title: Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey.
abstract: OBJECTIVE
  We have undertaken a multi-phase, multi-method program of research to develop, implement, and evaluate a comprehensive hospital-based nurse examiner elder abuse intervention that addresses the complex functional, social, forensic, and medical needs of older women and men. In this study, we determined the importance of possible participating professionals and respective roles and responsibilities within the intervention.
  
  
  METHODS
  Using a modified Delphi methodology, recommended professionals and their associated roles and responsibilities were generated from a systematic scoping review of relevant scholarly and grey literatures. These items were reviewed, new items added for review, and rated/re-rated for their importance to the intervention on a 5-point Likert scale by an expert panel during a one day in-person meeting. Items that did not achieve consensus were subsequently re-rated in an online survey.
  
  
  METHODS
  Those items that achieved a mean Likert rating of 4+ (rated important to very important), and an interquartile range<1 in the first or second round, and/or for which 80% of ratings were 4+ in the second round were retained for the model elder abuse intervention.
  
  
  RESULTS
  Twenty-two of 31 recommended professionals and 192 of 229 recommended roles and responsibilities rated were retained for our model elder abuse intervention. Retained professionals were: public guardian and trustee (mean rating = 4.88), geriatrician (4.87), police officer (4.87), GEM (geriatric emergency management) nurse (4.80), GEM social worker (4.78), community health worker (4.76), social worker/counsellor (4.74), family physician in community (4.71), paramedic (4.65), financial worker (4.59), lawyer (4.59), pharmacist (4.59), emergency physician (4.57), geriatric psychiatrist (4.33), occupational therapist (4.29), family physician in hospital (4.28), Crown prosecutor (4.24), neuropsychologist (4.24), bioethicist (4.18), caregiver advocate (4.18), victim support worker (4.18), and respite care worker (4.12).
  
  
  CONCLUSIONS
  A large and diverse group of multidisciplinary, intersectoral collaborators was deemed necessary to address the complex needs of abused older adults, each having important roles and responsibilities to fulfill within a model comprehensive elder abuse intervention.
authors.affiliation: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.|Dalla Lana School of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Janice
authors.initials: J
authors.lastname: Du Mont
authors.affiliation: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.|Ontario Network of Sexual Assault/Domestic Violence Treatments Centres, Toronto, Ontario, Canada.
authors.forename: Daisy
authors.initials: D
authors.lastname: Kosa
authors.affiliation: Ontario Network of Sexual Assault/Domestic Violence Treatments Centres, Toronto, Ontario, Canada.
authors.forename: Sheila
authors.initials: S
authors.lastname: Macdonald
authors.affiliation: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.|Ontario Network of Sexual Assault/Domestic Violence Treatments Centres, Toronto, Ontario, Canada.
authors.forename: Shannon
authors.initials: S
authors.lastname: Elliot
authors.affiliation: Department of Family Medicine, St. Mary's Hospital Centre, Montreal, Québec, Canada.|Department of Family Medicine, McGill University, Montreal, Québec, Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: Yaffe
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers; D003697:Delphi Technique; D061345:Early Medical Intervention; D004552:Elder Abuse; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D024382:Professional Role; D011795:Surveys and Questionnaires; D055815:Young Adult