Do health educator telephone calls reduce at-risk drinking among older adults in primary care?
J Gen Intern Med
; 25(4): 334-9, 2010 Apr.
Article
em En
| MEDLINE
| ID: mdl-20101471
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. MAINRESULTS:
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Telefone
/
Educação em Saúde
/
Educação de Pacientes como Assunto
/
Aconselhamento Diretivo
/
Alcoolismo
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article