Evidence map›Paper›PMID 21143686›Full record

Trial reportAddiction (Abingdon, England)2011

Primary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial.

Alison A Moore, Fred C Blow, Marc Hoffing, Sandra Welgreen, James W Davis, James C Lin, Karina D Ramirez, Diana H Liao, Lingqi Tang, Robert Gould and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 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

44 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
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  19. A Substance Misuse Intervention Program in Postacute Care: Who Declines Participation?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
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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

13 authors.

Alison A MooreDepartment of Medicine, University of California, Los Angeles, CA, USA. aamoore@mednet.ucla.edu
Fred C Blow
Marc Hoffing
Sandra Welgreen
James W Davis
James C Lin
Karina D Ramirez
Diana H Liao
Lingqi Tang
Robert Gould
Monica Gill
Oriana Chen
Kristen L Barry

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
The Role of Social Networks in Treatment Engagement for MinoritiesP30MH082760 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WELLS, KENNETH B. · 2008 to 2012
$8.6M
UCLA OLDER AMERICANS INDEPENDENT CENTERP60AG010415 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 1991 to 2005
$8.0M
UCLA Summer Research Training in Aging for Medical Stud*T35AG026736 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Cathy Lee, John C Newman · 2005 to 2026
$3.0M
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
PREVENTING HARMFUL AND HAZARDOUS DRINKING IN THE ELDERLYK23AA000270 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 1999 to 2003
$595k
NIAAA NIH HHS K23 AA000270NIAAA NIH HHS K23 AA00270NIAAA NIH HHS K24 AA015957NIAAA NIH HHS K24 AA15957NIAAA NIH HHS R01 AA013937NIA NIH HHS P30 AG021684NIA NIH HHS P30 AG028748NIA NIH HHS P60 AG010415NIA NIH HHS T35 AG026736NIMH NIH HHS P30 MH082760
6 · The paper itself

Abstract

aimsTo examine whether a multi-faceted intervention among older at-risk drinking primary care patients reduced at-risk drinking and alcohol consumption at 3 and 12 months.

designRandomized controlled trial.

settingThree primary care sites in southern California.

participantsSix hundred and thirty-one adults aged ≥ 55 years who were at-risk drinkers identified by the Comorbidity Alcohol Risk Evaluation Tool (CARET) were assigned randomly between October 2004 and April 2007 during an office visit to receive a booklet on healthy behaviors or an intervention including a personalized report, booklet on alcohol and aging, drinking diary, advice from the primary care provider and telephone counseling from a health educator at 2, 4 and 8 weeks. MEASUREMENTS: The primary outcome was the proportion of participants meeting at-risk criteria, and secondary outcomes were number of drinks in past 7 days, heavy drinking (four or more drinks in a day) in the past 7 days and risk score.

findingsAt 3 months, relative to controls, fewer intervention group participants were at-risk drinkers [odds ratio (OR) 0.41; 95% confidence interval (CI) 0.22-0.75]; they reported drinking fewer drinks in the past 7 days [rate ratio (RR) 0.79; 95% CI 0.70-0.90], less heavy drinking (OR 0.46; 95% CI 0.22-0.99) and had lower risk scores (RR 0.77 95% CI 0.63-0.94). At 12 months, only the difference in number of drinks remained statistically significant (RR 0.87; 95% CI 0.76-0.99).

conclusionsA multi-faceted intervention among older at-risk drinkers in primary care does not reduce the proportions of at-risk or heavy drinkers, but does reduce amount of drinking at 12 months.

Indexed as

Health StatusPrimary Health CareAdultAgedAged, 80 and overAge FactorsAlcohol DrinkingAlcoholic BeveragesAlcoholismCaliforniaFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMaleMiddle Aged

Identifiers

PMID21143686
PMCPMC3059722

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.