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Patient-Centered Digital Screener for Elder Abuse in the Emergency Department

Elder abuse is a growing problem where many cases are left unidentified by professionals. For some older adults, the emergency department may be the sole point of care where they have an opportunity to be identified as victims of abuse. However, current methods of screening tend to miss less obvious...

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Autores principales: Abujarad, Fuad, Choo, Esther, Dziura, James, Edwards, Chelsea, Pantalon, Michael, Jubanyik, Karen, D'Onofrio, Gail, Gill, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682507/
http://dx.doi.org/10.1093/geroni/igab046.580
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author Abujarad, Fuad
Choo, Esther
Dziura, James
Edwards, Chelsea
Pantalon, Michael
Jubanyik, Karen
D'Onofrio, Gail
Gill, Thomas
author_facet Abujarad, Fuad
Choo, Esther
Dziura, James
Edwards, Chelsea
Pantalon, Michael
Jubanyik, Karen
D'Onofrio, Gail
Gill, Thomas
author_sort Abujarad, Fuad
collection PubMed
description Elder abuse is a growing problem where many cases are left unidentified by professionals. For some older adults, the emergency department may be the sole point of care where they have an opportunity to be identified as victims of abuse. However, current methods of screening tend to miss less obvious forms of abuse and may deter older adults from self-reporting due to either a lack of understanding of abuse or fear of potential consequences. VOICES is an innovative, self-administrated, and automated tablet-based tool that combines screening, educational content, and brief motivational interviewing to enhance and improve identification of elder abuse cases. Combining an elder abuse screener and digital coach designed to guide the older adult through a customized pathway to encourage self-identification and self-reporting of abuse, VOICES is a robust tool engineered to place the screening process in the hands of the older adults, rather than the providers. We will discuss preliminary results of the ongoing feasibility study currently being conducted in the ED, which has successfully enrolled over 500 older adults. Current data indicate that 93% of patients find the tool to be satisfying, engaging, and easy to use. Preliminary findings also suggest that older adults who come in with “Little to none” knowledge of elder abuse increase knowledge of abuse after using the tool. In summary, VOICES appears to be a feasible tablet-based screening tool in the emergency department.
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spelling pubmed-86825072021-12-17 Patient-Centered Digital Screener for Elder Abuse in the Emergency Department Abujarad, Fuad Choo, Esther Dziura, James Edwards, Chelsea Pantalon, Michael Jubanyik, Karen D'Onofrio, Gail Gill, Thomas Innov Aging Abstracts Elder abuse is a growing problem where many cases are left unidentified by professionals. For some older adults, the emergency department may be the sole point of care where they have an opportunity to be identified as victims of abuse. However, current methods of screening tend to miss less obvious forms of abuse and may deter older adults from self-reporting due to either a lack of understanding of abuse or fear of potential consequences. VOICES is an innovative, self-administrated, and automated tablet-based tool that combines screening, educational content, and brief motivational interviewing to enhance and improve identification of elder abuse cases. Combining an elder abuse screener and digital coach designed to guide the older adult through a customized pathway to encourage self-identification and self-reporting of abuse, VOICES is a robust tool engineered to place the screening process in the hands of the older adults, rather than the providers. We will discuss preliminary results of the ongoing feasibility study currently being conducted in the ED, which has successfully enrolled over 500 older adults. Current data indicate that 93% of patients find the tool to be satisfying, engaging, and easy to use. Preliminary findings also suggest that older adults who come in with “Little to none” knowledge of elder abuse increase knowledge of abuse after using the tool. In summary, VOICES appears to be a feasible tablet-based screening tool in the emergency department. Oxford University Press 2021-12-17 /pmc/articles/PMC8682507/ http://dx.doi.org/10.1093/geroni/igab046.580 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Abujarad, Fuad
Choo, Esther
Dziura, James
Edwards, Chelsea
Pantalon, Michael
Jubanyik, Karen
D'Onofrio, Gail
Gill, Thomas
Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title_full Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title_fullStr Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title_full_unstemmed Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title_short Patient-Centered Digital Screener for Elder Abuse in the Emergency Department
title_sort patient-centered digital screener for elder abuse in the emergency department
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682507/
http://dx.doi.org/10.1093/geroni/igab046.580
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