Evidence map›Paper›PMID 24766757›Full record

Trial reportJournal of studies on alcohol and drugs2014

The effect of an educational intervention on alcohol consumption, at-risk drinking, and health care utilization in older adults: the Project SHARE study.

Susan L Ettner, Haiyong Xu, O Kenrik Duru, Alfonso Ang, Chi-Hong Tseng, Louise Tallen, Andrew Barnes, Michelle Mirkin, Kurt Ransohoff, Alison A Moore

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of studies on alcohol and drugs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
4.4field-weighted citation impact, top 5% of its field
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

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
    Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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 at 2 institutions in 1 country.

Susan L EttnerDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, Department of Health Policy and Management, School of Public Health, University of California at Los Angeles, Los Angeles, California.
Haiyong XuDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
O Kenrik DuruDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Alfonso AngDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Chi-Hong TsengDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Louise TallenDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, Ahava Center for Spiritual Living, Lexington, Kentucky (current affiliation).
Andrew BarnesDepartment of Health Policy and Management, School of Public Health, University of California at Los Angeles, Los Angeles, California, Department of Healthcare Policy and Research, School of Medicine, Virginia Commonwealth University, Richmond, Virginia (current affiliation).
Michelle MirkinDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, Private practice, Los Angeles, California (current affiliation).
Kurt RansohoffSansum Clinic, Santa Barbara, California.
Alison A MooreDivision of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, Department of Psychiatry and Biobehavioral Sciences, Neuropsychiatric Institute, University of California at Los Angeles, Los Angeles, California.
University of California, Los Angeles · USSansum Medical Clinic · US

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Costs of Preventing Alcohol Problems in Older AdultsR01AA013990 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ETTNER, SUSAN LOUISE · 2004 to 2007
$2.4M
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
Mail-Order Pharmacy Use and Medication Adherence Among Older Adults with DiabetesK08AG033630 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK · 2009 to 2013
$606k
NIAAA NIH HHS 1R01AA013990NIAAA NIH HHS K24 AA015957NIAAA NIH HHS K24 AA15957NIAAA NIH HHS R01 AA013937NIAAA NIH HHS R01 AA013990NIAAA NIH HHS R01 AA15957NIA NIH HHS 5K08AG033630-05NIA NIH HHS 5P30AG021684-12NIA NIH HHS K08 AG033630NIA NIH HHS P30 AG021684
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine the effectiveness of a patient-provider educational intervention in reducing at-risk drinking among older adults.

methodThis was a cluster-randomized controlled trial of 31 primary care providers and their patients ages 60 years and older at a community-based practice with seven clinics. Recruitment occurred from July 2005 to August 2007. Eligibility was determined by telephone and a baseline mailed survey. A total of 1,186 at-risk drinkers were identified by the Comorbidity Alcohol Risk Evaluation Tool. Follow-up patient surveys were administered at 3, 6, and 12 months after baseline. Study physicians and their patients were randomly assigned to usual care (n = 640 patients) versus the Project SHARE (Senior Health and Alcohol Risk Education) intervention (n = 546 patients), which included personalized reports, educational materials, drinking diaries, physician advice during office visits, and telephone counseling delivered by a health educator. Main outcomes were alcohol consumption, at-risk drinking (overall and by type), alcohol discussions with physicians, health care utilization, and screening and intervention costs.

resultsAt 12 months, the intervention was significantly associated with an increase in alcohol-related discussions with physicians (23% vs. 13%; p ≤ .01) and reductions in at-risk drinking (56% vs. 67%; p ≤ .01), alcohol consumption (-2.19 drinks per week; p ≤ .01), physician visits (-1.14 visits; p = .03), emergency department visits (16% vs. 25%; p ≤ .01), and nonprofessional caregiving visits (12% vs. 17%; p ≤ .01). Average variable costs per patient were $31 for screening and $79 for intervention.

conclusionsThe intervention reduced alcohol consumption and at-risk drinking among older adults. Effects were sustained over a year and may have been associated with lower health care utilization, offsetting screening and intervention costs.

Indexed as

Patient Acceptance of Health CarePhysician-Patient RelationsPhysicians, Primary CareRisk-TakingAgedAged, 80 and overAlcohol DrinkingCluster AnalysisFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Education as TopicRisk FactorsTreatment Outcome

Identifiers

PMID24766757
PMCPMC4002858
OpenAlexW2022135639

What OpenQuestion holds

Textmetadata
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.