{"doi":"10.1111/jgs.18597","title":"Comprehensive Older Adult and Caregiver Help ( <scp>COACH</scp> ): A person‐centered caregiver intervention prevents elder mistreatment","abstract":"BACKGROUND: Elder mistreatment (EM) harms individuals, families, communities, and society as a whole. Yet research on interventions is lagging, and no rigorous studies demonstrating effective prevention have been published. This pilot study examines whether a first-of-its-kind coaching intervention reduced the experience of EM among older adults with chronic health conditions, including dementia. METHODS: We used a double-blind, randomized controlled trial to test a strengths-based person-centered caregiver support intervention, developed from evidence-based approaches used in other types of family violence. Participants (n = 80), family caregivers of older adults who were members of Kaiser Permanente, completed surveys at baseline, post-test, and 3-month follow-up. The primary outcome was caregiver-reported EM; additional proximal outcomes were caregiver burden, quality-of-life, anxiety, and depression. Nonparametric tests (Mann-Whitney U, Fisher's Exact, Wilcoxon Signed Rank, and McNemar's) were used to make comparisons between treatment and control groups and across time points. RESULTS: The treatment group had no EM after intervention completion (assessed at 3-month follow-up), a significantly lower rate than the control group (treatment = 0%, control = 23.1%, p = 0.010). CONCLUSIONS: In this pilot study, we found that the COACH caregiver support intervention successfully reduced EM of persons living with chronic illness, including dementia. Next steps will include: (1) testing the intervention's mechanism in a fully powered RCT and (2) scaling the intervention for testing in a variety of care delivery systems.","journal":"Journal of the American Geriatrics Society","year":2023,"id":346812,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":12,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9573,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1088195,"name":"J. Manuel Martínez","orcid":null,"position":1,"is_corresponding":false},{"id":1087688,"name":"Jeanine Yonashiro‐Cho","orcid":"0000-0002-0926-0461","position":2,"is_corresponding":false},{"id":670142,"name":"Laura Mosqueda","orcid":null,"position":3,"is_corresponding":false},{"id":1088196,"name":"Anthony Hou","orcid":null,"position":4,"is_corresponding":false},{"id":376318,"name":"S. Duke Han","orcid":"0000-0003-2453-9230","position":5,"is_corresponding":false},{"id":772010,"name":"Bonnie Olsen","orcid":null,"position":6,"is_corresponding":false},{"id":1088197,"name":"Anat Louis","orcid":null,"position":7,"is_corresponding":false},{"id":1088198,"name":"Marie‐Therese Connolly","orcid":null,"position":8,"is_corresponding":false},{"id":490024,"name":"Kylie Meyer","orcid":"0000-0003-3032-2054","position":9,"is_corresponding":false},{"id":1087689,"name":"Kelly Marnfeldt","orcid":"0000-0003-3047-8016","position":10,"is_corresponding":false},{"id":1087690,"name":"S. Navarro","orcid":"0000-0002-6320-521X","position":11,"is_corresponding":false},{"id":1087691,"name":"Mengzhao Yan","orcid":"0000-0002-0589-8783","position":12,"is_corresponding":false},{"id":878265,"name":"Kathleen H. Wilber","orcid":"0000-0001-6211-9726","position":13,"is_corresponding":false},{"id":1087687,"name":"Zachary Gassoumis","orcid":"0000-0002-0005-9454","position":0,"is_corresponding":true}],"reference_count":38,"raw_metadata":null,"created_at":"2026-07-19T01:11:53.085356Z","pmid":"37791406","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}