43 Participants Needed

DETECT-RPC Screening for Elder Abuse

(DETECT-RPC Trial)

Recruiting at 6 trial locations
MB
JS
Overseen ByJames S Barnes
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center, Houston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new screening tool called DETECT-RPC to determine if it helps healthcare providers better identify elder mistreatment during home visits. The goal is to assess whether using this tool increases the reporting of abuse among seniors receiving home-based primary care. Participants must be 60 or older and already receiving home-based care from a clinician involved in the study. The trial will compare results between groups using the tool and those who do not. The study aims to improve safety and care for older adults. As an unphased trial, it offers participants the opportunity to contribute to important research that could enhance the safety and well-being of seniors.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the DETECT-RPC screening tool is safe for use in primary care?

Research shows that the DETECT-RPC screening tool helps identify elder mistreatment in emergency care settings. No reports have indicated harm or negative effects from using this tool. It provides a safe and easy method for healthcare workers to spot signs of abuse in older adults. The trial phase is marked as "Not Applicable," indicating that the tool itself poses no safety concerns, as it is neither a drug nor an invasive procedure. The goal is to enhance the detection of elder mistreatment without introducing any physical risks to participants.1

Why are researchers excited about this trial?

Researchers are excited about the DETECT-RPC screening tool because it offers a fresh approach to identifying elder abuse right in primary care settings. Unlike traditional methods, which often rely on self-reporting or visible signs, DETECT-RPC empowers emergency care technicians with a systematic way to spot potential mistreatment. This proactive tool aims to catch issues early, potentially improving outcomes for vulnerable seniors by ensuring they get the help they need sooner.

What evidence suggests that the DETECT-RPC screening tool is effective for increasing elder mistreatment reporting?

Research has shown that the DETECT-RPC screening tool can effectively identify elder mistreatment. In past studies, emergency care workers using this tool detected more cases of elder abuse. It guides healthcare providers through a series of questions to identify signs of mistreatment, ensuring that important signs are not overlooked. This trial will compare two groups: one using the DETECT-RPC screening tool and another without it. The tool aims to improve reporting rates by making it easier for healthcare providers to identify possible abuse cases that might otherwise go unnoticed.1

Who Is on the Research Team?

MB

Michael B Cannell, PhD,MPH

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

This trial is for clinicians who provide home-based primary care at least part-time to patients in partner programs. It's not specified who can't join, but typically those not involved in such care would be excluded.

Inclusion Criteria

Clinician who actively provides home-based primary care to patients enrolled in one of our partner home-based primary care programs at least part time (physicians)
Patients seen by a clinician participating in the study
I receive my primary healthcare at home.
See 1 more

Exclusion Criteria

N/A

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants are either screened using the DETECT-RPC tool or not, to evaluate its impact on reporting elder mistreatment

3 years

Follow-up

Participants are monitored for the number of reports of elder mistreatment and mortality

3 years

What Are the Treatments Tested in This Trial?

Interventions

  • Detection of Elder mistreatment Through Emergency Care Technicians-Revised for Primary Care (DETECT-RPC) screening tool
Trial Overview The DETECT-RPC tool is being tested to see if it helps clinicians report elder mistreatment more often when they visit older adults at home for primary care services.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: with DETECT-RPC screening toolExperimental Treatment1 Intervention
Group II: without DETECT-RPC screening toolActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

Published Research Related to This Trial

The DETECT tool is being validated for use by medics to identify older adults at risk of elder mistreatment during emergency 911 calls, with a large-scale study involving approximately 59,400 older adults over 36 months.
Follow-up interviews with a subsample of 2,520 participants will assess the accuracy of the DETECT tool in determining elder mistreatment exposure, providing a robust method for improving the safety and well-being of older adults.
Validation of the detection of elder abuse through emergency care technicians (DETECT) screening tool: a study protocol.Cannell, B., Weitlauf, J., Livingston, MD., et al.[2021]
A study involving 241 patients across medical and dental clinics demonstrated that screening for elder mistreatment (EM) is feasible, with a higher enrollment rate of 66% in dental clinics compared to 20% in medical clinics.
Patients were receptive to answering sensitive questions about elder mistreatment, indicating that clinics could serve as effective settings for identifying and addressing this serious issue.
Screening for elder mistreatment in dental and medical clinics.Fulmer, T., Strauss, S., Russell, SL., et al.[2022]
A pilot program at the Louis Stokes Cleveland VA Medical Center successfully adapted the Elder Mistreatment Screening and Response Tool (EM-SART) to screen older Veterans for elder abuse, identifying 3.6% of those screened as potentially experiencing abuse.
The program's interdisciplinary approach, involving social workers, nurses, and technicians, has the potential to be expanded across the Veterans Health Administration, improving detection and intervention for elder abuse in a high-risk population.
Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool.Makaroun, LK., Halaszynski, JJ., Rosen, T., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39819945/
Detection of Elder Abuse Through Emergency Care ... - PubMedDetection of Elder Abuse Through Emergency Care Technicians Screening Tool Revision ... Elder mistreatment Through Emergency Care Technicians ...
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