학술논문

Testing the Initial Efficacy of a Mailed Screening and Brief Feedback Intervention to Reduce At‐Risk Drinking in Middle‐Aged and Older Adults: The Comorbidity Alcohol Risk Evaluation Study
Document Type
article
Source
Journal of the American Geriatrics Society. 63(2)
Subject
Health Services and Systems
Biomedical and Clinical Sciences
Public Health
Health Sciences
Alcoholism
Alcohol Use and Health
Prevention
Pediatric
Clinical Trials and Supportive Activities
Clinical Research
Substance Misuse
Underage Drinking
Health Services
Aging
Screening And Brief Intervention For Substance Abuse
Behavioral and Social Science
Oral and gastrointestinal
Cardiovascular
Stroke
Cancer
Good Health and Well Being
Age Factors
Aged
Alcohol Drinking
Feasibility Studies
Feedback
Psychological
Female
Humans
Male
Mass Screening
Middle Aged
Pamphlets
Patient Education as Topic
Pilot Projects
Postal Service
Primary Health Care
Risk-Taking
brief intervention
alcohol
older adults
mailed feedback
Medical and Health Sciences
Geriatrics
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
ObjectivesTo determine the initial efficacy of a mailed screening and brief intervention to reduce at-risk drinking in persons aged 50 and older.DesignPilot randomized controlled trial.SettingUniversity of California at Los Angeles Department of Medicine Community Offices and Primary Care Network.ParticipantsIndividuals aged 50 and older who were identified as at-risk drinkers according to the Comorbidity Alcohol Risk Evaluation Tool (CARET) (N = 86).InterventionParticipants were assigned randomly to receive personalized mailed feedback outlining their specific risks associated with alcohol use, an educational booklet on alcohol and aging, and the National Institutes of Health Rethinking Drinking: Alcohol and Your Health booklet (intervention group) or nothing (control group).MeasurementsAlcohol-related assessments at baseline and 3 months; CARET-assessed at-risk drinking, number of risks, and types of risks.ResultsAt 3 months, fewer intervention group participants than controls were at-risk drinkers (66% vs 88%), binge drinking (45% vs 68%), using alcohol with a medical or psychiatric condition (3% vs 17%), or having symptoms of such a condition (29% vs 49%).ConclusionA brief mailed intervention may be an effective approach to intervening with at-risk drinkers aged 50 and older.