Journal of Elder Abuse & Neglect最新文献

Elder mistreatment disproportionately affects racial and ethnic minority older adults, particularly Chinese older adults in the U.S. who face increased risks due to cultural disparities, intergenerational conflicts, and socioeconomic disparities. This study investigated the longitudinal association of elder mistreatment with cognitive functioning among Chinese older adults in the Greater Chicago area (N = 2,811). Self-reported elder mistreatment and cognitive performance were assessed across four waves of the study. Latent growth curve modeling analysis showed that respondents reporting previous mistreatment instances at baseline exhibited better initial functioning status (B = 0.07, p < .05); however, those reporting mistreatment incidents at three follow-ups showed a faster cognitive decline compared to those without such reports (B = -0.04, p < .05). Recent and potentially cumulative experiences of elder mistreatment have a negative effect on cognitive decline. Sociocultural contexts need to be considered when addressing elder mistreatment issues within the Chinese minority community.

This study assesses the first statewide program to provide simulation training conducted via videoconference to all new caseworkers. The simulation training in Illinois was conducted at a mock house. A mock family played by standardized clients is physically present, and trainees participate remotely. The program evaluation team implemented a survey that asks trainees to rate their confidence in different skills at multiple timepoints, to appraise the quality of feedback and debriefing of the training team, and to write text responses to the questions regarding their learning experience. Analysis of quantitative data over the course of the training showed statistically significant linear increases in trainees' confidence for all the 14 skills. Their text responses indicated that they received feedback they appreciated and felt they gained ability on a range of different skills. The simulation training makes a valued and effective contribution to the certification training.

This study explored the prevalence, reasons, and predictors of service withdrawal by victims in a sample of 151 older adult abuse cases reported to a specialist social work service. Withdrawal occurred in 34% of cases, after an average of 3 months of contact. The most common reasons for withdrawal were victim denial of abuse and unwillingness to engage with the intervention plan. Denial and self-neglect significantly predicted withdrawal, but only denial remained predictive when both variables were entered into the regression model. Results emphasize the need to screen for and address withdrawal risk, with providers targeting denial of abuse specifically.

The present study focuses on elder abuse in the home care setting. The aim of this study was to explore home care nurses' definition, general perspectives and experiences of elder abuse, and the barriers they experience to avoid elder abuse. Individual qualitative interviews were held with Flemish home care nurses (N = 17), employed by a Dutch home nursing organization. Data analysis was performed using reflexive thematic analysis. Results showed that (1) participants' understanding of elder abuse was based on intuition and daily practice. (2) Participants highlighted several institutional barriers to avoid elder abuse. (3) The participating home care organizations did not have a standard protocol to report or handle elder abuse. Institutional structures, procedures and decisions should be critically reviewed as to how they lead to staff abusing older adults.

Currently, over 5.7 million adults 65+ are projected to have a SUD, and the number of fatal overdose deaths among older adults is rising in both community and facility settings. This exploratory study involved surveys of 37 nursing facilities (NF) in Kentucky in order to identify current admission practices to screen, prevent, and/or address resident substance use. Respondents indicated that they were ill-equipped to address such problems and fail to offer specialized programs for residents or training for staff. Training and best practices for residents, their families, and staff should be established to address residents with substance use and SUD.

This study was conducted to examine the relationship between self-neglect and spiritual well-being in older adults. This descriptive, cross-sectional and correlational study was conducted with 232 older adults. Data were collected using the "Elder Self-Neglect Scale (ESNS)" and "Spiritual Well-Being Scale (FACIT Sp-12)." It was found that 54% of the participants were female, 86% were married, 35% were primary school graduates, 66% lived in the district, 27% had hypertension, 54% had income equal to expenses, and 76% were retired. Mean ESNS total score of older adults was 102.83 ± 24.82 and mean FACIT Sp-12 total score was 33.73 ± 9.70. FACIT Sp-12 total score was found to be a significant negative predictor of the dependent variable ESNS total score (p < .05). In this study, it was determined that the spiritual well-being levels of older adults were above average and their self-neglect levels were low. It was determined that as the spiritual well-being levels of older adults increased, their self-neglect levels decreased.

Older adults have a strong desire for emotional connectivity and those who lack such social connectedness would be easily taken advantage of and experience fraud. We aimed to examine the association between loneliness and fraud victimization and further investigate the causal relationship through experimental manipulation. Fifty younger adults (aged 18-29, $M_{\mathrm{age}}$ = 26.62), 43 middle-aged adults (aged 32-53, $M_{\mathrm{age}}$ = 40.84) and 54 older adults (aged 60-88, $M_{\mathrm{age}}$ = 68.31) were randomly assigned to induced loneliness or control conditions by a complete randomized design and then were asked to rate the credibility and purchase intention for nine misleading advertisements. Middle-aged and older adults, but not younger adults, showed higher susceptibility to fraud after loneliness manipulation. The present experiment confirmed that loneliness could lead to higher fraud victimization for middle-aged and older adults, suggesting future interventions should target those lonely middle-aged and older adults to prevent potential fraud.

Older people are often targeted by fraudsters due to their unique characteristics and vulnerabilities. Being a victim of exploitation can lead to negative emotional and financial consequences. The purpose of this commentary is to present ChatGPT's potential to provide accessible information and support, helping older consumers protect themselves when confronted with exploitation, address the limitations of ChatGPT and propose solutions to overcome these limitations. Integrating tailored human and technological solutions, such as helplines, AI chatbots, and involving older adults in development, is crucial. By providing adequate training and support, the goal of ensuring accessibility for all users can be achieved.

This study examines the possible consequence of elder mistreatment on resilience and whether social support moderates this posited association, using a rural sample of 432 community-dwelling older Chinese adults aged 60 to 79 years. Elder abuse included verbal abuse, physical abuse, or financial exploitation. Social support was measured by The Multidimensional Scale of Perceived Social Support (MSPSS). Resilience was represented by a seven-item scale. Hierarchical regression models indicated that mistreatment is significantly related to low levels of resilience when confounding factors are adjusted. A significant interaction term (abuse × social support) was also detected. Mistreated respondents who reported higher levels of social support were less likely to experience low resilience compared to those with lower levels of social support. Social support buffers against the undesirable effect of mistreatment on resilience, especially for those who were abused.