PROTOCOL: Global elder abuse: A mega‐map of systematic reviews on prevalence, consequences, risk and protective factors and interventions

Mikton, Christopher; Beaulieu, Marie; Yon, Yongjie; Genesse, Julien Cadieux; St‐Martin, Kevin; Byrne, Mark; Phelan, Amanda; Storey, Jennifer E.; Rogers, Michaela; Campbell, Fiona; Ali, Parveen; Burnes, David; Band‐Winterstein, Tova; Penhale, Bridget; Lachs, Mark S.; Pillemer, Karl; Estenson, Lilly; Marnfeldt, Kelly; Eustace‐Cook, Jessica; Sutton, Anthea; Lacasse, Francis

doi:10.1002/cl2.1227

Cited by 14 publications

(9 citation statements)

References 43 publications

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“…The approach to evidence mapping accompanied by a visual evidence and gap map has been developed by several agencies (see Saran and White, 2018) [26], most notably by the International Initiative for Impact Evaluation (3ie) [27] in the field of international development and subsequently adopted and adapted to a wider a range of sectors through the Campbell Collaboration. These include, for example, transport [28], youth violence, disability (Saran et al [29]), employment (Campbell et al [30]), and health and elder abuse [31] (Table 1).…”

Section: Historical Originsmentioning

confidence: 99%

Mapping reviews, scoping reviews, and evidence and gap maps (EGMs): the same but different— the “Big Picture” review family

et al. 2023

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Scoping reviews, mapping reviews, and evidence and gap maps are evidence synthesis methodologies that address broad research questions, aiming to describe a bigger picture rather than address a specific question about intervention effectiveness. They are being increasingly used to support a range of purposes including guiding research priorities and decision making. There is however a confusing array of terminology used to describe these different approaches. In this commentary, we aim to describe where there are differences in terminology and where this equates to differences in meaning. We demonstrate the different theoretical routes that underpin these differences. We suggest ways in which the approaches of scoping and mapping reviews may differ in order to guide consistency in reporting and method. We propose that mapping and scoping reviews and evidence and gap maps have similarities that unite them as a group but also have unique differences. Understanding these similarities and differences is important for informing the development of methods used to undertake and report these types of evidence synthesis.

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Section: Historical Originsmentioning

confidence: 99%

Mapping reviews, scoping reviews, and evidence and gap maps (EGMs): the same but different— the “Big Picture” review family

et al. 2023

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“…Elder abuse is a prevalent, malignant and complex issue, affecting millions of older people globally, including those residing in residential care settings (RCS) (Botngård et al., 2021; Duffy et al., 2022; Estenson et al., 2022; Liu et al., 2021; Mikton et al., 2022; Phelan, 2023; Schultes et al., 2021). The prevalence of elder abuse worldwide is difficult to estimate, due to disagreements in definitions (Wallace & Crabb, 2017) notwithstanding variations in reporting processes (Donnelly, 2019).…”

Section: Introductionmentioning

confidence: 99%

Older people's experiences of elder abuse in residential care settings: A scoping review

Duffy,

Connolly,

Browne

2023

Journal of Advanced Nursing

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BackgroundElder abuse is a global human rights issue, particularly in residential care settings where there is limited understanding of older people's experiences of this phenomenon. This scoping review aims to map and describe the existing literature on this phenomenon.MethodsUsing Arksey and O'Malley's scoping review methodology, further developed by Levac et al. and the Joanna Briggs Institute, a systematic search of six databases was conducted to identify relevant studies published from inception to January 2023. Studies were included if they focused on older people's experience of abuse within residential care settings. A comprehensive data extraction process was employed to identify key themes from the included studies.ResultsThe initial search yielded a total of 3701 articles of which eight met the inclusion criteria. The findings revealed a range of abusive experiences encountered by older people living in residential care settings, including psychological, physical, financial, neglect and sexual abuse. The common attributes of residents vulnerable to abuse were evident throughout each of the studies. Finally, the theme of organizational neglect was apparent through the absence of effective safeguarding measures in the included studies. The findings revealed the insufficient implementation of safeguarding measures increases the risk of abuse among residents.ConclusionThis scoping review highlights the limited research on the experiences of older people who have encountered elder abuse in residential care settings. The findings stress the need for further research exploring the complex interplay of factors contributing to elder abuse within aged care settings. The insights gained from this scoping review can inform the development of comprehensive safeguarding strategies to prevent and address elder abuse in residential care settings, promoting the well‐being and safety of older people.Patient or Public ContributionThis project is a scoping review of the literature; therefore, no patient or public contribution was deemed necessary.What this paper contributes to the wider global community Most research on elder abuse has been conducted in the community rather than in Residential Care Settings where there is a limited understanding of older people’s experiences of abuse within the published literature. The scoping review highlights the presence of inadequate safeguarding strategies in Residential Care Settings within the reviewed studies, providing recommendations for developing and improving safeguarding measures in Residential Care Settings to prevent abuse, neglect, and harm in the future.

