Older adults become more sensitive to alcohol, and alcohol also interacts adversely with
their common medical conditions and medications. The aim of Project SHARE (Senior Health
and Alcohol Risk Education) is to see whether patient and provider education can decrease
risky alcohol use and reduce health care costs in persons 60 years of age and older.
Alcohol use in the elderly is an increasingly important public health problem.
Alcohol-related risks and problems in older persons may come from the interaction between
alcohol and diminished health or medication use. The proposed study is a randomized trial
of the effectiveness and cost-effectiveness of an integrated patient-provider intervention
to prevent risky alcohol use among older adults. The intervention will include a tested
screening and education system that was developed especially for older adults and their
providers, supplemented by a well-established intervention for physicians. The proposed
research design involves randomization of 31 primary care physicians in seven clinics and
their eligible patients aged 60+ to the intervention versus "usual care."
- 60 and over
- At-risk drinkers
- Patient of participating physician
- Severe cognitive impairment
- Terminally ill or deceased
- Expected to move out of area or into nursing home within following year
- Could not fill out written surveys in English
- Likely dependent drinker