Citation

Moore AA, Blow FC, Hoffing M, Welgreen S, Davis JW, Lin JC, Ramírez KD, Liao DH, Tang L, Gould R, Gill M, Chen O, Barry KL. Addiction 2011; 106(1): 111-120.

Affiliation

Department of Medicine, Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, CA, USA, Department of Psychiatry, University of Michigan and Veterans Affairs National Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, MI, USA, Desert Oasis Healthcare, Palm Springs, CA, USA, Kaiser Permanente, Southern California, Panorama City, CA, USA, Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA, Veterans Affairs Greater Los Angeles Healthcare Systems, Los Angeles, California, Department of Medicine, Cheng Ching Hospital, Taichung, Taiwan, Department of Psychiatry and Biobehavioral Sciences, Health Services Research Center, University of California at Los Angeles, Los Angeles, CA, USA, Department of Statistics, University of California at Los Angeles, Los Angeles, CA, USA, Eastern Virginia Medical School, Norfolk, VA, USA College of Medicine, Northeastern Ohio Universities Colleges of Medicine and Pharmacy (NEOUCOM), Rootstown, OH, USA.

Copyright

(Copyright © 2011, John Wiley and Sons)

DOI

10.1111/j.1360-0443.2010.03229.x

PMID

21143686

PMCID

PMC3059722

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.

Language: en