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This mixed-methods study sought to explore the appropriateness of using the Elder Abuse Suspicion Index\u00a9 (a suspicion tool originally created for use with older adults in the ambulatory setting with Mini-Mental State Examination scores \u2265 24) with similarly cognitively functioning persons residing in LTC. Results were informed by a literature review, Internet-based consultations with elder abuse experts across Canada ( n = 19), and data obtained from two purposively selected focus groups ( n = 7 local elder abuse experts; n = 7 experienced front-line LTC clinicians). Analyses resulted in the development of a nine-question tool, the EASI-ltc, designed to raise suspicion of EA in cognitively intact older adults residing in LTC (with little or no cognitive impairment). Notable modifications to the original Elder Abuse Suspicion Index\u00a9 (EASI) included three new questions to further address neglect and psychological abuse, and a context-specific preamble to orient responders.<\/jats:p>","DOI":"10.1177\/0733464817732443","type":"journal-article","created":{"date-parts":[[2017,9,30]],"date-time":"2017-09-30T00:38:51Z","timestamp":1506731931000},"page":"1472-1491","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Adapting the Elder Abuse Suspicion Index\u00a9 for Use in Long-Term Care: A Mixed-Methods Approach"],"prefix":"10.1177","volume":"38","author":[{"given":"Stephanie A.","family":"Ballard","sequence":"first","affiliation":[{"name":"McGill University, Montreal, Qu\u00e9bec, Canada"},{"name":"Donald Berman Maimonides Geriatric Centre for Research in Aging, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Yaffe","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Qu\u00e9bec, Canada"},{"name":"St. Mary\u2019s Hospital Center, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"August","sequence":"additional","affiliation":[{"name":"Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux Centre-Ouest-de-l\u2019\u00eele-de-Montr\u00e9al, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deniz","family":"Cetin-Sahin","sequence":"additional","affiliation":[{"name":"Donald Berman Maimonides Geriatric Centre for Research in Aging, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Machelle","family":"Wilchesky","sequence":"additional","affiliation":[{"name":"McGill University, Montreal, Qu\u00e9bec, Canada"},{"name":"Donald Berman Maimonides Geriatric Centre for Research in Aging, Montreal, Qu\u00e9bec, Canada"},{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,9,29]]},"reference":[{"key":"bibr1-0733464817732443","doi-asserted-by":"publisher","DOI":"10.2307\/270983"},{"key":"bibr2-0733464817732443","doi-asserted-by":"publisher","DOI":"10.1300\/J084v13n02_02"},{"key":"bibr3-0733464817732443","volume-title":"Assessing satisfaction in health and long term care practical approaches to hearing the voices of consumers","author":"Applebaum R.","year":"2000"},{"key":"bibr4-0733464817732443","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2002.00052.x"},{"key":"bibr5-0733464817732443","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2005.04.001"},{"key":"bibr6-0733464817732443","first-page":"241","volume-title":"Abuse, neglect, and exploitation of older persons","author":"Baumhover L. 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