Evaluating the Effectiveness of I-NEED Program: Improving Nurses’ Detection and Management of Elder Abuse and Neglect—A 6-Month Prospective Study

2020 ◽  
pp. 088626052091858
Author(s):  
Fadzilah Hanum Mohd Mydin ◽  
Choo Wan Yuen ◽  
Sajaratulnisah Othman ◽  
Noran Naqiah Mohd Hairi ◽  
Farizah Mohd Hairi ◽  
...  
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Health Care Professionals ◽  
Elder Abuse ◽  
Control Group ◽  
Intensive Training ◽  
Elder Abuse And Neglect ◽  
Significant Difference ◽  
Primary Care Nurses ◽  
Abuse And Neglect

Elder abuse and neglect (EAN) goes largely unrecognized and underreported globally by health care professionals. Despite acknowledging their role to intervene elder abuse, health care professionals lacked knowledge and skills in this issue. This is a single-blinded, three-armed, cluster randomized controlled trials aimed to evaluate the effectiveness of the face-to-face Improving Nurses’ dEtection and managEment of elDer abuse and neglect (I-NEED) intensive training program and I-NEED educational video in improving primary care nurses’ knowledge, attitude, and confidence to intervene EAN; 390 primary care nurses were randomized equally into two intervention groups—ITP group (intensive training program) and ITP+ group (intensive training program and educational video)—and a control group. The knowledge, attitudes, and confidence to intervene EAN were measured using questionnaires at four intervals during 6-month follow-up. A total of 269 primary care nurses participated in this study. There was a significant increase in knowledge, attitude, and confidence to intervene EAN immediately post intervention observed in both intervention groups compared to the control group ( p < .001). At the end of sixth month, there was an increase of knowledge favoring ITP group than the ITP+ group ( p < .001). There is, however, no significant difference in attitude score between ITP and ITP+ group. There is a significant difference of confidence to intervene among the participants between both intervention groups with ITP+ participants reporting higher scores post intervention ( p < .05). An intensive training module improved the knowledge, attitude, and confidence to intervene EAN. Other co-existing barriers for abuse victims getting help, resources, policy, and law of EAN need further highlights.

scholarly journals Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 226
Author(s):  
Rishabh Garg ◽  
Khurshid Mattoo ◽  
Lakshya Kumar ◽  
Imran Khalid ◽  
Fawaz Baig ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Treatment Satisfaction ◽  
Geriatric Patients ◽  
Elder Abuse ◽  
Treatment Compliance ◽  
Control Group ◽  
Elder Abuse And Neglect ◽  
Abuse And Neglect ◽  
Group B ◽  
The Impact

Geriatric patients in various outpatient department (OPDs) have been found to agonize from elder abuse and neglect (EAN). Such suffering imposes depressive states within individuals, which in turn affects treatment compliance. The objective of this study was to evaluate the impact of sensitization (psychotherapeutic) of family caregivers (FCGs) upon two denture treatment parameters (maintenance and treatment satisfaction) among EAN patients and compare the differences in outcome with non-abused patients. A survey of completely edentulous subjects (n = 860, aged 41–80 years) provided a sampling frame of 332 EAN patients from which 150 patients (including FCGs) fulfilling the study criteria were distributed (simple random, convenient) into two groups (Group A—control, Group B—test). FCG sensitization for subjects in Group B was performed by a clinical psychologist in 2–4 short (30 min) sessions. Demographic characteristics (frequency) were measured using a self-reported questionnaire, denture maintenance was measured using a denture hygiene index (scores), and treatment satisfaction was analyzed on a 10-point visual analog scale. Relevant data were calculated for means and absolute/relative frequencies. Any difference between two groups was estimated using an unpaired t-test while the level of relationship was determined by Karl Pearson’s test at a p-value of < 0.05. The results showed highest frequency (38.6%) for neglect, with elder neglect (EN) being most common (38.14% alone and 14% in combination). EN was found more if the FCG was a son (52%), in the age group (21–30 years), and with low education and low income (75%). Patients whose FCGs were counselled (Group B) demonstrated low denture plaque scores (mean = 1.38 ± 0.618), while demonstrating comparatively higher scores in six different parameters of treatment satisfaction. Differences between the two groups for both parameters were also found to be statistically significant. Psychotherapeutic counselling in the form of FCG sensitization brings better results of denture maintenance and treatment satisfaction.

