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The impact of elder abuse training on subacute health providers and older adults: study protocol for a randomized control trial.
Cavuoto, Marina G; Markusevska, Simona; Stevens, Catriona; Reyes, Patricia; Renshaw, Gianna; Peters, Micah D J; Dow, Briony; Feldman, Peter; Gilbert, Andrew; Manias, Elizabeth; Mortimer, Duncan; Enticott, Joanne; Cooper, Claudia; Antoniades, Josefine; Appleton, Brenda; Nakrem, Sigrid; O'Brien, Meghan; Ostaszkiewicz, Joan; Eckert, Marion; Durston, Cheryl; Brijnath, Bianca.
Afiliación
  • Cavuoto MG; Social Gerontology, National Ageing Research Institute, PO Box 2127, Parkville, VIC, 3050, Australia.
  • Markusevska S; Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC, Australia.
  • Stevens C; Social Gerontology, National Ageing Research Institute, PO Box 2127, Parkville, VIC, 3050, Australia.
  • Reyes P; Edith Cowan University, Mount Lawley, WA, Australia.
  • Renshaw G; . Vincent's Health Sydney, Darlinghurst, NSW, Australia.
  • Peters MDJ; University of New South Wales, Kensington, NSW, Australia.
  • Dow B; Uniting War Memorial Hospital, Waverley, NSW, Australia.
  • Feldman P; Sir Charles Gairdner Osborne Park Health Care Group, Stirling and Nedlands, WA, Australia.
  • Gilbert A; Rosemary Bryant AO Research Centre, Clinical Health Science, University of South Australia, Adelaide, South Australia, Australia.
  • Manias E; Australian Nursing and Midwifery Federation (Federal Office), Melbourne, VIC, Australia.
  • Mortimer D; Adelaide Nursing School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
  • Enticott J; Health Evidence Synthesis, Recommendations, and Impact (HERSI), School of Public Health, University of Adelaide, Adelaide, South Australia, Australia.
  • Cooper C; Social Gerontology, National Ageing Research Institute, PO Box 2127, Parkville, VIC, 3050, Australia.
  • Antoniades J; The University of Melbourne, Parkville, VIC, Australia.
  • Appleton B; Deakin University, Waurn Ponds, Victoria, Australia.
  • Nakrem S; Social Gerontology, National Ageing Research Institute, PO Box 2127, Parkville, VIC, 3050, Australia.
  • O'Brien M; Social Gerontology, National Ageing Research Institute, PO Box 2127, Parkville, VIC, 3050, Australia.
  • Ostaszkiewicz J; La Trobe University, Bundoora, VIC, Australia.
  • Eckert M; Deakin University, Waurn Ponds, Victoria, Australia.
  • Durston C; Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, Australia.
  • Brijnath B; Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia.
Trials ; 25(1): 338, 2024 May 22.
Article en En | MEDLINE | ID: mdl-38778386
ABSTRACT

BACKGROUND:

Elder abuse often goes unreported and undetected. Older people may be ashamed, fearful, or otherwise reticent to disclose abuse, and many health providers are not confident in asking about it. In the No More Shame study, we will evaluate a co-designed, multi-component intervention that aims to improve health providers' recognition, response, and referral of elder abuse.

METHODS:

This is a single-blinded, pragmatic, cluster randomised controlled trial. Ten subacute hospital sites (i.e. clusters) across Australia will be allocated 11, stratified by state to a multi-component intervention comprising a training programme for health providers, implementation of a screening tool and use of site champions, or no additional training or support. Outcomes will be collected at baseline, 4 and 9 months. Our co-primary outcomes are change in health providers' knowledge of responding to elder abuse and older people's sense of safety and quality of life. We will include all inpatients at participating sites, aged 65 + (or aged 50 + if Aboriginal or Torres Strait Islander), who are able to provide informed consent and all unit staff who provide direct care to older people; a sample size of at least 92 health providers and 612 older people will provide sufficient power for primary analyses.

DISCUSSION:

This will be one of the first trials in the world to evaluate a multi-component elder abuse intervention. If successful, it will provide the most robust evidence base to date for health providers to draw on to create a safe environment for reporting, response, and referral. TRIAL REGISTRATION ANZCTR, ACTRN12623000676617p . Registered 22 June 2023.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud / Abuso de Ancianos Límite: Aged / Humans / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud / Abuso de Ancianos Límite: Aged / Humans / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido