ABSTRACT
Objective:
to map assessment tools for elder abuse and determine the psychometric properties of each one.
Method:
scoping review developed according to recommendations of the JBI Institute Reviewer’s Manual in databases and gray literature.
Results:
seventeen tools were identified for measuring situations of elder abuse. They were categorized into 1) Tools for assessment of risk for abuse, and 2) Tools for identification of abuse. According to risk for abuse, Vulnerability to Abuse Screening Scale was the most prevalent in the literature, with factorial analysis acceptable through four domains, and good internal reliability (0,74). Therefore, Assessment Tool for Domestic Elder Abuse comprises the assessment of six types of elder abuse; however, the study shows psychometric limitation since the internal structure was not evaluated by validity evidences.
Conclusion:
seventeen tools to determine the occurrence or risk for elder abuse were identified with different psychometric properties. We recommend the use of more than one of the tools identified for an appropriate measurement of elder abuse situations given the complexity of the phenomenon and the lack of a single instrument that contemplates all its consequences and forms of expression.
Keywords
Violence; Aged; Validation Studies; Elder Abuse; Forensic Nursing
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The complete strategy generated was the following: [(“Aged” OR “Old man” OR “Old age” OR “Middle-age Elderly, 80 years or older” OR “Patients in a nursing home” OR “Aging” OR “Elder” “Older adults” OR “Geriatrics”) AND (“Questionnaires for the elderly” OR “Questionnaires” OR “Researches” OR “Scales” OR “Self-assessment tool” OR “Validation study” OR “Translations” OR “Geriatric Evaluation” OR “Psychometrics” OR “Predictive validity” OR “Psychometric test” OR “Reliability” OR “Shelf life”) AND (“Elderly abuse” OR “Mistreatment of the elderly” OR “Psychosocial abuse” OR “Emotional abuse” OR “Domestic abuse” OR “Verbal abuse” OR “Sexual abuse” OR “Family violence” OR “Domestic violence” OR “Intimate partner violence” OR “Physical violence” OR “Physical negligence” OR “Psychological negligence” OR “Interpersonal relationships” OR “Abuse Vulnerability” OR “Financial mistreatment” OR “Self-neglect”)]. The crossing was performed according to the specificity of each portal.
P = physical abuse; P/E = psychological and emotional abuse; S = sexual; N = neglect; Fn = Financial; SN = self-neglect.
*FA = Factor Analysis; CFA = Confirmatory Factor Analysis; df = Degrees of Freedom; DFA = Discriminant Function Analysis; EFA = Exploratory Factor Analysis; Spe. = Specificity; Sens. = Sensitivity; ROC = Receiver Operating Characteristic Curve; SD = standard deviation; M = Average; r = correlation coefficient; ṡ2 = chi-square; J = Youden index; **〈 = Cronbach’s alpha; †NA = Not applicable; NC = Not clarified.