Clinical trial NCT04563728: Use Surveillance Technology to Reduce Elder Abuse Recidivism
Official title: Leveraging Surveillance Technology to Improve Safety in Community Aging Populations
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Elder Abuse
Self Neglect
Aging
Domestic Abuse
Lead sponsor: Rutgers, The State University of New Jersey
Sponsor class: OTHER
First posted: 2020-09-24
Enrollment: 1
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Three groups of people receive different interventions and usual care.
Primary purpose: PREVENTION

Brief summary: The project is to build multi-sector and multi-institutional partnerships to test the feasibility, acceptability, and efficacy of a pilot surveillance camera intervention (N=10) to reduce the frequency and severity of abuse, exploitation, and neglect in community older adults.

Detailed description: This a feasibility investigation that aims to conduct an 8-week pilot RCT (N=10 total) to test the potential effectiveness of a surveillance intervention to reduce frequency and severity of elder abuse among older populations. Eligible participants will be recruited from community-dwelling populations in which an older adult victim has experienced elder abuse (abuse, exploitation, neglect) according to New Jersey APS referrals or our screening. With informed written consent, participants will be evenly randomized into one of three conditions: camera, mock camera, and control (usual care).

Primary outcomes are elder abuse cases including psychological, physical, sexual abuse, financial exploitations, caregiver neglect, and self-neglect measured by 83 items. For psychological and physical abuse, we use eight items and ten items from a modified Conflict Tactics Scale (CTS).46-53. Sexual abuse will be assessed by a question asking about experiences of being touched in private areas when unwanted. Financial exploitation will be assessed by the 17-item Financial Exploitation Scale, adapted from Conrad et al in a study funded by the Department of Justice.54 Caregiver neglect will be assessed by 20 items of unmet needs in key activities of daily living among individuals living with at least one person.35,55 Self-neglect was assessed by a widely used and validated measurement56,57.The measurement was reviewed by a community advisory board of over 20 community organizations led by a geriatrician and has shown good contend, convergent58, and predictive validity59.

Eligibility criteria: Inclusion Criteria:

1. Aged 60 or older;
2. Community-living;
3. Individuals identified by New Jersey APS as potentially at risk of elder abuse; OR Individuals who have experienced abuse, exploitation, or neglect within the last 3 months (assessed by any "present" or "yes" response to elder abuse questions on the screener).

Exclusion Criteria:

1. Live in institutional and/or residential facilities;
2. Have plans to move for the next 3 months;
3. Unable to understand and provide written consent. Capacity to consent will be determined by a score of at least 24 on the Mini-mental state examination;
4. Have impairment in eating, dressing, bathing, walking, transferring, grooming, bladder control, or toileting. These will be determined by any "present" or "positive" item on the Activities of Daily Living (ADLs).

Primary outcomes:
measure: elder abuse prevalence
timeFrame: Baseline
measure: elder abuse incidence
timeFrame: First week of participation
measure: elder abuse incidence
timeFrame: Second week of participation
measure: elder abuse incidence
timeFrame: Third week of participation
measure: elder abuse incidence
timeFrame: Fourth week of participation
measure: elder abuse incidence
timeFrame: Fifth week of participation
measure: elder abuse incidence
timeFrame: Sixth week of participation
measure: elder abuse incidence
timeFrame: Seventh week of participation
measure: elder abuse incidence
timeFrame: Eighth week of participation
measure: elder abuse incidence
timeFrame: Tenth week since baseline
measure: elder abuse incidence
timeFrame: Third month since baseline
measure: elder abuse incidence
timeFrame: Fourth month since baseline
measure: elder abuse incidence
timeFrame: Fifth month since baseline
measure: elder abuse incidence
timeFrame: Sixth month since baseline
Secondary outcomes:
Other outcomes:
Locations:
city: New Brunswick
country: United States
facility: Rutgers Institute for Health, Health Care Policy and Aging Research
state: New Jersey
Study officials:
References: