An assessment of interventions that target risk factors for elder abuse

Abstract

What is known about this topic• Elder abuse is an important public health and societal problem which requires a response from both the primary healthcare and social service sectors.• Current knowledge about the effectiveness of many of these approaches is limited.• There is a need to identify evidence-based interventions. What this paper adds• Identifies a body of empirical research that evaluates prevention interventions.• No accounts of multi-modal interventions addressing key risk factors at the level of the elder person were identified.• There is currently insufficient evidence to guide the implementation of interventions that prevent abuse. AbstractAlthough there is increasing concern about both the prevalence of, and harms associated with the abuse of older adults, progress in the development of interventions to prevent its occurrence has been slow. This paper reports the findings of a systematic review of the published literature that identified studies in which the outcomes of preventative interventions are described. A total of eight different intervention trials, published since 2004, are described across the primary, secondary and tertiary levels of prevention and in terms of the types of risk factor that they target. The current evidence to support the effectiveness of these interventions is not only limited by the small number of outcome studies but also the poor quality of evaluation designs and the focus of many interventions on single risk factors. It is concluded that work is needed to strengthen the evidence base that supports the delivery of interventions to prevent elder abuse.

The process of risky sexual behaviors formation in women drug users: a protocol for a grounded theory study

“…The issue of drug use and its association with risky sexual behaviors is a multifaceted issue that requires the intervention of experts in various fields and institutions, and intra-organizational planning alone is not sufficient for a comprehensive look at it [25][26][27]. The focus of the present study is on two major issues: first, the issue of drug use among women that, according to reports, is increasing as quickly as it is increasing among men [28,29].…”

Determination of the knowledge and awareness of nursing students about elder neglect and abuse: The case in Turkey

“…29 5.4 | Solution suggestions for preventing the neglect and abuse of the participants Almost all of the participants stated that elderly people over 75 years old, those living alone, those not able to meet their own needs and those with psychiatric disorders are exposed to more neglect and abuse. In the literature, being 75 years old or older, 24,30,31 living alone, having a physical or mental disability 24,32 and having a psychiatric disorder 33 have been emphasized as the factors that increase the risk of elder neglect and abuse. In this study, it was found that almost all of the students knew the risk factors.…”

Interventions to prevent elder abuse in the community: a mixed-methods systematic review

“…An intervention based on a public health model aimed at preventing elder abuse should operate at the levels of primary, secondary and tertiary interventions: primary interventions target the whole population victim of elder abuse to prevent elder abuse; secondary interventions focus on early identifying and stopping the occurrence of elder abuse; tertiary interventions target elderly people who are victims of abuse and focus on preventing the recurrence of abuse (11)(12) .…”

“…Despite the increased visibility of this subject in recent decades, scientific production remains deficient, particularly with respect to studies on interventions to prevent elder abuse (11) . In addition to the limited data on preventionoriented interventions (13) , few interventions are based on scientifically grounded hypotheses and have had their efficacy and effectiveness measured (14) .…”

“…Despite the availability of quite a few systematic reviews of interventions to prevent elder abuse, there are no mixedmethods systematic reviews on this subject (11,(16)(17)(18)(19) , although a multifactorial and complex subject such as this demands the combined strengths of quantitative and qualitative methods.…”