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Older Adult Mistreatment Risk Screening: Contribution to the validation of a Screening Tool in a Domestic Setting

Published online by Cambridge University Press:  31 May 2012

Jeannette M. Lindenbach ,
Sylvie Larocque ,
Anne-Marise Lavoie  and
Marie-Luce Garceau
Jeannette M. Lindenbach*
Affiliation:
Laurentian University
Sylvie Larocque
Affiliation:
Laurentian University
Anne-Marise Lavoie
Affiliation:
Laurentian University
Marie-Luce Garceau
Affiliation:
Laurentian University
*
*Correspondence concerning this article should be addressed to Jeannette Lindenbach, M.Sc.N. École des sciences infirmières Laurentian University Ramsey Lake Road Sudbury, Ontario, Canada, P3E 2C6 (jm_lindenbach@laurentian.ca)
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Abstract

The hidden nature of older adult mistreatment renders its detection in the domestic setting particularly challenging. A validated screening instrument that can provide a systematic assessment of risk factors can facilitate this detection. One such instrument, the “expanded Indicators of Abuse” tool, has been previously validated in the Hebrew language in a hospital setting. The present study has contributed to the validation of the “e-IOA” in an English-speaking community setting in Ontario, Canada. It consisted of two phases: (a) a content validity review and adaptation of the instrument by experts throughout Ontario, and (b) an inter-rater reliability assessment by home visiting nurses. The adaptation, the “Mistreatment of Older Adult Risk Factors” tool, offers a comprehensive tool for screening in the home setting. This instrument is significant to professional practice as practitioners working with older adults will be better equipped to assess for risk of mistreatment.

Résumé

Le dépistage du risque de maltraitance de la personne aînée vivant à domicile est difficile en raison de sa nature cachée. Afin de surmonter ce défi, un instrument valide évaluant systématiquement les facteurs de risque est requis. Un tel instrument, le “expanded-Indicators of Abuse” [e-IOA], fut originellement validé en hébreu dans un milieu hospitalier. Cette étude a contribué à la validation du “e-IOA” dans un nouveau contexte, celui d’un milieu communautaire anglophone en Ontario, Canada. L’étude s’est déroulée en deux phases: la validation du contenu et l’adaptation de l’instrument par des experts partout en Ontario, suivit de l’évaluation de la fidélité inter-juges par des infirmières. Cette adaptation, nommée le “Mistreatment of Older Adult Risk Factors”, est un outil de dépistage clair, compréhensif et représentatif du risque de maltraitance à domicile. Cet instrument permettra aux professionnels œuvrant auprès des aînés d’être mieux outillés pour évaluer ce risque.

Keywords

aînémaltraitancerisquedépistagedomicileaidant naturelvieillissementolder adultmistreatmentriskscreeningdomesticcaregiveraging
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 31 , Issue 2 , June 2012 , pp. 235 - 252
Copyright
Copyright © Canadian Association on Gerontology 2012

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