Harm reduction among at‐risk elderly drinkers: a site‐specific analysis from the multi‐site Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM‐E) study

Lee, Heather Sophia; Mericle, Amy A.; Ayalon, Liat; Areán, Patricia A.

doi:10.1002/gps.2073

Cited by 42 publications

(46 citation statements)

References 12 publications

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“…16 Program evaluations of this model support the notion that case management is an important tool in working with this population. 136–140 Case management models may be particularly effective at engaging and maintaining older at-risk drinkers in treatment. 138 …”

Section: Interventionsmentioning

confidence: 99%

Substance Abuse Among Older Adults

Kuerbis¹,

Sacco²,

Blazer³

et al. 2014

Clinics in Geriatric Medicine

334

201

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Section: Interventionsmentioning

confidence: 99%

Substance Abuse Among Older Adults

Kuerbis¹,

Sacco²,

Blazer³

et al. 2014

Clinics in Geriatric Medicine

334

201

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“…In the identified systematic reviews, no studies particularly looked at brief interventions amongst older people per se. However, the limited literature suggests no differing outcomes between older and middle-aged populations [83][84][85]. A randomized controlled trial of health risk appraisal in British general practice promoting health in older people included an intervention that led to computer-generated individualised written feedback to participants and general practitioners, integrated into practice information-technology systems [86].…”

Section: Early Identification and Brief Interventions Amongst Older Pmentioning

confidence: 99%

Alcohol and older people from a public health perspective

Anderson

Scafato

Galluzzo

2012

Annali Dell'Istituto Superiore Di Sanità

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Abstract. Objectives and methods. As part of the European project VINTAGE, a systematic review of scientific literature was undertaken to document the evidence base on the impact of alcohol on the health and well-being of older people, and on effective policies and preventive approaches to face the problem in this steadily increasing segment of the population. Results. 369 references were identified, from which 78 papers were selected. Conclusions. The review confirms the paucity of data on this topic and the need for more specific research. Although there is scarce evidence, the elderly seems to respond equally well to alcohol policy, screening instruments and brief interventions as do younger adults. According to a lifecycle approach, a future focus on the middle aged is also recommended.Key words: aged, alcohol drinking, public health, Europe, review.Riassunto (alcol e anziani in una prospettiva di salute pubblica). Obiettivi e Metodi. Nell'ambito del progetto europeo VINTAGE, è stata condotta una revisione sistematica della letteratura scientifica, al fine di fornire la base di evidenza sull'impatto del consumo di alcol sulla salute e il benessere degli anziani, e su misure e interventi di prevenzione efficaci nel fronteggiare il problema in questo segmento della popolazione in costante aumento. Risultati. Dai 369 riferimenti bibliografici identificati, sono stati selezionati 78 articoli. Conclusioni. La revisione conferma la carenza di dati sull'argomento e la necessità di ricerche mirate. Nonostante la scarsità di evidenze, sembra che gli anziani rispondano altrettanto bene degli adulti alle politiche sull'alcol, agli strumenti di screening e all'intervento breve. In un'ottica che investe l'intero arco della vita, si raccomanda di focalizzare gli interventi futuri anche sugli adulti.Parole chiave: anziani, assunzione di alcolici, salute pubblica, Europa, rassegna.

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“…The increasing number of older adults and their susceptibility to the negative effects of alcohol provides a compelling reason to examine drinking behaviour and alcohol-related harm in this population but data on older adults is often incomplete and sparse [21, 22]. The aim of this study was to conduct a secondary analysis of UK data to explore drinking behaviour and alcohol-related harm amongst older adults The key research questions were:

Are alcohol-related hospital admissions and deaths increasing in older adults?

Is alcohol consumption and alcohol misuse increasing in older adults?

How does increasing age affect the likelihood that a person will be admitted to hospital or die from an alcohol-related condition than younger adults?

…”

Section: Introductionmentioning

confidence: 99%

Drinking behaviour and alcohol-related harm amongst older adults: analysis of existing UK datasets

Wadd

Papadopoulos

2014

BMC Res Notes

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BackgroundOlder adults experience age-related physiological changes that increase sensitivity and decrease tolerance to alcohol and there are a number of age-related harms such as falls, social isolation and elder abuse, which are compounded by alcohol misuse. Despite this unique vulnerability and the fact that the number of older adults is increasing, the literature on drinking behaviour and alcohol-related harm in older adults is sparse. This article describes a secondary analysis of UK data to address this knowledge gap.MethodSecondary analysis of national statistics on alcohol-related hospital admissions and alcohol-related deaths, and data on drinking behaviour from the General Lifestyle Survey. Trends were identified by calculating percentage changes between time periods. The association between drinking behaviour and selected age groups was investigated using one way analysis of variance or chi-square tests.ResultsOlder adults (aged 65 and over) drink less and are less likely to exceed the recommended drink limits than younger adults. However, they are more likely to be admitted to hospital for an alcohol-related condition than younger adults and the most significant increases in alcohol-related hospital admission rates in recent years have occurred in older age groups. Alcohol-related death rates are highest amongst those aged 55–74 years old. Alcohol consumption and the prevalence of exceeding the recommended drink limits has fluctuated but not significantly increased in older adults in recent decades.ConclusionOlder adults experience high and increasing levels of alcohol-related harm and as the population ages, this is likely to put increasing pressure on health and social services. Careful monitoring and age-appropriate strategies to detect and treat older adults at risk of alcohol-related harm are required.

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Harm reduction among at‐risk elderly drinkers: a site‐specific analysis from the multi‐site Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM‐E) study

Abstract: At-risk drinkers in the integrated care condition were more likely to access treatment and decrease harmful drinking behaviors than those in the enhanced referral condition. Implications for future research and treatment are discussed.

Cited by 42 publications

References 12 publications

Substance Abuse Among Older Adults

Substance Abuse Among Older Adults

Alcohol and older people from a public health perspective

Drinking behaviour and alcohol-related harm amongst older adults: analysis of existing UK datasets

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