Characteristics of online treatment seekers interested in a text messaging intervention for problem drinking: adults 51 and older versus middle-aged and younger adults

Kuerbis, Alexis; Stolk-Cooke, Katherine van; Muench, Frederick

doi:10.15761/mhar.1000134

Cited by 6 publications

(5 citation statements)

References 32 publications

(31 reference statements)

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“…The results from this study, therefore, underscore the importance of screening for binge drinking behaviors among older adults who may not be aware of their heightened risk of worsening of chronic disease and injury older adults may also not know of NIAAA's lower recommended drinking levels or that alcohol use may interact with prescribed medications . A one‐question option for screening is with the modified National Institute on Drug Abuse Quick Screen for alcohol: “How many times in the past year have you had four or more drinks in a day?“ In addition, other means of screening and intervention through web‐based or mobile approaches may obviate some of the barriers to screening in clinical settings and has the potential to reach a wider population . A study examining data from the website, http://alcoholscreening.org, identified 85% of older adults visiting the website met criteria for unhealthy alcohol use .…”

Section: Discussionmentioning

confidence: 96%

“…4,25 In addition, other means of screening and intervention through web-based or mobile approaches may obviate some of the barriers to screening in clinical settings and has the potential to reach a wider population. 26 A study examining data from the website, AlcoholScreening.org, identified 85% of older adults visiting the website met criteria for Model adjusted for all characteristics reported in the table, including survey year, to adjust for potential secular trends in use over time. b Psychotherapeutic drugs include opioids, sedatives, stimulants, and tranquilizers.…”

Section: Discussionmentioning

confidence: 99%

“…4,25 In addition, other means of screening and intervention through web-based or mobile approaches may obviate some of the barriers to screening in clinical settings and has the potential to reach a wider population. 26 A study examining data from the website, AlcoholScreening.org, identified 85% of older adults visiting the website met criteria for unhealthy alcohol use. 27 Public health campaigns, such as those targeting adolescents and adults, are another means, yet unexplored, of educating the public about the dangers of binge drinking by older adults.…”

Section: Discussionmentioning

confidence: 99%

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Binge Drinking Among Older Adults in the United States, 2015 to 2017

Han

Moore

Ferris

et al. 2019

J American Geriatrics Society

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OBJECTIVES Binge drinking is a risk factor for a range of harms. This study estimates the national prevalence of binge drinking and adds to our understanding of correlates of binge drinking among older adults in the United States. DESIGN Cross‐sectional analysis. SETTING/PARTICIPANTS A total of 10 927 adults, aged 65 years or older, from the 2015 to 2017 administrations of the US National Survey on Drug Use and Health. MEASUREMENTS We estimated the prevalence of past‐month binge alcohol use (five or more drinks on the same occasion for men and four or more drinks on the same occasion for women). Characteristics of past‐month binge drinkers, including demographics, substance use, serious mental illness, mental health treatment utilization, chronic disease, and emergency department (ED) use, were compared to participants who reported past‐month alcohol use without binge drinking. Comparisons were made using χ2 tests. We then used multivariable generalized linear models using Poisson and log link to examine the association between covariates and binge drinking among all past‐month alcohol users aged 65 years or older. RESULTS Of 10 927 respondents, 10.6% (95% CI = 9.9%‐11.2%) were estimated to be current binge drinkers. Binge drinkers were more likely to be male, have a higher prevalence of current tobacco and/or cannabis use, and have a lower prevalence of two or more chronic diseases compared to nonbinge drinkers. In multivariable analysis, among past‐month alcohol users, the prevalence of binge drinking was higher among non‐Hispanic African Americans than whites (adjusted prevalence ratio [aPR] = 1.44; 95% CI = 1.16‐1.80), tobacco users (aPR = 1.52; 95% CI = 1.33‐1.74), cannabis users (aPR = 1.41; 95% CI = 1.11‐1.80), and those who visited the ED in the past year (aPR = 1.16; 95% CI = 1.00‐1.33). CONCLUSION Over a tenth of older adults in the United States are estimated to be current binge drinkers. Results confirm the importance of screening for binge drinking behaviors among older adults to minimize harms. J Am Geriatr Soc 67:2139–2144, 2019

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“…4,25 In addition, other means of screening and intervention through web-based or mobile approaches may obviate some of the barriers to screening in clinical settings and has the potential to reach a wider population. 26 A study examining data from the website, AlcoholScreening.org, identified 85% of older adults visiting the website met criteria for unhealthy alcohol use. 27 Public health campaigns, such as those targeting adolescents and adults, are another means, yet unexplored, of educating the public about the dangers of binge drinking by older adults.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Binge Drinking Among Older Adults in the United States, 2015 to 2017

