic Fellow for Equity in Brain Health at the Global Brain Health Institute (GBHI) 2018
Member of the Expert Review panel of the United Nations Economic Commission for Europe (UNECE) Guidelines on Mainstreaming Ageing 2020 2021
Trinity Board member (elected) 2020 2024
Invited Board member of the Institute of Obstetricians and Gynaecologists, Royal College of Physicians Ireland 2021 2023
Executive Committee of the Irish Gerontological Society 2014 2017
Committee of the Irish Social Policy Association 2008
O'Halloran A.M., Cremers J., Vrangbaek K., Roe L., Bourke R., Mortensen L.H., Westendorp R.G.J., Kenny R.A., Cardiovascular disease and the risk of incident falls and mortality among adults aged " 65 years presenting to the emergency department: a cohort study from national registry data in Denmark, BMC Geriatrics, 24, (1), 2024, Journal Article, PUBLISHED  TARA - Full Text  DOI
May P, Moriarty F, Hurley E, Matthews S, Nolan A, Ward M, Johnston B, Roe L, Normand C, Kenny RA, Smith S, Formal health care costs among older people in Ireland: methods and estimates using The Irish Longitudinal Study on Ageing (TILDA), 2023, Journal Article, PUBLISHED  DOI
Roe L. and Galvin M., Providing inclusive, person-centred care for LGBT+ older adults: A discussion on health and social care design and delivery, Journal of Nursing Management, 29, (1), 2021, p104 - 108, Journal Article, PUBLISHED  DOI
Lorna Roe and Miriam Galvin and Laura Booi and Lenisa Brandao and Jorge Leon Salas and Eimear McGlinchey and Dana Walrath, To live and age as who we really are: Perspectives from older LGBT+ people in Ireland, HRB Open Research, 2020, Journal Article, PUBLISHED  DOI
May P, Roe L, McGarrigle CA, Kenny RA, Normand C., End-of-life experience for older adults in Ireland: results from the Irish longitudinal study on ageing (TILDA)., BMC health services research, 20, (1), 2020, p118 , Journal Article, PUBLISHED  TARA - Full Text  DOI
Lorna Roe, Christine McGarrigle, Belinda Hernández, Aisling O"Halloran, Siobhan Scarlett, Mark Ward, Charles Normand, Rose Anne Kenny, Patterns in health service utilisation: Results from Wave 5 of The Irish Longitudinal Study on Ageing, April, 2020, 1-22, Notes: [doi:https://www.doi.org/10.38018/TildaRe.2020-04], Report, PUBLISHED  TARA - Full Text  DOI
Aisling O'Halloran, Christine McGarrigle, Siobhan Scarlett, Lorna Roe, Roman Romero-Ortuno and Rose Anne Kenny, TILDA Report on Population Estimates of Physical Frailty in Ireland to Inform Demographics for Over 50s in Ireland during the COVID-19 Pandemic, April, 2020, 1-21, Notes: [doi:https://www.doi.org/10.38018/TildaRe.2020-02], Report, PUBLISHED  TARA - Full Text  DOI
Frailty in older persons in, editor(s)O'Hanlon S, Smith M , A Comprehensive Guide to Rehabilitation of the Older Patient 4e, Elsevier, 2019, [Roe L, Williamson W, Romero-Ortuno R], Book Chapter, PUBLISHED  DOI
Aisling O"Halloran, Sharon Cruise, Lorna Roe, Siobhán Scarlett, Matthew O"Connell, Frank Kee, Rose Anne Kenny, 180Frailty and Disability in Ireland North and South: Preliminary Evidence from TILDA and NICOLA, Age and Ageing, 47, (suppl_5), 2018, pv1 - v12, pv1-v12 , Journal Article, PUBLISHED  DOI
Roe, L, Supporting Older People to Age in Place in Ireland: Frailty-related Outcomes and health Care USe (FOCUS), 5th World Congress of the International Association of Geriatrics and Gerontology, San Francisco, United States , July 2017, 2017, Conference Paper, PUBLISHED
  

Page 1 of 2
United Nations Economic Commission for Europe (UNECE), Guidelines for mainstreaming ageing, United Nations, 2021, Report, PUBLISHED
Lorna Roe, Steve Thomas, Dominic Trepel, Charles Normand, Wellbeing and Health in Irelands over 50s 2009-2016: Trends in healthcare cover and healthcare use for older adults in Ireland during the austerity years of 2009 to 2016, TILDA, 2018, Report, PUBLISHED
Roe, L., A. M. O'Halloran, C. Normand and C. M. Murphy , The impact of frailty on the public health nurse service: Findings from The Irish Longitudinal Study on Ageing Dublin, TILDA Report, 2016, Journal Article, PUBLISHED
Roe, L., A. M. O'Halloran and C. Normand , Variation in service use among community dwelling frail older people: a latent class analysis, Variation in service use among community dwelling frail older people: a latent class analysis, Milan, Italy, July 2015, 2015, Conference Paper, PUBLISHED
Roe, L, Models of integrated care for frail older people, 1st National Clinical Care Programme for Older People conference, Dublin, Ireland, May 2015, 2015, Conference Paper, PUBLISHED
Roe, L., A. M. O'Halloran and C. Normand, Discussing an approach to measure the impact of frailty on health and social care utilisation in Ireland, Structured Population and Health services Research Education (SPHeRE) conference, Dublin, Ireland, January 2015, 2015, Conference Paper, PUBLISHED
Roe, L., A. M. O'Halloran and C. Normand, Exploring the impact of frailty on the health and social care system, Irish Journal of Medical Sciences, Irish Gerontological Society 62nd Annual Scientific Meeting, Galway, Dublin, October 2014, 13, (8), 2013, Conference Paper, PUBLISHED

  


Award Date
Health Research Board 'Applying Research into Policy and Practice (ARPP)' Awardee 2019
Atlantic Fellow for Equity in Brain Health at the Global Brain Health Institute (GBHI) 2018
Faculty of Health Sciences (TCD) 'Ageing Research Award' 2017
Irish Gerontological Society (IGS) Presidential Prize Medal 2014
World Congress on Integrated Care (WCIC) 'Best Oral Presentation' 2013
LSE Beveridge Scholarship 2007
HRB PhD Scholarship 2011
TCD Equality Fund Awardee 2019
TCD Faculty of Health Sciences 'Deans Fund' awardee 2017