Storey Jennifer E, Hart Samantha, Perka Melanie R
University of Kent, Canterbury, UK.
Royal Holloway University of London, Egham, UK.
J Appl Gerontol. 2022 Jan;41(1):103-112. doi: 10.1177/0733464821992606. Epub 2021 Feb 13.
Limited research has been conducted to identify how elder abuse (EA) can be managed and prevented. Interventions employed by a community agency multidisciplinary team across 164 EA cases were examined. Results identified the largest number ( = 369) and widest variety of EA interventions to date. Using content analysis, interventions with similar proximal goals were grouped into 30 intervention strategies to evaluate efficacy and 12 higher-order intervention categories to guide practice. Intervention outcomes were rated as positive, negative, neutral, could not implement, or unknown. Positive outcomes were the most common (35%), and also included novel and/or effective interventions aimed at perpetrators such as physical treatment, social support, and communication. Few (1%) interventions had negative outcomes. Many interventions could not be implemented (21%), often due to a lack of funding or victim refusal. Results suggest changes to policy, practice, and research methodology, which could increase positive outcomes through facilitation of intervention implementation and improved data access.
为确定如何管理和预防虐待老年人（EA）所开展的研究有限。对一个社区机构多学科团队针对164起EA案件所采用的干预措施进行了审查。结果确定了迄今为止数量最多（=369项）、种类最丰富的EA干预措施。通过内容分析，将具有相似近端目标的干预措施归为30种干预策略以评估效果，并归为12个高阶干预类别以指导实践。干预结果被评为积极、消极、中性、无法实施或未知。积极结果最为常见（35%），还包括针对施虐者的新颖和/或有效的干预措施，如身体治疗、社会支持和沟通。很少有干预措施（1%）产生消极结果。许多干预措施无法实施（21%），通常是由于缺乏资金或受害者拒绝。结果表明政策、实践和研究方法需要改变，这可以通过促进干预措施的实施和改善数据获取来增加积极结果。
