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A systematic review and meta-analysis of interventions designed to prevent or stop elder maltreatment

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dc.contributor.author Ayalon, Liat
dc.contributor.author Levi, Sagit
dc.contributor.author Green, Ohad
dc.contributor.author Nevo, Uziel
dc.date.accessioned 2017-11-20T22:17:34Z
dc.date.available 2017-11-20T22:17:34Z
dc.date.issued 2016
dc.identifier.citation Ayalon, Liat; Lev, Sagit; Green, Ohad; Nevo, Uziel. (2016). A systematic review and meta-analysis of interventions designed to prevent or stop elder maltreatment. Age and Ageing: 45 (2), 216-227. en_US
dc.identifier.uri https://academic.oup.com/ageing/article-pdf/45/2/216/16646953/afv193.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/303
dc.description.abstract Elder maltreatment is a major risk for older adults’ mental health, quality of life, health, institutionalisation and even mortality. Objectives: to perform a systematic review and meta-analysis of interventions designed to prevent or stop elder abuse. Methods: Studies that were posted between January 2000 and December 2014, written in English, specifically designed to prevent or stop elder maltreatment were included. Results: 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 (n = 2), (ii) interventions that target older adults who experience elder maltreatment (n = 3) and (iii) interventions that target caregivers who maltreat older adults (n = 19). 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)/cluster-RCTs that targeted restraint use was significant, supporting the effectiveness of these interventions in reducing restraint use: standardised mean difference: −0.24, 95% confidence interval = −0.38 to −0.09. Interpretation: the most effective place to intervene at the present time is by directly targeting physical restraint by long-term care paid carers. Specific areas that are still lacking evidence at the present time 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. (Author Text) en_US
dc.language.iso en_US en_US
dc.publisher Age and Ageing en_US
dc.subject Meta-analysis en_US
dc.subject Systematic Review en_US
dc.subject Seniors en_US
dc.subject Elder Abuse en_US
dc.subject Offending Caregivers en_US
dc.subject Elderly Support Services en_US
dc.subject Outcomes en_US
dc.subject Risk Assessment en_US
dc.subject Screening en_US
dc.subject Service Providers en_US
dc.subject Health Professionals en_US
dc.title A systematic review and meta-analysis of interventions designed to prevent or stop elder maltreatment en_US
dc.type Article en_US


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