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Peter A S, Prabhu MM, Tolson D, Nayak BS, Bhandary RP, V B, Devi ES. Effectiveness of interventions to prevent abuse in people living with dementia in community settings: A systematic review. DEMENTIA 2024:14713012241260476. [PMID: 38901056 DOI: 10.1177/14713012241260476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/22/2024]
Abstract
OBJECTIVES This review examined the evidence for interventions to prevent the abuse of people living with dementia in the community. METHODS The articles were retrieved from 2000 to 2023 from six databases, including MEDLINE via PubMed, CINAHL Plus via EBSCO, EMBASE, ProQuest Medical Library, Web of Science, and Scopus. The research articles that focused on finding the effectiveness of interventions for preventing abuse of people living with dementia in community settings were included in this review. The review included randomized controlled trials and pre-test post-test trials only. The quality appraisal of the eligible studies was done using ROB 2 and ROBINS II. The findings were tabulated and narratively synthesised. RESULTS Out of 1831 articles, only three were included in this review. Only two RCTs were included in this efficacy review. Both the studies showed that the interventions were not effective in reducing abuse. The studies utilised family caregiver interventions like psychological interventions and online supportive education. The review identified psychological interventions with some evidence. Another study was a quasi-experimental study that used dialectical behaviour therapy as an intervention to reduce abuse occurrence. The study showed low evidence and focused only on reporting of elder abuse as an outcome. CONCLUSION This review found very few studies and was not able to draw a conclusion on the effectiveness of interventions for abuse in people living with dementia. Given the paucity of research, there is a clear need to identify how to overcome the challenges faced in elder abuse research and further refine the development of approaches to reduce elder abuse among people living with dementia in community settings.
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Affiliation(s)
- Seelia Peter A
- Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka,India 576104
| | - M Mukhyaprana Prabhu
- Department of General Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
| | - Debbie Tolson
- Alzheimer's Scotland Centre for Policy and Practice, University of West of Scotland, UK; School of Health and Life Sciences, University of West of Scotland, UK
| | - Baby S Nayak
- Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
| | - Rajeshkrishna P Bhandary
- Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
| | - Binil V
- Department of Psychiatric (Mental Health) Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
| | - Elsa Sanatombi Devi
- Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
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Zhang D, Li S. Family Members' Abuse of Older Adults, Psychological Well-Being, and Sleep Quality Among Older Women and Men in China. J Appl Gerontol 2024; 43:205-214. [PMID: 37747794 DOI: 10.1177/07334648231203835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/27/2023] Open
Abstract
Despite the well-documented detrimental health effects of elder abuse, scholars have rarely considered whether and how family members' abuse of older adults is associated with sleep. Data from the 2018 China Longitudinal Aging Social Survey (N = 8110) were used to assess the association between elder abuse committed by family members and sleep quality, and how psychological well-being (depression and loneliness) mediates and gender moderates the above association. Results indicated that those who experienced family members' abuse were more likely to report poor sleep quality than their non-abused counterparts. Depression and loneliness partially mediated the elder abuse-sleep relationship. Furthermore, among those who experienced one elder abuse, older women had a higher risk of poor sleep quality than their male counterparts. However, two or more elder abuse experiences had similar negative effects on older women and men. Preventing elder abuse and improving psychological well-being is critical to promoting late-life sleep.
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Affiliation(s)
- Dan Zhang
- School of Public Administration, Hohai University, Nanjing, China
| | - Shuzhuo Li
- Institute for Population and Development Studies, School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China
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Ünlü D, Yurtsever E, Artan T, Irmak HS. An Examination of Conditions Exposing Older Adults to Economic Abuse: Logistic Regression Analysis. J Appl Gerontol 2022; 41:2480-2489. [PMID: 35855541 DOI: 10.1177/07334648221116159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to determine factors affecting the economic abuse status of older adults. The study was conducted with 385 individuals aged 65 years and above, living in the Bahçelievler district of Istanbul. Data were collected using a Sociodemographic Form, and a Determination of Economic Abuse of Older Adults Form. Logistic regression analysis was applied to determine the factors affecting the economic abuse status of the older adults. The study participants comprised 51.4% males and 48.6% females with a mean age of 70.44 ± 6.73 years. It was determined that 9.4% of the older adults were exposed to economic abuse. As a result of the logistic regression analysis, the factors found to affect the situations of exposure to economic abuse of the older adults were age, income status, number of children, exposure to emotional abuse, and exposure to physical abuse.
