Evidence map›Paper›PMID 39819945›Full record

ArticleBMJ open2025

Detection of Elder Abuse Through Emergency Care Technicians Screening Tool Revision for Home-Based Primary Care (DETECT-RPC): a cluster randomised controlled trial study protocol.

Brad Cannell, Nicholas Sevey, Melvin D Livingston, Jason Burnett, Kristin Lees Haggerty, Carolyn Pickering

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05958654 (Detection of Elder Mistreatment Through Emergency Care Technicians - Revised for Primary Care), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT05958654 narecruitingnot on this map

Detection of Elder Mistreatment Through Emergency Care Technicians - Revised for Primary Care (DETECT-RPC) Universal EM Screening

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2025 to 2029Enrolled43ConditionsElder Abuse, Elder MistreatmentArmsDetection of Elder mistreatment Through Emergency Care Technicians-Revised for Primary Care (DETECT-RPC) screening tool
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Screening and Interventions for Elder Mistreatment: Geriatric Emergency Department Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brad CannellEpidemiology, Human Genetics & Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, Texas, USA.ORCID http://orcid.org/0000-0002-8711-6772
Nicholas SeveyInternal Medicine & Pediatrics, The University of Texas Southwestern Medical Center, Dallas, Texas, USA Nicholas.sevey@utsouthwestern.edu.ORCID http://orcid.org/0000-0001-8111-5114
Melvin D LivingstonBehavioral Sciences and Health Education, Emory University Woodruff Health Sciences Center, Atlanta, Georgia, USA.
Jason BurnettDepartment of Internal Medicine, Joan and Stanford Alexander Division of Geriatric and Palliative Medicine, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA.
Kristin Lees HaggertyHealth Promotion, Practice, and Innovation, US Division, Education Development Center, Waltham, Massachusetts, USA.
Carolyn PickeringResearch, The University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, Texas, USA.

Funding

Detection of Elder mistreatment Through Emergency Care Technicians - Revised for Primary Care (DETECT-RPC)R33AG078523 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BURNETT, JASON LEE, CANNELL, MICHAEL BRADLEY · 2024 to 2025
$3.1M
Detection of Elder mistreatment Through Emergency Care Technicians - Revised for Primary Care (DETECT-RPC)R61AG078523 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CANNELL, MICHAEL BRADLEY · 2022 to 2023
$1.2M
Characterizing Elder Mistreatment Among Older Adults with DementiaK01AG076992 · NIA · EDUCATION DEVELOPMENT CENTER, INC. · PI Kristin LeesHaggerty · 2023 to 2026
$565k
NIA NIH HHS K01 AG076992NIA NIH HHS R33 AG078523NIA NIH HHS R61 AG078523
6 · The paper itself

Abstract

introductionThe annual prevalence of elder mistreatment (EM) in cognitively intact older adults is estimated to be 11%, yet the annual prevalence in older adults with Alzheimer's disease and related dementias (AD/ADRD) is estimated to be as high as 75%. Associated with a decrease in quality of life and increase in risk of mortality, EM represents a significant public health burden. Home-based primary care (HBPC) providers are uniquely positioned to address the critical need for robust EM screening and reporting, especially among individuals with AD/ADRD. This protocol seeks to adapt the Detection of Elder mistreatment Through Emergency Care Technicians (DETECT) screening tool, previously used by emergency medical technicians, for use by HBPC providers. METHODS AND ANALYSIS: The protocol consists of two main phases which include four substudies. Substudy 1 uses a qualitative approach to understand the current barriers to clinician identification and reporting of EM in HBPC, including what adaptations need to be made to DETECT for use in HBPC. Substudy 2 is a cluster randomised controlled trial evaluating the impact of Detection of Elder Abuse Through Emergency Care Technicians Screening Tool Revision for Home-Based Primary Care (DETECT-RPC) on clinician identification of older adult patients with increased risk of EM and referring their concerns to the appropriate authorities and service providers. Substudies 3 and 4 apply a mixed-methods approach to postscreening interviews with clinicians and caregiver/care recipient dyads, respectively. These substudies aim to evaluate DETECT-RPC's impact on barriers to EM identification and reporting as well as the harms and benefits of using the screening tool from the perspective of patients and their caregivers. ETHICS AND DISSEMINATION: All components of this study are conducted with the approval of the Institutional Review Board of the University of Texas Health Science Center at Houston (HSC-SPH-22-0732, HSC-SPH-23-0105, HSC-SPH-23-0965, HSC-SPH-24-0123). The results of this study will be disseminated through a peer-reviewed journal as well as through presentations at professional conferences, invited talks and other standard channels. TRIAL REGISTRATION NUMBER: NCT05958654 (ClinicalTrials.gov).

Indexed as

Elder AbuseEmergency Medical TechniciansHome Care ServicesMass ScreeningPrimary Health CareAgedFemaleHumansMaleRandomized Controlled Trials as TopicAgeingDementiaMass Screening

Identifiers

PMID39819945
PMCPMC11751820

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.