Design and implementation of an empowerment model to prevent elder abuse: a randomized controlled trial

May 2, 2018Clinical interventions in aging

Using an empowerment program to help prevent elder abuse: a randomized controlled trial

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Abstract

94.8% of participants in the intervention group demonstrated high knowledge of after the educational program, compared to 46.6% in the control group.

The intervention significantly increased knowledge of elder abuse, , , and health-promoting lifestyle among older adults.
High self-efficacy rates improved from 7.8% to 82.8% in the intervention group.
Social support levels rose from 10.3% to 97.0% in those receiving the intervention.
The risk of elder abuse decreased from 49.6% in the control group to 28.0% in the intervention group.
The intervention's most substantial effects were noted in enhancing social support, self-efficacy, and health-promoting behaviors.

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BACKGROUND: Older adults are more vulnerable to health risks than younger people and may get exposed to various dangers, including . This study aimed to design and implement an empowerment educational intervention to prevent elder abuse.

METHODS: This parallel randomized controlled trial was conducted in 2014-2016 for 18 months on 464 older adults aged above 60 years who visited health houses of 22 municipalities in Tehran. Data were collected using standard questionnaires, including the Elder Abuse-Knowledge Questionnaire, Health-Promoting Behavior Questionnaire, Health-Promoting Lifestyle Profile II, Barriers to Healthy Lifestyle, Perceived , Perceived , Loneliness Scale, Geriatric Depression Scale, Multidimensional Health Locus of Control Scale, and the SCARED (stress, coping, argument, resources, events, and dependence) tool. The intervention was done in twenty 45- to 60-minute training sessions over 6 months. Data analysis were performed usingtests, multiple linear and logistic regression, and structural equation modeling (SEM). χ 2

RESULTS: The frequency of knowledge of elder abuse, self-efficacy, social support and health promoting lifestyle before the intervention was similar in the two groups. However, the frequency of high knowledge of elder abuse (94.8% in the intervention group and 46.6% in the control group), high self-efficacy (82.8% and 7.8%, respectively), high social support (97.0% and 10.3%, respectively) and high health promoting lifestyle (97.0% and 10.3%, respectively) was significantly higher (<0.001) and the frequency of elder abuse risk (28.0% and 49.6%, respectively) was significantly less in the intervention group after the intervention. SEM standardized beta (Sβ) showed that the intervention had the highest impact on increase social support (Sβ=0.80, β=48.64, SE=1.70,<0.05), self-efficacy (Sβ=0.76, β=13.32, SE=0.52,<0.05) and health promoting behaviors (Sβ=0.48, β=33.08, SE=2.26,<0.05), respectively. The effect of the intervention on decrease of elder abuse risk was indirect and significant (Sβ=-0.406, β=-0.340, SE=0.03,<0.05), and through social support, self-efficacy, and health promoting behaviors. P P P P P

CONCLUSION: Educational interventions can be effective in preventing elder abuse.

Key numbers

94.8%

High Knowledge of

Compared to 46.6% in the control group after the intervention.

82.8%

High

Compared to 7.8% in the control group after the intervention.

28.0%

Risk Reduction

Compared to 49.6% in the control group after the intervention.

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Abstract

Key numbers

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