Screening for elder abuse in geriatric outpatients: reliability and validity of the Iranian version Hwalek–Sengstock Elder Abuse Screening Test (H-S/EAST)

Feb 4, 2020Journal of elder abuse & neglect

Reliability and accuracy of the Iranian Hwalek-Sengstock test for detecting elder abuse in older outpatient patients

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Abstract

The elder abuse rate in participants was 29.4% based on a cutoff of ≥4.

The Iranian version of the Hwalek-Sengstock Elder Abuse Screening Test (H-S/East) shows concurrent validity with established measures.
Sensitivity of the H-S/East was found to be 82.8%, while specificity was 84.5%.
A significant correlation exists between elder abuse and depression, as well as the mental component of the SF-36 health survey.
Four distinct factors related to elder abuse were identified in the study.
Further validation is needed for the H-S/East in older illiterate populations and across different languages and cultures.

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The present research seeks the notion of the appropriateness of "Hwalek-Sengstock Elder Abuse Screening Test (H-S/East)", and psychometric properties to analyses cultural aspects of elder abuse in the Iranian community dwellers referred to clinics. In this cross-sectional validation study 364 participants, 60 years and over were selected from outpatient' clinics. The SF-36, GDS-15, and AMT scores were used for concurrent validity. The Brief Abuse Screen for the Elderly (BASE) scale was examined to determine the sensitivity and specificity of the Iranian version H-S/East. The elder abuse rate in participants was 29.4% based on cutoff ≥4, while a significant correlation was found in Iranian version H-S/EAST with depression and SF-36 subscale MCS at< .01, and four factors observed. Optimal cutoff ≥4 obtained with 82.8% sensitivity and 84.5% specificity. It seems the Iranian version of H-S/East demonstrates concurrent validity and fair reliability in elderly outpatients, while construct validity should be carried out in the Iranian elder illiterate population and other languages/cultures. P

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