{"title":"Using administrative data from adult protective services: opportunities and considerations.","authors":"Kenneth J Steinman, Pi-Ju Liu, Georgia Anetzberger, Alyssa Pettey Rockwood, Andreas Teferra, Farida Kassim Ejaz","doi":"10.1080/08946566.2021.2020700","DOIUrl":"https://doi.org/10.1080/08946566.2021.2020700","url":null,"abstract":"<p><p>As federal agencies support the development of data systems for adult protective services (APS), researchers and practitioners are increasingly using administrative data to study types of adult maltreatment, including self-neglect, and the systems that respond to them. To date, however, APS has worked with little guidance about how best to use these data. This situation has contributed to inconsistent findings and uneven quality of research. Based on the authors' experience in multiple states and using examples from research and practice, this paper reviews practical considerations related to organizing and analyzing APS administrative data. We address concerns related to time-limited, erroneous, and missing data, as well as defining metrics and accounting for the multilevel structure of data with repeated observations. Reviewing these methodological details can help APS practitioners strengthen quality assurance processes and improve research in this important area.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"77-92"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karolina Filipska, Monika Biercewicz, Adam Wiśniewski, Kornelia Kędziora-Kornatowska, Robert Ślusarz
{"title":"Reliability and validity of the polish version of the vulnerability to Abuse Screening Scale (VASS).","authors":"Karolina Filipska, Monika Biercewicz, Adam Wiśniewski, Kornelia Kędziora-Kornatowska, Robert Ślusarz","doi":"10.1080/08946566.2021.2024106","DOIUrl":"https://doi.org/10.1080/08946566.2021.2024106","url":null,"abstract":"<p><p>Our aim was to assess the psychometric properties and reliability of a Polish version of the VASS. This cross-sectional validation study involved 228 patients above 65 years of age. Authors-Designed Questionnaire, the Geriatric Depression Scale, and the Activities of Daily Living Scale were used to assess construct validity. Psychometric properties, reliability and repeatability were assessed. Cronbach's alpha coefficient for the VASS scale was 0.89. Almost all items showed a high correlation value in relation to the others (R > 0.45). A high coefficient of repeatability and narrow limits of agreement were observed in the Bland-Altman analysis. All items analyzed had excellent intraclass correlation coefficient (ICC>0.9) and weighted kappa (κ > 0.9) scores. Very strong, significant correlations with other tools confirm the accuracy of the VASS scale. Our research shows promising validity and reliability Polish version of the VASS scale to assess the risk of elder abuse and neglect.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"56-69"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39674621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers to managing elder abuse in primary care services: experiences of healthcare providers in Mexico City.","authors":"Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero","doi":"10.1080/08946566.2021.2016534","DOIUrl":"https://doi.org/10.1080/08946566.2021.2016534","url":null,"abstract":"<p><p>The purpose of this study was to analyze the barriers to managing elder abuse from the perspective of primary care health workers in Mexico City. We performed an ethnographic qualitative-descriptive study. Thirty semi-structured interviews were conducted with healthcare providers associated with three health centers located in areas with medium and high levels of poverty. A phenomenological approach was used to identify themes, subthemes and codes. Three main types of barriers were found: 1) institutional framework; 2) professional competency limitations and the dominance of a biomedical vision; and 3) the invisibilization of elder abuse. These barriers, described by healthcare workers, highlight the complexity involved in integrating the treatment of elder abuse into primary care health services. It is necessary to develop public educational and preventive public policies for elder abuse that are coordinated both with support services to treat such cases as well as with programs to strengthen healthcare providers professional competency.