The Effectiveness of Educational Intervention in Improving Primary Health-Care Service Providers’ Knowledge, Identification, and Management of Elder Abuse and Neglect: A Systematic Review

Mydin, Fadzilah Hanum Mohd; Choo, Wan Yuen; Othman, Sajaratulnisah

doi:10.1177/1524838019889359

Cited by 24 publications

(30 citation statements)

References 36 publications

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“…When health care professionals' attitudes and knowledge about elder abuse are studied, results are often reported without the measurements that were based on validated questionnaires [15]. Similarly, many training programs do not include validated instruments to measure the effect of the program [26,27]. Evaluations of interventions are also often limited to knowledge about elder abuse and satisfaction with training on the topic.…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse

Simmons

Wenemark

Ludvigsson

2021

BMC Health Serv Res

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Background Elder abuse is prevalent and associated with morbidity but often goes unnoticed in health care. Research on the health care response to victims calls for valid measurements. This article describes the development and validation of a questionnaire to evaluate health care provider preparedness to care for older adults subjected to abuse, the REAGERA-P (Responding to Elder Abuse in GERiAtric Care – Provider questionnaire). Method REAGERA-P was developed in phase I. The questionnaire includes a case vignette, self-efficacy scales for identifying and managing elder abuse cases and cause for concern as well as organizational barriers when talking with older patients about abuse. Content validity was ensured by a review committee, and cognitive interviews were conducted to ensure face validity and to examine cognitive processes to ensure comprehension. REAGERA-P was then administered to health care providers (n = 154, response rate 99 %) to test for construct validity. Factor analysis was performed, and internal consistency was tested for the self-efficacy scales. Convergent validity was tested by investigating associations between relevant variables. Some items were revised in phase II, and new cognitive interviews were performed. Parts of the questionnaire were tested for responsiveness by administering it to medical interns (n = 31, response rate 80 %) before and after an educational intervention. Results REAGERA-P showed good content and face validity. The factor analysis revealed two factors: one for asking questions about abuse (Cronbach’s α = 0.75) and one for managing the response to the questions (Cronbach’s α = 0.87). Results suggest good convergent validity for the self-efficacy scales and for questions about cause for concern and organizational barriers. The responsiveness of the self-efficacy scales was good: the mean on the scale for asking questions (range 0–30) was 15.0 before the intervention and 21.5 afterwards, the mean on the scale for managing the response (range 0–50) was 22.4 before the intervention and 32.5 afterwards. Conclusion REAGERA-P is a new questionnaire that can be used to evaluate health care provider preparedness to identify and manage cases of elder abuse, including educational interventions conducted among staff to improve health care responses to victims of elder abuse. This initial testing of the questionnaire indicates that the REAGERA-P has good validity.

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Section: Introductionmentioning

confidence: 99%

“…Evaluations of interventions are also often limited to knowledge about elder abuse and satisfaction with training on the topic. Changes in attitudes and practices are typically not considered [26].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse

Simmons

Wenemark

Ludvigsson

2021

BMC Health Serv Res

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“…After reviewing these 37 articles, 25 were excluded (not a systematic review/meta-analysis, abuse, and neglect not examined, and not a peer-reviewed journal article). This resulted in 12 full-text articles reporting on 11 unique reviews, which were included in this review (Alt et al, 2011;Ayalon et al, 2016;Baker et al, 2016Baker et al, , 2017Day et al, 2017;Fearing et al, 2017;Hirst et al, 2016;Mohd Mydin et al, 2019;Moore & Browne, 2017;Ploeg et al, 2009;Rosen, Elman et al, 2019;Wang et al, 2015).…”

Section: Search Strategy and Inclusion And Exclusion Criteriamentioning

confidence: 99%

“…Further, abuse among older adults is quite prevalent in institutional settings and often leads to serious physical injuries and long-term psychological consequences (World Health Organization, 2018). As populations continue to age worldwide over the next several decades, abuse and neglect among older adults are predicted to increase exponentially (Mohd Mydin et al, 2019;World Health Organization, 2018).…”

