Clinical trial NCT05216081: Feasibility of Elder Mistreatment VOICES-CI Screening Tool
Official title: Feasibility of Elder Mistreatment VOICES Screening Tool for Older Adults With Cognitive Impairment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Elder Abuse
Elder Mistreatment
Keywords: Digital Health
Lead sponsor: Yale University
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2022-01-31
Enrollment: 102
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

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

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

1. Provision of signed and dated informed consent form
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Age 60 or above
4. Montreal Cognitive Assessment (MoCA) score between 14-25
5. Not in police custody
6. Non-full trauma track upon arrival
7. Able to consent and communicate in English
8. Agrees and able to use the iPad

Exclusion Criteria:

1. Subjects who live in nursing homes or other long-term care settings
2. At the discretion of the clinician, patient will be excluded if they cannot safely undergo the studies required for participation
3. Subject refusal to participate
4. Subjects with clear signs of elder mistreatment
5. Severe hearing and vision impairment
6. Presenting with acute intoxication
7. Presenting with active psychotic symptoms
8. Presenting with COVID-19 diagnosis and/or severe COVID-19 symptoms

Primary outcomes:
measure: Participation
timeFrame: 5-10 minutes before VOICES intervention use.
measure: Usage
timeFrame: 5-10 minutes directly following VOICES intervention.
Secondary outcomes:
Other outcomes:
measure: Acceptability
timeFrame: 5-10 minutes directly following VOICES intervention use.
measure: Demand
timeFrame: 5-10 minutes directly following VOICES intervention use.
measure: Practicality
timeFrame: Actual time duration is assessed during VOICES use by the computer program (the actual duration of the patient's time using VOICES). Estimation of completed time is completed 5-10 minutes directly following VOICES intervention use.
measure: Efficacy of the Brief Negotiation Interview
timeFrame: Measure collected 5-10 minutes directly following VOICES intervention.
measure: Number of Participants for Which Self-Identification of Elder Mistreatment Impacted Likelihood of Self-Disclosure
timeFrame: Measure collected 5-10 minutes directly following VOICES intervention.
measure: Accuracy
timeFrame: Measure collected up to directly following VOICES intervention to 1 week following VOICES intervention.
Locations:
city: New Haven
country: United States
facility: St. Raphael Emergency Department
state: Connecticut
Study officials:
affiliation: Yale University
name: Fuad Abujarad, PhD,MSc
role: PRINCIPAL_INVESTIGATOR
References: