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Text
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URL Address
<a href="http://doi.org/10.1111/j.1360-0443.2010.03229.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1360-0443.2010.03229.x</a>
Pages
111–120
Issue
1
Volume
106
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Title
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Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial.
Publisher
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Addiction
Date
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2011
2011-01
Subject
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LOGISTIC regression analysis; RANDOMIZED controlled trials; ELDER care; INTERVENTION (Social services); COMORBIDITY; MEDICAL screening; PHYSIOLOGICAL effects of alcohol; PRIMARY care; ALCOHOLICS – Health
Creator
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Moore Alison A; Blow Fred C; Hoffing Marc; Welgreen Sandra; Davis James W; Lin James C; Ramirez Karina D; Liao Diana H; Lingqi Tang; Gould Robert; Gill Monica; Chen Oriana; Barry Kristen L
Description
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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. [ABSTRACT FROM AUTHOR]
Identifier
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<a href="http://doi.org/10.1111/j.1360-0443.2010.03229.x" target="_blank" rel="noreferrer noopener">10.1111/j.1360-0443.2010.03229.x</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Addiction
ALCOHOLICS – Health
Barry Kristen L
Blow Fred C
Chen Oriana
Comorbidity
Davis James W
ELDER care
Gill Monica
Gould Robert
Hoffing Marc
INTERVENTION (Social services)
Liao Diana H
Lin James C
Lingqi Tang
LOGISTIC regression analysis
MEDICAL screening
Moore Alison A
PHYSIOLOGICAL effects of alcohol
primary care
Ramirez Karina D
RANDOMIZED controlled trials
Welgreen Sandra