ArticleJournal of the American Geriatrics Society2021
Development and usability evaluation of VOICES: A digital health tool to identify elder mistreatment.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Tools for the identification of victims of domestic abuse and modern slavery in remote services: A systematic review.Journal of health services research & policy · 2025Pooled it
- ERASE: a feasible early warning tool for elder abuse, developed for use in the Dutch emergency department.BMC emergency medicine · 2024Pooled it
- Codesign approaches involving older adults in the development of electronic healthcare tools: a systematic review.BMJ open · 2022Pooled it
- Human-centred design of digital health dashboards in care of older adults: a scoping review.BMJ open · 2026Article
- Barriers and facilitators to implementing digital psychosocial interventions for older adults presenting to emergency departments: a scoping review.BMC health services research · 2026Article
- Digital health in elder abuse: a scoping review and conceptual model.BMC geriatrics · 2026Article
- Nurse-Administered Screening Tools for Detecting Elder Abuse in Emergency Departments: A Scoping Review.Journal of advanced nursing · 2025Article
- Roles, Users, Benefits, and Limitations of Chatbots in Health Care: Rapid Review.Journal of medical Internet research · 2024Review
- Harnessing Health Information Technology in Domestic Violence in the United States: A Scoping Review.Public health reviews · 2024Article
- Digital Informed Consent for Older Adults in Emergency Department Research.Applied Human Factors and Ergonomics Conference · 2023Article
- The Process of Translating and Culturally Adapting a Digital Elder Abuse Intervention.International journal of translation and interpretation studiesArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
BACKGROUND/
objectivesA major barrier for society in overcoming elder mistreatment is an inability to accurately identify victims. There are several barriers to self-reporting elder mistreatment, including fear of nursing home placement or losing autonomy or a caregiver. Existing strategies to identify elder mistreatment neglect to empower those who experience it with tools for self-reporting. In this project, we developed and evaluated the usability of VOICES, a self-administrated digital health tool that screens, educates, and motivates older adults to self-report elder mistreatment.
designCross-sectional study with User-Centered Design (UCD) approach.
settingYale School of Medicine and the Agency on Aging of South-Central Connecticut.
participantsThirty eight community-dwelling and cognitively intact older adults aged 60 years and older, caregivers, clinicians, and social workers.
interventionA tablet-based self-administrated digital health tool that screens, educates, and motivates older adults to self-report elder mistreatment. MEASUREMENTS: Qualitative and quantitative data were obtained from: (1) focus groups participants including: feedback from open-ended discussion, demographics, and a post-session survey; (2) usability evaluation including: demographics, usability measures, comfortability with technology, emotional state, and open-ended feedback.
resultsFocus group participants (n = 24) generally favored using a tablet-based tool to screen for elder mistreatment and expressed comfort answering questions on elder mistreatment using tablets. Usability evaluation participants (n = 14) overall scored VOICES a mean System Usability Scale (SUS) score of 86.6 (median = 88.8), higher than the benchmark SUS score of 68, indicating excellent ease of use. In addition, 93% stated that they would recommend the VOICES tool to others and 100% indicated understanding of VOICES' information and content.
conclusionOur findings show that older adults are capable, willing, and comfortable with using the innovative and self-administrated digital tool for elder mistreatment screening. Our future plan is to conduct a feasibility study to evaluate the use of VOICES in identifying suspicion of mistreatment.
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