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Record W4405976401 · doi:10.1093/geroni/igae098.0723

USE OF MOTIVATIONAL INTERVIEWING TO INTERVENE ELDER ABUSE: A RANDOMIZED CONTROL TRIAL

2024· article· en· W4405976401 on OpenAlexaff
Elsie Yan, Louis To, Debby Wan, Jia He, Daniel W. L. Lai, David Burnes, Karl Pillemer, Mark S. Lachs

Bibliographic record

VenueInnovation in Aging · 2024
Typearticle
Languageen
FieldSocial Sciences
TopicElder Abuse and Neglect
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsMotivational interviewingInterviewRandomized controlled trialPsychologyClinical psychologyMedicineSociologyInternal medicine

Abstract

fetched live from OpenAlex

Abstract Elder abuse causes serious harm to individuals, families, and society. There is an urgent need to develop and test appropriate interventions to tackle it. This study tested the effectiveness of a motivational interviewing (MI)-based intervention in reducing elder abuse severity and promoting positive changes among community dwelling older Chinese in Hong Kong. The intervention involved a 90-minute individual engagement session and three 30-minute booster sessions delivered by trained MI facilitators. Personal goals for improvement of known risk factors such as poor physical and psychological health, lack of social support were set out followed by the application of MI processes. Pre- and post-test comparison of 33 intervention cases and 28 control cases are presented here. Analysis of pre-treatment differences found significant difference between the two groups in their monthly income, number of offspring and co-residing persons, physical frailty, general self-efficacy and abuse severity. Difference in differences technique was applied to mitigate the effects of extraneous factors and selection bias. Results show that intervention group performed significantly better than the control group upon completing the intervention program. Significant between group differences were found in terms of changes in psychological distress (GHQ, z=-3.043, p< 0.05), general self-efficacy (GSES, z=-4.988, p< 0.05), social support (MSPSS, z=-3.080, p< 0.05), abuse severity (CTS2, z=-2.593, p< 0.05), and perceived ability to change (z=-3.749, p< 0.05). MI has demonstrated good potential for elder abuse intervention. Further study should be conducted to identify key elements in MI leading to positive changes and refine the model for elder abuse prevention and intervention.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.791
Threshold uncertainty score0.283

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.074
GPT teacher head0.372
Teacher spread0.297 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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