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The development of a conceptual model for understanding elder self-neglect
Madelyn Iris1, John W Ridings, Kendon J Conrad
1Leonard Schanfield Research Institute, CJE SeniorLife, 3003 W. Touhy, Chicago, IL 60645, USA. micki.iris@cje.net
Elder self-neglect (ESN) is a significant public health issue. A concept mapping study revealed that physical living conditions and mental health are key indicators for understanding and addressing ESN.
Area of Science:
- Gerontology
- Public Health
- Social Work
Background:
- Elder self-neglect (ESN) constitutes a substantial portion of adult protective services cases.
- ESN has wide-ranging negative impacts on older adults, their families, and communities, including increased mortality and healthcare utilization.
Purpose of the Study:
- To develop a conceptual model of elder self-neglect (ESN) using concept mapping.
- To identify and prioritize key indicators and domains associated with ESN.
Main Methods:
- A concept mapping approach was employed, involving 50 professionals from various fields.
- Participants generated 73 indicators of ESN and subsequently sorted and rated their importance.
Main Results:
- Hierarchical cluster analysis and multidimensional scaling resulted in a conceptual map with 7 clusters.
- Physical Living Conditions and Mental Health emerged as the most highly rated clusters in terms of importance.
- Most clusters were interconnected, indicating a complex interplay of factors in ESN.
Conclusions:
- The study provides a conceptual framework for understanding ESN, highlighting critical assessment domains.
- The proposed model can guide future research and program development for ESN interventions.
- Further research and theory generation in ESN are facilitated by these findings.
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