Responding to Elder Abuse in GERiAtric Care Educational Intervention for Healthcare Providers: a Non-randomised Stepped Wedge Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Healthy
- Sponsor
- Region Östergötland
- Enrollment
- 554
- Locations
- 3
- Primary Endpoint
- Change between baseline and follow up concerning asking questions about abuse, as reported in the questionnaire REAGERA-P
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The prevalence of elder abuse has been reported between 10-15% in international studies. Elder abuse may include both physical, emotional, sexual and financial abuse as well as neglect and it occurs at the hand of both professionals and family members, including adult children and intimate partners. Elder abuse has been associated with psychological ill-health, disability, increased hospitalization, emergency department use and admission to nursing facilities. Elder abuse is however often unknown to health care providers. Older adults are hesitant to disclose abuse and health care providers are often reluctant to ask questions.
In this study an interactive educational model for health care professionals about elder abuse will be tested. The model consist of theoretical lectures, brief films showing patient encounters, group discussions and forum play, a form of participatory theater. Both group discussions and forum play will be using case scenarios as a cornerstone.
The validated questionnaire REAGERA-P will be used for self-reported measures
Detailed Description
Please refer to the uploaded study protocol for a detailed description of the study.
Investigators
Johanna Simmons
Principal Investigator
Region Östergötland
Eligibility Criteria
Inclusion Criteria
- •Employee at one of the clinics participating in the trial
- •Work tasks involves direct patient contact, at least part time
- •Participation at the training sessions
Exclusion Criteria
- •Only administrative work and no direct patient contact
- •Not participating at the training session
Outcomes
Primary Outcomes
Change between baseline and follow up concerning asking questions about abuse, as reported in the questionnaire REAGERA-P
Time Frame: Baseline, 6 month follow up, 12 month follow up
Self-report measure of asking older patients about abusive experience. Will be measure both as a dichotomous value (have ever asked questions during the last 6 months) as well as a frequency measure where participants report how often they have asked patients questions about abuse during the last 6 months (on a scale from 0 to 10 or more)
Secondary Outcomes
- Change between baseline and follow up concerning perceived ability to ask questions about abuse, as reported in REAGERA-P(Baseline, Immediate post-intervention, 6 month follow up, 12 month follow up)
- Change between baseline and follow up concerning perceived preparedness to manage cases of elder abuse, as reported in REAGERA-P(Baseline, Immediate post-intervention (number 1and 2), 6 months follow up, 12 months follow up)
- Change between baseline and follow up concerning awareness of elder abuse and sense of responsibility for identifying victims, as reported in the questionnaire REAGERA-P(Baseline, Immediate post-intervention (number 2), 6 month follow up, 12 month follow up)
- Change between baseline and follow up concerning level of awareness of abuse in contact with patients, as reported in the questionnaire REAGERA-P(Baseline, 6 or 12 month follow up (different for different clusters))
- Change between baseline and follow up concerning preparedness at the clinic to care for older adults subjected to abuse, as reported in REAGERA-P(Baseline, 6 months follow up, 12 months follow up)