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Observational measure of elder self-neglect
Madelyn Iris1, Kendon J Conrad, John Ridings
1a Leonard Schanfield Research Institute, CJE SeniorLife , Chicago , Illinois , USA.
Journal of Elder Abuse & Neglect
|June 10, 2014
Summary
This study validated the Elder Self-Neglect Assessment (ESNA), creating a reliable 62-item tool and a 25-item short form to improve elder self-neglect measurement and intervention strategies.
Area of Science:
- Gerontology
- Psychometrics
- Social Work
Background:
- Elder self-neglect is a complex issue requiring accurate measurement for effective intervention.
- Existing assessment tools may lack robust psychometric properties, hindering reliable evaluation.
- The Elder Self-Neglect Assessment (ESNA) was developed to address these measurement challenges.
Purpose of the Study:
- To rigorously test and refine the psychometric properties of the Elder Self-Neglect Assessment (ESNA).
- To develop a validated instrument for measuring elder self-neglect suitable for clinical and protective services use.
- To identify key indicators and hierarchical relationships within elder self-neglect.
Main Methods:
- Utilized Rasch item response theory and traditional validation methods on data from 215 clients across 13 agencies.
- Administered a 77-item ESNA by social workers, case managers, and adult protective services providers.
- Performed analyses for dimensionality, model fit, internal consistency, item reliability, and construct validity.
Main Results:
- The ESNA was refined to a 62-item assessment that met Rasch fit criteria, demonstrating good internal consistency and construct validity.
- A 25-item short form of the ESNA also met Rasch criteria, offering a brief yet reliable measurement option.
- A hierarchy of self-neglect indicators was established, categorizing them into behavioral characteristics and environmental factors.
Conclusions:
- The validated ESNA provides a psychometrically sound instrument for assessing elder self-neglect.
- The two-category structure (behavioral, environmental) offers a framework for comprehensive evaluation.
- Empirically derived insights can inform improved assessment and intervention strategies for elder self-neglect.
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