{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:00:06Z","timestamp":1790424006036,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Elder abuse and neglect (EAN) can lead to severe consequences among victims. However, older adults are often reluctant to seek help. This study explored the efficacy of using motivational interviewing (MI), a technique used to resolve ambivalence about behavioral change by strengthening one's motivation, in reducing subsequent EAN among older victims in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, two\u2010arm randomized controlled trial (RCT) enrolled Chinese\u2010speaking community\u2010dwelling older adults (age \u2265\u200960\u2009years) at risk of EAN from 2022 to 2025. The intervention involved 4 individual sessions utilizing key MI techniques to identify personal goals and evoke motivation for change. The primary outcome was EAN in the past month as assessed with items modified from the Revised Conflict Tactics Scale and the Old Adult Financial Exploitation Measure; whilst secondary outcomes included subjective physical health, psychological well\u2010being, self\u2010efficacy, and social support. All outcomes were assessed at baseline, post\u2010intervention, and 3\u2009months after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 359 older adults were eligible for the intervention. While 161 refused to participate, the final sample comprised 198 older adults (mean age: 73.6\u2009years; female: 88.9%), of whom 99 received the intervention and the other 99 were wait\u2010list controls. Findings from the mixed\u2010effects model analysis showed that, compared with the control group, the intervention group experienced greater reductions in minor psychological aggression at the 3\u2010month follow\u2010up assessment (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) as well as caregiver neglect at the post\u2010intervention assessment (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Similarly, the intervention group showed greater improvements in self\u2010efficacy (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.67\u20100.83, all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and social support over time (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20092.08,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study represents one of the first empirical evaluations using MI in EAN interventions. Findings suggest that MI by advocates can be a beneficial approach to help older adults at risk of EAN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>\n                      This RCT has been registered under the ISRCTN prior to the beginning of the study. The identifying number is ISRCTN35969462. The study protocol can be accessed at\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.isrctn.com\/ISRCTN35969462\">https:\/\/www.isrctn.com\/ISRCTN35969462<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70743","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:39:15Z","timestamp":1790422755000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Motivation Interviewing to Reduce Elder Abuse and Neglect: Findings From a Randomized Controlled Trial in Hong Kong"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-6259","authenticated-orcid":false,"given":"Elsie","family":"Yan","sequence":"first","affiliation":[{"name":"The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haze","family":"Ng","sequence":"additional","affiliation":[{"name":"The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daihai","family":"He","sequence":"additional","affiliation":[{"name":"The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lai","sequence":"additional","affiliation":[{"name":"The Hong Kong Baptist University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9151-3255","authenticated-orcid":false,"given":"David","family":"Burnes","sequence":"additional","affiliation":[{"name":"University of Toronto  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Lachs","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30006-2"},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization \u201cAbuse of Older People 2025 \u201d(2025) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/elder\u2010abuse."},{"key":"e_1_2_11_4_1","volume-title":"Elder Mistreatment: Abuse, Neglect, and Exploitation in Aging America","author":"National Research Council","year":"2003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.141329"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838017692798"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-23548-9"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10896-023-00563-1"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gby122"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2013.10.006"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260514553628"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10896-019-00084-w"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838019860616"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1108\/JAP-12-2013-0046"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08336-8"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.07.012"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036910"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260518770188"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/15433714.2013.791502"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771003705213"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/08946566.2013.867241"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18506"},{"key":"e_1_2_11_23_1","volume-title":"Montreal Cognitive Assessment (MoCA)","author":"Nasreddine Z. 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