Developmental Research on Elder Mistreatment

虐待老年人的发展研究

• 批准号: 7268081
• 负责人: LAURA A MOSQUEDA
• 金额: $ 18.21万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7268081
• 关键词: Address; Age; American; Categories; Clinical; Communities; Community Practice; Criminal Justice; Detection; Development; Distress; Elderly; Ensure; Ethnic group; Event; Health Policy; Healthcare; Hispanics; Impaired cognition; Injury; Intervention; Measurement; Measures; Medical; Mental Health; Methods; Mexican Americans; Not Hispanic or Latino; Numbers; Older Population; Patient Self-Report; Policy Maker; Population; Population Study; Preventive; Proxy; Public Health; Purpose; Reporter; Reporting; Research; Research Personnel; Resources; Risk; Sampling; Severities; Sexual abuse; Social Work; Standards of Weights and Measures; Subgroup; Surveys; System; Testing; Trust; Validity and Reliability; base; cost; design; ethnic minority population; experience; financial exploitation; instrument; maltreatment; neglect; psychologic; size

DESCRIPTION (provided by applicant): The projected rapid increase in numbers of older Americans raises the concern that elder mistreatment will grow as much and as fast as the population of elders. Although it is clear that the problem of elder mistreatment is already large - the best estimate is that one to two million older Americans are victims of mistreatment annually - most events are never reported. The personal costs are profound: not only do victims suffer from their injuries and losses, they are likely to die at an earlier age than elders who are not victims of mistreatment. There is very little understanding of the issues that surround elder mistreatment, for example risk or preventive factors, physical markers, consequences and clinical courses, healthcare and other costs, successful interventions and, methods for studying each of these issues. Current approaches to detecting abuse for research purposes are either invalid and unreliable or cumbersome, and difficult to apply on a broad scale, making population studies infeasible. There is a desperate need for a standardized measurement approach that can be generalized across groups. This application recommends development and testing of a self-report, survey-based measure that can be broadly applied to generate population estimates of abuse and move elder mistreatment research forward. This project must confront a number of methodological issues, including (a) lack of standardized conceptual and operational definitions of the five generally-accepted categories of mistreatment: physical, psychological and sexual abuse, neglect by a trusted other and financial exploitation; (b) cognitively-impaired older adults who are unreliable reporters of their experiences; (c) generalization of the instrument across ethnic groups; and (d) relevance to the community of elder mistreatment professionals. Thus we aim to: Aim 1. Develop conceptual definitions and methods for operationalizing the definitions for all five categories of elder mistreatment. Aim 2. Design a self-reported, survey-based measure for detecting presence and severity of all types of elder mistreatment. Aim 3. Determine whether the survey-based measure validly and reliably predicts elder mistreatment in samples of Mexican American and Non-Hispanic white community-dwelling elders, including the cognitively impaired. With a valid, reliable criterion standard for detecting elder mistreatment, researchers can begin to measure and understand and policy makers can activate the resources needed to adequately address this significant and distressing public health problem.

描述（由申请人提供）：预计美国老年人人数的迅速增加引起了人们的担忧，即虐待老年人的行为将与老年人人口一样多、一样快。尽管虐待老年人的问题显然已经很大了--最好的估计是每年有100万到200万美国老年人成为虐待的受害者--但大多数事件从未被报道过。个人代价是巨大的：受害者不仅遭受伤害和损失，而且可能比没有受到虐待的老年人早死。人们对虐待老年人的问题知之甚少，例如风险或预防因素、身体标志、后果和临床过程、医疗保健和其他费用、成功的干预措施以及研究这些问题的方法。目前为研究目的检测滥用的方法要么无效和不可靠，要么繁琐，难以广泛应用，使人口研究不可行。迫切需要一种标准化的测量方法，可以在各个群体中推广。该应用程序建议开发和测试一种自我报告的基于调查的措施，可广泛应用于产生虐待人口估计数，并推动虐待老年人的研究。这一项目必须面对一些方法问题，包括（a）对五种普遍接受的虐待类别缺乏标准化的概念和操作定义：身体虐待、心理虐待和性虐待、被信任的他人忽视和经济剥削;（B）有认知障碍的老年人，他们不能可靠地报告自己的经历;（c）该工具在各族裔群体中的普遍化;以及（d）与虐待老人问题专业人员社区的相关性。因此，我们的目标是：目标1。为所有五类虐待老年人行为制定概念定义和实施定义的方法。目标二。设计一个自我报告的，基于调查的措施，用于检测所有类型的老年人虐待的存在和严重程度。目标3。确定基于调查的措施是否有效和可靠地预测墨西哥裔美国人和非西班牙裔白色社区居住的老年人，包括认知障碍的样本中的老年人虐待。有了检测虐待老年人的有效、可靠的标准，研究人员就可以开始衡量和了解，决策者就可以调动所需的资源，充分解决这一重大而令人痛苦的公共卫生问题。