ABSTRACT

This quasi-experimental study examined the effect of Supporting Family Doctors to Address Elder Abuse (SAFE) educational intervention among family doctors practicing at public primary care clinics in Malaysia. SAFE is an intensive, multimodal, locally tailored, and culturally sensitive face-to-face educational intervention on elder abuse. A significant mean score improvement of knowledge [Baseline: 5.33 (SD:1.33) to 6-month post-intervention: 6.45 (SD: 1.35); p<0.001] and perceived behavioral control [Baseline: 50.83 (SD: 8.87) to six-month post-intervention: 56.16 (SD: 9.56); p<0.001] observed in the intervention group compared to the control group. No significant difference in attitude, subjective norm, and practice scores between the two groups over time. SAFE educational intervention for family doctors was effective to improve but not sustainable knowledge and perceived behavioral control toward elder abuse identification and management. We recommend SAFE educational intervention as part of the continuous medical education for family doctors supplemented with a change in organization and national policy.

摘要

这项准实验性研究检验了支持家庭医生解决虐待老人 (SAFE) 教育干预对在马来西亚公共初级保健诊所执业的家庭医生的影响。SAFE 是一项针对老年人虐待的密集、多模式、本地化且具有文化敏感性的面对面教育干预措施。知识平均得分显着提高 [基线：5.33（SD：1.33）至干预后 6 个月：6.45（SD：1.35）；p<0.001] 和感知行为控制 [基线：50.83（SD：8.87）至干预后六个月：56.16（SD：9.56）；与对照组相比，在干预组中观察到 p<0.001。随着时间的推移，两组在态度、主观规范和实践得分方面没有显着差异。针对家庭医生的安全教育干预有效地提高了对老年人虐待识别和管理的知识和感知行为控制，但不是可持续的。我们建议将 SAFE 教育干预作为家庭医生继续医学教育的一部分，并辅以组织和国家政策的变化。