DOI: 10.3886/icpsr37955.v1
title: Developing a Taxonomy To Understand and Measure Outcomes of Success in Community-Based Elder Mistreatment Interventions, New York City, New York, 2018-2019
title: Version 1

description: Research tools available to help advance knowledge of effective community-based elder mistreatment (EM) interventions are limited. The field lacks an understanding of what success means in EM response program (EMRP) interventions, which work directly with victims to reduce the risk of re-victimization. Without establishing indicators of EMRP success, it is not possible to develop valid intervention outcome measures to compare different EMRP models toward the development of evidence-based practice. Informed by the EMRP practice principle of older adult self-determination, this study developed a victim-centric taxonomy of case outcomes that indicate EMRP success. This study drew on two sources of data, including interviews with EM victims and a scoping review to inform taxonomy development. Prioritizing the perspective of victims, this study conducted interviews with 28 victims involved in EMRP services who vary in EM subtype, gender, and race/ethnicity. The taxonomy of successful EMRP outcomes will serve as important research infrastructure to support the development of EMRP intervention outcome measurement in future research.
description: The purpose of this study is to develop a taxonomy of case outcomes that indicate success in the elder mistreatment response program (EMRP) intervention context, verify the validity of the developed taxonomy of EMPR case outcomes, and use an intervention outcome measurement strategy called goal attainment scaling (GAS) as a foundation to develop preliminary measurement scales for each outcome in the taxonomy.
description: Using a descriptive phenomenological qualitative research methodology, this study conducted in-depth, semi-structured interviews with elder mistreatment (EM) victims to elicit perceptions about what outcomes constitute elder mistreatment response program (EMRP) success. This study also conducted a scoping review of existing EMRP research to understand how prior intervention studies have defined EMRP success. Qualitative analysis of verbatim EM victim interviews transcripts followed an iterative, constant comparison process by two independent raters using NVivo software.
description: The quantitative dataset in this study includes administrative variables and a combination of categorical and string variable responses to the topic of elder mistreatment. Demographic variables include race/ethnicity, age, gender, educational background, and marital status.
description: Not applicable.
description: Response Rates: Not available.
description: Presence of Common Scales: Goal Attainment Scales (GAS)
description: Participants were recruited from community-based elder mistreatment (EM) intervention programs in New York City. EM victimization was determined through formal assessment procedures that gathers evidence from multiple sources, including interviews with the suspected victim and relevant others (e.g., family members, caregiver); direct observation and physical evidence (e.g., injuries, home environment conditions); and corroborating documentation from other entities involved with the older adult (e.g., social services, family physician, financial institution, etc.). For the purpose of this study, EM victimization included one or more of the following subtypes: physical, sexual, emotional, or financial abuse, or neglect. Recruitment followed a "warm hand-off" approach in which the victim's trust of the practitioner is extended to the researcher. Older adults who agreed to be contacted and learn more about the research project received a telephone call from a member of the research team. If interested in study participation, an in-person meeting was scheduled to provide consent and participate in an interview. Interviews took place at a time convenient to the participant and location where they felt safe and comfortable. To honor the time and effort involved in study participation, participants were provided cash compensation.
description: Datasets: DS1: Developing a Taxonomy To Understand and Measure Outcomes of Success in Community-Based Elder Mistreatment Interventions, New York City, New York, 2018-2019
description: English-speaking adults aged 60+ who have experienced substantiated emotional/physical/sexual/financial abuse or neglect and had the capacity to determine EMRP-related case outcomes. Smallest Geographic Unit: Agency site
description: face-to-face interview