Author: Wong, Wing Yan
Title: The effectiveness of educational intervention in improving healthcare professionals’ knowledge and recognition towards elder abuse
Advisors: Yan Chau-wai Elsie (APSS)
Degree: DHSc
Year: 2023
Subject: Older people -- Abuse of
Older people -- Abuse of -- Prevention
Medical personnel -- Training of
Hong Kong Polytechnic University -- Dissertations
Department: Faculty of Health and Social Sciences
Pages: xv, 184 pages : color illustrations
Language: English
Abstract: Elder abuse is widespread but underreported. Frontline health workers are lack of sufficient protocols or skills to identify, handle, and report elder abuse. Developing new curriculum using published literature as a guide continues to be a challenge. The current findings present the outcome of two phases. In the first phase, a systematic review and meta-analysis was performed. In the second phase, a cross-sectional survey was conducted.
The first study comprises a systematic review and meta-analysis of educational program on recognizing elder abuse. This systematic review summarizes and evaluates the evidence for educational interventions in randomized controlled studies (RCT). By using framework analysis, data from the retrieved documents were integrated. The total number of papers read in full was 47, and 5 were included in the review. Synthesis of results from the studies resulted in five main themes: 1) Knowledge improvement; 2) Ability to identify; 3) Meta-analysis on recognition; 4) Characteristics of programs; and 5) Outcome measurement. Elevation of immediate and longer-term outcomes of interventions in all included studies were also determined.
In the cross-sectional study, the core attributes of health and social care workers for addressing elder abuse, specifically their knowledge, attitude, vigilance, confidence, and performance with regard to elder abuse, were evaluated, and the impact of training on these variables were analyzed. Data were gathered from 117 health and social care professionals in Hong Kong between August 2022 and March 2023. The results revealed a significant difference in confidence across ages (P = 0.007). Independent t-tests showed that the female participants scored significantly lower on the physical abuse recognition test than the male participants (P < 0.001), and those who had received training regarding elder abuse scored significantly higher on the physical abuse test than those who had not (P = 0.022). Those with less than 5 years of work experience were significantly less likely to have received training than those with 5 years or more of work experience. The study provides insights into the development of interventions for health and social care professionals in Hong Kong and strategies for raising their awareness regarding elder abuse.
The current findings present data from a systematic review and meta-analysis of educational interventions in randomized controlled trials (RCT), as well as a cross-sectional analysis of five core attributes: Confidence; Vigilance; Knowledge; Attitude; Performance towards elder abuse among healthcare professionals in Hong Kong. These findings provide researchers, healthcare professionals, and aging service providers with information for the future development of elder abuse training modules designed to increase healthcare professionals' awareness and recognition of elder abuse.
Rights: All rights reserved
Access: restricted access

Files in This Item:
File Description SizeFormat 
7302.pdfFor All Users (off-campus access for PolyU Staff & Students only)2.21 MBAdobe PDFView/Open


Copyright Undertaking

As a bona fide Library user, I declare that:

  1. I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
  2. I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
  3. I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.

By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.

Show full item record

Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/12853