Feasibility of Elder Mistreatment VOICES-CI Screening Tool

Not Applicable

Completed

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

• Registration Number: NCT05216081
• Lead Sponsor: Yale University

Brief Summary

The aim of this study is to assess the feasibility of the VOICES Elder Abuse Intervention among older adults with cognitive impairment.

Detailed Description

The VOICES Elder Abuse Intervention was developed and refined to promote self-identification and self-disclosure to increase reporting of elder abuse and elder mistreatment at the point-of-care in the Emergency Department (ED) setting. A study (N= 1000) examining the use of VOICES in a busy ED with cognitively intact older adults was completed.

The purpose of this study is to to assess the feasibility (N= 80) of the VOICES screening tool among older adults with cognitive impairment.

Study Timeline

• Study First Submitted: 2022-01-11
• Study First Submitted QC: 2022-01-25
• Study First Posted: 2022-01-31
• Study Start: 2022-02-01
• Primary Completion: 2022-09-01
• Study Completion: 2022-09-01
• Status Verified: 2023-08
• Results First Submitted: 2023-08-10
• Results First Submitted QC: 2023-08-29
• Last Update Submitted: 2023-08-29
• Results First Posted: 2023-09-22
• Last Update Posted: 2023-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 102

Inclusion Criteria

1. Provision of signed and dated informed consent form
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Age 60 or above
4. Montreal Cognitive Assessment (MoCA) score between 14-25
5. Not in police custody
6. Non-full trauma track upon arrival
7. Able to consent and communicate in English
8. Agrees and able to use the iPad

Exclusion Criteria

1. Subjects who live in nursing homes or other long-term care settings
2. At the discretion of the clinician, patient will be excluded if they cannot safely undergo the studies required for participation
3. Subject refusal to participate
4. Subjects with clear signs of elder mistreatment
5. Severe hearing and vision impairment
6. Presenting with acute intoxication
7. Presenting with active psychotic symptoms
8. Presenting with COVID-19 diagnosis and/or severe COVID-19 symptoms

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

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

Primary Outcome Measures

Name	Time	Method
Usage	5-10 minutes directly following VOICES intervention.	Usage will be determined by the number of patients enrolled in the study that complete the VOICES tool. Our target is to enroll 80 older adults (N=80).
Participation	5-10 minutes before VOICES intervention use.	Participation will be determined by the number of patients with cognitive impairment enrolled in VOICES. Successful enrollment of 80 older adults (N=80).

Trial Locations

Locations (1)

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