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| Name | Class |
|---|---|
| Linkoeping University | OTHER_GOV |
| Region Jönköping County | OTHER_GOV |
| Linnaeus University | OTHER |
| Kamprad Family Foundation |
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The prevalence of elder abuse has been reported between 10-15% in international studies. Elder abuse may include both physical, emotional, sexual and financial abuse as well as neglect and it occurs at the hand of both professionals and family members, including adult children and intimate partners. Elder abuse has been associated with psychological ill-health, disability, increased hospitalization, emergency department use and admission to nursing facilities. Elder abuse is however often unknown to health care providers. Older adults are hesitant to disclose abuse and health care providers are often reluctant to ask questions.
In this study an interactive educational model for health care professionals about elder abuse will be tested. The model consist of theoretical lectures, brief films showing patient encounters, group discussions and forum play, a form of participatory theater. Both group discussions and forum play will be using case scenarios as a cornerstone.
The validated questionnaire REAGERA-P will be used for self-reported measures
Please refer to the uploaded study protocol for a detailed description of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education | Experimental | Participants that have undergone the educational intervention |
|
| Waitlist | No Intervention | Participants still waiting to cross over to intervention arm |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education | Other | Training for health care professionals on how to identify and manage cases of elder abuse among their patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change between baseline and follow up concerning asking questions about abuse, as reported in the questionnaire REAGERA-P | Self-report measure of asking older patients about abusive experience. Will be measure both as a dichotomous value (have ever asked questions during the last 6 months) as well as a frequency measure where participants report how often they have asked patients questions about abuse during the last 6 months (on a scale from 0 to 10 or more) | Baseline, 6 month follow up, 12 month follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Change between baseline and follow up concerning awareness of elder abuse and sense of responsibility for identifying victims, as reported in the questionnaire REAGERA-P |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change between baseline and follow up concerning number of elder abuse victims identified at the clinics included in the study, as reported in the medical records | Anonymous data from the medical records counting the number of older patients treated at each clinic that have been identified as victims of abuse during the last 6 months | Baseline, 6 month follow up, 12 month follow up |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Johanna Simmons, MD, PhD | Region Östergötland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Region Jönköpings län | Eksjö | Sweden | ||||
| Region Jönköpings Län |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34006271 | Background | Simmons J, Wenemark M, Ludvigsson M. Development and validation of REAGERA-P, a new questionnaire to evaluate health care provider preparedness to identify and manage elder abuse. BMC Health Serv Res. 2021 May 19;21(1):473. doi: 10.1186/s12913-021-06469-2. | |
| 35508341 | Background | Ludvigsson M, Motamedi A, Westerlind B, Swahnberg K, Simmons J. Responding to Elder Abuse in GERiAtric care (REAGERA) educational intervention for healthcare providers: a non-randomised stepped wedge trial. BMJ Open. 2022 May 4;12(5):e060314. doi: 10.1136/bmjopen-2021-060314. |
| Label | URL |
|---|---|
| Study Protocol | View source |
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There is a plan to make anonymous participant data that underlie results in publications available. However, we are still waiting on final guidelines from the sponsor concerning sharing data and in the unlikely case that the new guidelines prohibit sharing data it will not be shared.
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Data will become available alongside publications.
Will be made available from the researcher upon reasonable request or made available from a public depository.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 2, 2023 | Dec 2, 2023 | Prot_SAP_002.pdf |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| UNKNOWN |
| Medical Research Council of Southeast Sweden | OTHER_GOV |
Non-randomized stepped wedge cluster trial (incomplete design)
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| Baseline, Immediate post-intervention (number 2), 6 month follow up, 12 month follow up |
| Change between baseline and follow up concerning level of awareness of abuse in contact with patients, as reported in the questionnaire REAGERA-P | Patient case ("Vignette") with indicators of abuse and participants self-report if they think they would have asked the patient questions about abuse | Baseline, 6 or 12 month follow up (different for different clusters) |
| Change between baseline and follow up concerning perceived ability to ask questions about abuse, as reported in REAGERA-P |
| Baseline, Immediate post-intervention, 6 month follow up, 12 month follow up |
| Change between baseline and follow up concerning perceived preparedness to manage cases of elder abuse, as reported in REAGERA-P |
| Baseline, Immediate post-intervention (number 1and 2), 6 months follow up, 12 months follow up |
| Change between baseline and follow up concerning preparedness at the clinic to care for older adults subjected to abuse, as reported in REAGERA-P | Self-reported evaluation of:
| Baseline, 6 months follow up, 12 months follow up |
| Change between baseline and follow up concerning adequate follow up, as reported in the questionnaire REAGERA-P | Frequency of respondents reporting that identified cases of elder abuse were given adequate follow up | Baseline, 6 month follow up, 12 month follow up |
| Change between baseline and follow up concerning self-reported hesitancy for asking questions about elder abuse, as reported in the questionnaire REAGERA-P | Frequency of respondents reporting that they have suspected cases of elder abuse but refrained from asking questions | Baseline, 6 month follow up, 12 month follow up |
| Degree of changed practice as reported in the questionnaire REAGERA-P | Frequency of participants self-reporting that they have changed their working practices as a result of the educational intervention | 6 month follow up |
| Jönköping |
| Sweden |
| Region Östergötland | Linköping | Sweden |
| Region Östergötland | Norrköping | Sweden |