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Atkinson E, Roberto KA. Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:150-165. [PMID: 36636948 DOI: 10.1177/15248380221145735] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Public health professionals use a three-pronged approach to address broad-reaching issues of societal concern: primary prevention, secondary prevention, and tertiary prevention. Applying this framework to the study of elder abuse, the purpose of this review is to describe the status of elder abuse prevention research on a global scale. Elder abuse prevention articles published between 2015 and 2021 were identified through electronic bibliographic searches (PubMed, Medline, CINAHL, APA PsycINFO, and AgeLine). After removing articles based on inclusion and exclusion criteria, articles were sorted into the three main prevention types and further divided into subcategories for a more in-depth review. Most of the studies identified were conducted in North America (n = 42). Of the 72 articles identified, 13 articles focused on primary prevention (agism, education, and intervention), 35 articles focused on secondary prevention (developing and evaluating screening tools, identifying and reporting abuse, and barriers to detecting and reporting abuse), and 21 focused on tertiary prevention (professional response to cases of abuse, intervention methods, and impact of policy). Collectively, findings bring greater understanding of elder abuse as a public health problem and identify ways of addressing the complexities of elder abuse. Several gaps were identified in the elder abuse prevention literature including the need for global research that includes older adults as stakeholders, evidence-based education and intervention programs, and cultural sensitive and valid tools to identify elder abuse.
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Yip SH, O'Connor D, Shakeri Shemirani F, Brown A, Hyman J. Emergency assistance in situations of abuse, neglect, and self-neglect: exploring the complexity and challenges. J Elder Abuse Negl 2022; 34:124-151. [PMID: 35470776 DOI: 10.1080/08946566.2022.2070317] [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: 10/18/2022]
Abstract
Health and social care professionals are often called upon to provide emergency intervention without the adult's consent in situations of abuse, neglect, and self-neglect. Little is known about this process despite implications related to health care costs and individual rights. In this qualitative study, 17 health care professionals with experience enacting emergency legislation in BC were interviewed to better understand what leads to an emergency response and how these professionals carry out their role. Five components emerged in the provision of emergency assistance: assessing intolerable risks, assessing incapability, balancing ethical values, exploring resources, and consulting/collaborating. Attention is drawn to the significance of social location, including age, socio-economic, and Indigenous background for influencing the process, sometimes in unintended ways. The challenges in providing emergency interventions may result in social inequities and delay in providing care at times. The importance of bringing a reflexive and intersectional lens to providing interventions is highlighted.
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Affiliation(s)
- So Han Yip
- Manager at the ReAct Adult Protection Program, Vancouver Coastal Health, West Vancouver, British Columbia, Canada
| | - Deborah O'Connor
- Professor at the School of Social Work, University of British Columbia and Co-Director at the Centre for Research on Personhood in Dementia, Vancouver, BC, Canada
| | - Farimah Shakeri Shemirani
- Social worker at Vancouver Coastal Health, North Shore Palliative Care Program, Vancouver, BC, Canada
| | - Amanda Brown
- Director at the ReAct Adult Protection Program, Vancouver Coastal Health, West Vancouver, BC, Canada
| | - Jenny Hyman
- Social Work Site Leader at Providence Health Care, Mount St. Joseph Hospital, Vancouver, BC, Canada
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Mydin FHM, Yuen CW, Othman S. The Effectiveness of Educational Intervention in Improving Primary Health-Care Service Providers' Knowledge, Identification, and Management of Elder Abuse and Neglect: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2021; 22:944-960. [PMID: 31823685 DOI: 10.1177/1524838019889359] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Elder abuse and neglect (EAN) occurrence is expected to increase in many countries due to rapidly aging populations, yet it is still unrecognized and underreported. Gaps were identified in the knowledge and skills to intervene EAN among health-care service providers. It is still unclear whether educating health-care service providers on EAN improve the identification and management of EAN cases. A systematic review was conducted on the effectiveness of educational intervention designed to improve primary health-care service providers' (PHSPs) knowledge, attitude, and practice in managing EAN cases. We performed a comprehensive and systematic search for original studies in the following major electronic databases (ScienceDirect, PubMed, EMBASE, and CINAHL) and specialist registers (Cochrane Central Controlled Trials Register) with a set of search terms. Studies included were randomized controlled trials (RCTs) and observational studies on EAN education intervention that aimed to improve knowledge, attitude, and management skills of the PHSPs. There were no publication period restrictions until June 2018 and written in English. Overall, three RCTs and 10 observational studies were selected. These studies were grouped based on the type of the study, methodological quality (six moderate risk of bias and seven serious risk of bias), and the type of educational intervention (seven face-to-face educational intervention, two educational videos, two simulation-based training, and two online educational training). The education programs in the selected studies range from brief didactic to experiential learning. EAN educational intervention among primary care service providers potentially result in increasing awareness and knowledge on EAN. However, there is a lack of evidence on the changes of attitude and practice.