Han

Moore

Ferris

et al. 2019

J American Geriatrics Society

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“…Although not yet evaluated in HNC samples, existing literature on electronically administered interventions indicates their utility and efficacy. A review of the current literature shows that individuals who drink are interested in using text message‐based interventions and smartphone‐based applications to reduce alcohol use. More specifically, use of an Addiction Comprehensive Health Enhancement Support System, a smartphone app, by those with alcohol dependence was high and sustained over time (94% used it in week one, 80% continued into week 16) …”

Section: Discussionmentioning

confidence: 99%

Alcohol‐related head and neck cancer: Summary of the literature

2019

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Alcohol drinking is a risk factor for the development of head‐and‐neck malignancies, including oral, pharyngeal, and laryngeal cancers, and coupled with tobacco use, accounts for 75% of oral cancers. We summarized the literature on alcohol‐related head and neck cancer (HNC) and identified gaps that represent areas for future investigation. Research indicates that alcohol consumption has not only been linked to the development of primary HNCs, but also to secondary cancers with continued alcohol intake, cancer recurrences, and other poor health outcomes. Given this evidence, several organizations have called for reduction or avoidance of alcohol, particularly in HNC survivors. Despite these strong recommendations, evidence suggests that HNC survivors continue to use alcohol. There is a need to forge collaborations among clinicians, researchers, and social workers, to address this problem of alcohol consumption in the growing population of HNC survivors.

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“…SMS interventions are effective in helping OA with disease management (see review of studies in Kuerbis, Mulliken et al , 2017a) and addressing at-risk drinking for a general adult population (Fowler et al , 2016; Muench et al , 2017). Furthermore, despite persistent assumptions to the contrary, OA are already seeking SMS interventions for high-risk alcohol use, with one study demonstrating that among 1,100 mobile intervention seekers over a quarter were aged 51 years and older (Kuerbis, van Stolk-Cooke, et al , 2017b). Finally, with the advent of the COVID-19 pandemic, alcohol and other drug use has increased dramatically among OA (Eastman et al , 2021).…”

Section: Introductionmentioning

confidence: 99%

Acceptability and preliminary effectiveness of a text messaging intervention to reduce high-risk alcohol use among adults 50 and older: an exploratory study

Kuerbis

Behrendt

Arora

et al. 2022

ADD

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Purpose Prevalence rates of older adults (OA, 50+) with high-risk alcohol use are rapidly growing. Barriers to intervention persist for OA. Mobile interventions, specifically short message service (SMS, also known as text messaging), provide an opportunity to overcome such barriers. The purpose of this paper is to explore the acceptability and preliminary effectiveness of four SMS intervention conditions compared to mobile assessment only among OA (50–65 years old, n = 49) who drink at high-risk levels compared to younger adults (YA, 21–49 years old, n = 102). Design/methodology/approach Within and between age group differences at baseline and end-of-treatment (12 weeks) were explored. Generalized linear modeling was used to test age by receipt of any SMS intervention (compared to assessment only) effects across health outcomes. Effect sizes and visual analyses were generated to assess for age by type of SMS interactions. Findings Both age groups reported intervention satisfaction. Two-thirds elected to continue receiving SMSs after treatment concluded. Descriptively, SMS groups demonstrated reduced drinking across age groups at end-of-treatment compared to mobile assessment only, though slightly larger effects were found for YA than for OA. Age significantly moderated the receipt of any SMS intervention only for depression (i.e., older age weakened the therapeutic effect). Of all the SMS types, tailored messages outperformed the other conditions on drinking outcomes for both age groups. Depression, craving and alcohol problems responded to gain-framed messages among OA and loss-framed messages among YA. Research limitations/implications The findings of this paper suggest that SMS is acceptable and potentially effective across age groups. Further adaptation of SMS across age groups could enhance its effectiveness. Originality/value This is the first paper to explore the impact of older age on the efficacy of text messaging as an intervention for hazardous alcohol use.

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Characteristics of online treatment seekers interested in a text messaging intervention for problem drinking: adults 51 and older versus middle-aged and younger adults

Cited by 6 publications

References 32 publications

Binge Drinking Among Older Adults in the United States, 2015 to 2017

Binge Drinking Among Older Adults in the United States, 2015 to 2017

Alcohol‐related head and neck cancer: Summary of the literature

Acceptability and preliminary effectiveness of a text messaging intervention to reduce high-risk alcohol use among adults 50 and older: an exploratory study

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