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“…It is estimated in a meta-analysis that one in every six older adults in the world has experienced some form of abuse or mistreatment annually (Yon et al , 2017). The World Health Organization (WHO, 2002) defines elder abuse as “a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person (p. 152),” of which the main forms include physical, emotional, psychological, sexual, financial and organisational abuse, as well as neglect (Mikton et al , 2022). The prevalence rates of elder abuse can vary to a great extent according to the types of abuse, study samples and research methodologies.…”

Section: Introductionmentioning

confidence: 99%

“…As the global population ages and diversifies, the number of elder abuse victims can expand rapidly if the prevalence rates remain constant (Mikton et al , 2022). The rising elder population underscores the pressing need of cost-effective measures to stop elder abuse, especially in caregiving settings.…”

Section: Introductionmentioning

confidence: 99%

“…The development of effective interventions relies heavily on an understanding of the causes and predictors of elder abuse (Pillemer et al , 2016), and the importance of identifying risk and protective factors has been highlighted in the recent global mega-map project commissioned by the WHO (Mikton et al , 2022). While there are many existing theories explaining elder abuse, caregiver stress theory is the most widely adopted when accounting for caregiver abuse (Fundinho et al , 2021).…”

Section: Introductionmentioning

confidence: 99%

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Resilience as a protective factor against elder abuse by family caregivers: findings from a cross-sectional study in Hong Kong

Yan

Sun

et al. 2022

JAP

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Purpose This study aims to explore the risk and protective factors of abuse on older adults by family caregivers, with a special focus on the protective role of caregiver resilience in elder abuse. Design/methodology/approach This cross-sectional survey was conducted on a purposive sample of 600 family caregivers of community-dwelling older adults in Hong Kong (mean age = 71.04 and female = 67.2%). Caregivers reported in a guided interview about elder abuse behaviours, caregiver burden, care recipients’ agitated behaviours, caregiver resilience, self-efficacy, social support and basic demographic characteristics. Hierarchical linear regression analyses were conducted to examine the predictors of different forms of elder abuse. Findings Caregiver resilience was predictive of lower levels of verbal abuse, physical abuse, injury and financial exploitation but not potentially harmful behaviour (PHB). Social support was independent with all forms of elder abuse, while self-efficacy predicted greater physical abuse after the adjustment of confounding variables. Caregiver burden and agitated behaviours by care recipients remained as significant risk factors in the final models when protective factors were considered. Research limitations/implications This study extends current knowledge on the protecting role of resilience in elder abuse in family caregiving. Mixed findings revealed on social support and self-efficacy also highlight the complexity of the prediction of caregiver abuse. Further research should address this area. Practical implications The findings of this study warrant the inclusion of caregiver resilience as a key component in developing interventions to prevent elder abuse. Addressing caregiver burden and agitated behaviours have the potential in preventing elder abuse. Social implications The findings raise awareness of the importance of supporting caregivers in the community to prevent elder abuse. Originality/value Research concerning the protective factors of elder abuse is in a preliminary stage. To the best of the authors’ knowledge, this study is among the first which successfully demonstrates the protective role of resilience in caregiver abuse on older adults. The findings shed invaluable light on the design of effective interventions.

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PROTOCOL: Global elder abuse: A mega‐map of systematic reviews on prevalence, consequences, risk and protective factors and interventions

Cited by 14 publications

References 43 publications

Mapping reviews, scoping reviews, and evidence and gap maps (EGMs): the same but different— the “Big Picture” review family

Mapping reviews, scoping reviews, and evidence and gap maps (EGMs): the same but different— the “Big Picture” review family

Older people's experiences of elder abuse in residential care settings: A scoping review

Resilience as a protective factor against elder abuse by family caregivers: findings from a cross-sectional study in Hong Kong

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