Development of a conceptual framework for severe self-neglect (SN) by modifying the crest model for self-neglect

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dc.contributor.authorPickens, Sabrina
dc.contributor.authorDaniel, Mary
dc.contributor.authorJones, Erick C.
dc.contributor.authorJefferson, Felicia
dc.creator.orcidhttps://orcid.org/0000-0003-2599-3187
dc.date.accessioned2023-08-01T16:50:42Z
dc.date.available2023-08-01T16:50:42Z
dc.date.issued2021
dc.descriptionArticle originally published in Frontiers in Medicine, 8. English. Published online 2021. https://doi.org/10.3389/fmed.2021.654627
dc.description.abstractSelf-neglect is an inability or refusal to meet one's own basic needs as accepted by societal norms and is the most common report received by state agencies charged with investigating abuse, neglect and exploitation of vulnerable adults. Self-neglect is often seen in addition to one or multiple conditions of frailty, mild to severe dementia, poor sleep and depression. While awareness of elder self-neglect as a public health condition and intervention has significantly risen in the past decade as evidenced by the increasing amount of literature available, research on self-neglect still lacks comprehensiveness and clarity since its inception to the medical literature in the late 1960s. With the burgeoning of the older adult population, commonness of self-neglect will most likely increase as the current incidence rate represents only the “tip of the iceberg” theory given that most cases are unreported. The COVID-19 pandemic has exacerbated the incidence of self-neglect in aged populations and the need for the use of intervention tools for aging adults and geriatric patients living alone, many of which may include in-home artificial intelligence systems. Despite this, little research has been conducted on aspects of self-neglect other than definition and identification. Substantial further study of this disorder's etiology, educating society on early detection, and conceivably preventing this syndrome altogether or at least halting progression and abating its severity is needed. The purpose of this research is to provide a definition of severe self-neglect, identify key concepts related to self-neglect, comprehensively describe this syndrome, present a conceptual framework and analyze the model for its usefulness, generalizability, parsimony, and testability.en_US
dc.description.sponsorshipThis research was supported in part by funding from the U.S. National Science Foundation, Awards #2028612 and 1939762 to EJ and U.S. National Science Foundation, Awards #1649717, 1900572, 1939739, and 2028573 to FJ. The funding for the original CREST Model was from the National Institutes of Health, Award #IP20RR020626-01 to Dr. Carmel B. Dyer (PI).en_US
dc.identifier.citationThis is the published version of an article that is available at: https://doi.org/10.3389/fmed.2021.654627. Recommended citation: Pickens, S., Daniel, M., Jones, E. C., & Jefferson, F. (2021). Development of a conceptual framework for severe self-neglect (SN) by modifying the crest model for self-neglect. Frontiers in Medicine, 8. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/15305
dc.identifier.urihttps://doi.org/10.3389/fmed.2021.654627
dc.language.isoen_USen_US
dc.publisherFrontiersen_US
dc.rights.holder© 2021 Pickens, Daniel, Jones and Jefferson.
dc.rights.licenseCC BY 4.0
dc.subjectSelf-neglecten_US
dc.subjectArtificial intelligenceen_US
dc.subjectSleepen_US
dc.subjectGeriatricsen_US
dc.subjectCognitionen_US
dc.titleDevelopment of a conceptual framework for severe self-neglect (SN) by modifying the crest model for self-neglecten_US
dc.typeArticleen_US

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