Feasibility of Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)

虚拟辅导在老年人虐待自我披露（VOICES）方面做出知情选择的可行性

• 批准号: 9767000
• 负责人: Fuad Abujarad
• 金额: $ 36.24万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9767000
• 关键词: Accident and Emergency department; Adult; Behavior; Caregivers; Clip; Communication; Complex; Decision Making; Development; Disclosure; Distress; Effectiveness; Elder Abuse; Elderly; Emotional; Ethics; Evaluation; Evidence based intervention; Family member; Feasibility Studies; Fright; Future; Geriatrics; Goals; Health; Health Personnel; Health education; Injury; Intervention; Interview; Legal; Libraries; Mediation; Methods; Nursing Homes; Outcome; Partner Abuse; Patients; Persons; Planning Theory; Positioning Attribute; Predictive Value; Prevalence; Privacy; Process; Provider; Psyche structure; Public Health; Quality of Care; Readiness; Reporting; Research; Risk; Risk Assessment; Running; Safety; Science; Screening procedure; Self Determination; Self Disclosure; Services; Societies; Tablets; Techniques; Testing; Trust; Victimization; Work; abuse neglect; adverse outcome; animation; authority; base; behavioral health intervention; design; digital; experience; health information technology; help-seeking behavior; improved; innovation; interactive multimedia; intimate partner violence; mortality; motivational enhancement therapy; multidisciplinary; neglect; patient oriented; patient safety; point of care; prevent; programs; prototype; randomized trial; relationship abuse; response; screening; service utilization; tool; tool development; usability; user centered design; virtual

7. PROJECT SUMMARY Elder mistreatment (EM) is a major public health problem with prevalence estimate ranges from 7.6% to 12.7% among older adults. EM causes serious adverse outcomes for its victims including injury, increased service utilization, mental distress and increased mortality. A major barrier in EM is the inability to accurately identify EM victims. It is estimated that only 1 in 24 cases become known to authorities. This is problematic as older adults are not likely to report that they are being mistreated. To improve the screening for EM and promote self-disclosure we will study the Feasibility of Virtual cOaching in making Informed Choices overcoming on Elder Mistreatment Self-Disclosure (VOICES). The overarching aim of this project is to VOICES that runs on tablets and used by older adults screen for EM. VOICES will be utilizing virtual coaching, interactive multimedia libraries (e.g. graphics, video clips, animations, etc.), techniques form electronic screening for intimate partner violence, and brief motivational interviewing designed to enhance identifying EM among older adults. This project includes developing new screening framework, as well as a study to examine the feasibility of this complex interventions in real-world settings. Our aims are: 1) to develop and refine the interactive VOICES tool, which will promote self-identification and self-disclosure to increase reporting of EM at point-of- care in the ED setting. 2) to conduct a feasibility study (N= 800) examining the use of VOICES in a busy ED, and 3) to perform a preliminary evaluation of the accuracy of VOICES as a screening tool in correctly classifying EM cases that were referred to Adult Protective Services (APS).

7.项目摘要 虐待老人是一个重要的公共卫生问题，其患病率估计在7.6%~ 12.7%之间 在老年人中。EM对受害者造成严重的不良后果，包括伤害，增加服务 利用、精神痛苦和死亡率增加。EM的一个主要障碍是无法 准确识别EM受害者。据估计，24起案件中只有1起为当局所知。这是 这是一个问题，因为老年人不太可能报告他们受到虐待。为了改善对 EM和促进自我披露，我们将研究虚拟教练在做出知情选择方面的可行性 克服 关于虐待老人的自我披露（声音）。这个项目的首要目标是声音， 在平板电脑上，老年人使用EM筛查。VOICES将利用虚拟教练，互动 多媒体库（例如图形、视频剪辑、动画等），技术形成电子筛选， 亲密伴侣暴力，以及旨在加强识别老年人中的EM的简短动机访谈 成年人了该项目包括制定新的筛选框架，以及研究可行性 这种复杂的干预在现实世界中的设置。我们的目标是：1）开发和完善互动 VOICES工具，这将促进自我识别和自我披露，以增加对EM的报告， 在艾德环境中的护理。2)进行可行性研究（N= 800），检查在忙碌的艾德中使用VOICES， 以及3）对VOICES作为筛选工具的准确性进行初步评估， 分类EM案件被提交给成人保护服务（APS）。