Titre : | Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial. (2011) |
Titre traduit : | (Une intervention basée sur le soin primaire pour réduire l'alcoolisation à risque chez des adultes âgés : un essai randomisé contrôlé) |
Auteurs : | A. A. MOORE ; F. C. BLOW ; M. HOFFING ; S. WELGREEN ; J. W. DAVIS ; J. C. LIN ; K. D. RAMIREZ ; D. H. LIAO ; L. TANG ; R. GOULD ; M. GILL ; O. CHEN ; K. L. BARRY |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.106, n°1, January 2011) |
Article en page(s) : | 111-120 |
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés INTERVENTION ; PERSONNE AGEE ; REDUCTION DE CONSOMMATION ; ALCOOL ; ETUDE RANDOMISEE ; DEPISTAGE ; PREVENTION |
Résumé : | 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. |
Domaine : | Alcool / Alcohol |
Refs biblio. : | 36 |
Affiliation : | Department of Medicine, University of California, Los Angeles, CA, United States / Etats-Unis |
Lien : | http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03229.x/abstract |
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