Elder Mistreatment

描述（由申请人提供）：根据RFA AG-06-009的指导，本发展研究项目的总体目标是在社区环境中证明对老年人虐待的流行病学评估方法的可行性，通常定义为对(a)自我照顾或自我保护能力下降的老年人的身体、性和情感虐待；(b)目前处于信任地位的人。为了与RFA建议的社区焦点保持一致，我们建议：(1)以现有的南卡罗来纳州成人保护服务成员和其他老年人服务机构成员的形式召集一个社区咨询小组。该小组将审查我们的评估方法，并通过焦点小组形式，对我们的脆弱性、信任和虐待定义和调查材料提出修订建议，以确保与社区机构的相关性。这些材料部分用于R03关于虐待老年人的示范项目，目前是草案形式，现在以与国家研究委员会出版物《虐待老年人》一致的方式进行定义。美国老龄化中的虐待、忽视和剥削（2003）（以下简称NRC 2003）。然后，我们提出(2)在南卡罗来纳州的800名老年人和200名老年人照顾者中进行多方法评估策略的试点测试。该方法在概念上以生态模型应用于老年人虐待为指导，在方法上以我们之前对年轻人群的家庭暴力和性侵犯进行的全国性研究以及我们对老年人虐待评估进行的NIA R03调查（NIA# 1R03AG018115-01）所获得的知识为指导，其发表的结果见附录。使用多方法的方法，我们将评估老年人虐待的患病率在社区样本认知受损和未受损的老年人。此外，我们将测量假设的风险因素和风险因素关系，以证明从各种参与者收集这些相关数据的可行性。在本申请中，我们将首先召集南卡罗来纳州社区高级服务机构代表召开会议，审查并进一步完善在我们的R03试点研究（NIA# 1R03AG018115-01）中验证的老年人虐待评估方法。然后，我们将对南卡罗来纳州的800名老年人和200名老年人护理人员进行随机数字拨号调查。使用多方法的方法，我们将评估身体，性和心理虐待。

DESCRIPTION (provided by applicant): As directed by RFA AG-06-009, the overall aim of this developmental research project is to demonstrate in a community setting the feasibility of a method for epidemiological assessment of elder mistreatment, defined generally as physical, sexual, and emotional mistreatment of (a) an elderly person who has a diminished capacity for self care or self protection; and (b) by someone currently in a position of trust. In keeping with the suggested community focus of the RFA, we propose to: (1) convene a community advisory panel in the form of the existing South Carolina Adult Protection Service members and other Older Adult service agency members. This group will review our assessment methodology and suggest revisions, through focus group format, of our vulnerability, trust, and mistreatment definitions and survey materials to assure relevance to community agencies. These materials, used in part in an R03 demonstration project on elder mistreatment, are currently in draft format and are now defined in a manner consistent with that given in the National Research Council publication Elder Mistreatment. Abuse, Neglect, and Exploitation in an Aging America (2003) (hereafter referred to as NRC 2003). We then propose to (2) pilot test a multi method assessment strategy with 800 older adults and 200 caregivers of older adults in South Carolina. This method is conceptually directed by application of the Ecological Model to elder mistreatment and methodologically guided by knowledge gained in our prior national studies of domestic violence and sexual assault in younger populations, and the NIA R03 investigation we conducted on assessment of Elder Mistreatment (NIA# 1R03AG018115-01), the published findings of which are given in the appendix. Using a multi method approach, we will assess the prevalence of elder mistreatment in a community sample of both cognitively impaired and unimpaired older adults. In addition, we will measure hypothesized risk factors and risk factor relationships in order to demonstrate the feasibility of gathering these related data from a variety of participants. PROGRAM NARRATIVE In this application we will first convene a meeting of South Carolina community senior service agency representatives to review and further refine an elder mistreatment assessment methodology validated in our R03 pilot study (NIA# 1R03AG018115-01). Then we will conduct a random digit dialing survey of an epidemiological sample of 800 older adults and 200 caregivers of older adults in South Carolina. Using a multi method approach, we will assess physical, sexual, and psychological mistreatment.