Kelly Marnfeldt, Susanna Mage, Susan Enguidanos, Zachary Gassoumis, Kate Wilber
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引用次数: 0
Abstract
The Comprehensive Older Adult and Caregiver Help (COACH) intervention, evaluated in a randomized controlled trial (RCT) by Gassoumis et al. (2024), achieved an unexpected outcome: during the three months after the intervention, no caregivers in the treatment group self-reported elder mistreatment (EM), compared to 23.1% in controls, despite no significant reduction in measured caregiver risk factors such as burden, depression, or anxiety. To explore factors that may have contributed to this outcome, we conducted a case study with three COACH care coaches and their supervisor, supplemented by 100 post-visit notes and six pages of supervisory meeting notes. Thematic analysis identified three elements perceived as central to COACH's impact: tailored, person-centered support; care navigation and resource provision; and culturally responsive, iterative caregiver education. Findings suggest that relational support may mitigate EM risk even when measured risk factors do not change, underscoring the need for theory-informed frameworks to guide caregiver-focused prevention strategies.
期刊介绍：
The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
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