Section: Introductionmentioning

confidence: 99%

Do interventions to prevent or stop abuse and neglect among older adults work? A systematic review of reviews

Marshall

Herbst

Girod

et al. 2020

Journal of Elder Abuse & Neglect

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Abuse and neglect among older adults impact everyone and are recognized internationally as significant and growing public health issues. A systematic review of reviews was conducted to identify effective strategies and approaches for preventing abuse and neglect among older adults. Eligible reviews were systematic or meta-analyses; focused on the older population as reported in the publications; reviewed prevention interventions; included relevant violence and abuse outcomes; written in English; and published in a peer-reviewed journal between January 2000 and May 2020. Eleven unique reviews (12 publications) met the eligibility criteria, including one metaanalysis. Included reviews mainly focused on general abuse directed toward older adults; and educational interventions for professional and paraprofessional caregivers, multidisciplinary teams of health care and legal professionals, and families. Interventions were implemented in a variety of community and institutional settings and addressed primary, secondary, and tertiary prevention. The reviews indicated weak or insufficient evidence of effectiveness in preventing or reducing abuse, yet several promising practices were identified. Future research is needed to evaluate emerging and promising strategies and approaches to prevent abuse among older adults. Effective interventions are also needed to prevent or reduce abuse and neglect among older adults.

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“…A recent systematic review showed that educational intervention improved the knowledge, attitude, and practice of primary health care providers (Mohd Mydin et al, 2021). However, most of the studies in the review evaluated a one-time educational intervention and none measured the long-term sustainability of the knowledge and change of practice.…”

Section: Elder Abuse and Neglect Education Interventionmentioning

confidence: 99%

Evaluating the Effectiveness of I-NEED Program: Improving Nurses’ Detection and Management of Elder Abuse and Neglect—A 6-Month Prospective Study

Mydin

Choo

Othman

et al. 2020

J Interpers Violence

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Elder abuse and neglect (EAN) goes largely unrecognized and underreported globally by health care professionals. Despite acknowledging their role to intervene elder abuse, health care professionals lacked knowledge and skills in this issue. This is a single-blinded, three-armed, cluster randomized controlled trials aimed to evaluate the effectiveness of the face-to-face Improving Nurses’ dEtection and managEment of elDer abuse and neglect (I-NEED) intensive training program and I-NEED educational video in improving primary care nurses’ knowledge, attitude, and confidence to intervene EAN; 390 primary care nurses were randomized equally into two intervention groups—ITP group (intensive training program) and ITP+ group (intensive training program and educational video)—and a control group. The knowledge, attitudes, and confidence to intervene EAN were measured using questionnaires at four intervals during 6-month follow-up. A total of 269 primary care nurses participated in this study. There was a significant increase in knowledge, attitude, and confidence to intervene EAN immediately post intervention observed in both intervention groups compared to the control group ( p < .001). At the end of sixth month, there was an increase of knowledge favoring ITP group than the ITP+ group ( p < .001). There is, however, no significant difference in attitude score between ITP and ITP+ group. There is a significant difference of confidence to intervene among the participants between both intervention groups with ITP+ participants reporting higher scores post intervention ( p < .05). An intensive training module improved the knowledge, attitude, and confidence to intervene EAN. Other co-existing barriers for abuse victims getting help, resources, policy, and law of EAN need further highlights.

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The Effectiveness of Educational Intervention in Improving Primary Health-Care Service Providers’ Knowledge, Identification, and Management of Elder Abuse and Neglect: A Systematic Review

Cited by 24 publications

References 36 publications

Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse

Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse

Do interventions to prevent or stop abuse and neglect among older adults work? A systematic review of reviews

Evaluating the Effectiveness of I-NEED Program: Improving Nurses’ Detection and Management of Elder Abuse and Neglect—A 6-Month Prospective Study

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