title: [Transcultural prevention of alcohol-related disorders : effects of a culture- and migration-sensitive approach in elderly migrants with respect to attitudes and behavior: a cluster randomized controlled trial].
abstract: BACKGROUND
  For migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed.
  
  
  METHODS
  The transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish.
  
  
  RESULTS
  Directly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months.
  
  
  CONCLUSIONS
  The consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures.
authors.affiliation: Universitätsklinik Freiburg, Hauptstr. 4, 79104, Freiburg, Deutschland, Ibermejo@gmx.de.
authors.forename: Isaac
authors.initials: I
authors.lastname: Bermejo
authors.forename: F
authors.initials: F
authors.lastname: Frank
authors.forename: F
authors.initials: F
authors.lastname: Komarahadi
authors.forename: J
authors.initials: J
authors.lastname: Albicker
authors.forename: Z
authors.initials: Z
authors.lastname: Ries
authors.forename: L
authors.initials: L
authors.lastname: Kriston
authors.forename: M
authors.initials: M
authors.lastname: Härter
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control*; D003431:Cross-Cultural Comparison; D003469:Culture; D005260:Female; D005858:Germany / Q000208:ethnology; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010174:Pamphlets; D014171:Transients and Migrants; D014175:Translating; D016896:Treatment Outcome