Adapting the Detect Tool for Home-based Primary Care: Insights on Policies, Provider Perspectives, and Tool Design
Year: 2024
Type: conference-abstract
Abstract: Elder mistreatment (EM) is difficult to detect and often goes unrecognized. Home-based primary care (HBPC) providers have enduring relationships with patients who are vulnerable to EM and the ability to see patients’ homes first-hand. Effective and efficient screening tools are urgently needed to support these providers in consistently assessing patients for signs of EM. This project includes a two-stage approach to adapting and rigorously evaluating an evidence-based EM screening tool, Detection of Elder mistreatment Through Emergency Care Technicians (DETECT), for use in home-based primary care (HBPC). In this presentation, we share results from a qualitative study conducted to inform tool adaptation and implementation strategy for DETECT revised for primary care (DETECT-RPC). This study addressed three research questions: 1) what are the implications of state- and site-specific policies on DETECT-RPC implementation, 2) what are the perceived barriers and facilitators to recognizing and reporting EM among HBPC providers, and 3) What adaptations need to be made to make DETECT-RPC feasible and effective in HBPC? Data collection included review of publicly available information and interviews and focus groups with HBPC staff from seven sites (N=16). Interview and focus group data were transcribed and coded using a thematic analysis approach. We will present key themes from the qualitative study including implications for the DETECT-RPC tool design and workflow, and key considerations for developing reporting guidelines structure.
Source: Innovation in Aging
Language: English
Topic: Elder Abuse and Neglect
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $4,375
OpenAlex ID: W4405961736