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Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial.


ABSTRACT: AIMS: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. DESIGN:Randomized controlled trial. SETTING:Three primary care sites in southern California. PARTICIPANTS: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. MEASUREMENTS: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. FINDINGS: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). CONCLUSIONS: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.

SUBMITTER: Moore AA 

PROVIDER: S-EPMC3059722 | biostudies-literature | 2011 Jan

REPOSITORIES: biostudies-literature

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Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial.

Moore Alison A AA   Blow Fred C FC   Hoffing Marc M   Welgreen Sandra S   Davis James W JW   Lin James C JC   Ramirez Karina D KD   Liao Diana H DH   Tang Lingqi L   Gould Robert R   Gill Monica M   Chen Oriana O   Barry Kristen L KL  

Addiction (Abingdon, England) 20110101 1


<h4>Aims</h4>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.<h4>Design</h4>Randomized controlled trial.<h4>Setting</h4>Three primary care sites in southern California.<h4>Participants</h4>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 A  ...[more]

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