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Affiliation(s)
- Derya Ünlü
- Department of Social Work, 226843Istanbul Sabahattin Zaim University, Turkey
| | - Emel Yurtsever
- Department of Social Work, 226843Istanbul Sabahattin Zaim University, Turkey
| | - Taner Artan
- Department of Social Work, 532719Istanbul University-Cerrahpasa, Turkey
| | - Hatice Selin Irmak
- Department of Social Work, 532719Istanbul University-Cerrahpasa, Turkey.,Department of Gerontology, 532719Istanbul University-Cerrahpasa, Turkey
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Fraga Dominguez S, Storey JE, Glorney E. Characterizing Elder Abuse in the UK: A Description of Cases Reported to a National Helpline. J Appl Gerontol 2022; 41:2392-2403. [PMID: 35765209 PMCID: PMC9561799 DOI: 10.1177/07334648221109513] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The abuse of older adults by someone in a position of trust-also known as elder abuse (EA)-has a severe impact on victims and society. However, knowledge about EA in the UK is limited in comparison to other types of interpersonal violence and international knowledge. The present study utilized secondary data from a UK national EA helpline to investigate the characteristics of reported cases. Over a one-year period between 2017 and 2018, 1,623 records met inclusion criteria. Descriptive statistics are provided to describe this sample. Most cases reported to the helpline pertained to female victims, suffering from financial or psychological abuse. Co-occurrence of different abuse types was common. Findings provide updated knowledge about the phenomenology of EA cases in the UK. Recommendations are provided for advancing research in this area, including the need for examining cases across longer periods of time with a view to informing practice and policy.
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Filipska K, Biercewicz M, Wiśniewski A, Jabłońska R, Królikowska A, Główczewska-Siedlecka E, Kędziora-Kornatowska K, Ślusarz R. High Rate of Elder Abuse in the Time of COVID-19-A Cross Sectional Study of Geriatric and Neurology Clinic Patients. J Clin Med 2021; 10:4532. [PMID: 34640547 PMCID: PMC8509336 DOI: 10.3390/jcm10194532] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 09/26/2021] [Accepted: 09/28/2021] [Indexed: 12/26/2022] Open
Abstract
The ongoing COVID-19 pandemic is believed to have caused a sharp increase in the incidence of elder abuse (EA), including as a result of isolation, social distance combined with increased interpersonal stressors. Thus, the aim of this study is to determine the impact of the COVID-19 pandemic on the elder abuse rates and the characteristics of risk factors. A total of 347 patients hospitalized in the Department of Neurology and Department of Geriatrics at University Hospital No. 1 in Bydgoszcz were selected as subjects for the analysis. The tools used in the study are: Authors-Designed Questionnaire, the Vulnerability to Abuse Screening Scale, the Geriatric Depression Scale and the Activities of Daily Living Scale. Descriptive statistics, chi-squared tests, Spearman's rank correlation test, and logistic regression analyses were used. In the studied population, nearly 45% of the elderly were victims of violence. This represents an increase of more than 6 percent compared to the pre-pandemic. The most common type of EA was psychological abuse (72.3%). In the final models, the risk factors include, among others, low income (OR = 3.60, 95% CI = 1.93-6.72), chronic diseases (OR = 2.06, 95% CI = 1.28-3.31), poor relationship with the family (OR = 3.26, 95% CI = 1.96-5.43), and moderate and severe depression (OR = 18.29, 95% CI = 10.24-32.69; OR = 18.49, 95% CI = 3.91-87.30, respectively). Moreover, moderate functional impairment 5.52 times more often and severe functional impairment 21.07 times more likely to predispose to EA. People who suffered from COVID-19 are 1.59 times more likely to be victims of EA (95% CI = 1.03-2.46). In this study, we saw significant increases in EA rates during the COVID-19 pandemic.
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Affiliation(s)
- Karolina Filipska
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821 Bydgoszcz, Poland; (R.J.); (A.K.); (R.Ś.)
| | - Monika Biercewicz
- Clinic of Geriatrics, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Skłodowskiej 9 Street, 85-094 Bydgoszcz, Poland; (M.B.); (E.G.-S.); (K.K.-K.)
| | - Adam Wiśniewski
- Department of Neurology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Skłodowskiej 9 Street, 85-094 Bydgoszcz, Poland;
| | - Renata Jabłońska
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821 Bydgoszcz, Poland; (R.J.); (A.K.); (R.Ś.)
| | - Agnieszka Królikowska
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821 Bydgoszcz, Poland; (R.J.); (A.K.); (R.Ś.)
| | - Emilia Główczewska-Siedlecka
- Clinic of Geriatrics, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Skłodowskiej 9 Street, 85-094 Bydgoszcz, Poland; (M.B.); (E.G.-S.); (K.K.-K.)
| | - Kornelia Kędziora-Kornatowska
- Clinic of Geriatrics, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Skłodowskiej 9 Street, 85-094 Bydgoszcz, Poland; (M.B.); (E.G.-S.); (K.K.-K.)
| | - Robert Ślusarz
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Łukasiewicza 1 Street, 85-821 Bydgoszcz, Poland; (R.J.); (A.K.); (R.Ś.)
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