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Screening tools for identification of elder abuse: a systematic review

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  • Chiara Gallione
  • Alberto Dal Molin
  • Fabio V.B. Cristina
  • Hilary Ferns
  • Mark Mattioli
  • Barbara Suardi

Abstract

Aims and objectives To review the efficacy and accuracy of tools administered to older people, intended to detect and measure elder abuse. Background The mistreatment of older people represents a widespread problem, with exponential growth risk, especially considering the progressive ageing of the world population. It could have serious consequences for the victim's health if not recognised early, denounced and stopped. Abuse is often undetected by service providers because there is a lack of awareness surrounding the magnitude of the problem. Education and formal training in the signs of abuse are also generally poorly developed, as are reporting procedures which would lead to further investigation. Design Systematic review. Methods Comprehensive database searches of MEDLINE, Cochrane, EMBASE and Scopus were undertaken. Screening of 695 articles resulted in 11 included. Appraisal and analysis using PRISMA Statement and STROBE checklist were undertaken. Results Eleven screening tools have been presented: H‐S/EAST, VASS, EASI, CASE, BASE, E‐IOA, EAI, EPAS, CPEABS, OAPAM and OAFEM, all aimed at healthcare professional or, in some cases, expected to be specifically used by nurses. Conclusions The fundamental function of any assessment instrument is to guide through a standardised screening process and to ensure that signs of abuse are not missed. Several tools have been tested; some have demonstrated a moderate to good internal consistency and some have been validated to allow an early identification. None have been evaluated against measurable violence or health outcomes. Relevance to clinical practice Nurses and all healthcare providers should screen patients routinely. However, we are not able to recommend a single tool as the selection and implementation has to be appropriate to the setting. Furthermore, the study population and the possibility of using multiple tools in combination should be taken into consideration, to assess all the aspects of violence.

Suggested Citation

  • Chiara Gallione & Alberto Dal Molin & Fabio V.B. Cristina & Hilary Ferns & Mark Mattioli & Barbara Suardi, 2017. "Screening tools for identification of elder abuse: a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(15-16), pages 2154-2176, August.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:15-16:p:2154-2176
    DOI: 10.1111/jocn.13721
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    1. Acierno, R. & Hernandez, M.A. & Amstadter, A.B. & Resnick, H.S. & Steve, K. & Muzzy, W. & Kilpatrick, D.G., 2010. "Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The national elder mistreatment study," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 292-297.
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    1. Weichen Chen & Fan Fang & Yu Chen & Jin Wang & Yuanmin Gao & Julan Xiao, 2020. "The relationship between personality traits, caring characteristics and abuse tendency among professional caregivers of older people with dementia in long‐term care facilities," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3425-3434, September.
    2. Fadzilah Hanum Mohd Mydin & Christopher Mikton & Wan Yuen Choo & Ranita Hisham Shanmugam & Aja Murray & Yongjie Yon & Raudah Mohd Yunus & Noran Naqiah Hairi & Farizah Mohd Hairi & Marie Beaulieu & Ama, 2023. "PROTOCOL: Psychometric properties of instruments for measuring elder abuse and neglect in community and institutional settings: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(3), September.

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