Interventions for detection, prevention, and response to elder abuse and neglect: An evidence and gap map

Article type
Authors
Dela Cruz N1, Li J1, Guo L1, White H1, Liu Y2, Wang Y1, Li X1, Yang K1
1Centre for Evidence-Based Social Science & Centre for Evidence-Based Medicine, School of Basic Medical Science, Lanzhou University, China
2University College London, London
Abstract
Background: Abuse of older people is a pressing public health concern that has severe impacts on their physical, emotional, economic, and social well-being. Such abuses can result in traumatic injuries, mental health issues like depression, stress, and anxiety, as well as emergencies or increased mortality rates among older individuals. These consequences affect not only the older people themselves but also their families and communities.
Method and Objectives: There are no currently comprehensive resources that analyze the evidence on interventions to address elder abuse. This project aims to gather and present all available evidence on the effectiveness of the interventions in reducing elder abuse. The main research question of this map is: What is the extent of evidence on the interventions classified under detection, prevention, and response to elder abuse, and what are their characteristics? Which outcomes are included in these studies?
The scope of this EGM covers strategies and interventions to detect, prevent, and reduce elder abuse. Our definition includes interventions that address the complex aspects of elder abuse at various levels—individual, relationship, community, and societal. We classify primary interventions as those most relevant to the target population experiencing abuse, and secondary interventions as specific actions to detect, prevent, and reduce further abuse.
This map also includes both primary studies and systematic reviews.
(Preliminary) Results: From around 23,000 records identified in database searching, 56 studies are included for coding or data extraction. Most of the evidence are found in high-income countries, followed by the upper-middle income countries, with more evidence on detection and response, compared to interventions on prevention of elder abuse. Research on interventions for various populations and different types of elder abuse are typically of poor quality.