Costs of Preventing Alcohol Problems in Older Adults
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 1,186
- 试验地点
- 2
- 主要终点
- At-risk drinking at 6 month followup
研究概览
简要总结
Older adults become more sensitive to alcohol, and alcohol also interacts adversely with their common medical conditions and medications. The aim of Project SHARE (Senior Health and Alcohol Risk Education) is to see whether patient and provider education can decrease risky alcohol use and reduce health care costs in persons 60 years of age and older.
详细描述
Alcohol use in the elderly is an increasingly important public health problem. Alcohol-related risks and problems in older persons may come from the interaction between alcohol and diminished health or medication use. The proposed study is a randomized trial of the effectiveness and cost-effectiveness of an integrated patient-provider intervention to prevent risky alcohol use among older adults. The intervention will include a tested screening and education system that was developed especially for older adults and their providers, supplemented by a well-established intervention for physicians. The proposed research design involves randomization of 31 primary care physicians in seven clinics and their eligible patients aged 60+ to the intervention versus "usual care."
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •60 and over
- •At-risk drinkers
- •Patient of participating physician
排除标准
- •Severe cognitive impairment
- •Terminally ill or deceased
- •Expected to move out of area or into nursing home within following year
- •Could not fill out written surveys in English
- •Likely dependent drinker
结局指标
主要结局
At-risk drinking at 6 month followup
时间窗: 6 months
At-risk drinking is alcohol use that (either alone or in conjunction with selected comorbidities, symptoms and/or medications) poses health risks. It is measured using the CARET instrument developed by Moore and colleagues.
At-risk drinking at 12 month followup
时间窗: 12 months
At-risk drinking is alcohol use that (either alone or in conjunction with selected comorbidities, symptoms and/or medications) poses health risks. It is measured using the CARET instrument developed by Moore and colleagues.
次要结局
- Physical Composite Score at 12 month followup(12 months)
- Health-related quality of life at 12 month followup(12 months)
- Physical Composite Score at 6 month followup(6 months)
- Outpatient service costs(12 months (cumulative))
- Direct recruitment and intervention costs(12 months (cumulative))
- Mental Composite Score at 12 month followup(12 months)
- Health-related quality of life at 6 months(6 months)
- Depressive symptoms(12 months)
- Mental Composite Score at 6 months(6 months)
- Healthcare utilization(12 months (cumulative))
研究者
Susan Ettner
Professor
University of California, Los Angeles