The effectiveness of educational intervention in improving primary health-care service providers' knowledge, identification, and management of elder abuse and neglect: A systematic review

Document Type

Article

Publication Date

10-1-2021

Abstract

Elder abuse and neglect (EAN) occurrence is expected to increase in many countries due to rapidly aging populations, yet it is still unrecognized and underreported. Gaps were identified in the knowledge and skills to intervene EAN among health-care service providers. It is still unclear whether educating health-care service providers on EAN improve the identification and management of EAN cases. A systematic review was conducted on the effectiveness of educational intervention designed to improve primary health-care service providers' (PHSPs) knowledge, attitude, and practice in managing EAN cases. We performed a comprehensive and systematic search for original studies in the following major electronic databases (ScienceDirect, PubMed, EMBASE, and CINAHL) and specialist registers (Cochrane Central Controlled Trials Register) with a set of search terms. Studies included were randomized controlled trials (RCTs) and observational studies on EAN education intervention that aimed to improve knowledge, attitude, and management skills of the PHSPs. There were no publication period restrictions until June 2018 and written in English. Overall, three RCTs and 10 observational studies were selected. These studies were grouped based on the type of the study, methodological quality (six moderate risk of bias and seven serious risk of bias), and the type of educational intervention (seven face-to-face educational intervention, two educational videos, two simulation-based training, and two online educational training). The education programs in the selected studies range from brief didactic to experiential learning. EAN educational intervention among primary care service providers potentially result in increasing awareness and knowledge on EAN. However, there is a lack of evidence on the changes of attitude and practice.

Keywords

Elder abuse, Intervention, Treatment, Primary health care, Education, Knowledge, Attitude, Practice

Divisions

fac_med

Funders

Universiti Malaya (BK062-2016),University Malaya Grand Challenge Grant: Preventing Elder Abuse and Neglect Initiative (PEACE) (GC0001B-14HTM) (GC001C-14HTM )

Publication Title

Trauma Violence & Abuse

Volume

22

Issue

4

Publisher

Sage Publications Inc

Publisher Location

2455 TELLER RD, THOUSAND OAKS, CA 91320 USA

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