Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial
- 10 December 2010
- Vol. 106 (1), 111-120
- https://doi.org/10.1111/j.1360-0443.2010.03229.x
Abstract
To examine whether a multi-faceted intervention among older at-risk drinking primary care patients reduced at-risk drinking and alcohol consumption at 3 and 12 months. Randomized controlled trial. Three primary care sites in southern California. Six hundred and thirty-one adults aged ≥ 55 years who were at-risk drinkers identified by the Comorbidity Alcohol Risk Evaluation Tool (CARET) were assigned randomly between October 2004 and April 2007 during an office visit to receive a booklet on healthy behaviors or an intervention including a personalized report, booklet on alcohol and aging, drinking diary, advice from the primary care provider and telephone counseling from a health educator at 2, 4 and 8 weeks. The primary outcome was the proportion of participants meeting at-risk criteria, and secondary outcomes were number of drinks in past 7 days, heavy drinking (four or more drinks in a day) in the past 7 days and risk score. At 3 months, relative to controls, fewer intervention group participants were at-risk drinkers [odds ratio (OR) 0.41; 95% confidence interval (CI) 0.22-0.75]; they reported drinking fewer drinks in the past 7 days [rate ratio (RR) 0.79; 95% CI 0.70-0.90], less heavy drinking (OR 0.46; 95% CI 0.22-0.99) and had lower risk scores (RR 0.77 95% CI 0.63-0.94). At 12 months, only the difference in number of drinks remained statistically significant (RR 0.87; 95% CI 0.76-0.99). A multi-faceted intervention among older at-risk drinkers in primary care does not reduce the proportions of at-risk or heavy drinkers, but does reduce amount of drinking at 12 months.This publication has 35 references indexed in Scilit:
- Prevalence and Correlates of At-Risk Drinking Among Older Adults: The Project SHARE StudyJournal of General Internal Medicine, 2010
- Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?Journal of General Internal Medicine, 2010
- At‐risk alcohol drinking in primary care patients aged 75 years and olderInternational Journal of Geriatric Psychiatry, 2009
- The effectiveness of brief alcohol interventions in primary care settings: A systematic reviewDrug and Alcohol Review, 2009
- Unhealthy Drinking Patterns and Receipt of Preventive Medical Services by Older AdultsJournal of General Internal Medicine, 2008
- Alcohol Consumption Among Older Adults in Primary CareJournal of General Internal Medicine, 2007
- Assessment may conceal therapeutic benefit: findings from a randomized controlled trial for hazardous drinkingAddiction, 2006
- Alcohol Use, Comorbidity, and MortalityJournal of the American Geriatrics Society, 2006
- An Evaluation of an Intervention to Assist Primary Care Physicians in Screening and Educating Older Patients Who Use AlcoholJournal of the American Geriatrics Society, 2005
- A comparison of imputation methods in a longitudinal randomized clinical trialStatistics in Medicine, 2005