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Journal of Elder Abuse & Neglect· 2026Q2

Elder abuse prevention through enhanced caregiver support: a qualitative case study of the COACH intervention

Kelly Marnfeldt, Susanna Mage, Susan Enguídanos, Zachary Gassoumis et al.

Short summary

The COACH intervention eliminated self-reported elder mistreatment (EM) in caregivers for three months post-intervention (0% vs. 23.1% in controls), despite no changes in caregiver burden, depression, or anxiety.

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Key points

  • The COACH intervention resulted in zero self-reported elder mistreatment (EM) among caregivers in the three months following the program, compared to 23.1% in the control group.
  • This significant reduction in EM reports occurred despite no measurable changes in caregiver burden, depression, or anxiety levels.
  • Key components of COACH perceived as crucial for its impact include tailored, person-centered support, care navigation, and culturally responsive education.
  • Findings suggest that relational support, rather than solely addressing risk factors, may be critical in preventing EM.

AI-generated from the title and abstract; the full text is not read.

Abstract

The Comprehensive Older Adult and Caregiver Help (COACH) intervention, evaluated in a randomized controlled trial (RCT) by [Author(s)] et al. (2024), achieved an unexpected outcome: during the three months after the intervention, no caregivers in the treatment group self-reported elder mistreatment (EM), compared to 23.1% in controls, despite no significant reduction in measured caregiver risk factors such as burden, depression, or anxiety. To explore factors that may have contributed to this outcome, we conducted a case study with three COACH care coaches and their supervisor, supplemented by 100 post-visit notes and six pages of supervisory meeting notes. Thematic analysis identified three elements perceived as central to COACH's impact: tailored, person-centered support; care navigation and resource provision; and culturally responsive, iterative caregiver education. Findings suggest that relational support may mitigate EM risk even when measured risk factors do not change, underscoring the need for theory-informed frameworks to guide caregiver-focused prevention strategies.

The authors' abstract, as published at the source. Journal of Elder Abuse & Neglect, 2026 · DOI ↗

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Field: Demography

DemographySocial Sciences