Development of a Checklist for Welfare Commissioners to Identify Early Signs of Elder Abuse in Communities

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  • 地域高齢者の虐待を早期に把握するための民生委員用高齢者虐待チェックリストの開発
  • チイキ コウレイシャ ノ ギャクタイ オ ソウキ ニ ハアク スル タメ ノ ミンセイ イインヨウ コウレイシャ ギャクタイ チェックリスト ノ カイハツ

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Abstract

<p>  To develop a checklist for welfare commissioners to identify early signs of abuse of community-dwelling elderly, a draft checklist was created with such signs extracted from the literature, and its content validity was confirmed by distributing it to 48 welfare commissioners. Subsequently, to confirm its reliability and validity, a mail questionnaire survey was conducted, involving 108 professionals belonging to community-based comprehensive support centers and public health centers in charge of abuse management. Through exploratory factor analysis, 4 factors were selected: [Declining family care], [Unnatural living behavior of the elderly], [elderly’s complaints], and [Uncertain location]. A high Cronbach α of 0.897 for the entire checklist was achieved, which confirmed sufficient reliability. Confirmatory factor analysis was also performed to examine construct validity, and the following values were obtained from the goodness-of-fit test: GFI=0.917, AGFI=0.884, CFI=0.934, and RMSEA=0.058. As a result, a 19-item elder abuse checklist for welfare commissioners was created, and it was shown to be applicable to identify early signs of elder abuse and to share such information with other professionals.</p>

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