Abuse of Older Persons With Cognitive and Physical Impairments: Comparing Percentages Across Informants and Operational Definitions

Fang, Boye; Yan, Elsie

doi:10.1177/0886260517742150

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…It is unclear how to facilitate disclosure among older adults who lack capacity. Among patients with cognitive impairment, evidence suggests that caregivers are willing to disclose EA (Fang & Yan, 2017;Ho, Wong, Chiu, & Ho, 2017) and, thus, disclosure techniques targeted toward caregivers may need to be developed. Alternatively, disclosure techniques that facilitate disclosure among older adults who lack capacity may be possible given evidence that older adults with mild to moderative cognitive impairments are able to recall and describe abusive events (Wiglesworth et al, 2009).…”

Section: Future Directionsmentioning

confidence: 99%

Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection

Truong

Burnes

Alaggia

et al. 2019

Journal of Elder Abuse & Neglect

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Elder abuse remains a largely hidden problem in our society and only a small minority of victims are connected to formal support/protective services. Healthcare settings have been identified as a critical milieu to uncover cases of elder abuse; however, under-detection in these settings is a major issue. Victimization disclosure is an important component within the overall detection effort, yet it has received little attention in the elder abuse literature. Drawing on relevant literature from other domains of family/interpersonal violence, this article highlights the disclosure process, as well as disclosure barriers, facilitators, and competencies to consider when working with older adults.

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Section: Future Directionsmentioning

confidence: 99%

Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection

Truong

Burnes

Alaggia

et al. 2019

Journal of Elder Abuse & Neglect

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“…For instance, homeless adults suffer from a high prevalence of functional and cognitive impairments at earlier ages than the general population (Brown et al, 2017). We hypothesize that these may limit capacity to recognize danger and to self-defend (Fang & Yan, 2021;Poole & Rietschlin, 2012;Williams, Racette, Hernandez-Tejada, & Acierno, 2017).…”

Section: Introductionmentioning

confidence: 99%

Persistent Homelessness and Violent Victimization Among Older Adults in the HOPE HOME Study

Tong

Kaplan

Guzman

et al. 2019

J Interpers Violence

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The homeless population is aging; older homeless adults may be at high risk of experiencing violent victimization. To examine whether homelessness is independently associated with experiencing physical and sexual abuse, we recruited 350 adults, aged 50 and older in Oakland, California, who met criteria for homelessness between July 2013 and June 2014. We interviewed participants at 6-month intervals for 3 years in Oakland about key variables, including housing status. Using generalized estimating equations, we examined whether persistent homelessness in each follow-up period was independently associated with having experienced physical or sexual victimization, after adjusting for known risk factors. The majority of the cohort was men (77.4%) and Black American (79.7%). At baseline, 10.6% had experienced either physical or sexual victimization in the prior 6 months. At 18-month follow-up, 42% of the cohort remained homeless. In adjusted models, persistent homelessness was associated with twice the odds of victimization (adjusted odds ratio [AOR] = 2.01; 95% confidence interval [CI]: [1.41, 2.87]). Older homeless adults experience high rates of victimization. Re-entering housing reduces this risk. Policymakers should recognize exposure to victimization as a negative consequence of homelessness that may be preventable by housing.

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“…We found 119 studies that reported data from 68 AOP measurement instruments eligible for inclusion. Three studies reported on two instruments (Badenes-Ribera et al, 2021;Buri Hilary et al, 2009;Conrad et al, 2009) and one reported on three instruments (Fang & Yan, 2021). The included studies were published between 1986 and 2023.…”

Section: Results Of the Searchmentioning

confidence: 99%

Psychometric Properties of Instruments for Measuring Abuse of Older People in Community and Institutional Settings: A Systematic Review

