MIStreatment Screening in Elders Before Discharge

NCT05807568 | Completed

• 1 other identifier: HSC-MS-22-1009
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to demonstrate the feasibility of introducing, implementing, and integrating a brief, existent elder mistreatment screening tool (the National Collaboratory to Address Elder Mistreatment (NCAEM)'s Elder Mistreatment - Screening And Response Tool (EM-SART) Pre-Screen) in the Memorial Herman Hospital (MHH)-Texas Medical Center (TMC)Acute Care of Elders(ACE) (MHH-TMC ACE) unit and to identify older adults who may already be suffering from abuse, neglect, and/or financial exploitation, as well as connecting the study participants to the primary Geriatric Medicine team on the ACE unit such that additional care, evaluation (including additional in-depth mistreatment screening), and intervention can be taken to prevent and minimize further harm prior to discharge. The investigators hope to reduce missed opportunities for mistreatment detection to lead to safer health outcomes and hospital discharges.

Conditions

Elder Abuse; Surveys and Questionnaires; Self Neglect; Geriatrics; Geriatric Assessment; Health Services for the Aged; Aged

Keywords

Elder Mistreatment; Abuse; Neglect; Exploitation; Screening; Geriatric; Questionnaire

Outcome Measures

Primary Outcomes (2)

• Number of units using this NCAEM EM-SART Pre-Screen tool

  How many times the NCAEM EM-SART Pre-Screen tool is attempted with consented patients

  12 months after study

• Number of participants who have identified elder mistreatment

  Study participants screening positive based on NCAEM EM-SART Pre-Screen tool

  15 minute evaluation of each participant, no follow-up

Study Arms (1)

NCAEM EM-SART Pre-Screen

EXPERIMENTAL

Other: NCAEM EM-SART Pre-Screen

Interventions

NCAEM EM-SART Pre-Screen OTHER

Participants will be verbally asked the 3 participant questions on the NCAEM EM-SART Pre-Screen either directly or with support of hospital approved telephonic interpreters. Answers will be documented by the investigator digitally. Participants will be interviewed one time for a duration of approximately 15 minutes. No further action will be taken on study participants with negative elder mistreatment screens, unless findings concerning for emotional distress are identified by the investigator. If emotional distress is identified, these observations will be communicated to Geriatric Medicine team in person or via secure/encrypted email, with recommendations to follow-up with the participant about the results and take appropriate care actions. Study participants with positive elder mistreatment will have results shared with the study participant directly and with the Geriatric Medicine primary team via secure/encrypted email.

NCAEM EM-SART Pre-Screen

Eligibility Criteria

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

You may qualify if:

• current admission to the MHH-TMC ACE unit
• ability to independently hear, understand, and verbally answer the 3 participant questions on the NCAEM's EM-SART Pre-Screen screening tool when it is read to them

You may not qualify if:

• unwillingness to participate in the research study.

Sponsors & Collaborators

• The University of Texas Health Science Center, Houston: lead

Study Sites (1)

The University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

Study Officials

• Julia A Hiner, MD

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 27, 2023
• First Posted: April 11, 2023
• Study Start: April 10, 2023
• Primary Completion: February 2, 2026
• Study Completion: February 2, 2026
• Last Updated: February 11, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)