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A systematic review and meta-analysis of interventions designed to prevent or stop elder maltreatment
Author(s)Liat Ayalon, Sagit Lev, Ohad Green
Journal titleAge and Ageing, vol 45, no 2, March 2016
PublisherOxford University Press, March 2016
Pagespp 216-227
Sourcewww.ageing.oxfordjournals.org
KeywordsElder abuse ; Preventative medicine ; Research Reviews.
AnnotationElder maltreatment is a major risk for older adults' quality of life, physical and mental health, institutionalisation and even mortality. The objective of the present study was to perform a systematic review and meta-analysis of interventions designed to prevent or stop elder abuse. Studies that were posted between January 2000 and December 2014, written in English, specifically designed to prevent or stop elder maltreatment were included. Overall 24 studies (and four records reporting on the same participants) were kept for the systematic review and the meta-analysis. Studies were broadly grouped into three main categories: (i) interventions designed to improve the ability of professionals to detect or stop elder maltreatment, (ii) interventions that target older adults who experience elder maltreatment and (iii) interventions that target caregivers who maltreat older adults. Of the latter category, one study targeted family caregivers, five targeted psychological abuse among paid carers and the remaining studies targeted restraint use. The pooled effect of randomised controlled trials (RCTs) and/or cluster-RCTs that targeted restraint use was significant, supporting the effectiveness of these interventions in reducing restraint use. In conclusion, the most effective place to intervene is by directly targeting physical restraint by long-term care paid carers. Specific areas that are still lacking evidence are interventions that target (i) elder neglect, (ii) public awareness, (iii) older adults who experience maltreatment, (iv) professionals responsible for preventing maltreatment, (v) family caregivers who abuse and (vi) carers who abuse. (JL).
Accession NumberCPA-160805210 A
ClassmarkQNT: LK2: 3A:6KC

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