Condition category
Not Applicable
Date applied
10/06/2014
Date assigned
04/07/2014
Last edited
04/07/2014
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

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

Trial website

Contact information

Type

Scientific

Primary contact

Dr Wan Yuen Choo

ORCID ID

Contact details

Julius Centre University of Malaya
Department of Social and Preventive Medicine
Faculty of Medicine
University of Malaya
Kuala Lumpur
50603
Malaysia
ccwy@ummc.edu.my

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Improving nurses’ detection and management of elder abuse and neglect: A cluster randomised trial (I-NEED)

Acronym

I-NEED

Study hypothesis

Hypothesis:
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

Medical Ethics Committee University Malaya Medical Centre (UMMC), 25/10/2013, ref. MEC: 1024.75

Study design

Cluster randomised trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Quality of life

Patient 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.

Condition

Elder Abuse, Neglect, Nurses, Education

Intervention

Participants 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 type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

Quantitative 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 measures

Number of elder abuse and/or neglect cases identified and managed during follow-up period

Overall trial start date

01/01/2014

Overall trial end date

29/05/2015

Reason abandoned

Eligibility

Participant inclusion criteria

Community 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

Participant type

Patient

Age group

Adult

Gender

Female

Target number of participants

390 nurses

Participant exclusion criteria

1. Had less than 6 months of working experience
2. Had attended any educational programme related to management of elder abuse and/or neglect

Recruitment start date

01/01/2014

Recruitment end date

29/05/2015

Locations

Countries of recruitment

Malaysia

Trial participating centre

Julius Centre University of Malaya
Kuala Lumpur
50603
Malaysia

Sponsor information

Organisation

University of Malaya (Malaysia)

Sponsor details

Julius Centre University of Malaya
Department of Social and Preventive Medicine
Faculty of Medicine
University of Malaya
Kuala Lumpur
50603
Malaysia
pen_ippp@um.edu.my

Sponsor type

University/education

Website

http://umresearch.um.edu.my/

Funders

Funder type

University/education

Funder name

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

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes