I-NEED: Improving Nurses’ dEtection and managEment of elDer abuse and neglect

ISRCTN ISRCTN47326902
DOI https://doi.org/10.1186/ISRCTN47326902
Secondary identifying numbers N/A
Submission date
10/06/2014
Registration date
04/07/2014
Last edited
06/08/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The number of elderly people in the world is increasing rapidly. Sadly, isolation and limited independence can mean that they are at risk of abuse, neglect and exploitation by others. This abuse, however, often goes unreported, undetected and the problem underestimated by professionals. Malaysia has a growing aging population and yet awareness of the abuse that can be suffered by this section of the community is woefully inadequate. Due to the nature of their work, health care professionals are seen to be best placed to recognize and diagnose cases of elder abuse. Training programmes to increase awareness, including how to recognize the signs and symptoms and also how to deal with suspected cases effectively are necessary to reduce the mistreatment of the elderly. In order to address this gap, we propose to design an educational programme (the intervention) for nurses that will improve their awareness and practice in detecting the problem. This study aims to assess the effectiveness of the educational intervention, which involves an intense face-to–face training programme compared to the conventional training used to increase nurses knowledge, detection and management of elder abuse. We will also explore nurses’ views and understanding about elder abuse, their barriers on reporting, needs and expectations of the intervention.

Who can participate?
Community nurses and registered nurses working at health clinics in the state of Negeri Sembilan who are aged 18 years and above, have working experience of more than six months and who have not attended any educational programme on management of elder abuse and/or neglect.

What does this study involve?
There are three parts, or phases, to the study. Phase 1 involves an initial focus group discussion (FGD) among nurses to assess their knowledge and awareness of elder abuse and neglect. Findings from Phase 1 then guides the development of a training module in Phase 2. The evidence-based training module is a combination of face-to-face teaching and an educational video on how to identify, assess and stop elder abuse and neglect. The module is designed by the researchers and an expert panel of nurses, primary care physicians, public health specialists and policy makers. Phase 3 evaluates the effectiveness of the education programme in improving the knowledge and management of elder abuse and neglect among the nurses.

What are the possible benefits and risks of participating?
There are no potential risks of participation but potential benefits include increased awareness on detection and management of elder abuse and neglect as well as improved quality of care delivery by healthcare providers.

Where is the study run from?
The study will run from health clinics across 3 districts in Negeri Sembilan (Malaysia)

When is the study starting and how long is it expected to run for?
January 2014 to May 2015

Who is funding the study?
University of Malaya Research Grant (RP001C-13HTM).

Who is the main contact?
Dr Choo Wan Yuen
ccwy@ummc.edu.my

Contact information

Dr Wan Yuen Choo
Scientific

Julius Centre University of Malaya
Department of Social and Preventive Medicine
Faculty of Medicine
University of Malaya
Kuala Lumpur
50603
Malaysia

Email ccwy@ummc.edu.my

Study information

Study designCluster randomised trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please contact Associate Professor Dr Choo Wan Yuen at ccwy@ummc.edu.my to request for the patient information sheet.
Scientific titleImproving nurses’ detection and management of elder abuse and neglect: A cluster randomised trial (I-NEED)
Study acronymI-NEED
Study objectivesHypothesis:
1. Face-to-face intensive training will be more effective than usual care in improving nurses’ knowledge and detection of suspected elder abuse and neglect.
2. Nurses will score higher on the Elder Abuse Questionnaire (ELSE-Q).
Ethics approval(s)Medical Ethics Committee University Malaya Medical Centre (UMMC), 25/10/2013, ref. MEC: 1024.75
Health condition(s) or problem(s) studiedElder Abuse, Neglect, Nurses, Education
InterventionParticipants are randomised to:
1. Control group: Will receive 2 hours face-to face Continuous Nursing Education (CNE) (usual care)
2. Intervention group A: Usual care and 1 day of face-to-face intensive training programme (ITP)
3. Intervention group B: Usual care, 1 day of ITP and educational video

Follow Up Length: 6 months; Study Entry: Single randomisation only
Intervention typeOther
Primary outcome measureQuantitative data:
Knowledge, Detection and Management of Elder Abuse Questionnaire (ELSE-Q) – Malay version
Timepoints: Baseline, immediately post-intervention, at 3-months and 6-months follow-up

Qualitative data:
1. Development of training module on identification, assessment and intervention on elder abuse and neglect
2. A process evaluation of the education programmes among nurses will be conducted via FGDs with managerial level nurses, RNs, community nurses and key stakeholders at the end of the intervention
Secondary outcome measuresNumber of elder abuse and/or neglect cases identified and managed during follow-up period
Overall study start date01/01/2014
Completion date29/05/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants390 nurses
Key inclusion criteriaCommunity nurses and registered nurses (RN) working at health clinics in the state of Negeri Sembilan that:
1. Are female
2. Aged between 18 and 60 years
3. Have working experience of more than six months
4. Have not attended any educational programme on management of elder abuse and/or neglect
Key exclusion criteria1. Had less than 6 months of working experience
2. Had attended any educational programme related to management of elder abuse and/or neglect
Date of first enrolment01/01/2014
Date of final enrolment29/05/2015

Locations

Countries of recruitment

  • Malaysia

Study participating centre

Julius Centre University of Malaya
Kuala Lumpur
50603
Malaysia

Sponsor information

University of Malaya (Malaysia)
University/education

Julius Centre University of Malaya
Department of Social and Preventive Medicine
Faculty of Medicine
University of Malaya
Kuala Lumpur
50603
Malaysia

Email pen_ippp@um.edu.my
Website http://umresearch.um.edu.my/
ROR logo "ROR" https://ror.org/00rzspn62

Funders

Funder type

University/education

University of Malaya Research Grant (RP001C-13HTM) (Malaysia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 01/11/2015 06/08/2020 Yes No

Editorial Notes

06/08/2020: Publication reference added.