Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial
dc.contributor.author | Moore, Alison A. | en_US |
dc.contributor.author | Blow, Frederic C. | en_US |
dc.contributor.author | Hoffing, Marc | en_US |
dc.contributor.author | Welgreen, Sandra | en_US |
dc.contributor.author | Davis, James W. | en_US |
dc.contributor.author | Lin, James C. | en_US |
dc.contributor.author | Ramirez, Karina D. | en_US |
dc.contributor.author | Liao, Diana H. | en_US |
dc.contributor.author | Tang, Lingqi | en_US |
dc.contributor.author | Gould, Robert | en_US |
dc.contributor.author | Gill, Monica | en_US |
dc.contributor.author | Chen, Oriana | en_US |
dc.contributor.author | Barry, Kristen Lawton | en_US |
dc.date.accessioned | 2011-01-31T17:58:15Z | |
dc.date.available | 2012-03-05T15:30:00Z | en_US |
dc.date.issued | 2011-01 | en_US |
dc.identifier.citation | Moore, Alison A.; Blow, Fred C.; Hoffing, Marc; Welgreen, Sandra; Davis, James W.; Lin, James C.; Ramirez, Karina D.; Liao, Diana H.; Tang, Lingqi; Gould, Robert; Gill, Monica; Chen, Oriana; Barry, Kristen L.; (2011). "Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial." Addiction 106(1): 111-120. <http://hdl.handle.net/2027.42/79363> | en_US |
dc.identifier.issn | 0965-2140 | en_US |
dc.identifier.issn | 1360-0443 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79363 | |
dc.description.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. | en_US |
dc.format.extent | 403751 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.subject.other | Aged | en_US |
dc.subject.other | Alcohol | en_US |
dc.subject.other | Comorbidity | en_US |
dc.subject.other | Intervention | en_US |
dc.subject.other | Primary Care | en_US |
dc.subject.other | Screening | en_US |
dc.title | Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Psychiatry, University of Michigan and Veterans Affairs National Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, MI, USA, | en_US |
dc.contributor.affiliationother | Department of Medicine, Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, CA, USA, | en_US |
dc.contributor.affiliationother | Desert Oasis Healthcare, Palm Springs, CA, USA, | en_US |
dc.contributor.affiliationother | Kaiser Permanente, Southern California, Panorama City, CA, USA, | en_US |
dc.contributor.affiliationother | Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA, | en_US |
dc.contributor.affiliationother | Veterans Affairs Greater Los Angeles Healthcare Systems, Los Angeles, California, Department of Medicine, Cheng Ching Hospital, Taichung, Taiwan, | en_US |
dc.contributor.affiliationother | Department of Psychiatry and Biobehavioral Sciences, Health Services Research Center, University of California at Los Angeles, Los Angeles, CA, USA, | en_US |
dc.contributor.affiliationother | Department of Statistics, University of California at Los Angeles, Los Angeles, CA, USA, | en_US |
dc.contributor.affiliationother | Eastern Virginia Medical School, Norfolk, VA, USA | en_US |
dc.contributor.affiliationother | College of Medicine, Northeastern Ohio Universities Colleges of Medicine and Pharmacy (NEOUCOM), Rootstown, OH, USA | en_US |
dc.identifier.pmid | 21143686 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79363/1/j.1360-0443.2010.03229.x.pdf | |
dc.identifier.doi | 10.1111/j.1360-0443.2010.03229.x | en_US |
dc.identifier.source | Addiction | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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