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将财务决策量表应用于全州 APS 实践:密歇根州的经验。

Implementation of financial decision making scales into statewide APS practice: the Michigan experience.

机构信息

Institute of Gerontology and Merrill Palmer Skillman Institute, Distinguished University Service Professor of Psychology, Institute of Gerontology, Wayne State University, Detroit, MI, USA.

Institute of Gerontology, Wayne State University, Detroit, MI, USA.

出版信息

J Elder Abuse Negl. 2021 Jan-Feb;33(1):33-46. doi: 10.1080/08946566.2020.1864697. Epub 2020 Dec 23.

DOI:10.1080/08946566.2020.1864697
PMID:33357079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7941736/
Abstract

One of the long recognized challenges in Adult Protective Services and other human service works is the implementation of empirically validated tools into regular practice. One area where this is evident is the assessment of financial decision-making abilities in cases investigated for financial exploitation. Using the Promoting Action in Research Implementation in the Health Services (PARIHS) we examined the core aspects of evidence, facilitation and context. Further, the empirical findings of the scale usage were investigated. Over 400 APS workers were trained and certified using an online narrated training system. Over 500 scales were administered across a 12 month period, with 50% demonstrating financial decision-making deficits, and in 88% of the time the APS workers concurred with the risk rating system of the web-based system (https://olderadultnestegg.com).

摘要

在成人保护服务和其他人类服务工作中,长期面临的挑战之一是将经过实证验证的工具应用于常规实践。在评估金融剥削案件中财务决策能力的领域,这一点尤为明显。我们使用促进卫生服务研究实施的行动(PARIHS),研究了证据、促进和背景的核心方面。此外,还研究了该量表使用的实证发现。有 400 多名 APS 工作人员通过在线旁白培训系统接受了培训和认证。在 12 个月的时间里,共管理了 500 多个量表,其中 50%的人表现出财务决策缺陷,并且在 88%的情况下,APS 工作人员与基于网络的系统(https://olderadultnestegg.com)的风险评级系统一致。

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引用本文的文献

1
Which Items of the Financial Decision Tracker Differentiate Those with Decision-making Deficits from Those with No Deficits? Data from the Michigan APS Implementation Project.财务决策追踪器的哪些项目能够区分有决策缺陷的人和没有缺陷的人?密歇根 APS 实施项目的数据。
Clin Gerontol. 2021 Oct-Dec;44(5):577-584. doi: 10.1080/07317115.2021.1901167. Epub 2021 Apr 6.

本文引用的文献

1
The Interview for Decisional Abilities (IDA): a tool to assess the decisional capacity of abused and neglected older adults.《决策能力访谈(IDA)》:评估受虐待和被忽视的老年患者决策能力的工具。
J Elder Abuse Negl. 2019 Mar;31(3):244-254. doi: 10.1080/08946566.2019.1573392. Epub 2019 Feb 27.
2
Cross-validation of the screening scale in an adult protective services sample.在成人保护服务样本中对筛查量表进行交叉验证。
J Elder Abuse Negl. 2019 Jan-Feb;31(1):25-37. doi: 10.1080/08946566.2018.1531098. Epub 2018 Nov 8.
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利希滕贝格财务决策筛选量表的信度和效度
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Implement Sci. 2016 Mar 10;11:33. doi: 10.1186/s13012-016-0398-2.
7
The Lichtenberg Financial Decision Screening Scale (LFDSS): A new tool for assessing financial decision making and preventing financial exploitation.利希滕贝格金融决策筛选量表(LFDSS):一种评估金融决策和预防金融剥削的新工具。
J Elder Abuse Negl. 2016 Jun-Jul;28(3):134-51. doi: 10.1080/08946566.2016.1168333. Epub 2016 Mar 24.
8
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J Elder Abuse Negl. 2014;26(2):107-22. doi: 10.1080/08946566.2013.821809.
9
Poor decision making is associated with an increased risk of mortality among community-dwelling older persons without dementia.在没有痴呆症的社区居住的老年人中,糟糕的决策与死亡率的增加有关。
Neuroepidemiology. 2013;40(4):247-52. doi: 10.1159/000342781. Epub 2013 Jan 24.
10
Poor decision making is a consequence of cognitive decline among older persons without Alzheimer's disease or mild cognitive impairment.认知能力下降是阿尔茨海默病或轻度认知障碍老年人决策能力下降的后果。
PLoS One. 2012;7(8):e43647. doi: 10.1371/journal.pone.0043647. Epub 2012 Aug 20.