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识别一个管理和应对老年人虐待问题的社区机构所采用的干预措施及其效果。

Identifying Interventions and Their Efficacy as Used by a Community Agency Managing and Responding to Elder Abuse.

作者信息

Storey Jennifer E, Hart Samantha, Perka Melanie R

机构信息

University of Kent, Canterbury, UK.

Royal Holloway University of London, Egham, UK.

出版信息

J Appl Gerontol. 2022 Jan;41(1):103-112. doi: 10.1177/0733464821992606. Epub 2021 Feb 13.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/8678649/208b0e3ffe6d/10.1177_0733464821992606-fig1.jpg

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