Alcoholgebruik onder 55-plussers

Heijkants, Ceciel; Veerbeek, Marjolein A.; Willemse, Bernadette

doi:10.1007/s40718-017-0059-9

Cited by 2 publications

(3 citation statements)

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“…First, awareness is an important mechanism in preventing or reducing problematic alcohol use. A previous study by Heijkants et al 41 reported that older adults have limited awareness of the negative health effects of alcohol, and that the majority of older adults in their study did not consider alcohol to be addictive or unhealthy. In addition, only a small proportion of older adults know the current standard for lower risk alcohol consumption,41 and people with problematic alcohol use often do not recognise their own drinking pattern as problematic 42 43.…”

Section: Discussionmentioning

confidence: 86%

“…A previous study by Heijkants et al 41 reported that older adults have limited awareness of the negative health effects of alcohol, and that the majority of older adults in their study did not consider alcohol to be addictive or unhealthy. In addition, only a small proportion of older adults know the current standard for lower risk alcohol consumption,41 and people with problematic alcohol use often do not recognise their own drinking pattern as problematic 42 43. This lack of knowledge emphasises the importance among older adults of the working element pointing out the risks and consequences of drinking behaviour.…”

Section: Discussionmentioning

confidence: 86%

“…45 Second, accessible and low threshold participation form an important mechanism in interventions for older adults. A major barrier for older adults seeking help is that they do not want to be labelled an 'alcoholic' or 'addict', 41 which can make participation in interventions that are provided in addiction care centres high threshold. Providing interventions in a location that people do not directly associate with alcoholism-for example, a community centre-can make participation low threshold.…”

Section: Interpretation Of Findingsmentioning

confidence: 99%

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Professionals’ perspectives on interventions to reduce problematic alcohol use in older adults: a realist evaluation of working elements

van den Bulck,

Knijff,

Crutzen

et al. 2024

BMJ Open

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ObjectivesThis study set out to understand how (which elements), in what context and why (which mechanisms) interventions are successful in reducing (problematic) alcohol use among older adults, from the perspective of professionals providing these interventions.DesignGuided by a realist evaluation approach, an existing initial programme theory (IPT) on working elements in alcohol interventions was evaluated by conducting semistructured interviews with professionals.Setting and participantsThese professionals (N=20) provide interventions across several contexts: with or without practitioner involvement; in-person or not and in an individual or group setting. Data were coded and links between contexts, elements, mechanisms and outcomes were sought for to confirm, refute or refine the IPT.ResultsFrom the perspective of professionals, there are several general working elements in interventions for older adults: (1) pointing out risks and consequences of drinking behaviour; (2) paying attention to abstinence; (3) promoting contact with peers; (4) providing personalised content and (5) providing support. We also found context-specific working elements: (1) providing personalised conversations and motivational interviewing with practitioners; (2) ensuring safety, trust and a sense of connection and a location nearby home or a location that people are familiar with in person and (3) sharing experiences and tips in group interventions. Furthermore, the mechanisms awareness and accessible and low threshold participation were important contributors to positive intervention outcomes.ConclusionIn addition to the IPT, our findings emphasise the need for social contact and support, personalised content, and strong relationships (both between client and practitioner, and client and peers) in interventions for older adults.

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Section: Discussionmentioning

confidence: 86%