Clinical trial NCT00107640: Project SHARE (Senior Health and Alcohol Risk Education)
Official title: Costs of Preventing Alcohol Problems in Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Alcohol Consumption
Keywords: At-risk drinking
Alcohol education
Effectiveness
Cost-effectiveness
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
Collaborators: name: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
First posted: 2005-04-07
Enrollment: 1186
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.

Detailed description: 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."

Eligibility criteria: Inclusion Criteria:

* 60 and over
* At-risk drinkers
* Patient of participating physician

Exclusion Criteria:

* 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

Primary outcomes:
measure: At-risk drinking at 6 month followup
timeFrame: 6 months
measure: At-risk drinking at 12 month followup
timeFrame: 12 months
Secondary outcomes:
measure: Health-related quality of life at 6 months
timeFrame: 6 months
measure: Depressive symptoms
timeFrame: 12 months
measure: Mental Composite Score at 6 months
timeFrame: 6 months
measure: Healthcare utilization
timeFrame: 12 months (cumulative)
measure: Outpatient service costs
timeFrame: 12 months (cumulative)
measure: Direct recruitment and intervention costs
timeFrame: 12 months (cumulative)
measure: Health-related quality of life at 12 month followup
timeFrame: 12 months
measure: Mental Composite Score at 12 month followup
timeFrame: 12 months
measure: Physical Composite Score at 6 month followup
timeFrame: 6 months
measure: Physical Composite Score at 12 month followup
timeFrame: 12 months
Other outcomes:
Locations:
city: Santa Barbara
country: United States
facility: Sansum-Santa Barbara Medical Foundation Clinics
state: California
Study officials:
affiliation: University of California, Los Angeles
name: Susan Ettner, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Barnes AJ, Xu H, Tseng CH, Ang A, Tallen L, Moore AA, Marshall DC, Mirkin M, Ransohoff K, Duru OK, Ettner SL. 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. J Subst Abuse Treat. 2016 Jan;60:14-20. doi: 10.1016/j.jsat.2015.06.019. Epub 2015 Jul 8.
citation: Ettner SL, Xu H, Duru OK, Ang A, Tseng CH, Tallen L, Barnes A, Mirkin M, Ransohoff K, Moore AA. The effect of an educational intervention on alcohol consumption, at-risk drinking, and health care utilization in older adults: the Project SHARE study. J Stud Alcohol Drugs. 2014 May;75(3):447-57. doi: 10.15288/jsad.2014.75.447.