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Screening for Elder Abuse in Geriatric Outpatients: Reliability and Validity of the Iranian Version Hwalek–Sengstock Elder Abuse Screening Test (H-S/East) Publisher Pubmed



Aminalroaya R1 ; Alizadehkhoei M1 ; Hormozi S2 ; Sharifi F2 ; Taati F2
Authors
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Authors Affiliations
  1. 1. Clinical Gerontology & Geriatric Department, Medical School, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Elder Abuse and Neglect Published:2020


Abstract

The present research seeks the notion of the appropriateness of “Hwalek-Sengstock Elder Abuse Screening Test (H-S/East)”, and psychometric properties to analyses cultural aspects of elder abuse in the Iranian community dwellers referred to clinics. In this cross-sectional validation study 364 participants, 60 years and over were selected from outpatient’ clinics. The SF-36, GDS-15, and AMT scores were used for concurrent validity. The Brief Abuse Screen for the Elderly (BASE) scale was examined to determine the sensitivity and specificity of the Iranian version H-S/East. The elder abuse rate in participants was 29.4% based on cutoff ≥4, while a significant correlation was found in Iranian version H-S/EAST with depression and SF-36 subscale MCS at P < .01, and four factors observed. Optimal cutoff ≥4 obtained with 82.8% sensitivity and 84.5% specificity. It seems the Iranian version of H-S/East demonstrates concurrent validity and fair reliability in elderly outpatients, while construct validity should be carried out in the Iranian elder illiterate population and other languages/cultures. © 2020, © 2020 Taylor & Francis.