Responding to Elder Abuse in GERiAtric Care: Educational Intervention

NCT05065281 | Completed

• 1 other identifier: RÖ-786
• Study Type: interventional
• Target: 554
• Locations: 1 country
• Sites: 4

Brief Summary

The prevalence of elder abuse has been reported between 10-15% in international studies. Elder abuse may include both physical, emotional, sexual and financial abuse as well as neglect and it occurs at the hand of both professionals and family members, including adult children and intimate partners. Elder abuse has been associated with psychological ill-health, disability, increased hospitalization, emergency department use and admission to nursing facilities. Elder abuse is however often unknown to health care providers. Older adults are hesitant to disclose abuse and health care providers are often reluctant to ask questions. In this study an interactive educational model for health care professionals about elder abuse will be tested. The model consist of theoretical lectures, brief films showing patient encounters, group discussions and forum play, a form of participatory theater. Both group discussions and forum play will be using case scenarios as a cornerstone. The validated questionnaire REAGERA-P will be used for self-reported measures

Conditions

Healthy

Outcome Measures

Primary Outcomes (1)

• Change between baseline and follow up concerning asking questions about abuse, as reported in the questionnaire REAGERA-P

  Self-report measure of asking older patients about abusive experience. Will be measure both as a dichotomous value (have ever asked questions during the last 6 months) as well as a frequency measure where participants report how often they have asked patients questions about abuse during the last 6 months (on a scale from 0 to 10 or more)

  Baseline, 6 month follow up, 12 month follow up

Secondary Outcomes (5)

• Change between baseline and follow up concerning awareness of elder abuse and sense of responsibility for identifying victims, as reported in the questionnaire REAGERA-P

  Baseline, Immediate post-intervention (number 2), 6 month follow up, 12 month follow up

• Change between baseline and follow up concerning level of awareness of abuse in contact with patients, as reported in the questionnaire REAGERA-P

  Baseline, 6 or 12 month follow up (different for different clusters)

• Change between baseline and follow up concerning perceived ability to ask questions about abuse, as reported in REAGERA-P

  Baseline, Immediate post-intervention, 6 month follow up, 12 month follow up

• Change between baseline and follow up concerning perceived preparedness to manage cases of elder abuse, as reported in REAGERA-P

  Baseline, Immediate post-intervention (number 1and 2), 6 months follow up, 12 months follow up

• Change between baseline and follow up concerning preparedness at the clinic to care for older adults subjected to abuse, as reported in REAGERA-P

  Baseline, 6 months follow up, 12 months follow up

Other Outcomes (4)

• Change between baseline and follow up concerning number of elder abuse victims identified at the clinics included in the study, as reported in the medical records

  Baseline, 6 month follow up, 12 month follow up

• Change between baseline and follow up concerning adequate follow up, as reported in the questionnaire REAGERA-P

  Baseline, 6 month follow up, 12 month follow up

• Change between baseline and follow up concerning self-reported hesitancy for asking questions about elder abuse, as reported in the questionnaire REAGERA-P

  Baseline, 6 month follow up, 12 month follow up

Study Arms (2)

Education

EXPERIMENTAL

Participants that have undergone the educational intervention

Other: Education

Waitlist

NO INTERVENTION

Participants still waiting to cross over to intervention arm

Interventions

Education OTHER

Training for health care professionals on how to identify and manage cases of elder abuse among their patients

Education

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Employee at one of the clinics participating in the trial
• Work tasks involves direct patient contact, at least part time
• Participation at the training sessions

You may not qualify if:

• Only administrative work and no direct patient contact
• Not participating at the training session

Sponsors & Collaborators

• Region Östergötland: lead
• Linkoeping University: collaborator
• Region Jönköping County: collaborator
• Linnaeus University: collaborator
• Kamprad Family Foundation: collaborator
• Medical Research Council of Southeast Sweden: collaborator

Study Sites (4)

Region Jönköpings län

Eksjö, Sweden

Location

Region Jönköpings Län

Jönköping, Sweden

Location

Region Östergötland

Linköping, Sweden

Location

Region Östergötland

Norrköping, Sweden

Location

Related Publications (2)

• Simmons J, Wenemark M, Ludvigsson M. Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse. BMC Health Serv Res. 2021 May 19;21(1):473. doi: 10.1186/s12913-021-06469-2.

  PMID: 34006271 BACKGROUND

• Ludvigsson M, Motamedi A, Westerlind B, Swahnberg K, Simmons J. Responding to Elder Abuse in GERiAtric care (REAGERA) educational intervention for healthcare providers: a non-randomised stepped wedge trial. BMJ Open. 2022 May 4;12(5):e060314. doi: 10.1136/bmjopen-2021-060314.

  PMID: 35508341 BACKGROUND

Related Links

• Study Protocol

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Johanna Simmons, MD, PhD

  Region Östergötland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Non-randomized stepped wedge cluster trial (incomplete design)

Study Record Dates

• First Submitted: September 15, 2021
• First Posted: October 4, 2021
• Study Start: September 16, 2021
• Primary Completion: November 18, 2024
• Study Completion: November 18, 2024
• Last Updated: December 18, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will become available alongside publications.
• Access Criteria: Will be made available from the researcher upon reasonable request or made available from a public depository.

Locations

SE (4)