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Cited by 66Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsPharmaceutical Practices and Patient Outcomes

The effect of an educational intervention on alcohol consumption, at-risk drinking, and health care utilization in older adults: the Project SHARE study

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Ettner, Susan L, Xu, Haiyong, Duru, O Kenrik, Ang, Alfonso, Tseng, Chi-Hong, Tallen, Louise, Barnes, Andrew, Mirkin, Michelle +2 more·2014·Journal of Studies on Alcohol and Drugs
DOI 10.15288/jsad.2014.75.447PMC PMC4002858
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Abstract

OBJECTIVE: The purpose of this study was to examine the effectiveness of a patient-provider educational intervention in reducing at-risk drinking among older adults. METHOD: This was a cluster-randomized controlled trial of 31 primary care providers and their patients ages 60 years and older at a community-based practice with seven clinics. Recruitment occurred from July 2005 to August 2007. Eligibility was determined by telephone and a baseline mailed survey. A total of 1,186 at-risk drinkers were identified by the Comorbidity Alcohol Risk Evaluation Tool. Follow-up patient surveys were administered at 3, 6, and 12 months after baseline. Study physicians and their patients were randomly assigned to usual care (n = 640 patients) versus the Project SHARE (Senior Health and Alcohol Risk Education) intervention (n = 546 patients), which included personalized reports, educational materials, drinking diaries, physician advice during office visits, and telephone counseling delivered by a health educator. Main outcomes were alcohol consumption, at-risk drinking (overall and by type), alcohol discussions with physicians, health care utilization, and screening and intervention costs. RESULTS: At 12 months, the intervention was significantly associated with an increase in alcohol-related discussions with physicians (23% vs. 13%; p ≤ .01) and reductions in at-risk drinking (56% vs. 67%; p ≤ .01), alcohol consumption (-2.19 drinks per week; p ≤ .01), physician visits (-1.14 visits; p = .03), emergency department visits (16% vs. 25%; p ≤ .01), and nonprofessional caregiving visits (12% vs. 17%; p ≤ .01). Average variable costs per patient were $31 for screening and $79 for intervention. CONCLUSIONS: The intervention reduced alcohol consumption and at-risk drinking among older adults. Effects were sustained over a year and may have been associated with lower health care utilization, offsetting screening and intervention costs.

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  • Five studies reported the final values of the quantity of alcohol consumed in a specified time period at 12 months but without corresponding standard deviations.

    “Five studies reported the final values of the quantity of alcohol consumed in a specified time period at 12 months but without corresponding standard deviations (Babor 2006;Cherpitel 2009;Ettner 2014;McIntosh 1997;Spirito 2004).”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Ettner 2014

  • In five studies, there were unexplained differences between losses to follow-up in the intervention and control arms.

    “There were unexplained differences between losses to follow-up in the intervention and control arms in five studies (D'Amico 2008;Drummond 2009;Ettner 2014;Fleming 1997;Moore 2011).”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Ettner 2014

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Authors
Ettner, S. L., Xu, H., Duru, O. K., Ang, A., Tseng, C.-H., Tallen, L., Barnes, A., Mirkin, M., Ransohoff, K., & Moore, A. A.
Affiliations
  • University of California, Los Angeles (US)
  • Sansum Medical Clinic (US)
ORCID
Venue
Journal of Studies on Alcohol and Drugs
Publisher
Alcohol Research Documentation, Inc.
Published
2014-05
Volume
75
Issue
3
Pages
447-457
ISSN
  • 1937-1888 (ISSN-L)
  • 1938-4114
DOI
10.15288/jsad.2014.75.447
PMC
PMC4002858
OpenAlex
W2022135639
Semantic Scholar
06499a8829c52f9129ec1309423afa7b9feb20ab
Cited by
66
References
29
Citations by year
2026: 4 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 3 · 2018: 8 · 2017: 5 · 2016: 7 · 2015: 7 · 2014: 2
FWCI
5.26
Type
journal article
Language
en
Open access
Locations
  • Journal of Studies on Alcohol and Drugs (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (1k08ag033630-01a1)
  • National Institute on Alcohol Abuse and Alcoholism (R01 AA15957, R01AA013990, R01AA013937, K24AA015957, 1RO1AA013990)
  • National Institute on Aging (5K08AG033630-05, K08-AG033630, P30AG021684)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
hazardous drinking, older adults, alcohol consumption, alcohol screening, physician recommendations, telephone counseling, health care utilization, emergency department visits, cost-effectiveness, primary care
MeSH terms
Aged, Aged, 80 and over, Alcohol Drinking, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Patient Education as Topic, Physician-Patient Relations, Risk Factors, Risk-Taking, Cluster Analysis, Treatment Outcome, Physicians, Primary Care

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