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

7.项目总结 虐待老年人是一个主要的公共卫生问题，患病率估计在7.6%到12.7%之间 在老年人中。EM给受害者造成了严重的不良后果，包括受伤，增加服务 被利用、精神痛苦和死亡率增加。新兴市场的一个主要障碍是无法 准确识别EM患者。据估计，只有1/24的病例为当局所知。这是 这是有问题的，因为老年人不太可能报告他们受到虐待。改善对以下疾病的筛选 EM和促进自我展示我们将研究虚拟教练在做出知情选择方面的可行性 克服困难 论虐待长辈的自我表露(声音)。这个项目的首要目标是让声音 在平板电脑上，供老年人使用，用于EM筛查。Voice将利用虚拟教练、互动 多媒体库(例如，图形、视频剪辑、动画等)、形成电子屏幕的技术 亲密伴侣暴力，以及旨在提高老年人对EM的认同感的简短励志访谈 成年人。该项目包括开发新的筛选框架，以及研究其可行性。 在现实世界的环境中进行这种复杂的干预。我们的目标是：1)发展和完善互动 语音工具，它将促进自我认同和自我披露，以增加对新兴市场的报告- 急诊室的护理。2)进行可行性研究(N=800)，研究在繁忙的急诊室中使用语音， 3)对语音作为筛选工具的准确性进行初步评估 对转诊至成人保护服务(APS)的EM病例进行分类。

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).