Web-based Alcohol and Health Education for Older Adults

基于网络的老年人酒精与健康教育

• 批准号: 7667117
• 负责人: Arlene Fink
• 金额: $ 9.95万
• 依托单位: ARLENE FINK ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-06 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7667117
• 关键词: Accidental Injury; Address; Adult; Affect; Age; Age-Years; Agreement; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Behavior; Behavioral; Communities; Community Health Centers; Community Healthcare; Consensus; Consumption; Control Groups; Development; Drunk driving; Education; Educational Materials; Effectiveness; Elderly; Evaluation; Evidence based practice; Feedback; Foundations; Health; Health Personnel; Health behavior; Health education; Healthcare Systems; Injury; Instruction; Internet; Interview; Knowledge; Learning; Life; Link; Measures; Medical; Methods; Modeling; Monitor; Online Systems; Pamphlets; Participant; Patients; Pattern; Pharmaceutical Preparations; Physicians; Population; Practice based research; Printing; Program Accessibility; Program Effectiveness; Psychologist; Randomized; Readiness; Reading; Recruitment Activity; Reliance; Reporting; Research; Risk; Risk Behaviors; Role; Sampling; Self Efficacy; Site; Structure; Surveys; Testing; Work; age related; alcohol availability; alcohol behavior; alcohol related problem; alcohol services; base; behavior influence; binge drinking; design; drinking; falls; functional disability; functional status; health belief; healthy aging; innovation; interest; programs; public health relevance; symposium; systems research; theories; trafficking; web site; willingness to pay

DESCRIPTION (provided by applicant): Arlene Fink Associates, Inc. proposes to develop a research-based online alcohol education program and evaluate its effectiveness among a sample of older adults who live independently in the community. The program, A Drink to Healthy Aging!, will be guided by the principles of the Health Belief and Transtheoretical models of health behavior, and will bring together a web-based version of the validated Alcohol Related Problems Survey (ARPS) for older adults, personalized feedback on drinking risks and problems, and A Toast to Health in Later Life! a detailed booklet on alcohol use risks and problems. We will intensively monitor the accessibility of the program among 30 older drinkers in a community health center. To be considered accessible and ready for effectiveness evaluation, participants must be able to easily access and navigate the website and agree that the educational program's contents are relevant to older adults. To evaluate the effectiveness of the program, we will randomly assign 152 people to an experimental group or to a control. Effectiveness will be measured by comparing the experimental and control groups in their readiness to change risky behaviors, drinking patterns and behavior, self-efficacy, and knowledge. The proposal responds to the NIAAA's interest in the development and evaluation of educational materials designed to inform the elderly about specific age-related risks for alcohol problems. AFA's proposed education program pays particular attention to NIAAA's emphasis on materials that address age-related reductions in alcohol tolerance, interactions between alcohol and prescription and over-the-counter medications, possible exacerbation of some medical conditions common among the elderly, potential biomedical and behavioral consequences of excessive alcohol use, and the role of alcohol in falls, traffic injuries, and other unintentional injuries. In older adults, alcohol-related risks may occur even at relatively low consumption levels because of the interaction between alcohol, declining health, increased medication use and declining functional status. The potential audience for an alcohol-related educational program is large and growing. Although older adults make use of the health care system, the evidence strongly suggests that their physicians or other health care providers are unlikely to educate them about alcohol even though alcohol-related problems and risks among the elderly are fairly common and likely to increase as the population ages. Many older adults go online for health information, and their numbers are expected to rise significantly. People who are 60 years of age and older are among the most enthusiastic Internet users, and they are also likely to require increased access to alcohol services This project aims to design easy-to-use, accessible, and inexpensive educational materials that can reach a large internet audience including patients, their physicians and other health care providers. PUBLIC HEALTH RELEVANCE: Alcohol-related risks in older adults occur because of the interaction between alcohol, declining health and increased medication use. This project aims to develop and evaluate accessible and effective web-based educational materials for older adults.

描述（由申请人提供）：Arlene Fink Associates, Inc. 提议开发一项基于研究的在线酒精教育计划，并在社区独立生活的老年人样本中评估其有效性。该计划“一杯饮料，健康老龄化！”将以健康信念和健康行为跨理论模型的原则为指导，并将汇集经过验证的老年人酒精相关问题调查（ARPS）的网络版本，关于饮酒风险和问题的个性化反馈，以及为晚年健康干杯！关于饮酒风险和问题的详细小册子。我们将密切监测社区卫生中心 30 名老年饮酒者对该计划的可及性。为了被认为易于访问并准备好进行有效性评估，参与者必须能够轻松访问和浏览网站，并同意教育计划的内容与老年人相关。为了评估该计划的有效性，我们将 152 人随机分配到实验组或对照组。有效性将通过比较实验组和对照组改变危险行为的准备情况、饮酒模式和行为、自我效能和知识来衡量。该提案响应了 NIAAA 对开发和评估教育材料的兴趣，这些材料旨在让老年人了解与年龄相关的酒精问题的特定风险。 AFA 拟议的教育计划特别关注 NIAAA 强调的材料，这些材料涉及与年龄相关的酒精耐受性降低、酒精与处方药和非处方药之间的相互作用、老年人中常见的一些医疗状况可能恶化、潜在的生物医学和行为问题过量饮酒的后果，以及酒精在跌倒、交通伤害和其他意外伤害中的作用。对于老年人来说，由于酒精、健康状况下降、药物使用增加和功能状态下降之间的相互作用，即使消费水平相对较低，也可能出现与酒精相关的风险。酒精相关教育项目的潜在受众数量庞大，而且还在不断增长。尽管老年人利用医疗保健系统，但有证据强烈表明，他们的医生或其他医疗保健提供者不太可能对他们进行有关酒精的教育，尽管老年人中与酒精相关的问题和风险相当普遍，并且可能随着年龄的增长而增加。人口年龄。许多老年人上网获取健康信息，预计这一数字将大幅上升。 60 岁及以上的人是最热衷的互联网用户，他们也可能需要更多获得酒精服务的机会。该项目旨在设计易于使用、易于获取且价格低廉的教育材料，让大量互联网受众，包括患者、他们的医生和其他医疗保健提供者。公共卫生相关性：由于酒精、健康状况下降和药物使用增加之间的相互作用，老年人中出现与酒精相关的风险。该项目旨在为老年人开发和评估可访问且有效的网络教育材料。