TY - JOUR
KW - Age Factors
KW - Aged
KW - Alcoholism/epidemiology/prevention & control
KW - Confidence Intervals
KW - Directive Counseling
KW - Female
KW - Health Education
KW - Humans
KW - Logistic Models
KW - Male
KW - Odds Ratio
KW - Patient Education as Topic
KW - Primary Health Care
KW - Risk Factors
KW - Risk-Taking
KW - Socioeconomic Factors
KW - Telephone
KW - United States/epidemiology
AU - J. C. Lin
AU - M. P. Karno
AU - L. Tang
AU - K. L. Barry
AU - F. C. Blow
AU - J. W. Davis
AU - K. D. Ramirez
AU - S. Welgreen
AU - M. Hoffing
AU - A. A. Moore
A1 - 
AB - 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.
BT - Journal of general internal medicine
C5 - HIT & Telehealth; Healthcare Disparities; Opioids & Substance Abuse; Education & Workforce
CP - 4
CY - United States
DO - 10.1007/s11606-009-1223-2
IS - 4
JF - Journal of general internal medicine
N2 - 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.
PP - United States
PY - 2010
SN - 1525-1497; 0884-8734
SP - 334
EP - 339
EP - 
T1 - Do health educator telephone calls reduce at-risk drinking among older adults in primary care?
T2 - Journal of general internal medicine
TI - Do health educator telephone calls reduce at-risk drinking among older adults in primary care?
U1 - HIT & Telehealth; Healthcare Disparities; Opioids & Substance Abuse; Education & Workforce
U2 - 20101471
U3 - 10.1007/s11606-009-1223-2
VL - 25
VO - 1525-1497; 0884-8734
Y1 - 2010
ER -