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"38-55"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39843108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the mechanisms underlying the effects of loneliness on vulnerability to fraud among older adults.","authors":"Jing Wen, Hang Yang, Qianhan Zhang, Jingjin Shao","doi":"10.1080/08946566.2021.2024105","DOIUrl":"https://doi.org/10.1080/08946566.2021.2024105","url":null,"abstract":"<p><p>The current study aimed to clarify the relationships among loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud among older adults. Especially, we wanted to investigate whether susceptibility to persuasion mediates the association between loneliness and vulnerability to fraud, and whether self-control moderates the relationship in this process. A moderated mediation model was examined with 252 Chinese older adults (<i>M</i><sub>age</sub> = 67.94, <i>SD </i>= 6.27) who completed questionnaires regarding loneliness, susceptibility to persuasion, self-control, and vulnerability to fraud. The results revealed that loneliness significantly predicted older adults' vulnerability to fraud and susceptibility to persuasion partially mediated this relationship. Moreover, this mediating effect was only significant for older adults with low self-control. These findings enrich our understanding of how loneliness affects older adults' vulnerability to fraud and provide practical guidance for establishing protections against fraud targeting older adults.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"34 1","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell
{"title":"Reliability of the longitudinal experts all data (LEAD) methodology for determining the presence of elder mistreatment.","authors":"Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell","doi":"10.1080/08946566.2021.2003278","DOIUrl":"10.1080/08946566.2021.2003278","url":null,"abstract":"<p><p>Developing reliable screening tools to identify elder mistreatment requires an accurate and reproducible reference standard. This study sought to investigate the reliability of the Longitudinal, Experts, All Data (LEAD) methodology as a reference standard in confirming presence of elder mistreatment. We analyzed data from a large, emergency department-based study that used a LEAD panel to determine the reference standard. For this study, a second, blinded LEAD panel reviewed clinical material for 40 patients. For each panel, five content experts voted on whether elder mistreatment was present. We found moderate agreement between the two LEAD panels in determining presence of elder mistreatment: 85% agreement; k = 0.58; 95% Confidence Interval 0.28-0.87. Individual raters for both LEAD panels reported being mostly certain or certain >90% of votes. Efforts to further characterize and improve the reliability of the LEAD methodology in this context are warranted.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 5","pages":"385-397"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8881787/pdf/nihms-1777018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kim Dash, Risa Breckman, Kristin Lees-Haggerty, Alyssa Elman, Mark Lachs, Rebecca Jackson Stoeckle, Terry Fulmer, Tony Rosen
{"title":"Developing a tool to assess and monitor institutional readiness to address elder mistreatment in hospital emergency departments.","authors":"Kim Dash, Risa Breckman, Kristin Lees-Haggerty, Alyssa Elman, Mark Lachs, Rebecca Jackson Stoeckle, Terry Fulmer, Tony Rosen","doi":"10.1080/08946566.2021.1965930","DOIUrl":"https://doi.org/10.1080/08946566.2021.1965930","url":null,"abstract":"<p><p>Hospital emergency departments (EDs) lack the tools and processes required to facilitate consistent screening and intervention in cases of elder abuse and neglect. To address this need, the National Collaboratory to Address Elder Mistreatment has developed a clinical care model that ED's can implement to improve screening, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. To gauge ED readiness to change and facilitate adoption of the care model, we developed an organizational assessment tool, the Elder Mistreatment Emergency Department Assessment Profile (EM-EDAP). Development included a phased approach in which we reviewed evidence on best practice; consulted with multidisciplinary experts; and sought input from ED staff. Based on this formative research, we developed a tool that can be used to guide EDs in focusing on practice improvements for addressing elder mistreatment that are most responsive to local needs and opportunities.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 4","pages":"311-326"},"PeriodicalIF":1.9,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764220/pdf/nihms-1855631.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alison M O'Connor, Rebecca A Judges, Kang Lee, Angela D Evans
{"title":"Can adults discriminate between fraudulent and legitimate e-mails? Examining the role of age and prior fraud experience.","authors":"Alison M O'Connor, Rebecca A Judges, Kang Lee, Angela D Evans","doi":"10.1080/08946566.2021.1934767","DOIUrl":"https://doi.org/10.1080/08946566.2021.1934767","url":null,"abstract":"<p><p>The present study assessed how accurate adults are at detecting fraudulent e-mail activity. A total of 100 younger (18-26 years) and 96 older adults (60-90 years) categorized a series of e-mails as legitimate or fraudulent phishing schemes and self-reported their fraud experiences. Younger and older adults did not differ in accuracy rates when categorizing the e-mails (72%), but older adults used a \"high-suspicion\" strategy where they were more likely to mislabel a legitimate e-mail as fraudulent compared to younger adults. Younger adults were less likely to be targeted by fraud than older adults, but the groups were victimized at similar rates. Being a prior fraud victim negatively related to e-mail detection performance, but this differed across age groups and the extent of fraud experience. Together, these results provide insight into the relation between fraud experience and the ability to detect e-mail scams and can inform fraud prevention and education initiatives.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 3","pages":"181-205"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1934767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39237133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Merav Ben Natan, Yaniv Steinfeld, Yaniv Yonai, Yaron Berkovich