Mohd Mydin,

Mikton,

Choo

et al. 2023

Preprint

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Background: The examination of psychometric properties in instruments measuring abuse of older people (AOP) has been an area of study that has received relatively little attention. Poor psychometric properties in AOP measurement instruments may contribute to inconsistencies in prevalence estimates and lead to uncertainty regarding the magnitude of the problem at national, regional, and global levels.Objectives: This review utilized the consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline on the quality of outcome measures to identify and review the instruments used to measure AOP, assess the instruments’ measurement properties, and identify the definitions of AOP and abuse subtypes measured by these instruments.Search methods: The following online databases were searched: AgeLine via EBSCOhost, ASSIA via ProQuest, CINAHL via EBSCOhost, EMBASE, LILACS, ProQuest Dissertation & Theses Global, PsycINFO via EBSCOhost, PubMed, SciELO, Scopus, Sociological Abstract via ProQuest, Chinese National Knowledge Infrastructure (CNKI), Google Scholar, and WHO Global Index Medicus. Relevant studies were also identified by searching the grey literature from several resources, such as Campbell Collaboration, OpenAIRE, and GRAFT.Selection criteria: All quantitative, qualitative, and mixed-method empirical studies published in peer-reviewed journals or grey literature were included in this review. The included studies were primary studies that (1) evaluated one or more psychometric properties, (2) contained information on instrument development, or (3) examined the content validity of the instruments designed to measure AOP in community or institutional settings. Study participants represent the population of interest, including males and females aged 60 or older in community or institutional settings.Data collection and analysis: The screening of titles, abstracts, and full texts of the selected studies was evaluated by two reviewers based on the preset selection criteria. Two reviewers assessed the quality of each study using the COSMIN Risk of Bias checklist and the overall quality of evidence for each psychometric property of the instrument against the updated COSMIN criteria of good measurement properties. The overall quality of the measurement instrument was graded using a modified GRADE approach. Data extraction was performed using data extraction forms adapted from the COSMIN Guideline for Systematic Reviews of Outcome Measurement Instruments. All data were synthesized and summarized qualitatively, and no meta-analysis was performed.Main results: We found 15,200 potentially relevant records, of which we screened 482 in full text and included 114 studies that met the inclusion criteria. Four studies reported on more than one instrument. Eighty-seven studies were reported on 46 original instruments and 29 studies on 22 modified versions of an original instrument. The majority of the studies were conducted in community settings (94 studies) from the perspective of older adults (90 studies) and were conducted in high-income countries (69 studies). Ninety-five studies assessed multiple forms of abuse, ranging from 2 to 13 different subscales; four studies measured overall abuse and neglect among older adults; and 14 studies measured one specific type of abuse. Approximately one-quarter of the studies included reported on the psychometric properties of the most frequently used measurement instruments: HS-EAST (assessed in 11 studies), VASS-12 items (in 9 studies), and CASE (in 9 studies). The instruments with the most evidence available in studies reporting on instrument development and content validity in all domains (relevance, comprehensiveness, and comprehensibility) were the DEAQ, OAPAM, *RAAL-31 items, *ICNH (Norwegian), and OAFEM. For other psychometric properties, instruments with the most evidence available in terms of the number of studies were the HS-EAST (11 studies across 5 of 9 psychometric properties), CASE (9 studies across 6 of 9 psychometric properties), VASS-12 items (9 studies across 5 of 9 psychometric properties), and GMS (5 studies across 4 of 9 psychometric properties). Based on the overall rating and quality of evidence, the psychometric properties of the AOP measurement instruments used for prevalence measurement in community and institutional settings were insufficient and of low quality. Conclusions: This review aimed to assess the overall rating and quality of evidence for instruments that measure AOP in community and institutional settings. Our findings revealed various measurement instruments, with ratings and evidence quality predominantly indicating insufficiency and low quality. In summary, the psychometric properties of AOP measurement instruments have not been comprehensively investigated, and existing instruments lack evidence to support their validity and reliability.

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Abuse of Older Persons With Cognitive and Physical Impairments: Comparing Percentages Across Informants and Operational Definitions

Cited by 11 publications

References 27 publications

Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection

Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection

Persistent Homelessness and Violent Victimization Among Older Adults in the HOPE HOME Study

Psychometric Properties of Instruments for Measuring Abuse of Older People in Community and Institutional Settings: A Systematic Review

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