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Steinman KJ, Anetzberger GJ. Measuring the diverse characteristics of county adult protective services programs. J Elder Abuse Negl 2022; 34:153-173. [PMID: 35733382 DOI: 10.1080/08946566.2022.2092243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Adult protective services (APS) programs vary markedly, yet few studies have quantified this diversity. In 2020, a survey of Ohio's 85 county-administered APS programs incorporated subsequent feedback from staff and described the programs in a systematic manner. This process resulted in a 100% response rate and illustrated an efficient approach to measuring organizational characteristics (e.g., whether any staff are mostly dedicated to APS), resources (e.g., access to multidisciplinary teams), and practices (e.g., how often staff create a plan to meet client goals). The prevalence of many factors differed by the number of older adults the program served. For instance, 75% of programs in large counties had regular opportunities to share complex cases with a multidisciplinary team, compared to 28% of programs in small counties. Understanding the diverse characteristics of APS programs - and how to measure them - can help agencies guide quality improvement efforts and the dissemination of innovations.
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Affiliation(s)
- Kenneth J Steinman
- College of Education and Human Ecology, the Ohio State University, Columbus, Ohio, USA
| | - Georgia J Anetzberger
- Mandel School of Applied Social Sciences and School of Medicine, Case Western Reserve University, South Euclid, Ohio, USA
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Bergström A, Ehrenberg A, Eldh AC, Graham ID, Gustafsson K, Harvey G, Hunter S, Kitson A, Rycroft-Malone J, Wallin L. The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature. Implement Sci 2020; 15:68. [PMID: 32854718 PMCID: PMC7450685 DOI: 10.1186/s13012-020-01003-0] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 05/20/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND The Promoting Action on Research Implementation in Health Services (PARIHS) framework was developed two decades ago and conceptualizes successful implementation (SI) as a function (f) of the evidence (E) nature and type, context (C) quality, and the facilitation (F), [SI = f (E,C,F)]. Despite a growing number of citations of theoretical frameworks including PARIHS, details of how theoretical frameworks are used remains largely unknown. This review aimed to enhance the understanding of the breadth and depth of the use of the PARIHS framework. METHODS This citation analysis commenced from four core articles representing the key stages of the framework's development. The citation search was performed in Web of Science and Scopus. After exclusion, we undertook an initial assessment aimed to identify articles using PARIHS and not only referencing any of the core articles. To assess this, all articles were read in full. Further data extraction included capturing information about where (country/countries and setting/s) PARIHS had been used, as well as categorizing how the framework was applied. Also, strengths and weaknesses, as well as efforts to validate the framework, were explored in detail. RESULTS The citation search yielded 1613 articles. After applying exclusion criteria, 1475 articles were read in full, and the initial assessment yielded a total of 367 articles reported to have used the PARIHS framework. These articles were included for data extraction. The framework had been used in a variety of settings and in both high-, middle-, and low-income countries. With regard to types of use, 32% used PARIHS in planning and delivering an intervention, 50% in data analysis, 55% in the evaluation of study findings, and/or 37% in any other way. Further analysis showed that its actual application was frequently partial and generally not well elaborated. CONCLUSIONS In line with previous citation analysis of the use of theoretical frameworks in implementation science, we also found a rather superficial description of the use of PARIHS. Thus, we propose the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.
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Affiliation(s)
- Anna Bergström
- Department of Women’s and Children’s health, Uppsala Global Health Research on Implementation and Sustainability (UGHRIS), Uppsala, Sweden
- Institute for Global Health, University College London, London, UK
| | - Anna Ehrenberg
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia
| | - Ann Catrine Eldh
- Department of Medicine and Health, Linköping University, Linköping, Sweden
- Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden
| | - Ian D. Graham
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada
- Ottawa Hospital Research Institute, Ottawa, Canada
| | - Kazuko Gustafsson
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- University Library, Uppsala University, Uppsala, Sweden
| | - Gillian Harvey
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia
| | - Sarah Hunter
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Alison Kitson
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
- Green Templeton College, University of Oxford, Oxford, UK
| | - Jo Rycroft-Malone
- Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancashire, UK
| | - Lars Wallin
- School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden
- Department of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Burnes D, Kirchin D, Elman A, Breckman R, Lachs MS, Rosen T. Developing standard data for elder abuse multidisciplinary teams: A critical objective. J Elder Abuse Negl 2020; 32:377-384. [PMID: 32552620 DOI: 10.1080/08946566.2020.1782301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Multidisciplinary teams (MDTs) represent a prominent and growing form of elder abuse intervention in communities across the U.S. and around the world. Despite the proliferation and promise of MDTs as a model of elder abuse intervention, the field lacks infrastructure, including a standardized data collection strategy, to facilitate a coordinated and informed MDT effort. This commentary presents an exploratory study, which sought to examine existing strategies of case-level electronic data collection implemented by MDTs across the U.S. Using a snowball sampling strategy, we identified 11 MDTs using an electronic data collection strategy. Our analysis found a tremendous range in both the extent and nature of data collection across MDTs, yet it identified common domains of data. A standardized MDT data collection strategy would benefit several MDT stakeholders, including coordinators tracking everyday operations, funders requiring reporting, and researchers conducting large-scale comparative research to identify best MDT practices.