{"title":"Retrospective study of older patient characteristics that increase the likelihood that a fracture was associated with abuse.","authors":"Merav Ben Natan, Yaniv Steinfeld, Yaniv Yonai, Yaron Berkovich","doi":"10.1080/08946566.2021.1934769","DOIUrl":"https://doi.org/10.1080/08946566.2021.1934769","url":null,"abstract":"<p><p>Searching for clinical manifestations of elder abuse may help healthcare professionals identify cases of elder abuse. The aim of the present study was to explore characteristics of older patients with fractures that increase the likelihood that the fracture was associated with abuse. This is a retrospective chart review study of 1,000 patients aged 65 and older who presented to an emergency department in northern-central Israel with a fracture during 2019. The chart review included participant characteristics - sociodemographic data, medical data, data regarding the fracture, and data on the presence of forensic markers of elder abuse in individual patients. Descriptive statistics and regression models were used for the analyses. Older age, presence of dementia, and hand and facial fractures were associated with the presence of forensic markers, and were also found to predict having at least one forensic factor. This study provides further support for the creation of clinical guidelines for identification of elder abuse.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 3","pages":"221-229"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1934769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39069306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elder abuse in life stories: a qualitative study on rural Chinese older people.","authors":"Yanping Liu, Fawen Hu","doi":"10.1080/08946566.2021.1934768","DOIUrl":"https://doi.org/10.1080/08946566.2021.1934768","url":null,"abstract":"<p><p>Holding beliefs such as elder respect seems to make Chinese older adults vulnerable to feel abused. This study investigated how Chinese older people in the countryside perceive abuse and make sense of their abusive experiences while telling their life stories. Following a narrative approach, we conducted semi-structured interviews with 17 older persons living in a rural village, Yunnan province, China, collected their life stories, and paid special attention to their telling of abuses. Thematic analysis of the data suggests that elder abuse for the participants is a betrayal of trust that is established within Chinese cultural values. Four themes were identified in explaining the participants' experiences of abuse: disrespect, dependency and the down-valued self, disconnection and rejection, and social comparisons in the construction of abuse. We discuss implications for future research and practices in stopping elder abuse.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 3","pages":"206-220"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1934768","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38982820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding aging and consumer fraud victimization in the Chinese context: A two-stage conceptual approach.","authors":"Jessie X Fan, Zhou Yu","doi":"10.1080/08946566.2021.1937428","DOIUrl":"https://doi.org/10.1080/08946566.2021.1937428","url":null,"abstract":"<p><p>The relationship between aging and consumer fraud victimization is mixed in the literature. Most studies based on survey data have found older consumers less likely to be fraud victims, while a few studies have found older consumers more likely to be victimized, especially with certain fraud types. We developed a two-stage conceptual framework to differentiate fraud exposure from fraud victimization once exposed. Using nationally representative Chinese data and controlling for confounders, we found that consumers between 65 and 74 face similar risks of being targeted by perpetrators compared to younger groups, while consumers 75+ and older are less likely to be exposed to fraud. However, once exposed, both groups of older consumers are significantly more likely to become fraud victims. In the Chinese context, these two opposing effects led to an overall higher risk of consumer financial fraud victimization by older consumers.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"33 3","pages":"230-247"},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1937428","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39248773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}