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Affiliation(s)
- Fadzilah Hanum Mohd Mydin
- Department of Primary Care Medicine, Faculty of Medicine, 37447University of Malaya, and Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Choo Wan Yuen
- Department of Social and Preventive Medicine, Faculty of Medicine, 37447University of Malaya, Kuala Lumpur, Malaysia
| | - Sajaratulnisah Othman
- Department of Primary Care Medicine, Faculty of Medicine, 37447University of Malaya, and Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
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Hamid TA, Ibrahim R, Haron SA. Mediational Role of Self-efficacy between Selected Bio-psychosocial Factors and Elder Self-Neglect among Community-Dwelling Older Malaysian Adults. J Elder Abuse Negl 2021; 33:17-32. [PMID: 33393442 DOI: 10.1080/08946566.2020.1864696] [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: 10/22/2022]
Abstract
Elder abuse and neglect have been reported as significant public health and societal problem in many different societies across the world. In Malaysia, older adults recorded a high prevalence of neglect compared to other types of elder abuse. There is a dearth of empirical work on elder self-neglect (ESN) among the older population in Malaysia. This paper aims to explore the mediational role of self-efficacy on the relationship between selected biopsychosocial factors and ESN among community-living older adults in Selangor, Malaysia. This study utilized a cross-sectional survey to gather data from a representative sample of 202 older adults from Selangor. A newly developed scale of 16-items of elder self-neglect (ESN) was used in this study. The results showed that self-efficacy partially mediated the association between ADL, IADL, depression, and capacity of self-care on ESN. Self-efficacy also fully mediated the association between neuroticism, life satisfaction, social network, and education on ESN. These findings provided a deeper understanding of the phenomenon of self-neglect among older Malaysian adults. The results will also serve as a useful reference for professionals and policymakers to develop uniform guidelines, protocols, or programs to handle cases of elder self-neglect in the community.
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Affiliation(s)
- Tengku Aizan Hamid
- Social Gerontology Laboratory, Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Rahimah Ibrahim
- Social Gerontology Laboratory, Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.,Department of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Sharifah Azizah Haron
- Social Gerontology Laboratory, Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.,Department Resource Management and Consumer Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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Mohd Mydin FH, Othman S, Choo WY, Hairi NNM, Hairi FM, Syed Karim SN, Tan MP, Ali Z, Abdul Aziz S, Mohd R, Ramli R, Mohamad R, Awaludin LR, Adnan Z. Clinical recognition of elder maltreatment and intention to report among primary care doctors. J Elder Abuse Negl 2020; 32:72-83. [DOI: 10.1080/08946566.2020.1731640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Fadzilah Hanum Mohd Mydin
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Sajaratulnisah Othman
- Department of Primary Care Medicine, University Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia
| | - Wan Yuen Choo
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Noran Naqiah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Farizah Mohd Hairi
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Sharifah Norsuhaida Syed Karim
- Centre for Evidence-Based Practice, Department of Social Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Maw Pin Tan
- Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Zainudin Ali
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Suriyati Abdul Aziz
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | - Rokiah Mohd
- Penang Department of Health, Ministry of Health Malaysia, Penang, Malaysia
| | - Rohaya Ramli
- Federal Territory and Putrajaya State Health Department, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
| | - Rosmala Mohamad
- Negeri Sembilan Department of Health, Ministry of Health Malaysia, Negeri Sembilan, Malaysia
| | | | - Zailan Adnan
- Selangor Department of Health, Ministry of Health Malaysia, Selangor, Malaysia
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Nouer SS, Meyer L, Shen Y, Hare ME, Connor PD. Dental students' perceived and actual knowledge of elder abuse: An online training curriculum. SPECIAL CARE IN DENTISTRY 2019; 40:106-112. [PMID: 31867765 DOI: 10.1111/scd.12445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/25/2019] [Accepted: 11/30/2019] [Indexed: 11/30/2022]
Abstract
AIMS Elder abuse, defined as emotional, physical, or sexual abuse, financial exploitation, or neglect, is a growing problem. Dental professionals have the unique opportunity to identify elder abuse. However, elder abuse awareness training, targeting dental students, is insufficient and research is limited. This knowledge gap prompted the research team at the University of Tennessee Health Science Center (UTHSC) to develop, implement, and evaluate an online Elder Abuse Awareness Professional Education Training (EAAPET) program, designed to educate dental and other health professionals to recognize, respond to, and report elder abuse. METHODS AND RESULTS Ninety-six dental students, attending the UTHSC College of Dentistry during the fall semester of 2018, were enrolled. Pre- and post-assessments, designed to assess changes in students' perceived and actual knowledge, were conducted. Paired sample t-test results indicate that the EAAPET program significantly improved students' perception of their abilities to identify, respond to, and report elder abuse. Improvement was also demonstrated within students' actual knowledge of how to appropriately interact with suspected elder abuse victims. Qualitative assessment suggested the training was well received by the students. CONCLUSIONS Based on these findings, the authors recommend that dental schools integrate elder abuse awareness education into their curriculums.
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Affiliation(s)
- Simonne S Nouer
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Laura Meyer
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Yan Shen
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Marion E Hare
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Pamela D Connor
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
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