Creating opportunities to improve detection of older adult abuse: a national interRAI study

Hall, Yvette; Smith, Jim; Turner, Robin; Greco, Philippa; Hau, Kenny; Barak, Yoram

doi:10.1186/s12877-022-02938-3

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…Indicators were chosen for analyses as they were the same ones used in our pilot study. 21 There were 186 713 assessments included consisting of 108 992 women (58.4%) and 77 469 men (41.5%). The mean age was 82.1 years (range: 65–109) and the majority 161 378 were European New Zealanders (86.4%) and the most common minority ethnicity being Māori (6.1%).…”

Section: Resultsmentioning

confidence: 99%

“…These items were previously shown by our group to be associated with abuse potential. 21 Our primary definition of depression was a Depression Rating Scale score of ≥3, as this is considered to reflect clinically meaningful depression. 22 23 The interRAI-HC assesses the ability of the participant to make decisions regarding tasks of daily life, stratified into six categories.…”

Section: Methodsmentioning

confidence: 99%

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Effects of changing criteria on improving interRAI assessment for elder abuse: analysis of a national dataset from Aotearoa New Zealand

Turner,

Glue,

Barak

2024

BMJ Open

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ObjectivesGlobally, one in six older adults in the community will be a victim of abuse (elder abuse; EA). Despite these horrific statistics, EA remains largely undetected and under-reported. Available screening methods and tools fail to accurately identify the phenomenon’s true prevalence. We aimed to test assessment capture rates by altering the criteria for suspicion of EA in the interRAI-HC (International Resident Assessment Instrument–Home Care) in a large national dataset.DesignWe employed secondary analyses of existing data to test a methodology to improve the detection of older adults at risk of EA using the interRAI-HC, which currently underestimates the extent of abuse.SettingThe interRAI is a suite of clinical assessment instruments. In Aotearoa New Zealand, interRAI is mandatory in aged residential care and home and community services for older people living in the community. They are designed to show the assessor opportunities for improvement and any risks to the person’s health.Outcome measureCapture rates of individuals at risk of EA when the interRAI Abuse-Clinical Assessment Protocol (A-CAP) is changed to include the unable to determine abuse (UDA) group shown in a pilot study to increase capture rates of individuals at risk of EA.ResultsAnalysis of 9 years of interRAI-HC data (July 2013–June 2022) was undertaken, encompassing 186 713 individual assessments consisting of 108 992 women (58.4%) and 77 469 men (41.5%). The mean age was 82.1 years (range: 65–109); the majority 161 378 were European New Zealanders (86.4%) and the most common minority ethnicity was Māori (6.1%). Those at high risk of abuse (A-CAP) tended to be male (2402; 51.0%), were 79.2 years old on average (range 65–105), with 49.6% (2335) living alone, 39.4% (1858) suffering from depression and a majority were assessed as not having independent decision making (2942; 62.5%). In comparison, the UDA group showed similar characteristics to the A-CAP group on some measures. They were slightly younger than the general sample, with a mean age 80.1 years (range 65–107), they had higher rates of depression (2123; 33.5%) compared with the general sample (25 936; 14.8%) and a majority were assessed as not having independent decision-making (3855; 60.9%). The UDA group is distinct from the general sample and the UDA group broadly has similar but less extreme characteristics to the A-CAP group. Through altering the criteria for suspicion of EA, capture rates of at-risk individuals could be more than doubled from 2.5% to 5.9%.ConclusionsWe propose that via adapting the interRAI-HC criteria to include the UDA category, the identification of older adults at risk of EA could be substantially improved, facilitating enhanced protection of this vulnerable population.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of changing criteria on improving interRAI assessment for elder abuse: analysis of a national dataset from Aotearoa New Zealand

Turner,

Glue,

Barak

2024

BMJ Open

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“…The World Health Organization (WHO, 2022a) agrees with this definition, highlighting the multifaceted nature of abuse. It encompasses various elements such as the specifics of the abuse, the identities of the abuser and victim, the dynamics of their relationship, the presence of pain, the motivations behind the abuse, and the settings in which it occurs (Hall et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Education as a Catalyst: Assessing the Influence of Advocacy Communication on Preventing Elder Abuse in South-West Nigeria

Adebayo¹,

Oyero²,

Oyesomi³

2023

Proceedings of SOCIOINT 2023- 10th International Conference on Education and Education of Social Sciences

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Elder abuse poses a significant challenge in Nigeria, particularly as the population of individuals aged 65 and above is expanding at a faster rate compared to other age groups. Despite Nigeria's strong emphasis on family values, many young people today struggle to provide support and care for the elderly. These senior citizens have made substantial contributions to society during their working years but find themselves dependent on government social assistance due to their inability to work and care for themselves adequately. Unfortunately, the government's legislation and initiatives to address the needs of the aging population remain insufficient. The study focuses on exploring the educational impact of advocacy communication in eradicating elder abuse, specifically in South-West Nigeria. It aims to understand how advocacy efforts can contribute to raising awareness, promoting education, and implementing preventive measures against elder abuse within the region. The study underscores the crucial role of education through advocacy communication in combating elder abuse. It highlights the need for the South-West Nigerian government to prioritize the safety and well-being of all citizens, regardless of gender, ethnicity, or age, through educational initiatives that address elder abuse. The study recommends identifying the complexities associated with existing approaches, acknowledging the inadequacies of current legal and policy measures, and fostering coordinated interagency efforts to effectively prevent the proliferation of elder abuse issues in Nigeria. By incorporating these educational insights, including awareness campaigns, training programs, and community engagement, South-West Nigeria can establish a comprehensive framework to combat elder abuse and promote a society that values and protects its elderly population.

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Creating opportunities to improve detection of older adult abuse: a national interRAI study

Cited by 2 publications

References 29 publications

Effects of changing criteria on improving interRAI assessment for elder abuse: analysis of a national dataset from Aotearoa New Zealand

Effects of changing criteria on improving interRAI assessment for elder abuse: analysis of a national dataset from Aotearoa New Zealand

Education as a Catalyst: Assessing the Influence of Advocacy Communication on Preventing Elder Abuse in South-West Nigeria

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