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Affiliation(s)
- David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto , Toronto, Canada
| | - Darin Kirchin
- Factor-Inwentash Faculty of Social Work, University of Toronto , Toronto, Canada
| | - Alyssa Elman
- Department of Emergency Medicine, Weill Cornell Medicine , New York, NY, USA
| | - Risa Breckman
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine , New York, NY, USA
| | - Mark S Lachs
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine , New York, NY, USA
| | - Tony Rosen
- Department of Emergency Medicine, Weill Cornell Medicine , New York, NY, USA
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Couture M, Israël S, Soulières M, Sasseville M. Implementing a Systematic Screening Procedure for Older Adult Mistreatment Within Individual Clinical Supervision: Is It Feasible? JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:2813-2833. [PMID: 27506230 DOI: 10.1177/0886260516662851] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Home care professionals are well positioned to witness or prevent older adult mistreatment in the community. Screening efforts are important because most victims will not easily come forth. Two Canadian local community service centers implemented a systematic screening procedure within preexisting individual clinical supervision sessions to support social workers and improve detection of mistreatment. The aim of this pilot project was to assess fidelity, acceptability, and feasibility of the new procedure. Qualitative data was collected using individual interviews with two clinical supervisors, one focus group with eight social workers and content transcribed from 15 supervision sessions. It was estimated that 400 clients were screened for older adult mistreatment using this new procedure. Results showed the procedure was judged acceptable because it sensitized social workers to risk factors, gave them time to reflect upon and discuss probable cases with their clinical supervisor. Nonetheless, participants did not use the designated statistical code in the new procedure to document mistreatment situations. Feasibility was mainly challenged by the fact that screening for older adult mistreatment competes with other organizational priorities. Future initiatives must develop strategies to counteract those barriers.
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Affiliation(s)
- Mélanie Couture
- 1 Integrated Health and Social Services University Network for West-Central Montreal, Québec, Canada
| | - Sarita Israël
- 1 Integrated Health and Social Services University Network for West-Central Montreal, Québec, Canada
| | | | - Martin Sasseville
- 1 Integrated Health and Social Services University Network for West-Central Montreal, Québec, Canada
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Burnes D, Connolly MT, Hamilton R, Lachs MS. The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention. J Elder Abuse Negl 2018; 30:209-222. [DOI: 10.1080/08946566.2018.1454864] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- David Burnes
- University of Toronto, Factor-Inwentash Faculty of Social Work, Toronto, ON, Canada
| | | | - Ricker Hamilton
- Maine Department of Health and Human Services, Augusta, ME, USA
| | - Mark S. Lachs
- Cornell University, Weill Cornell Medical College, New York, NY, USA
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Booker JG, Breaux M, Abada S, Xia R, Burnett J. Assessment of older adults' satisfaction with adult protective services investigation and assistance. J Elder Abuse Negl 2017; 30:64-74. [PMID: 28498035 DOI: 10.1080/08946566.2017.1329045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study examined elder self-neglect client satisfaction with services provided by an Adult Protective Services (APS) program. A total of 77 community-dwelling older adults with APS-substantiated self-neglect responded to the standardized and widely used 8-item Client Satisfaction Questionnaire. Approximately 75% of the participants reported being satisfied with the overall services. They felt that the services provided were responsive to their need(s) and helped them deal with their problem(s). Greater than 80% responded that they would refer a friend, would utilize APS in the future if necessary, and were at least satisfied with the amount of help received. The extent to which their needs were met received the lowest satisfaction scores. Future studies are needed to examine elder self-neglect client satisfaction in relation to specific services.
