Evidence map›Paper›PMID 40695548›Full record

ArticleBMJ open2025

Developing a screening tool and intervention strategy for elder neglect in persons with dementia in primary care: protocol to use a multistep process.

Tony Rosen, Amy Shaw, Alyssa Elman, Daniel Baek, Elaine Gottesman, Sophie Park, Helena Costantini, Mariana Cury Hincapie, Jerad Moxley, Marco Ceruso and 8 more

Abstract read
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. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

18 authors.

Tony RosenDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York City, New York, USA aer2006@med.cornell.edu.ORCID http://orcid.org/0000-0001-6638-4121
Amy ShawDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Alyssa ElmanDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York City, New York, USA.
Daniel BaekDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York City, New York, USA.
Elaine GottesmanDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York City, New York, USA.
Sophie ParkCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.ORCID http://orcid.org/0009-0004-3452-1020
Helena CostantiniCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Mariana Cury HincapieCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Jerad MoxleyCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Marco CerusoCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
E-Shien ChangDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
David HancockDepartment of Emergency Medicine, Weill Cornell Medicine/NewYork-Presbyterian Hospital, New York City, New York, USA.
Adrienne D JaretCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Kristin Lees HaggertyHealth Promotion, Practice, and Innovation, US Division, Education Development Center, Waltham, Massachusetts, USA.
David BurnesFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
Mark S LachsDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.
Karl PillemerCornell College of Human Ecology, Cornell University, Ithaca, New York, USA.
Sara CzajaCenter on Aging and Behavioral Research, Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York City, New York, USA.

Funding

Primary Care Screening and Intervention for Elder Neglect in Patients with Dementia: An Evidence-Based ApproachR61AG079012 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN, ROSEN, ANTHONY · 2022 to 2023
$1.3M
Characterizing Elder Mistreatment Among Older Adults with DementiaK01AG076992 · NIA · EDUCATION DEVELOPMENT CENTER, INC. · PI Kristin LeesHaggerty · 2023 to 2026
$565k
The Impact of Differences in Backgrounds and Life Experiences on Resident-to-Resident Aggression in Long-Term Care Residents with DementiaK01AG081540 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI E-Shien Chang · 2023 to 2026
$554k
The EM-AD, a Novel Measure of Elder Mistreatment Among Dementia Family CaregiversK01AG088486 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DAVID Ward HANCOCK · 2024 to 2026
$387k
NIA NIH HHS K01 AG076992NIA NIH HHS K01 AG081540NIA NIH HHS K01 AG088486NIA NIH HHS R61 AG079012
6 · The paper itself

Abstract

introductionElder neglect by both informal and formal caregivers is common, particularly among persons with dementia, and has serious health consequences but is under-recognised and under-reported. Persons with dementia are often unable to report neglect due to memory and language impairments, increasing their vulnerability. Screening for elder mistreatment and initiation of intervention in primary care clinics may be helpful, but few evidence-based tools or strategies exist. We plan to: (1) develop a novel primary care screening tool to identify elder neglect in persons with dementia, (2) develop an innovative technology-driven intervention for caregivers and (3) pilot both for feasibility and acceptability in primary care. METHODS AND ANALYSIS: We will use a multistep process to develop a screening tool, including a modified Delphi approach with experts, and multivariable analysis comparing confirmed cases of neglect in patients with dementia from the existing data registry to non-neglected controls. We will develop an evidence-based, technology-driven caregiving intervention for neglect with an expert panel and iterative beta testing. Following the development of the protocol for implementation of the tool and intervention with associated training, we will pilot test both the tool and intervention in older adult patients and caregivers. We will conduct provider focus groups and interviews with patients and caregivers to assess usability and will modify the tool and intervention. These studies are in preparation for a future randomised trial. ETHICS AND DISSEMINATION: Initial phases of this project have been reviewed and approved by the Weill Cornell Medicine Institutional Review Board, protocol #22-06024967, with initial approval on 1 July 2022. We aim to disseminate our results in peer-reviewed journals, at national and international conferences and among interested patient groups and the public.

Indexed as

CaregiversDementiaElder AbuseMass ScreeningAgedDelphi TechniqueHumansPilot ProjectsPrimary Health CareResearch DesignCaregiver BurdenGERIATRIC MEDICINEPrimary Care

Identifiers

PMID40695548
PMCPMC12281334

What OpenQuestion holds

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Registered trials

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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.