Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
Alcohol screening and brief intervention for unhealthy alcohol use has not been consistently delivered in primary care as part of preventive healthcare.
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.
Secondary analyses of data from a randomized controlled trial.
Subjects randomized to the intervention arm of the trial (n = 310).
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.
Risk outcomes (at-risk or not at-risk) at 3 and 12 months after enrollment.
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).
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.
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- Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
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Journal of General Internal Medicine
Volume 25, Issue 4 , pp 334-339
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- Author Affiliations
- 1. Special Fellowship in Advanced Geriatrics, VA Greater Los Angeles Healthcare System, 11301 Wilshire Ave, Building 220, Room 302, Los Angeles, CA, 90073, USA
- 2. Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
- 3. Department of Medicine, Cheng Ching Hospital, Taichung, Taiwan
- 4. Integrated Substance Abuse Programs, UCLA, Los Angeles, CA, USA
- 5. Health Services Research Center, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA
- 6. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
- 7. Kaiser Permanente, Panorama City, CA, USA
- 8. Desert Oasis Healthcare, Palm Springs, CA, USA
- 9. Division of Geriatric Medicine, 10945 Le Conte Blvd, Suite 2339, Los Angeles, CA, 90095, USA