Evidence map›Paper›PMID 26254687›Full record

Trial reportJournal of substance abuse treatment2016

The Effect of a Patient-Provider Educational Intervention to Reduce At-Risk Drinking on Changes in Health and Health-Related Quality of Life Among Older Adults: The Project SHARE Study.

Andrew J Barnes, Haiyong Xu, Chi-Hong Tseng, Alfonso Ang, Louise Tallen, Alison A Moore, Deborah C Marshall, Michelle Mirkin, Kurt Ransohoff, O Kenrik Duru and 1 more

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

Trial report in Journal of substance abuse treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. 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

11 authors at 2 institutions in 1 country.

Andrew J BarnesDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA. Electronic address: abarnes3@vcu.edu.
Haiyong XuDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Chi-Hong TsengDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Alfonso AngDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Louise TallenDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Alison A MooreDivision of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA; Department of Psychiatry and Biobehavioral Sciences, Neuropsychiatric Institute, University of California at Los Angeles, Los Angeles, CA, USA.
Deborah C MarshallDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA; Department of Radiation Medicine and Applied Science, University of California, San Diego, CA, USA.
Michelle MirkinDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Kurt RansohoffSansum Medical Clinics, Santa Barbara, CA, USA.
O Kenrik DuruDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Susan L EttnerDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA; Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
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 CATHERINE A SARKISIAN · 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

backgroundAt-risk drinking, defined as alcohol use that is excessive or potentially harmful in combination with select comorbidities or medications, affects about 10% of older adults in the United States and is associated with higher mortality. The Project SHARE intervention, which uses patient and provider educational materials, physician counseling, and health educator support, was designed to reduce at-risk drinking among this vulnerable population. Although an earlier study showed that this intervention was successful in reducing rates of at-risk drinking, it is unknown whether these reductions translate into improved health and health-related quality of life (HRQL).

objectiveThe aim of this study was to examine changes in health and HRQL of older adult at-risk drinkers resulting from a patient-provider educational intervention. RESEARCH

designA randomized controlled trial to compare the health and HRQL outcomes of patients assigned to the Project SHARE intervention vs. care as usual at baseline, 6- and 12-months post assignment. Control patients received usual care, which may or may not have included alcohol counseling. Intervention group patients received a personalized patient report, educational materials on alcohol and aging, a brief provider intervention, and a telephone health educator intervention. SUBJECTS: Current drinkers 60years and older accessing primary care clinics around Santa Barbara, California (N=1049). MEASUREMENTS: Data were collected from patients using baseline, 6- and 12-month mail surveys. Health and HRQL measures included mental and physical component scores (MCS and PCS) based on the Short Form-12v2 (SF-12v2), the SF-6D, which is also based on the SF-12, and the Geriatric Depression Scale (GDS). Adjusted associations of treatment assignment with these outcomes were estimated using generalized least squares regressions with random provider effects. Regressions controlled for age group, sex, race/ethnicity, marital status, education, household income, home ownership and the baseline value of the dependent variable.

resultsAfter regression adjustment, the intervention was associated with a 0.58 point (95% CI: -0.06, 1.21) increase in 6-month MCS and a 0.14 point (95% CI: 0.01, 0.26) improvement in 12-month GDS score, compared to the control group. The intervention also increased adjusted SF-6D scores by 0.01 points at both 6 and 12months (6-month 95% CI: 0.01, 0.02; 12-month 95% CI: 0.01, 0.01).

conclusionsDespite the previously shown effectiveness of the Project SHARE intervention to reduce at-risk drinking among older adults, this effect translated into effects on health and HRQL that were statistically but not necessarily clinically significant. Effects were most prominent for patients who received physician discussions, suggesting that provider counseling may be a critical component of primary care-based interventions targeting at-risk alcohol use.

Indexed as

Outcome Assessment, Health CareQuality of LifeAgedAlcohol-Related DisordersFemaleHealth PersonnelHumansMaleMiddle AgedPatient Education as TopicRiskAt-risk drinkingHealth-related quality of lifeOlder adultsProvider interventions

Identifiers

PMID26254687
PMCPMC4679446
OpenAlexW829364425

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.