Responding to Elder Abuse in GERiAtric care (REAGERA) educational intervention for healthcare providers: a non-randomised stepped wedge trial

Ludvigsson, Mikael; Motamedi, Atbin; Westerlind, Björn; Swahnberg, Katarina; Simmons, Johanna

doi:10.1136/bmjopen-2021-060314

Cited by 1 publication

(2 citation statements)

References 38 publications

(79 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This will be explored in a future full-scale test of the model that is on-going and will provide the opportunity to test for differences e.g. between different professional categories [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Testing an educational intervention to improve health care providers’ preparedness to care for victims of elder abuse: a mixed method pilot study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Aabstract Background Elder abuse is prevalent and associated with ill-health. However, health care providers often lack education about elder abuse and older patients’ victimization often remains unknown to them. In this pilot study we performed initial testing of an educational model aiming at improving health care providers’ preparedness to care for older adults subjected to abuse, or more specifically their self-reported propensity to ask older patients questions about abuse and perceived ability to manage the response. Methods The educational model consisted of a full training day about elder abuse, including theory, group discussions and forum theatre. Forum theatre is an interactive form of drama in which participants are not only observers, but rather spect-actors, urged to participate in the scene. They are thereby given the opportunity to discuss and practise difficult health care encounters. Medical interns (intervention group n = 16, control group n = 14) in Sweden participated in the study and a mixed method convergent parallel design was used. Quantitative data was collected at baseline and 6 months post-intervention using a questionnaire (the REAGERA-P). Qualitative interviews were conducted with four of the participants in the intervention group and data was analysed using qualitative content analysis. Results The reported frequency of asking older patients questions about abuse increased in the intervention group (p = 0.047), but not the control group (p = 0.38) post-intervention. Potential mediators for the improvement were an increased awareness of elder abuse and higher self-efficacy for asking questions about elder abuse. Participants also reported a higher perceived ability to manage cases of elder abuse, even though uncertainties concerning how to provide the best possible care remained. The qualitative interviews indicated that learning from each other in group discussions and forum theatre likely was an important contributor to the positive results. Conclusion This pilot test indicated that the educational model may be effective in improving health care providers’ preparedness to care for older adults subjected to abuse. However, uncertainties about how to handle elder abuse cases remained post-intervention. In a future full-scale test of the model more focus needs to be put on how to manage cases of elder abuse.

show abstract

Section: Discussionmentioning

confidence: 99%

“…A full-scale test of the model is currently being conducted. A study protocol has been published [ 47 ] and the study is registered at clinicaltrials.gov (register no NCT05065281).…”

Section: Discussionmentioning

confidence: 99%