Elder Abuse and Neglect Intervention in the Clinical Setting: Perceptions and Barriers Faced by Primary Care Physicians in Malaysia

2017 ◽  
Vol 35 (23-24) ◽  
pp. 6041-6066 ◽  
Author(s):  
Fadzilah Hanum Mohd Mydin ◽  
Sajaratulnisah Othman
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Elder Abuse ◽  
Mandatory Reporting ◽  
Organizational Level ◽  
Good Doctor ◽  
Care Level ◽  
Primary Care Level ◽  
Elder Abuse And Neglect ◽  
Abuse And Neglect

This qualitative study attempts to explore the definition, perceptions, practice experience, and barriers of primary care physicians (PCPs) in identifying and intervening in cases of elder abuse and neglect at the primary care level. Semistructured in-depth interview was conducted among 10 PCPs. Participants were selected by purposive sampling. The interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis. In general, PCPs showed consistency in defining elder abuse and neglect. PCPs considered that they were optimally positioned to intervene in cases of elder abuse and neglect, but indicated the potential of overlooking such problems. The hurdles faced by PCPs in the identification and intervention of elder abuse were determined to be occurring at three levels: clinical, organizational, and policy. At the clinical level, PCPs recognize that they are lacking both the confidence and knowledge of elder abuse and neglect intervention. PCPs’ conflicting personal and professional beliefs create barriers during the clinical practice. Time constraints, patients’ other clinical problems, and, in addition, the preservation of a good doctor–patient relationship overshadow the importance of addressing and intervening in elder abuse and neglect issues during the consultation. This is further exacerbated by the barriers perceived by the patients: their nondisclosure and reluctance to accept outside intervention. At the organizational level, the lack of efficient interagency networks or support for the health system poses barriers. At the policy level, the absence of legislation specifically addressing elder abuse also creates considerable difficulties. However, PCPs gave differing responses when asked about a law concerning the elderly and mandatory reporting. Addressing these multilevel barriers is critical for ensuring that opportunities arising at the primary care level for elder maltreatment intervention are correctly utilized.

Understanding of elder abuse and neglect among health care professionals in Malaysia: An exploratory survey

2016 ◽  
Vol 28 (3) ◽  
pp. 163-177 ◽  
Author(s):  
Ayesha Ahmed ◽  
Wan-Yuen Choo ◽  
Sajaratulnisah Othman ◽  
Noran Naqiah Hairi ◽  
Farizah Mohd Hairi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Elder Abuse ◽  
Elder Abuse And Neglect ◽  
Abuse And Neglect ◽  
Exploratory Survey

Identifying Victims of Elder Abuse and Neglect: A Training Video for Prehospital Personnel

1997 ◽  
Vol 12 (4) ◽  
pp. 36-40 ◽  
Author(s):  
Jason P. Seamon ◽  
Jeffrey S. Jones ◽  
Eric Chun ◽  
Jon R. Krohmer
Keyword(s):  
Training Program ◽  
Elder Abuse ◽  
The Elderly ◽  
Suspected Case ◽  
Convenience Sample ◽  
Care Experience ◽  
Elder Abuse And Neglect ◽  
Abuse And Neglect ◽  
Kent County ◽  
Post Test

AbstractIntroduction:The majority of prehospital emergency medical services (EMS) personnel lack specific training relating to elder abuse and neglect.Objectives:To develop and test an audio visual training program that focuses on the identification and reporting of domestic violence in the elderly.Methods:A videotape was designed to be used as a 45-minute training course for prehospital personnel using one-half inch, super-VHS recording. A convenience sample of 60 EMS personnel working in Kent County then were asked to evaluate the videotape program. Each volunteer completed a pre-test on elder abuse and neglect, watched the 45-minute videotape, and then answered 12 questions on a post-test.Results:Participants had an average of 12.4 years (range: 1–30 years) prehospita emergency-care experience. Only four (7%) could recall any previous training relating to elder abuse or neglect during their career. Although the prevalence of elder abuse in their community was described as “rather rare” by most (60%) of the subjects, 85% (51/60) had seen a suspected case of elder abuse or neglect during their careers; 47% (28/60) had seen a case during the past six months. Only 29% of these suspected cases were reported to county authorities. Approximately 40% of the questions on the pre-test were answered correctly (mean score, 4.8 ± 3.0). In comparison, 83% of the questions on the post-test were answered correctly (10.0 ± 3.0). Although participants had a number of suggestions to improve the video program, 78% (47/60) expected this material to change the way they will evaluate elderly patients in the future.Conclusion:Prehospital personnel do not feel confident identifying or reporting victims of elder abuse or neglect. A videotape training program may be an effective way of presenting this information as a means of continuing education.

