TY - JOUR
PY - 2024//
TI - The impact of elder abuse training on subacute health providers and older adults: study protocol for a randomized control trial
JO - Trials
A1 - Cavuoto, Marina G.
A1 - Markusevska, Simona
A1 - Stevens, Catriona
A1 - Reyes, Patricia
A1 - Renshaw, Gianna
A1 - Peters, Micah D. J.
A1 - Dow, Briony
A1 - Feldman, Peter
A1 - Gilbert, Andrew
A1 - Manias, Elizabeth
A1 - Mortimer, Duncan
A1 - Enticott, Joanne
A1 - Cooper, Claudia
A1 - Antoniades, Josefine
A1 - Appleton, Brenda
A1 - Nakrem, Sigrid
A1 - O'Brien, Meghan
A1 - Ostaszkiewicz, Joan
A1 - Eckert, Marion
A1 - Durston, Cheryl
A1 - Brijnath, Bianca
SP - e338
EP - e338
VL - 25
IS - 1
N2 - BACKGROUND: Elder abuse often goes unreported and undetected. Older people may be ashamed, fearful, or otherwise reticent to disclose abuse, and many health providers are not confident in asking about it. In the No More Shame study, we will evaluate a co-designed, multi-component intervention that aims to improve health providers' recognition, response, and referral of elder abuse.
METHODS: This is a single-blinded, pragmatic, cluster randomised controlled trial. Ten subacute hospital sites (i.e. clusters) across Australia will be allocated 1:1, stratified by state to a multi-component intervention comprising a training programme for health providers, implementation of a screening tool and use of site champions, or no additional training or support. Outcomes will be collected at baseline, 4 and 9 months. Our co-primary outcomes are change in health providers' knowledge of responding to elder abuse and older people's sense of safety and quality of life. We will include all inpatients at participating sites, aged 65 + (or aged 50 + if Aboriginal or Torres Strait Islander), who are able to provide informed consent and all unit staff who provide direct care to older people; a sample size of at least 92 health providers and 612 older people will provide sufficient power for primary analyses.
DISCUSSION: This will be one of the first trials in the world to evaluate a multi-component elder abuse intervention. If successful, it will provide the most robust evidence base to date for health providers to draw on to create a safe environment for reporting, response, and referral. TRIAL REGISTRATION: ANZCTR, ACTRN12623000676617p. Registered 22 June 2023.
Language: en
LA - en SN - 1745-6215 UR - http://dx.doi.org/10.1186/s13063-024-08160-3 ID - ref1 ER -