Primary Care Clinics for Estimating Prevalence & Incidence of Elder Mistreatment

用于估计患病率的初级保健诊所

• 批准号: 7303735
• 负责人: TERRY T. FULMER
• 金额: $ 18.88万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7303735
• 关键词: Accident and Emergency department; Address; Affect; Age; Americas; Area; Burn injury; Caregivers; Caring; Catchment Area; Cessation of life; Clinic; Clinic Visits; Clinical; Clinical Services; Cohort Studies; Communities; Consensus; Cross-Sectional Studies; Decubitus ulcer; Dentistry; Detection; Development; Diagnosis; Discipline; Discipline of Nursing; Domestic Violence; Domestic abuse; Education; Elderly; Empirical Research; Ethnic Origin; Excoriation; Feasibility Studies; Fracture; Future; Goals; Health; Health system; Hospitals; Human; Incidence; Incidence Study; Income; Institutes; Investigation; Life; Literature; Measurement; Medical center; Medicine; Mental Depression; Methods; Mission; Modeling; Morals; Morbidity - disease rate; National Research Council; New York City; Numbers; Outcome; Participant; Patients; Peer Review; Personal Satisfaction; Persons; Population; Population Heterogeneity; Prevalence; Prevalence Study; Prevention intervention; Primary Health Care; Psychiatry; Public Health; Publishing; Race; Rehabilitation therapy; Reporting; Research; Research Design; Research Infrastructure; Risk; Role; Rosa; Sampling; Screening procedure; Series; Social Work; Socioeconomic Factors; Solutions; Study models; Techniques; Testing; Training; Trust; Urine; Validity and Reliability; Visit; abuse neglect; arthropathies; base; college; design; emotional abuse; experience; follow-up; improved; insight; instrument; instrumentation; maltreatment; mortality; neglect; physical abuse; prospective; racial and ethnic; research study

DESCRIPTION (provided by applicant): Elder Mistreatment (EM) is a potentially fatal public health problem that causes human suffering and preventable morbidity and mortality. Infected pressure ulcers, urine burns, fractures, depression and death are examples of the horrific outcomes of EM. Consistent with the mission of NIA, we intend to improve the health and well-being of older adults by detecting and treating EM. The goal of this study is to screen 640 older adults who visit their doctors at 5 primary care clinics for elder mistreatment. The new model will incorporate an elder mistreatment assessment instrument during the patient visit, administered by trained clinician screeners. When EM is screened positive, it will be verified by an expert team. Further, we will explore the feasibility and acceptability of re-screening at 6 months in a follow-up clinic visit to detect incidence of EM. Our aims will be to 1) estimate the prevalence of elder mistreatment in a large urban sample of community-dwelling elderly persons, via screening by clinicians with a valid, reliable instrument in community primary care clinics, 2) estimate the six-month incidence of elder mistreatment (EM), via screening and subsequent re-screening by clinicians, 3) compare a standardized, valid, reliable instrument, the Elder Assessment Instrument (EAI-R), which screens elders for psychological abuse, physical abuse and neglect by caregivers with a newly- developed single-item screening question, in this large sample of urban community-dwelling elderly persons. A cross-sectional study design will be used to address the first specific aim, to estimate the prevalence of elder mistreatment (EM) while a prospective cohort study design will be used to address the second specific aim, to estimate the six-month incidence of EM. Elder mistreatment is a potentially fatal public health problem that causes human suffering and preventable morbidity and mortality. Infected pressure ulcers, excoriations from urine burns, fractures, depression and death are examples of the horrific outcomes of elder mistreatment. This study will explore the feasibility of screening for the prevalence and incidence of elder mistreatment in busy primary care clinics. We will develop and test effective strategies for screening for elder mistreatment that can be replicated nationally.

描述（由申请人提供）：老年人虐待（EM）是一个潜在的致命的公共卫生问题，导致人类痛苦和可预防的发病率和死亡率。感染性压疮、尿灼伤、骨折、抑郁和死亡是EM可怕后果的例子。与NIA的使命一致，我们打算通过检测和治疗EM来改善老年人的健康和福祉。这项研究的目的是筛选640名老年人谁访问他们的医生在5个初级保健诊所的老年人虐待。新模式将在患者就诊期间纳入老年人虐待评估工具，由训练有素的临床筛选人员管理。当EM筛查呈阳性时，将由专家团队进行验证。此外，我们将探讨在随访门诊访视中在6个月时重新筛查以检测EM发生率的可行性和可接受性。我们的目标是：1）通过临床医生在社区初级保健诊所使用有效、可靠的工具进行筛查，估计社区居住老年人的大型城市样本中老年人虐待的患病率，2）通过临床医生进行筛查和随后的重新筛查，估计6个月内老年人虐待（EM）的发生率，3）比较标准化、有效、可靠的工具，老年人评估工具（EAI-R），该工具使用新开发的单项筛选问题，在城市社区居住的老年人的大样本中筛选老年人是否受到照顾者的心理虐待、身体虐待和忽视。横断面研究设计将用于解决第一个具体目标，估计老年人虐待（EM）的患病率，而前瞻性队列研究设计将用于解决第二个具体目标，估计EM的6个月发病率。 虐待老年人是一个潜在的致命公共卫生问题，造成人类痛苦和可预防的发病率和死亡率。感染性压疮、尿烧擦伤、骨折、抑郁和死亡是虐待老年人的可怕后果的例子。本研究将探讨在忙碌的初级保健诊所中筛查老年人虐待的患病率和发生率的可行性。我们将制定和测试可以在全国推广的有效战略，以筛查虐待老年人的情况。