Elder Abuse and Neglect in China: Prevalence, Co-occurrence, and Intergenerational Risk Factors

2021 ◽  
pp. 088626052098550
Author(s):  
Mengtong Chen ◽  
Ko Ling Chan
Keyword(s):  
Risk Factors ◽  
Childhood Abuse ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Elder Abuse ◽  
Elderly Parents ◽  
Contextual Risk ◽  
Elder Abuse And Neglect ◽  
The Past ◽  
Abuse And Neglect

The prevalence and patterns of elder abuse and neglect in China have been understudied. The objectives of this study were to examine the chronicity and prevalence of different patterns of elder abuse, and the influence of individual and contextual risk factors. We used data from a sample of 7,466 adults randomly recruited from six regions in China. The participants responded to a questionnaire about their demographic characteristics, childhood abuse experiences, and instances of abuse and neglect against their elderly parents. Logistic regression analysis was performed to examine the association of elder abuse and neglect with individual and contextual factors. The results showed that one in 10 participants reported that their elderly parents had experienced abuse or neglect in the past year. The elder victims were reported to have suffered different types of abuse and neglect on multiple occasions, ranging from 3.6 to 11.82 times on average. More than 5% of participants reported that their elderly parents had suffered two or more types of abuse and neglect in the past year, accounting for 40% of the elderly victims. The co-occurrence of elder abuse within elderly couples was also high. Reports of abuse and neglect of elderly parents were related to low socioeconomic status, living in rural areas, and the experience of childhood abuse of the participants. This study supports the model of intergenerational transmission of violence in the Chinese population. The high prevalence, chronicity, and co-occurrence of elder abuse and neglect underline the importance of screening for risk factors, and have implications for preventive practice and policy.

A randomized trial of the effect of peer education on the sexual quality of life in patients with myocardial infarction

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Ali Abbasi ◽  
Hossein Ebrahimi ◽  
Hossein Bagheri ◽  
Mohammad Hasan Basirinezhad ◽  
Seyedmohammad Mirhosseini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Health Care Professionals ◽  
Peer Education ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Sexual Quality Of Life ◽  
Significant Difference

AbstractBackgroundOne of the factors associated with readmission is inappropriate sexual activity after myocardial infarction (MI). This study aimed to assess the effect of peer education on the sexual quality of life (SQOL) in patients with MI.MethodsIn this randomized controlled clinical trial, 70 patients with MI meeting the inclusion criteria were assigned to experimental or control groups using block randomization. Peer education for the intervention group was provided on the third day after MI. Education sessions lasted from 90 to 120 minutes. Data were collected using demographic, sexual quality of life-female (SQOL-F), and sexual quality of life-male (SQOL-M) questionnaires during the fourth week after MI.ResultsThere was no significant difference between the two groups before the intervention in terms of demographic and SQOL. The mean of SQOL in the peer education group was significantly higher than the control group at the 4-week follow-up.ConclusionsAccording to the results, using peer education is recommended for the sexual health care professionals.

Consequences of Elder Abuse and Neglect: A Systematic Review of Observational Studies

2017 ◽  
Vol 20 (2) ◽  
pp. 197-213 ◽  
Author(s):  
Raudah Mohd Yunus ◽  
Noran Naqiah Hairi ◽  
Wan Yuen Choo
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Low Income ◽  
Observational Studies ◽  
Elder Abuse ◽  
Care Utilization ◽  
Health Care Consumption ◽  
Elder Abuse And Neglect ◽  
Wide Range ◽  
Abuse And Neglect

This article presents the results of a systematic review of the consequences of elder abuse and neglect (EAN). A systematic search was conducted in seven electronic databases and three sources of gray literature up to January 8, 2016, supplemented by scanning of citation lists in relevant articles and contact with field experts. All observational studies investigating elder abuse as a risk factor for adverse health outcomes, mortality, and health-care utilization were included. Of 517 articles initially captured, 19 articles met our inclusion criteria and were analyzed. Two reviewers independently performed abstract screening, full-texts appraisal, and quality assessment using the Newcastle–Ottawa Scale. Across 19 studies, methodological heterogeneity was a prominent feature; seven definitions of EAN and nine measurement tools for abuse were employed. Summary of results reveals a wide range of EAN outcomes, from premature mortality to increased health-care consumption and various forms of physical and psychological symptoms. Higher risks of mortality emerged as the most credible outcome, while the majority of morbidity outcomes originated from cross-sectional studies. Our findings suggest that there is an underrepresentation of older adults from non-Western populations and developing countries, and there is a need for more population-based prospective studies in middle- and low-income regions. Evidence gathered from this review is crucial in upgrading current practices, formulating policies, and shaping the future direction of research.

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