Validation of the Hwalek-Sengstock Elder Abuse Screening Test

Neale, Anne Victoria; Hwalek, Melanie; Scott, Richard; Sengstock, Mary C.; Stahl, Carolyn

doi:10.1177/073346489101000403

Cited by 127 publications

(123 citation statements)

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“…No seu desenvolvimento, foram testados mais de mil itens selecionados a partir de vários protocolos em uso nos Estados Unidos. Muitos desses itens não focalizavam sintomas específicos de abuso ou negligência, mas tinham a intenção de detectar circunstâncias correlatas à presença do problema como, por exemplo, dependência fí-sica ou financeira e isolamento 54 . Uma análise fatorial dos 15 itens do H-S/EAST identificou três categorias conceituais, a saber, violação aberta dos direitos pessoais ou abuso direto; características do idoso que o tornam mais vulnerável ao abuso; e características de uma situação de abuso potencial 55 .…”

Section: Vulnerability To Abuse Screening Scaleunclassified

“…Uma análise fatorial dos 15 itens do H-S/EAST identificou três categorias conceituais, a saber, violação aberta dos direitos pessoais ou abuso direto; características do idoso que o tornam mais vulnerável ao abuso; e características de uma situação de abuso potencial 55 . Estudos de validação também corroboraram sua capacidade para captar possibilidade de abuso psicológi-co, físico, violação de direitos pessoais e abuso financeiro 54 . Neale et al 54 advertem que o instrumento deve ser utilizado para identificar suspeita de abuso, particularmente quando o investigador for relativamente pouco experiente no tema.…”

Section: Vulnerability To Abuse Screening Scaleunclassified

“…Estudos de validação também corroboraram sua capacidade para captar possibilidade de abuso psicológi-co, físico, violação de direitos pessoais e abuso financeiro 54 . Neale et al 54 advertem que o instrumento deve ser utilizado para identificar suspeita de abuso, particularmente quando o investigador for relativamente pouco experiente no tema. Além das questões concernentes à violência, o H-S/EAST pode ser utilizado para a identificação de serviços que os respondentes possam necessitar, tais como transporte, cuidados pessoais, ou aconselhamento referente ao mau uso de substâncias 54 .…”

Section: Vulnerability To Abuse Screening Scaleunclassified

“…Além das questões concernentes à violência, o H-S/EAST pode ser utilizado para a identificação de serviços que os respondentes possam necessitar, tais como transporte, cuidados pessoais, ou aconselhamento referente ao mau uso de substâncias 54 . O instrumento também serve para decidir-se sobre um aprofundamento na investigação ou encaminhamento do relato de abuso a uma agência especializada 54 .…”

Section: Vulnerability To Abuse Screening Scaleunclassified

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Uma revisão sobre instrumentos de rastreamento de violência doméstica contra o idoso

Jr.

Reichenheim

2006

Cad. Saúde Pública

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IntroduçãoA violência doméstica não é um fenômeno novo. Há vários indícios de que as violências social e doméstica estejam interconectadas 1 . Nos Estados Unidos, onde se tem estudado mais detalhadamente o evento, observa-se que as pessoas são mais freqüentemente mortas, agredidas fisicamente, feridas e lesionadas em seus domicílios por outro membro da família do que em qualquer outro ambiente ou por qualquer outro indivíduo 2 . Mesmo que envolva apenas alguns dos participantes do grupo, a violência doméstica tem repercussões em toda a família ou no ambiente da moradia 3 . Os custos envolvidos são também grandes, podendo ser monetários em decorrência do tratamento das conseqüências, da perda de dias de trabalho, dos custos legais e da diminuição de anos úteis por morte ou impedimentos graves; e não monetários, devido a dias de ausência escolar ou seqüelas psicológicas, dentre outras 3 .Para que se conheça o fenômeno de forma mais completa, interessa estudar as várias facetas da violência que envolve indivíduos em relações de intimidade, quer por consangüini-dade, quer devido a relações profissionais que se estabelecem no ambiente domiciliar. Uma das relações de crescente interesse concerne ao idoso, grupo etário no qual atos de negligência e violência doméstica passaram a aumentar em importância com a sua progressiva

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Section: Vulnerability To Abuse Screening Scaleunclassified

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Uma revisão sobre instrumentos de rastreamento de violência doméstica contra o idoso

Jr.

