title: Comparison of consumption effects of brief interventions for hazardous drinking elderly.
abstract: We sought to determine if Brief Interventions [BIs, Motivational Enhancement (ME), and Brief Advice (BA)] reduced alcohol consumption among hazardous alcohol drinking elderly (65 years or older) and whether the elderly responded similarly to younger populations. In 12 primary care offices from October 1995 to December 1997, we screened 13,438 patients of whom 2702 were elderly (180 were hazardous drinkers). Forty-five elderly enrollees were randomized to receive ME (n = 18), BA (n = 12), and Standard Care (SC, n = 12). At baseline, the elderly drank more alcohol and abstained fewer days than the younger cohort (p < 0.05). During the year, the elderly in ME, BA, and SC intervention arms increased the number of days abstained, decreased the number of drinks per day, and reduced the number of total days per month drinking. There were trends toward decreases in the alcohol consumption measures in the ME and BA treatment arms compared to SC. The elderly's response to all interventions was similar to that of the younger cohort. This study suggests that hazardous alcohol consumption in the elderly is common and that BIs reduce alcohol consumption in the elderly similar to younger populations.
authors.affiliation: Section of General Internal Medicine, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15240, USA. adam.gordon@med.va.gov
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Gordon
authors.forename: Joseph
authors.initials: J
authors.lastname: Conigliaro
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Maisto
authors.forename: Melissa
authors.initials: M
authors.lastname: McNeil
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Kraemer
authors.forename: Mary E
authors.initials: ME
authors.lastname: Kelley
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D003376:Counseling; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D009042:Motivation; D010414:Pennsylvania / Q000453:epidemiology; D011320:Primary Health Care / Q000379:methods*; D011614:Psychotherapy, Brief; D011795:Surveys and Questionnaires; D016896:Treatment Outcome