MIStreatment Screening in Elders Before Discharge

Aged Clinical Trial

— MISSED  

Official title:

MIStreatment Screening in Elders Before Discharge (MISSED) Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05807568
• Other study ID #: HSC-MS-22-1009
• Status: Recruiting
• Phase: N/A
• Start date: April 10, 2023
• Est. completion date: June 30, 2024

Study information

• Verified date: May 2023
• Source: The University of Texas Health Science Center, Houston
• Contact: Julia A Hiner, MD
• Phone: 713-500-6295
• Email: Julia.A.Hiner[@]uth.tmc.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to demonstrate the feasibility of introducing, implementing, and integrating a brief, existent elder mistreatment screening tool (the National Collaboratory to Address Elder Mistreatment (NCAEM)'s Elder Mistreatment - Screening And Response Tool (EM-SART) Pre-Screen) in the Memorial Herman Hospital (MHH)-Texas Medical Center (TMC)Acute Care of Elders(ACE) (MHH-TMC ACE) unit and to identify older adults who may already be suffering from abuse, neglect, and/or financial exploitation, as well as connecting the study participants to the primary Geriatric Medicine team on the ACE unit such that additional care, evaluation (including additional in-depth mistreatment screening), and intervention can be taken to prevent and minimize further harm prior to discharge. The investigators hope to reduce missed opportunities for mistreatment detection to lead to safer health outcomes and hospital discharges.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: June 30, 2024
• Est. primary completion date: June 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• current admission to the MHH-TMC ACE unit

• ability to independently hear, understand, and verbally answer the 3 participant questions on the NCAEM's EM-SART Pre-Screen screening tool when it is read to them

Exclusion Criteria:

• unwillingness to participate in the research study.

Related Conditions & MeSH terms

• Aged
• Elder Abuse
• Geriatric Assessment
• Geriatrics
• Health Services for the Aged
• Self Neglect
• Surveys and Questionnaires

Intervention

Other:
• NCAEM EM-SART Pre-Screen
Participants will be verbally asked the 3 participant questions on the NCAEM EM-SART Pre-Screen either directly or with support of hospital approved telephonic interpreters. Answers will be documented by the investigator digitally. Participants will be interviewed one time for a duration of approximately 15 minutes. No further action will be taken on study participants with negative elder mistreatment screens, unless findings concerning for emotional distress are identified by the investigator. If emotional distress is identified, these observations will be communicated to Geriatric Medicine team in person or via secure/encrypted email, with recommendations to follow-up with the participant about the results and take appropriate care actions. Study participants with positive elder mistreatment will have results shared with the study participant directly and with the Geriatric Medicine primary team via secure/encrypted email.

Locations

Country	Name	City	State
United States	The University of Texas Health Science Center at Houston	Houston	Texas

Sponsors (1)

Lead Sponsor	Collaborator
The University of Texas Health Science Center, Houston

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of units using this NCAEM EM-SART Pre-Screen tool	How many times the NCAEM EM-SART Pre-Screen tool is attempted with consented patients	12 months after study
Primary	Number of participants who have identified elder mistreatment	Study participants screening positive based on NCAEM EM-SART Pre-Screen tool	15 minute evaluation of each participant, no follow-up