Reichenheim

2006

Cad. Saúde Pública

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“…This scale, which was developed by Neale et al (17), has 15 items and a three-dimensional structure: direct abuse, characteristics of vulnerability, and potentially abusive situation. These three dimensions were named as subscales including questions 4, 9, 10, 11, and 15 for "direct abuse"; questions 1, 3, and 6 for "characteristics of vulnerability"; and questions 2,5,7,8,12,13, and 14 for "potentially abusive situation".…”

Section: Hwalek-sengstock Elder Abuse Screening Testmentioning

confidence: 99%

Adaptation, reliability, and validity study of the Hwalek–SengstockElder Abuse Screening Test (H-S/EAST): a Turkish version

Özçakar¹,

Ergönen²,

Kartal³

et al. 2017

Turk J Med Sci

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Background/aim: The most important issues in elder abuse and neglect are lack of awareness and difficulties in determining the situation. Our aim is to determine the reliability and validity of the Turkish version of the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST). Materials and methods:The H-S/EAST (15-itemed, three-dimensional: direct abuse, characteristics of vulnerability, and potentially abusive situation) was translated according to the guidelines and experts evaluated it for content validity and cultural adaptation.Participants' (n = 252) mean age was 73.4 ± 6.4 years and 58.3% were female. The World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) and the Barthel Index were used for validity. Cronbach's alpha for internal consistency, exploratory factor analysis for content validity, t-test for construct validity, and discriminant ability were used. SPSS 15.0 was used for analysis and statistical significance was P < 0.05. Results:In test-retest reliability, internal consistency coefficient values for direct abuse, characteristics of vulnerability, and potentially abusive situation were 0.88, 0.73, and 0.80, respectively. Cronbach's alpha for internal consistency of the H-S/EAST was 0.741. Exploratory factor analysis obtained 5 factors, and explained variance was 61.8%. Cut-off value was 6, and sensitivity, specificity, and area under the ROC curve were 76.9%, 96.2%, and 0.938, respectively. Conclusion:The Turkish version of the H-S/EAST can be used as a reliable, valid clinical tool for the assessment of elder abuse.

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Associations of Child Maltreatment and Intimate Partner Violence With Elder Abuse in a US Chinese Population

Dong

Wang

2019

JAMA Intern Med

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nterpersonal violence refers to violence between individuals and is subdivided into family, intimate partner, acquaintance, and stranger violence. 1 It is a pervasive public health issue associated with increased morbidity, mortality, and social and health care costs. [2][3][4][5][6][7][8][9][10] Research suggests that people exposed to one form of violence might be at higher risks of experiencing other forms of violence. [11][12][13] Within each agerelated stage, the World Health Organization has identified child maltreatment, intimate partner violence, and elder abuse as common types of interpersonal violence. 1 After age 60 years, approximately 11% of people in the United States have experienced elder abuse, and the rates are higher among minority populations. 3,14,15 Elder abuse has been linked to significant health-related consequences. 3,[16][17][18] Identifying individuals with increased risk of abuse among older populations is vital for elder abuse prevention and intervention. There exists a substantial body of literature that suggests a history of sexual abuse as a significant indicator for exposure to subsequent abuse among children and women. 11,[19][20][21][22] Although this is important, there is limited information about different forms of abuse across major lifespan stages and their relationships to elder abuse.Building on the previous work, this study seeks to bridge the knowledge gap by examining lifespan abuse (ie, psycho-IMPORTANCE People who have experienced abuse as a child or violence with an intimate partner might have higher odds of being abused again, but this has been insufficiently investigated regarding elder abuse. More conclusive evidence might be critical to assessment and prevention strategies. OBJECTIVE To examine the associations of child maltreatment and intimate partner violence with elder abuse. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional data of 3157 community-dwelling US Chinese older adults (60 years or older) in Chicago, Illinois, were collected during 2011 through 2013.EXPOSURES Cases of child maltreatment and intimate partner violence. MAIN OUTCOMES AND MEASURES Cases of elder abuse.RESULTS Of the 3157 US Chinese older adults included in the study, 1328 (42.1%) were men, and the mean (SD) age was 72.8 (8.3) years. The prevalence of elder abuse, child maltreatment, and intimate partner violence in the cohort was 15.2%, 11.4%, and 6.5%, respectively. After adjusting for sociodemographic variables, health status, quality of life, and health change, individuals reporting child maltreatment had increased odds of intimate partner violence (13.4% vs 5.6%; adjusted odds ratio [aOR], 2.57; 95% CI, 1.78-3.71) and elder abuse (25.2% vs 13.8%; aOR, 2.08; 95% CI, 1.57-2.75) than those not reporting child maltreatment. Individuals reporting intimate partner violence had increased odds of elder abuse than those not reporting intimate partner violence (48.8% vs 12.9%; aOR, 5.53; 95% CI, 4.01-7.64). CONCLUSIONS AND RELEVANCEPrior abuse across major lifespan stages is associated wit...

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Validation of the Hwalek-Sengstock Elder Abuse Screening Test

Cited by 127 publications

References 4 publications

Uma revisão sobre instrumentos de rastreamento de violência doméstica contra o idoso

Uma revisão sobre instrumentos de rastreamento de violência doméstica contra o idoso

Adaptation, reliability, and validity study of the Hwalek–SengstockElder Abuse Screening Test (H-S/EAST): a Turkish version

Associations of Child Maltreatment and Intimate Partner Violence With Elder Abuse in a US Chinese Population

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