Testing survey methods for collecting data on elder mistreatment prevalence

描述(申请人提供)：几十年来，虐待老年人一直是一个重大的社会问题。然而，很难对虐待老年人的流行率和发生率得出科学合理的、以人口为基础的估计。对虐待受害者的调查提供了一种很有希望的方法，但很少被使用，特别是在以人口为基础的样本中，并且没有使用新的基于技术的方法来获得关于敏感主题的自我报告。此外，还有许多长辈无法或不愿参加调查访谈。因此，对老年人的调查需要补充其他方法。这项拟议的研究将测试调查方法的可行性、可接受性、成本影响、可靠性和有效性，以收集宾夕法尼亚州阿勒格尼县(匹兹堡)老年人虐待受害者和那些为老年人提供居家服务的人的自我报告数据。我们会进行以人口为基础的长者住户调查，随机分成四种调查模式：(1)标准的CATI电话访问、(2)“加强私隐”的CATI电话访问，以及(3)标准的CAPI亲自访问，以及(4)“加强私隐”的CAPI亲自访问，以及(4)切换至有声电脑辅助自访系统(A-CASI)，以处理长者虐待项目。我们将采访900名60岁及以上的老年人(600名白人和300名非洲裔美国人)。我们将在第一次采访后大约六个月重新采访100名原始参与者的子集，以评估使用纵向调查设计收集发病率数据的可靠性和可行性。将进行大约1,000项居家服务提供商调查，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的：(1)测试收集长者自我报告数据的调查方法的可行性、可接受性和成本影响；(2)测试根据调查方法得出的虐待长者自我报告数据的可靠性和有效性；(3)从家居安老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)为长者自我报告数据提供比较的流行率估计；(C)纳入严重认知受损长者的数据；以及(D)收集更严重形式的虐待长者。我们预计，拟议的研究将有助于为设计一项关于虐待老年人的发生率和流行率的全国性研究提供参考。

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.