Development and evaluation of an online intervention module on elder abuse and neglect among healthcare professionals in the emergency department

ISRCTN ISRCTN10805161
DOI https://doi.org/10.1186/ISRCTN10805161
Submission date
13/02/2023
Registration date
21/02/2023
Last edited
20/02/2023
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
An elder’s visit to the emergency department offers an opportunity for healthcare professionals to detect victims of elder abuse and neglect and subsequently initiate an intervention. An elder who is vulnerable and isolated might only leave the house during this situation. The emergency department is frequently the first encounter with healthcare professionals. Considering this, the healthcare professional is in a remarkable position to recognize and address elder abuse and neglected cases. Unfortunately, the detection of elder abuse and neglect in the emergency department is lower than the prevalence estimates. Given the complexities involved in comprehending and reporting abuse, education and training of healthcare professionals is necessary if abuse is to be identified and reported properly. This study aims to develop and evaluate an online elder abuse and neglect module to improve knowledge, attitude and confidence to intervene among emergency department healthcare providers in two different states in Malaysia.

Who can participate?
Emergency department healthcare professionals working under the Ministry of Health including nurses, emergency physicians, medical officers, house officers, and medical assistants, have working experience of at least six months, aged between 18- and 60-years and have not attended any educational program on elder abuse and neglect in the past 12 months.

What does the study involve?
This study will be conducted in two phases. Phase 1 is the development of an online elder abuse and neglect module. This module will be prepared by integrating information from three key sources including: 1) in-depth literature reviews, 2) interviews with a panel of experts, and 3) adaptation and modification of, an existing module that was designed for primary care doctors in Malaysia. Phase 2 will evaluate the effectiveness of the module on knowledge, attitude and confidence to intervene elder abuse and neglect cases among healthcare professionals in emergency department. In the second phase, two emergency departments (in two tertiary hospitals) will be selected for the evaluation of the module using a quasi-experimental design.

What are the possible benefits and risks of participating?
The benefits of participating include improved knowledge and confidence in identifying, diagnosing and managing elder abuse and neglect by healthcare professionals in the emergency department. Participation carries no potential risks.

Where is the study run from?
The study will run from two emergency departments in two tertiary hospitals in Malaysia.

When is the study starting and how long is it expected to run for?
January 2022 until December 2024

Who is funding the study?
Geran Penyelidikan Dana UiTM Cawangan Selangor (DUCS) 4.0 (Malaysia)

Who is the main contact?
Raudah Mohd Yunus
raudah2235@uitm.edu.my

Contact information

Dr Raudah Yunus
Principal Investigator

Department of Public Health Medicine
Faculty of Medicine
Universiti Teknologi MARA
Sungai Buloh
47000
Malaysia

ORCiD logoORCID ID 0000-0002-2129-6352
Phone +60361265000
Email raudah2235@uitm.edu.my

Study information

Study designMulticenter interventional quasi-experimental trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleElder Abuse and Neglect Online Training for healthcare professionals in the emergency department
Study acronymEANOT
Study objectivesOnline elder abuse and neglect module is effective in improving the knowledge, attitude and confidence to intervene the elder abuse and neglect cases among healthcare professionals in emergency department compared to control
Ethics approval(s)Approved 18/07/2022, UiTM Research Ethics Committee (Faculty of Medicine, UiTM Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia; +603-55448069; recsecretariat@uitm.edu.my), ref: REC/07/2022 (PG/MR/158)
Health condition(s) or problem(s) studiedElder Abuse, neglect, education, healthcare professionals
InterventionTwo emergency departments (in two tertiary hospitals) will be selected for the evaluation of the module:
1. Control group: will receive a link to a website that contains general elder care.
2. Intervention group: will receive a link to a website that contains general elder care and online EAN module in Malay language that is need to be completed in one-month
Follow up: 6 months
Intervention typeBehavioural
Primary outcome measureKnowledge, Attitude and confidence to intervene using Elder Abuse Questionnaire (ELSE-Q), a validated Malay language questionnaire, at baseline, immediately post intervention, at 3-months and 6-months follow-up
Secondary outcome measuresNumber of elder abuse and neglect cases intervened and managed during the 6-months follow-up duration. The respondents will be asked how many elder abuse and neglect cases they have intervened and managed for the past 6 months since they completed the module given. The questions will be asked using the online method via the same module website.
Overall study start date01/01/2022
Completion date31/12/2024

Eligibility

Participant type(s)Health professional
Age groupAdult
Lower age limit18 Years
Upper age limit60 Years
SexBoth
Target number of participants156 healthcare professionals
Key inclusion criteria1. Emergency department healthcare professionals working under the Ministry of Health that include nurses, emergency physicians, medical officers, house officers, and medical assistants.
2. Having working experience of at least six months
3. Aged between 18 and 60 years
Key exclusion criteria1. Have attended any educational program on elder abuse and neglect in the past 12 months.
2. Attachment healthcare professionals (post basic nurses, healthcare professionals in post graduate training) with a duration of employment/attachment of less than 6 months in the respective hospital at the recruitment time.
Date of first enrolment01/03/2023
Date of final enrolment31/12/2023

Locations

Countries of recruitment

  • Malaysia

Study participating centre

Hospital UiTM Sungai Buloh
Jalan Hospital
Sungai Buloh
47000
Malaysia

Sponsor information

Universiti Teknologi MARA
University/education

Jalan Hospital
Sungai Buloh
47000
Malaysia

Phone +6 (03) 6126 7176
Email korporatmedic@uitm.edu.my
Website http://www.uitm.edu.my/index.php/en
ROR logo "ROR" https://ror.org/05n8tts92

Funders

Funder type

University/education

Geran Penyelidikan Dana UiTM Cawangan Selangor (DUCS) 4.0

No information available

Results and Publications

Intention to publish date10/06/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from raudah2235@uitm.edu.my

Editorial Notes

20/02/2023: Trial's existence confirmed by UiTM Research Ethics Committee.