Table 3. Studies of Screening Instruments about Elder Abuse and Neglect

Study, Year Population: N
Age
Ethnicity
Socioeconomic Status
Setting Screening Instrument(s) Findings Quality Rating
Comments

Caregiver Screen

Reis and Nahmiash, 199561 N: 139
age: mean 61
ethnicity: NR
socioeconomic status: mean annual income $20,000
3 groups of caregivers: 44 abusive and 45 non-abusive from social service agency, 50 non-abusive from community CASE, 8 items (yes/no) Scores distinguished abusers from non-abusers (Cronbach's alpha = 0.71); other characteristics were similar; CASE scores correlated with IOA (r = 0.41; P < 0.001); CASE scores correlated with HSEAST (r = 0.26; P < 0.025) Fair
Small sample size, administered as part of a social services project, not in a clinical setting

Elder Screen

Neale et al., 199160 N: 259
age: mean 77
ethnicity: mostly White
socioeconomic status: NR
3 groups of elders: 170 victims of abuse, 42 referred to APS and found not to be abused, 47 from a family practice clinic HSEAST, 15 items Scores distinguished abused from non-abused (P < 0.001; Cronbach's alpha = 0.29); correctly classified 67%-74% of cases; 6 items were strongly related to abuse Fair
Small sample size
Moody et al., 200066 N: 100
age: > 60
all other demographic information: NR
Convenience sample of elderly living in public housing in Florida 1) HSEAST, 15 items
2) IOA Screen, 29 items
Scores for abused and non-abused were significantly different (P < 0.049); correctly classified 71% of cases; discriminates abuse cases 84.4% of the time and non-abuse cases 99.2% of the time Fair
Small sample size, intended for social service practitioners

Notes: APS, Adult Protective Services; CASE, Caregiver Abuse Screen; HSEAST, Hwalek-Sengstock Elder Abuse Screening Test; IOA, Indicator of Abuse; NR, not reported.

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