Online education to inform the elderly about age-related alcohol risks: a randomized trial of effectiveness and costs

让老年人了解与年龄相关的酒精风险的在线教育：有效性和成本的随机试验

基本信息

批准号：
9338101
负责人：
Arlene Fink
金额：
$ 45.92万
依托单位：
ARLENE FINK ASSOCIATES
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-10 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9338101
关键词：
Accidental Injury Accounting Age Alcohol abuse Alcohol consumption Alcohols American Area Attention Behavioral Benefits and Risks Burn injury Cardiovascular Physiology Caring Centers for Disease Control and Prevention (U.S.)Cessation of life Chronic Disease Clinical Communities Consumption Cost Savings County Development Disease E-learning Education Educational Intervention Educational Materials Effectiveness Elderly Evaluation Fall injury Fire - disasters Geriatrics Health Health Care Costs Health Services Research Health Status Heavy Drinking Injury Inpatients Intervention Journals Knowledge Life Los Angeles Measures Medical Medical center Methods Modeling National Institute on Alcohol Abuse and Alcoholism Online Systems Outcome Outcome Study Paper Participant Patients Pattern Pharmaceutical Preparations Phase Physicians Physiological Population Population Heterogeneity Prevalence Probability Publications Publishing Quality-Adjusted Life Years Recruitment Activity Research Review Literature Risk Role Self Efficacy Small Business Innovation Research Grant Societies Stable Populations Time Training United States National Institutes of Health Vehicle crash Violence Visit age related alcohol risk base binge drinking comparative cost cost effective cost-effectiveness evaluation design drinking effectiveness trial experience falls functional status health care service utilization health economics health related quality of life health service use improved incremental cost-effectiveness interest mortality older patient prevent programs randomized trial response symposium treatment as usual underage drinker

项目摘要

This proposed Phase 2 SBIR study is a randomized trial of the effectiveness of “A Toast to Health in Later Life!” a web-based patient educational program designed to prevent hazardous and harmful drinking in older adults. The project's specific objectives are to 1) provide reliable information on the extent to which “A Toast to Health in Later Life!” reduces alcohol-related risks and problems among older patients who drink and 2) evaluate the extent to which these reductions are associated with increases in health-related quality of life, patient knowledge and self-efficacy and decreases in the use of health services and the costs of care. The proposal is being submitted in response to NIAAA's interest in the “development and evaluation of educational materials designed to intervene with the elderly around specific age-related risks for alcohol problems” and to NIH's highest priority areas in health economics research because it aims to measure the actual or potential impact of a specific intervention “on healthcare utilization and health outcomes.” The study will take place with 600 patients who currently drink and receive their care at a large community-based medical center in in L.A. County that serves a stable and diverse population. Older people can experience alcohol's unfavorable health effects even at relatively low consumption levels because of age-related physiological changes and drinking's potentially adverse interactions with chronic illness, increased medication-use and diminishing functional status. About 14.5% of older adults drink in excess of the NIAAA's recommended limits. Excessive alcohol consumption is responsible for an average of 88,000 deaths and 2.5 million years of potential life lost each year in the U.S. and cost the 50 States a median of $2.9 billion in 2006. Most of the costs are due to binge drinking. According to the CDC, older adults binge-drink more frequently than their younger counterparts, and drinking too much contributes to over 54 different injuries and diseases (including car crashes and violence). Further, the chance of getting sick and dying from alcohol problems increases significantly for those who binge drink more often. When health and drinking patterns are accounted for, about half of all older drinkers may be at risk for experiencing alcohol-related harm even if they drink within recommended limits. Considering that about 10,000 people will turn 65 every day for the next decade, and that the proportion of older adults will increase to more than 20% of the U.S. population by 2030, the number of older people with alcohol-related risks will increase even if drinking prevalence remains constant. Despite this, many physicians fail to discuss drinking with older patients, partly because they do not have the time and training to do so and partly because the available education focuses on younger drinkers. To complicate matters, observational evidence suggests that in some older adults, moderate consumption may have beneficial effects on cardiovascular functioning and mortality. “A Toast to Health in Later Life!” covers the spectrum of drinking and its benefits and risks. If effective and cost-effective, the product has the potential to achieve important clinical and societal benefits.

这项拟议的第 2 期 SBIR 研究是一项针对“为晚年健康干杯！”的有效性的随机试验，这是一个基于网络的患者教育计划，旨在防止老年人危险和有害饮酒。该项目的具体目标是 1)。提供有关“为晚年健康干杯！”在多大程度上减少饮酒的老年患者与酒精相关的风险和问题的信息，以及 2) 评估这些减少与健康相关质量的可靠提高之间的关系。生活、患者知识和该提案的提交是为了回应 NIAAA 对“开发和评估旨在针对与年龄相关的特定酒精风险进行干预的教育材料”的兴趣。该研究将针对 600 名目前饮酒并接受大规模护理的患者进行。洛杉矶县的社区医疗中心为稳定且多样化的人群提供服务，即使在相对较低的消费水平下，老年人也会经历酒精对健康的不利影响，因为与年龄相关的生理变化以及饮酒与慢性疾病、药物治疗增加之间的潜在不利相互作用。约 14.5% 的老年人饮酒量超过 NIAAA 的建议限量，平均导致 88,000 人死亡和 250 万岁。 2006 年，美国每年损失的潜在寿命为 50 个州造成的损失中位数为 29 亿美元。据 CDC 称，大部分损失都是由于酗酒造成的，老年人比年轻人更频繁地酗酒，而且喝酒。过量饮酒会导致超过 54 种不同的伤害和疾病（包括车祸和暴力）。此外，如果考虑到健康和饮酒模式，酗酒次数增多的人因酗酒而生病和死亡的几率也会显着增加。因为，考虑到未来十年每天约有 10,000 人将年满 65 岁，并且老年人的比例将会增加，即使他们在建议的限量内饮酒，大约一半的老年饮酒者也可能面临遭受酒精相关伤害的风险。到 2030 年，即使饮酒流行率保持不变，患有酒精相关风险的老年人数量仍将增加，尽管如此，许多医生未能与老年患者讨论饮酒问题，部分原因是他们没有饮酒习惯。这样做的时间和培训，部分是因为现有的教育主要针对年轻饮酒者，使问题变得复杂的是，观察证据表明，对于一些老年人来说，适度饮酒可能对心血管功能和死亡率产生有益影响。 Life!”涵盖了饮酒的范围及其益处和风险，如果有效且具有成本效益，该产品有可能实现重要的临床和社会效益。