title: Determinants of early reductions in drinking in older at-risk drinkers participating in the intervention arm of a trial to reduce at-risk drinking in primary care.
abstract: OBJECTIVE
  To describe differences between older at-risk drinkers, as determined using the Comorbidity Alcohol Risk Evaluation Tool, who reduced drinking and those who did not after an initial intervention and to determine factors associated with early reductions in drinking.
  
  
  METHODS
  Secondary analyses of data from a randomized controlled trial.
  
  
  METHODS
  Seven primary care sites.
  
  
  METHODS
  Subjects randomized to the intervention group who completed the first health educator call approximately 2 weeks after enrollment (n=239).
  
  
  METHODS
  Personalized risk reports, booklets on alcohol-associated risks, and advice from physicians, followed by a health educator call.
  
  
  METHODS
  Reductions in number of alcoholic drinks.
  
  
  RESULTS
  Thirty-nine percent of the sample had reduced drinking within 2 weeks of receiving the initial intervention. According to the final multiple logistic regression model, those who were concerned about alcohol-related risks (odds ratio (OR)=2.03, 95% confidence interval (CI)=1.01-4.07), read through the educational booklet (OR=2.97, 95% CI=1.48-5.95), or perceived that their physicians discussed risks and advised changing drinking behaviors (OR=4.1, 95% CI=2.02-8.32) had greater odds of reducing drinking by the first health educator call.
  
  
  CONCLUSIONS
  Concern about risks, reading educational material, and perception of physicians providing advice to reduce drinking were associated with early reductions in alcohol use in older at-risk drinkers. Understanding these factors will enable development of better intervention strategies to reduce unhealthy alcohol use.
authors.affiliation: Special Fellowship in Advanced Geriatrics, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA. jlin1207@ucla.edu
authors.forename: James C
authors.initials: JC
authors.lastname: Lin
authors.forename: Mitchell P
authors.initials: MP
authors.lastname: Karno
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Barry
authors.forename: Frederic C
authors.initials: FC
authors.lastname: Blow
authors.forename: James W
authors.initials: JW
authors.lastname: Davis
authors.forename: Lingqi
authors.initials: L
authors.lastname: Tang
authors.forename: Alison A
authors.initials: AA
authors.lastname: Moore
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000523:psychology; D000437:Alcoholism / Q000517:prevention & control*; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015999:Multivariate Analysis; D010174:Pamphlets; D010817:Physician-Patient Relations; D011322:Primary Prevention; D016032:Randomized Controlled Trials as Topic; D014481:United States