Feasibility of Elder Mistreatment VOICES-CI Screening Tool

Study Overview
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Brief Summary
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The aim of this study is to assess the feasibility of the VOICES Elder Abuse Intervention among older adults with cognitive impairment.

Detailed Description
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The VOICES Elder Abuse Intervention was developed and refined to promote self-identification and self-disclosure to increase reporting of elder abuse and elder mistreatment at the point-of-care in the Emergency Department (ED) setting. A study (N= 1000) examining the use of VOICES in a busy ED with cognitively intact older adults was completed. The purpose of this study is to to assess the feasibility (N= 80) of the VOICES screening tool among older adults with cognitive impairment.

Official Title
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Feasibility of Elder Mistreatment VOICES Screening Tool for Older Adults With Cognitive Impairment

Conditions
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Elder Abuse, Elder Mistreatment

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: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Age 60 or above Montreal Cognitive Assessment (MoCA) score between 14-25 Not in police custody Non-full trauma track upon arrival Able to consent and communicate in English Agrees and able to use the iPad Exclusion Criteria: Subjects who live in nursing homes or other long-term care settings At the discretion of the clinician, patient will be excluded if they cannot safely undergo the studies required for participation Subject refusal to participate Subjects with clear signs of elder mistreatment Severe hearing and vision impairment Presenting with acute intoxication Presenting with active psychotic symptoms Presenting with COVID-19 diagnosis and/or severe COVID-19 symptoms

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 with cognitive impairment<br>Elder mistreatment in an Emergency Department setting with cognitive impairment. | 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 |
| --- | --- | --- |
| Participation | Participation will be determined by the number of patients with cognitive impairment enrolled in VOICES. Successful enrollment of 80 older adults (N=80). | 5-10 minutes before VOICES intervention use. | 
| Usage | Usage will be determined by the number of patients enrolled in the study that complete the VOICES tool. Our target is to enroll 80 older adults (N=80). | 5-10 minutes directly following VOICES intervention. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Digital Health