Evidence map›Paper›PMID 26848583›Full record

ArticlePloS one2016

A Qualitative Study of Service Provision for Alcohol Related Health Issues in Mid to Later Life.

Catherine Haighton, Graeme Wilson, Jonathan Ling, Karen McCabe, Ann Crosland, Eileen Kaner

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  7. Article
  8. Managing older people's perceptions of alcohol-related risk: a qualitative exploration in Northern English primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
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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

6 authors.

Catherine HaightonInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom.
Graeme WilsonInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom.
Jonathan LingDepartment of Pharmacy, Health and Well-being, Sunderland University, Sunderland, United Kingdom.
Karen McCabeDepartment of Pharmacy, Health and Well-being, Sunderland University, Sunderland, United Kingdom.
Ann CroslandDepartment of Pharmacy, Health and Well-being, Sunderland University, Sunderland, United Kingdom.
Eileen KanerInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom.

Funding

British Heart FoundationCancer Research UKMedical Research Council MR/K02325X/1
6 · The paper itself

Abstract

aimsEpidemiological surveys over the last 20 years show a steady increase in the amount of alcohol consumed by older age groups. Physiological changes and an increased likelihood of health problems and medication use make older people more likely than younger age groups to suffer negative consequences of alcohol consumption, often at lower levels. However, health services targeting excessive drinking tend to be aimed at younger age groups. The aim of this study was to gain an in-depth understanding of experiences of, and attitudes towards, support for alcohol related health issues in people aged 50 and over.

methodsQualitative interviews (n = 24, 12 male/12 female, ages 51-90 years) and focus groups (n = 27, 6 male/21 female, ages 50-95 years) were carried out with a purposive sample of participants who consumed alcohol or had been dependent.

findingsParticipants' alcohol misuse was often covert, isolated and carefully regulated. Participants tended to look first to their General Practitioner for help with alcohol. Detoxification courses had been found effective for dependent participants but only in the short term; rehabilitation facilities were appreciated but seen as difficult to access. Activities, informal groups and drop-in centres were endorsed. It was seen as difficult to secure treatment for alcohol and mental health problems together. Barriers to seeking help included functioning at a high level, concern about losing positive aspects of drinking, perceived stigma, service orientation to younger people, and fatalistic attitudes to help-seeking. Facilitators included concern about risk of fatal illness or pressure from significant people.

conclusionPrimary care professionals need training on improving the detection and treatment of alcohol problems among older people. There is also a compelling need to ensure that aftercare is in place to prevent relapse. Strong preferences were expressed for support to be provided by those who had experienced alcohol problems themselves.

Indexed as

Health ServicesQualitative ResearchAgedAged, 80 and overAge FactorsAlcohol DrinkingAlcohol-Related DisordersAttitudeDirective CounselingFemaleHumansMaleMiddle AgedPrimary Health CareSurveys and Questionnaires

Identifiers

PMID26848583
PMCPMC4744048

What OpenQuestion holds

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LicenceCC BY
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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.