Evidence map›Paper›PMID 20101471›Full record

ArticleJournal of general internal medicine2010

Do health educator telephone calls reduce at-risk drinking among older adults in primary care?

James C Lin, Mitchell P Karno, Lingqi Tang, Kristen L Barry, Frederic C Blow, James W Davis, Karina D Ramirez, Sandra Welgreen, Marc Hoffing, Alison A Moore

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

James C LinVA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA. jlin1207@ucla.edu
Mitchell P Karno
Lingqi Tang
Kristen L Barry
Frederic C Blow
James W Davis
Karina D Ramirez
Sandra Welgreen
Marc Hoffing
Alison A Moore

Funding

Preventing Harm from Alcohol Use in Older AdultsR01AA013937 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2003 to 2006
$2.2M
Health Effects of Alcohol and Comorbidity in Older AdultsK24AA015957 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MOORE, ALISON AHERN · 2007 to 2017
$1.8M
NIAAA NIH HHS AA013937NIAAA NIH HHS AA15957NIAAA NIH HHS K24 AA015957NIAAA NIH HHS R01 AA013937
6 · The paper itself

Abstract

backgroundAlcohol screening and brief intervention for unhealthy alcohol use has not been consistently delivered in primary care as part of preventive healthcare.

objectiveTo explore whether telephone-based intervention delivered by a health educator is efficacious in reducing at-risk drinking among older adults in primary care settings.

designSecondary analyses of data from a randomized controlled trial.

participantsSubjects randomized to the intervention arm of the trial (n = 310).

interventionsPersonalized risk reports, advice from physicians, booklet about alcohol and aging, and up to three telephone calls from a health educator. All interventions were completed before the three-month follow-up. MEASUREMENTS: Risk outcomes (at-risk or not at-risk) at 3 and 12 months after enrollment. MAIN

resultsIn univariate analyses, compared to those who remained at risk, those who achieved not at-risk outcome at 3 months were more likely to be women, Hispanic or non-white, have lower levels of education, consume less alcohol, drink less frequently, and have lower baseline number of risks. In mixed-effects logistic regression models, completing all three health educator calls increased the odds of achieving not at-risk outcome compared to not completing any calls at 3 months (OR 5.31; 95% CI 1.92-14.7; p = 0.001), but not at 12 months (OR 2.01; 95% CI 0.71-5.67; p = 0.18).

conclusionsTelephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months.

Indexed as

Directive CounselingHealth EducationPatient Education as TopicPrimary Health CareTelephoneAgedAge FactorsAlcoholismConfidence IntervalsFemaleHumansLogistic ModelsMaleOdds RatioRisk FactorsRisk-Taking

Identifiers

PMID20101471
PMCPMC2842558

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.