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J Gen Intern Med. 2010 Apr;25(4):334-9. doi: 10.1007/s11606-009-1223-2. Epub 2010 Jan 26.

Do health educator telephone calls reduce at-risk drinking among older adults in primary care?

Author information

1
VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA. jlin1207@ucla.edu

Abstract

BACKGROUND:

Alcohol screening and brief intervention for unhealthy alcohol use has not been consistently delivered in primary care as part of preventive healthcare.

OBJECTIVE:

To explore whether telephone-based intervention delivered by a health educator is efficacious in reducing at-risk drinking among older adults in primary care settings.

DESIGN:

Secondary analyses of data from a randomized controlled trial.

PARTICIPANTS:

Subjects randomized to the intervention arm of the trial (n = 310).

INTERVENTIONS:

Personalized risk reports, advice from physicians, booklet about alcohol and aging, and up to three telephone calls from a health educator. All interventions were completed before the three-month follow-up.

MEASUREMENTS:

Risk outcomes (at-risk or not at-risk) at 3 and 12 months after enrollment.

MAIN RESULTS:

In univariate analyses, compared to those who remained at risk, those who achieved not at-risk outcome at 3 months were more likely to be women, Hispanic or non-white, have lower levels of education, consume less alcohol, drink less frequently, and have lower baseline number of risks. In mixed-effects logistic regression models, completing all three health educator calls increased the odds of achieving not at-risk outcome compared to not completing any calls at 3 months (OR 5.31; 95% CI 1.92-14.7; p = 0.001), but not at 12 months (OR 2.01; 95% CI 0.71-5.67; p = 0.18).

CONCLUSIONS:

Telephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months.

PMID:
20101471
PMCID:
PMC2842558
DOI:
10.1007/s11606-009-1223-2
[Indexed for MEDLINE]
Free PMC Article
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