Brief physician advice for alcohol problems in older adults: a randomized community-based trial

Journal Name: 
J Fam Pract
BACKGROUND: Alcohol use in older adults is common. It is associated with depression, hypertension, diabetes, drug interactions, accidents, and increased rates of emergency department visits and hospitalizations. METHODS: A controlled clinical trial (Project GOAL--Guiding Older Adult Lifestyles) tested the efficacy of brief physician advice in reducing the alcohol use and use of health care services of older adult problem drinkers. Twenty-four community-based primary care practices in Wisconsin (43 family physicians and internists) participated in the trial. Of the 6073 patients screened, 105 men and 53 women met inclusion criteria and were randomized into a control group (n = 71) or an intervention group (n = 87). Intervention group patients received two 10- to 15-minute physician-delivered counseling sessions that included advice, education, and contracting using a scripted workbook. A total of 146 patients (92.4%) participated in the 12-month follow-up procedure. RESULTS: No significant differences were found between the control and intervention groups at baseline in alcohol use, age, socioeconomic status, depression, onset of alcohol use, smoking status, activity level, or use of mood-altering drugs. The older adults who received the physician intervention demonstrated a significant reduction in 7-day alcohol use, episodes of binge drinking, and frequency of excessive drinking (P
10, Adult, Aged, Alcoholism, clinical, clinical trial, Counseling, criteria, Depression, Diabetes, differences, Double-Blind Method, education, Emergencies, Family, Female, Health, Health Behavior, health care, Health Knowledge,Attitudes,Practice, Health Status, Hospitalization, Human, Hypertension, interaction, intervention, Life Style, Male, Methods, Middle Aged, older, patient, Patient Care Team, Patient Education, Patients, Physician-Patient Relations, Physicians, prevention & control, primary care, Primary Health Care, Psychotherapy,Brief, rehabilitation, Research, Smoking, Support,Non-U.S.Gov't, Support,U.S.Gov't,P.H.S., Universities, utilization, Wisconsin, women, WReN