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Comprehensive Older Adult and Caregiver Help (COACH): A person-centered caregiver intervention prevents elder mistreatment.
Gassoumis, Zachary D; Martinez, Julia M; Yonashiro-Cho, Jeanine; Mosqueda, Laura; Hou, Anthony; Han, S Duke; Olsen, Bonnie; Louis, Anat; Connolly, Marie-Therese; Meyer, Kylie; Marnfeldt, Kelly; Salinas Navarro, Sheila A; Yan, Mengzhao; Wilber, Kathleen H.
Afiliación
  • Gassoumis ZD; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Martinez JM; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
  • Yonashiro-Cho J; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Mosqueda L; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Hou A; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Han SD; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
  • Olsen B; Los Angeles Medical Center, Kaiser Permanente Southern California, Los Angeles, California, USA.
  • Louis A; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Connolly MT; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
  • Meyer K; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Marnfeldt K; WISE & Healthy Aging, Santa Monica, California, USA.
  • Salinas Navarro SA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
  • Yan M; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
  • Wilber KH; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
J Am Geriatr Soc ; 72(1): 246-257, 2024 01.
Article en En | MEDLINE | ID: mdl-37791406
BACKGROUND: Elder mistreatment (EM) harms individuals, families, communities, and society as a whole. Yet research on interventions is lagging, and no rigorous studies demonstrating effective prevention have been published. This pilot study examines whether a first-of-its-kind coaching intervention reduced the experience of EM among older adults with chronic health conditions, including dementia. METHODS: We used a double-blind, randomized controlled trial to test a strengths-based person-centered caregiver support intervention, developed from evidence-based approaches used in other types of family violence. Participants (n = 80), family caregivers of older adults who were members of Kaiser Permanente, completed surveys at baseline, post-test, and 3-month follow-up. The primary outcome was caregiver-reported EM; additional proximal outcomes were caregiver burden, quality-of-life, anxiety, and depression. Nonparametric tests (Mann-Whitney U, Fisher's Exact, Wilcoxon Signed Rank, and McNemar's) were used to make comparisons between treatment and control groups and across time points. RESULTS: The treatment group had no EM after intervention completion (assessed at 3-month follow-up), a significantly lower rate than the control group (treatment = 0%, control = 23.1%, p = 0.010). CONCLUSIONS: In this pilot study, we found that the COACH caregiver support intervention successfully reduced EM of persons living with chronic illness, including dementia. Next steps will include: (1) testing the intervention's mechanism in a fully powered RCT and (2) scaling the intervention for testing in a variety of care delivery systems.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia / Abuso de Ancianos Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Aged / Humans Idioma: En Revista: J Am Geriatr Soc Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia / Abuso de Ancianos Tipo de estudio: Clinical_trials Aspecto: Patient_preference Límite: Aged / Humans Idioma: En Revista: J Am Geriatr Soc Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos