Virtual cOaching in Making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)

Early Phase 1

Completed

• Conditions: Elder Abuse
• Interventions: Behavioral: Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)

• Registration Number: NCT03834870
• Lead Sponsor: Yale University

Brief Summary

To develop an interactive tool to screen for Elder Mistreatment (EM) in the Emergency Department (ED) to promote self-disclosure.

Detailed Description

To develop and refine the interactive VOICES tool, which will promote self-identification and self-disclosure to increase reporting of EM at point-of-care in the Emergency Department (ED) setting. Prior to conducting a feasibility study, focus groups will be conducted to inform the process and to develop a tool to evaluate the use of VOICES.

Feasibility Study: To conduct a feasibility study (N= 800) examining the use of VOICES in a busy ED.

Exploratory Aim: To perform a preliminary evaluation of the accuracy of VOICES as a screening tool in correctly classifying EM cases that were referred to Adult Protective Services (APS).

Study Timeline

• Study First Submitted: 2018-12-14
• Study First Submitted QC: 2019-02-06
• Study First Posted: 2019-02-08
• Study Start: 2020-07-20
• Primary Completion: 2021-12-01
• Study Completion: 2022-03-01
• Status Verified: 2023-03
• Results First Submitted: 2023-03-03
• Results First Submitted QC: 2023-03-30
• Last Update Submitted: 2023-03-30
• Results First Posted: 2023-04-20
• Last Update Posted: 2023-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1012

Inclusion Criteria

• Age 60 years or older
• Non-full trauma track
• Alert and oriented to person and place
• AMT-4 score of 4
• Able to consent and communicate in English
• Agrees and able to use the iPad
• Not in police custody

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Exclusion Criteria

• subjects who live in nursing homes or other long-term care sitting and do not reside in community setting
• patients will be excluded if they cannot safely undergo the studies required for participation
• subjects with clear signs of EM
• Patient or clinician refusal to participate
• severe hearing and vision impairment
• presenting with active psychotic symptoms
• presenting with acute intoxication
• COVID-19 positive

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Elder adults in emergency department setting	Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)	Elder mistreatment in an Emergency Department setting.

Primary Outcome Measures

Name	Time	Method
Implementation in Terms of Participation	up to 16 months	Participation will be determined by the ratio of participants who are successfully enrolled to the total number of eligible patients. The numerator, denominator, frequencies and 95% confidence intervals will be reported.
Implementation in Terms of Usage	up to 16 months	Usage will be determined by the number of consented participants enrolled in the study who used VOICES to completion.

Trial Locations

Locations (1)

St. Raphael Emergency Department; 🇺🇸 New Haven, Connecticut, United States