Perceptions of older adults and health professionals about digital screening tools for elder mistreatment in the emergency department.

Background: Healthcare settings represent a missed opportunity to systematically identify and address mistreatment. Objective: Our objective was to obtain perspectives of older adults, caregivers, and emergency care providers regarding screening and intervention for elder mistreatment in the emergen...

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Publicado en:Gerontechnology Vol. 20; no. 2; pp. 1 - 12
Autores principales: Choo, Esther K., Edwards, Chelsea, Abuwandi, Malik, Carlson, Kristina, Bonito, Jennifer, Jubanyik, Karen, Gill, Thomas M., Abujarad, Fuad
Formato: pictorial research tables/charts Journal Article
Publicado: International Society for Gerontechnology 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Perceptions of older adults and health professionals about digital screening tools for elder mistreatment in the emergency department.
      aug:
        au:
          Choo, Esther K.
          Edwards, Chelsea
          Abuwandi, Malik
          Carlson, Kristina
          Bonito, Jennifer
          Jubanyik, Karen
          Gill, Thomas M.
          Abujarad, Fuad
        affil: Center for Policy & Research in Emergency Medicine, Oregon Health & Science University, Portland, OR, USA
      sug:
        subj:
          Patient Attitudes Evaluation
          Elder Abuse Therapy
          Attitude of Health Personnel Evaluation
          Caregiver Attitudes Evaluation
          Health Screening Methods
          Digital Health
          Emergency Service
          Digital Technology
          Human
          Software Design
          World Wide Web Applications
          Patient Education
          Computers, Portable
          Qualitative Studies
          Focus Groups
          Social Workers
          Health Personnel
          Attitude to Health
          Self Disclosure
          Emotions
          Interpersonal Relations
          Support, Social
          Middle Age
          Aged
          Male
          Female
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Healthcare settings represent a missed opportunity to systematically identify and address mistreatment. Objective: Our objective was to obtain perspectives of older adults, caregivers, and emergency care providers regarding screening and intervention for elder mistreatment in the emergency department (ED) with a focus on utilizing digital health tools to facilitate the process. These findings will inform the development of a Web-based, digital health tool optimized for a tablet device to educate, screen, and facilitate reporting of elder mistreatment among patients presenting to the ED. Method: We conducted a qualitative study utilizing three in-person focus groups (N=31) with older adults from the community, caregivers for older adults, and clinicians and social workers who worked in the ED. Using a semi-structured interview guide, we identified attitudes about the process of divulging abuse, attitudes towards the ED as the location for screening and information delivery, and perceptions of digital tools for screening and information. Results: Participants identified numerous challenges to the disclosure of mistreatment, including feelings of vulnerability and concerns about losing their homes, social supports, and connection to caregivers. In contrast, they were uncertain about the benefits of disclosure. Digital tools were seen as helpful in terms of overcoming numerous challenges to screening, but participants suggested maintaining a human element to interactions. Conclusion: While challenges to elder mistreatment screening were identified, participants had recommendations for optimizing such efforts and responded positively to digital health tools as a means of screening.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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