Testing survey methods for collecting data on elder mistreatment prevalence

描述（由申请人提供）：几十年来，虐待老年人一直被认为是一个重大的社会问题。然而，很难对虐待老年人的普遍性和发生率得出科学合理的、基于人口的估计。对虐待受害者的调查是一种很有希望的办法，但很少使用，特别是在人口抽样方面，也没有使用新的技术方法来获得关于敏感问题的自我报告。此外，亦有不少长者不能或不愿意参与调查访问。因此，对老年人的调查需要用其他方法加以补充。拟议的研究将测试的可行性，可接受性，成本影响，可靠性和有效性，调查方法收集自报数据从老年虐待受害者和那些谁提供家庭服务的老年客户在阿勒格尼县（匹兹堡），宾夕法尼亚州。我们会进行以人口为基础的长者住户统计调查，并会以随机抽样的方式进行下列四种统计调查模式之一：（1）标准的CATI电话访问，（2）“隐私增强”CATI电话访问，并切换到交互式语音应答系统（IVR），用于EM项目，（3）标准的CAPI亲自访问，及（4）“加强私隐”的CAPI亲自访问，并转换为音频计算机辅助自我访问系统（A-CASI），用于老年人虐待项目。我们将采访总共900名60岁及以上的老年人（600名白色和300名非洲裔美国人）。我们将在第一次访谈后约6个月重新访谈100名原始参与者的子集，以评估采用纵向调查设计收集发病率数据的可靠性和可行性。将对大约1 000个家庭服务提供者进行调查，为家庭调查估计数提供比较和补充数据。以下是拟议研究的具体目标：（1）测试收集自我报告的EM数据的调查方法的可行性，可接受性和成本影响，（2）测试收集自我报告的虐待老人数据的调查方法得出的患病率估计的可靠性和有效性，（3）从家庭长者服务提供者收集有关虐待长者的数据，以便（a）测试可行性，（B）提供长者自我报告数据的比较流行率估计，（c）纳入严重认知受损长者的数据，及（d）捕捉较严重的虐待长者情况。我们预计，拟议中的研究将有助于为设计一项关于虐待老年人的发生率和患病率的全国性研究提供信息。

DESCRIPTION (provided by applicant): Elder mistreatment has been recognized as a significant social problem for several decades. However, it has been difficult to derive scientifically sound, population-based estimates of the prevalence and incidence of elder mistreatment. Surveys of victims of mistreatment offer a promising approach, but they have been used infrequently, particularly with population-based samples, and have not used new technology-based methods for obtaining self-reports on sensitive topics. In addition, there are many elders who are unable or unwilling to participate in survey interviews. Thus, surveys of elders need to be supplemented with other methodologies. The proposed research will test the feasibility, acceptability, cost implications, reliability, and validity, of survey methodologies for collecting self-report data from elder mistreatment victims and those who provide in-home services to elderly clients in Allegheny County (Pittsburgh), Pennsylvania. We will conduct population-based household surveys of the elderly, with random assignment to one of four survey modes: (1) standard CATI telephone interview, (2) "privacy enhanced" CATI telephone interview with a switch to an interactive voice response (IVR) system for the EM items, (3) standard CAPI in person interview, and (4) "privacy enhanced" CAPI in person interview with a switch to an audio computer assisted self interviewing (A-CASI) system for the elder mistreatment items. We will interview a total of 900 elders age 60 and older (600 White and 300 African American). We will re-interview a subset of 100 original participants approximately six months after the first interview to estimate reliability and the feasibility of collecting incidence data with a longitudinal survey design. Approximately 1,000 in-home service provider surveys will be conducted to provide comparison and supplemental data for the household survey estimates. The following are the specific aims of the proposed research: (1) test the feasibility, acceptability and cost implications of survey methodologies for collecting self-report data on EM, (2) test the reliability and validity of prevalence estimates derived from survey methodologies for collecting self report data on elder mistreatment, (3) collect data regarding elder abuse from in-home elder service providers in order to (a) test feasibility, (b) provide comparison prevalence estimates to the elder self-report data, (c) incorporate data from severely cognitively impaired elders, and (d) capture more severe forms of elder mistreatment. We anticipate that the proposed research will be useful in helping to inform the design of a national study of the incidence and prevalence of elder mistreatment.