Virtual cOaching in Making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)

Study Overview
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Brief Summary
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To develop an interactive tool to screen for Elder Mistreatment (EM) in the Emergency Department (ED) to promote self-disclosure.

Detailed Description
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To develop and refine the interactive VOICES tool, which will promote self-identification and self-disclosure to increase reporting of EM at point-of-care in the Emergency Department (ED) setting. Prior to conducting a feasibility study, focus groups will be conducted to inform the process and to develop a tool to evaluate the use of VOICES. Feasibility Study: To conduct a feasibility study (N= 800) examining the use of VOICES in a busy ED. Exploratory Aim: To perform a preliminary evaluation of the accuracy of VOICES as a screening tool in correctly classifying EM cases that were referred to Adult Protective Services (APS).

Official Title
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Virtual cOaching in Making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)

Conditions
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Elder Abuse

Intervention / Treatment
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* Behavioral: Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 60 years or older Non-full trauma track Alert and oriented to person and place AMT-4 score of 4 Able to consent and communicate in English Agrees and able to use the iPad Not in police custody Exclusion Criteria: subjects who live in nursing homes or other long-term care sitting and do not reside in community setting patients will be excluded if they cannot safely undergo the studies required for participation subjects with clear signs of EM Patient or clinician refusal to participate severe hearing and vision impairment presenting with active psychotic symptoms presenting with acute intoxication COVID-19 positive

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Elder adults in emergency department setting<br>Elder mistreatment in an Emergency Department setting. | Behavioral: Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES)<br>* Virtual cOaching in making Informed Choices on Elder Mistreatment Self-Disclosure (VOICES) screening tool.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implementation in Terms of Participation | Participation will be determined by the ratio of participants who are successfully enrolled to the total number of eligible patients. The numerator, denominator, frequencies and 95% confidence intervals will be reported. | up to 16 months | 
| Implementation in Terms of Usage | Usage will be determined by the number of consented participants enrolled in the study who used VOICES to completion. | up to 16 months |