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).

Public Health Relevance

Elder mistreatment (EM) is a major public health problem with prevalence estimate ranges from 7.6% to 12.7% among older adults and it is estimated that only 1 in 24 cases of EM become known to authorities/providers. In this proposal, we will study the feasibility of Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES). This screening tool will be delivered on tablets (e.g. iPads) utilizing interactive multimedia libraries, techniques form electronic screening for intimate partner violence, and brief motivation interviewing designed to enhance self-identification, promote self-disclosure and reporting of EM among older adults.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG060084-02
Application #
9767000
Study Section
Special Emphasis Panel (ZAG1)
Program Officer
Gerald, Melissa S
Project Start
2018-09-01
Project End
2022-03-31
Budget Start
2019-08-01
Budget End
2020-03-31
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Yale University
Department
Emergency Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520