Evidence map›Paper›PMID 30901078›Full record

SynthesisJournal of the American Geriatrics Society2019

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed.

Tony Rosen, Alyssa Elman, Sarah Dion, Diana Delgado, Michelle Demetres, Risa Breckman, Kristin Lees, Kim Dash, Debi Lang, Alice Bonner and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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  7. Article
  8. Elder Abuse Vulnerability and Risk Factors: Is Financial Abuse Different From Other Subtypes?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  9. Bringing Advances in Elder Abuse Research Methodology and Theory to Evaluation of Interventions.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
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  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Tony RosenDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York.
Alyssa ElmanDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York.
Sarah DionUniversity of Cincinnati College of Medicine, Cincinnati, Ohio.
Diana DelgadoSamuel J. Wood Library and C.V. Starr Biomedical Information Center, Weill Cornell Medical College, New York, New York.
Michelle DemetresSamuel J. Wood Library and C.V. Starr Biomedical Information Center, Weill Cornell Medical College, New York, New York.
Risa BreckmanDivision of Geriatrics and Palliative Care, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York.
Kristin LeesEducation Development Center, Waltham, MA, USA.
Kim DashEducation Development Center, Waltham, MA, USA.
Debi LangDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts.
Alice BonnerSchool of Nursing, Bouve College of Health Sciences, Northeastern University, Boston, MA, USA.
Jason BurnettDepartment of Internal Medicine, University of Texas Medical School, Houston, TX, USA.
Carmel B DyerDepartment of Internal Medicine, University of Texas Medical School, Houston, TX, USA.
Rani SnyderThe John A. Hartford Foundation, New York, NY, USA.
Amy BermanThe John A. Hartford Foundation, New York, NY, USA.
Terry FulmerThe John A. Hartford Foundation, New York, NY, USA.
Mark S LachsDivision of Geriatrics and Palliative Care, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York.
National Collaboratory to Address Elder Mistreatment Project Team

Funding

Identifying Injury Patterns and Forensic Biomarkers Diagnostic of Physical Elder AbuseK76AG054866 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2016 to 2021
$1.1M
Improving Recognition of Elder Abuse through Analysis of Highly Adjudicated CasesR03AG048109 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2014 to 2015
$250k
American Geriatrics Society Jahnigen Career Development AwardEmergency Medicine FoundationGordon and Betty Moore Foundation National Collaboration to Address Elder MistreatmeJohn A. Hartford FoundationJohn A. Hartford Foundation Jahnigen Career Development AwardJohn A. Hartford Foundation National Collaboration to Address Elder MistreatmeNIA NIH HHS AG054866NIA NIH HHS K76NIA NIH HHS K76 AG054866NIA NIH HHS R03 AG048109Society for Academic Emergency Medicine Jahnigen Career Development Award
6 · The paper itself

Abstract

backgroundElder mistreatment is common and has serious social and medical consequences for victims. Though programs to combat this mistreatment have been developed and implemented for more than three decades, previous systematic literature reviews have found few successful ones.

objectiveTo conduct a more comprehensive examination of programs to improve elder mistreatment identification, intervention, or prevention, including those that had not undergone evaluation.

designSystematic review.

settingOvid MEDLINE, Ovid EMBASE, Cochrane Library, PsycINFO Elton B. Stephens Co. (EBSCO), AgeLine, CINAHL. MEASUREMENTS: We abstracted key information about each program and categorized programs into 14 types and 9 subtypes. For programs that reported an impact evaluation, we systematically assessed the study quality. We also systematically examined the potential for programs to be successfully implemented in environments with limited resources available.

resultsWe found 116 articles describing 115 elder mistreatment programs. Of these articles, 43% focused on improving prevention, 50% focused on identification, and 95% focused on intervention, with 66% having multiple foci. The most common types of program were: educational (53%), multidisciplinary team (MDT) (21%), psychoeducation/therapy/counseling (15%), and legal services/support (8%). Of the programs, 13% integrated an acute-care hospital, 43% had high potential to work in low-resource environments, and 57% reported an attempt to evaluate program impact, but only 2% used a high-quality study design.

conclusionMany programs to combat elder mistreatment have been developed and implemented, with the majority focusing on education and MDT development. Though more than half reported evaluation of program impact, few used high-quality study design. Many have the potential to work in low-resource environments. Acute-care hospitals were infrequently integrated into programs.

Indexed as

Health ResourcesHospitalsPatient Care TeamAgedCounselingEducationElder AbuseHumanselder abuseinterventionsystematic review

Identifiers

PMID30901078
PMCPMC6561817

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.