Mohammad Rababa, Anwar Eyadat, Mohammed ALBashtawy, Eman Abughareba, Khalid Al-Mugheed, Dania Bani-Hamad, Ayat Da’seh
{"title":"Elder Abuse and Associated Factors among Nursing Home Residents with Dementia","authors":"Mohammad Rababa, Anwar Eyadat, Mohammed ALBashtawy, Eman Abughareba, Khalid Al-Mugheed, Dania Bani-Hamad, Ayat Da’seh","doi":"10.1007/s12126-025-09604-0","DOIUrl":null,"url":null,"abstract":"<div><p>Elder abuse among nursing home (NH) residents is growing over time. Elder abuse includes multiple forms, including physical, psychological, financial, and sexual, which seriously impact older adults' quality of life. Despite the issue's significance, few studies have studied elder abuse among NH residents, and to our knowledge, no study has examined the prevalence of elder abuse and its associated factors among NH residents in Jordan. This study aimed to examine the predictors of elder abuse among NH residents in Jordan. A descriptive correlational study was conducted on a convenience sample of NH residents recruited from six NHs in Amman, Jordan. Using the function ability scale for the elderly questionnaire, the MoCA instrument, the Wisconsin Agitation Inventory (WAI), the accumulative illness rating scale (CRIS), the Communication of Need-Dementia Alzheimer's Type (CON-DAT), and the Elder Assessment Instrument (EAI) to measure ability to perform activities of daily living, level of dementia, agitation, the comorbid burden, verbal ability, and elder abuse, respectively. Pearson correlation was utilized to examine the relationship between the major variables of this study. The binary logistic regression analysis was used to examine the association of elder abuse with the rest of the variables. A total of 78 NH residents aged between 55–85, with a mean of 72.52 ± 9.45, participated in our study. About 53 participants showed potential exposure to elder abuse from staff members, family visitors, or other residents, and older people with dementia (PWD) were more likely to experience elder abuse than younger PWD, without any significant difference regarding how long they stayed in NH. The results of the chi-square tests showed that PWD who were widowed/divorced were more likely to be a victim of elder abuse than married and single ones. Binary logistic regression results showed that, after controlling for age and marital status, PWD were more exposed to elder abuse as the severity of dementia worsened, and they exhibited more agitated behaviors. The study's findings regarding elder abuse and the factors that contribute to it are significant enough to warrant early detection and preventive measures for NH residents. More training programs are needed to enhance healthcare providers' awareness of elder abuse and how to build effective and proper intervention and care plans. Our research suggests that robust patient care policies be developed, emphasizing quality monitoring systems and frequent staff training sessions on the prevention and management of elder abuse.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"50 2","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ageing International","FirstCategoryId":"1085","ListUrlMain":"https://link.springer.com/article/10.1007/s12126-025-09604-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Elder abuse among nursing home (NH) residents is growing over time. Elder abuse includes multiple forms, including physical, psychological, financial, and sexual, which seriously impact older adults' quality of life. Despite the issue's significance, few studies have studied elder abuse among NH residents, and to our knowledge, no study has examined the prevalence of elder abuse and its associated factors among NH residents in Jordan. This study aimed to examine the predictors of elder abuse among NH residents in Jordan. A descriptive correlational study was conducted on a convenience sample of NH residents recruited from six NHs in Amman, Jordan. Using the function ability scale for the elderly questionnaire, the MoCA instrument, the Wisconsin Agitation Inventory (WAI), the accumulative illness rating scale (CRIS), the Communication of Need-Dementia Alzheimer's Type (CON-DAT), and the Elder Assessment Instrument (EAI) to measure ability to perform activities of daily living, level of dementia, agitation, the comorbid burden, verbal ability, and elder abuse, respectively. Pearson correlation was utilized to examine the relationship between the major variables of this study. The binary logistic regression analysis was used to examine the association of elder abuse with the rest of the variables. A total of 78 NH residents aged between 55–85, with a mean of 72.52 ± 9.45, participated in our study. About 53 participants showed potential exposure to elder abuse from staff members, family visitors, or other residents, and older people with dementia (PWD) were more likely to experience elder abuse than younger PWD, without any significant difference regarding how long they stayed in NH. The results of the chi-square tests showed that PWD who were widowed/divorced were more likely to be a victim of elder abuse than married and single ones. Binary logistic regression results showed that, after controlling for age and marital status, PWD were more exposed to elder abuse as the severity of dementia worsened, and they exhibited more agitated behaviors. The study's findings regarding elder abuse and the factors that contribute to it are significant enough to warrant early detection and preventive measures for NH residents. More training programs are needed to enhance healthcare providers' awareness of elder abuse and how to build effective and proper intervention and care plans. Our research suggests that robust patient care policies be developed, emphasizing quality monitoring systems and frequent staff training sessions on the prevention and management of elder abuse.
期刊介绍:
As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in:
ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.