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Affiliation(s)
- James G Booker
- a Division of Adult Protective Services , Texas Department of Family and Protective Services , Houston , Texas , USA.,b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA
| | - Mary Breaux
- b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.,c Department of Criminal Justice , Sam Houston State University , Huntsville , Texas , USA
| | - Sharon Abada
- d School of Public Health , The University of Texas Health Science Center at Houston , Houston , Texas , USA
| | - Rui Xia
- e Division of Geriatric and Palliative Medicine , McGovern Medical School, The University of Texas Health Science Center at Houston , Houston , Texas , USA
| | - Jason Burnett
- b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.,d School of Public Health , The University of Texas Health Science Center at Houston , Houston , Texas , USA.,e Division of Geriatric and Palliative Medicine , McGovern Medical School, The University of Texas Health Science Center at Houston , Houston , Texas , USA
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Pillemer K, Burnes D, Riffin C, Lachs MS. Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies. THE GERONTOLOGIST 2016; 56 Suppl 2:S194-205. [PMID: 26994260 PMCID: PMC5291158 DOI: 10.1093/geront/gnw004] [Citation(s) in RCA: 315] [Impact Index Per Article: 39.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 11/20/2016] [Indexed: 11/14/2022] Open
Abstract
PURPOSE Elder mistreatment is now recognized internationally as a pervasive and growing problem, urgently requiring the attention of health care systems, social welfare agencies, policymakers, and the general public. In this article, we provide an overview of global issues in the field of elder abuse, with a focus on prevention. DESIGN AND METHODS This article provides a scoping review of key issues in the field from an international perspective. RESULTS By drawing primarily on population-based studies, this scoping review provided a more valid and reliable synthesis of current knowledge about prevalence and risk factors than has been available. Despite the lack of scientifically rigorous intervention research on elder abuse, the review also identified 5 promising strategies for prevention. IMPLICATIONS The findings highlight a growing consensus across studies regarding the extent and causes of elder mistreatment, as well as the urgent need for efforts to make elder mistreatment prevention programs more effective and evidence based.
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Affiliation(s)
- Karl Pillemer
- Department of Human Development, Cornell University, Ithaca, New York.
| | - David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Canada
| | - Catherine Riffin
- Department of Internal Medicine and Geriatrics, Yale School of Medicine, New Haven, Connecticut
| | - Mark S Lachs
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York
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Burnes D, Lachs MS. The Case for Individualized Goal Attainment Scaling Measurement in Elder Abuse Interventions. J Appl Gerontol 2015; 36:116-122. [PMID: 25873451 DOI: 10.1177/0733464815581486] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2014] [Revised: 02/05/2015] [Accepted: 03/01/2015] [Indexed: 11/17/2022] Open
Abstract
Research available to inform the development of effective community-based elder abuse protective response interventions is severely limited. Elder abuse intervention research is constrained by a lack of research capacity, including sensitive and responsive outcome measures that can assess change in case status over the course of intervention. Given the heterogeneous nature of elder abuse, standard scales can lack the flexibility necessary to capture the diverse range of individually relevant issues across cases. In this paper, we seek to address this gap by proposing the adaptation and use of an innovative measurement strategy-goal attainment scaling-in the context of elder protection. Goal attainment scaling is an individualized, client-centered outcome measurement approach that has the potential to address existing measurement challenges constraining progress in elder abuse intervention research.
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Affiliation(s)
| | - Mark S Lachs
- Weill Cornell Medical College, New York, NY, USA
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Rizzo VM, Burnes D, Chalfy A. A systematic evaluation of a multidisciplinary social work-lawyer elder mistreatment intervention model. J Elder Abuse Negl 2014; 27:1-18. [PMID: 24965802 DOI: 10.1080/08946566.2013.792104] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study introduces a conceptually based, systematic evaluation process employing multivariate techniques to evaluate a multidisciplinary social work-lawyer intervention model (JASA-LEAP). Logistic regression analyses were used with a random sample of case records (n = 250) from three intervention sites. Client retention, program fidelity, and exposure to multidisciplinary services were significantly related to reduction in mistreatment risk at case closure. Female gender, married status, and living with perpetrator significantly predicted unfavorable outcomes. This study extends the elder mistreatment program evaluation literature beyond descriptive/bivariate evaluation strategies. Findings suggest that a multidisciplinary social work-lawyer elder mistreatment intervention model is a successful approach.
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Affiliation(s)
- Victoria M Rizzo
- a Department of Social Work , College of Community and Public Affairs, Binghamton University , Binghamton , New York , USA
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