Sustained Intervention Effects on Older Adults' Attitudes Towards Alcohol and Medication Interactions

Overview

Journal Am J Health Educ

Specialty Medical Education

Date 2019 Feb 12

PMID 30740192

Citations 1

Authors

Faika Zanjani

Hannah Allen

Nancy Schoenberg

Catherine Martin

Richard Clayton

Affiliations

Soon will be listed here.

Abstract

Background: Older adults are at risk for experiencing alcohol and medication interactions (AMI) given concomitant alcohol and medication use. However, there have been limited efforts to develop and evaluate AMI prevention interventions.

Purpose: The current study examined sustained intervention effects on older adults' attitudes, awareness, and intentions regarding AMI.

Methods: A sample of N = 134 older adults completed assessments before and after exposure to AMI risk educational materials (Times 1 and 2). N = 97 participants (72%) were reached for a three-month follow-up phone call (Time 3).

Results: There was a positive linear trend over time in the number of identified AMI side effects. While knowledge of intervention messages remained high and stable over time, quadratic trends for perceived importance of AMI messages indicated positive short-term effects that did not sustain over time. Few differences by drinking status were found.

Discussion: This intervention had positive short-term effects on AMI awareness, intentions, and perceived messaging importance, but these short-term effects were only maintained over time for awareness.

Translation To Health Education Practice: This study provides Certified Health Education Specialists with a model for planning and evaluating a brief intervention to prevent AMI among older adults.

Citing Articles

Reducing Medication Risks in Older Adult Drinkers.

Zanjani F, Schoenberg N, Martin C, Clayton R Gerontol Geriatr Med. 2020; 6:2333721420910936.

PMID: 32166107 PMC: 7052447. DOI: 10.1177/2333721420910936.

References

Kaufman D, Kelly J, Wiholm B, Laszlo A, SHEEHAN J, Koff R . The risk of acute major upper gastrointestinal bleeding among users of aspirin and ibuprofen at various levels of alcohol consumption. Am J Gastroenterol. 1999; 94(11):3189-96. DOI: 10.1111/j.1572-0241.1999.01517.x. View

Onder G, Landi F, Della Vedova C, Atkinson H, Pedone C, Cesari M . Moderate alcohol consumption and adverse drug reactions among older adults. Pharmacoepidemiol Drug Saf. 2002; 11(5):385-92. DOI: 10.1002/pds.721. View

Kotecki J . Sale of alcohol in pharmacies: results and implications of an empirical study. J Community Health. 2003; 28(1):65-77. DOI: 10.1023/a:1021385206234. View

Aira M, Hartikainen S, Sulkava R . Community prevalence of alcohol use and concomitant use of medication--a source of possible risk in the elderly aged 75 and older?. Int J Geriatr Psychiatry. 2005; 20(7):680-5. DOI: 10.1002/gps.1340. View

Moore A, Whiteman E, Ward K . Risks of combined alcohol/medication use in older adults. Am J Geriatr Pharmacother. 2007; 5(1):64-74. PMC: 4063202. DOI: 10.1016/j.amjopharm.2007.03.006. View

Noar S . A health educator's guide to theories of health behavior. Int Q Community Health Educ. 2007; 24(1):75-92. DOI: 10.2190/DALP-3F95-GCT3-M922. View

Phillips D, Barker G, Eguchi M . A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008; 168(14):1561-6. DOI: 10.1001/archinte.168.14.1561. View

Balsa A, Homer J, Fleming M, French M . Alcohol consumption and health among elders. Gerontologist. 2008; 48(5):622-36. DOI: 10.1093/geront/48.5.622. View

Meshack A, Moultry A, Hu S, McAlister A . Smoking cessation counseling practices of Texas pharmacists. J Community Health. 2009; 34(3):231-8. DOI: 10.1007/s10900-008-9146-0. View

10.

Nimpitakpong P, Chaiyakunapruk N, Dhippayom T . A national survey of training and smoking cessation services provided in community pharmacies in Thailand. J Community Health. 2010; 35(5):554-9. DOI: 10.1007/s10900-010-9242-9. View

11.

McCaul K, Almeida O, Hankey G, Jamrozik K, Byles J, Flicker L . Alcohol use and mortality in older men and women. Addiction. 2010; 105(8):1391-400. DOI: 10.1111/j.1360-0443.2010.02972.x. View

12.

Carpenter C . A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010; 25(8):661-9. DOI: 10.1080/10410236.2010.521906. View

13.

Heuberger R . Alcohol and the older adult: a comprehensive review. J Nutr Elder. 2010; 28(3):203-35. DOI: 10.1080/01639360903140106. View

14.

Hoch M, Hudmon K, Lee L, Cupp R, Aragon L, Tyree R . Pharmacists' perceptions of participation in a community pharmacy-based nicotine replacement therapy distribution program. J Community Health. 2011; 37(4):848-54. DOI: 10.1007/s10900-011-9519-7. View

15.

Zanjani F, Hoogland A, Downer B . Alcohol and prescription drug safety in older adults. Drug Healthc Patient Saf. 2013; 5:13-27. PMC: 3589245. DOI: 10.2147/DHPS.S38666. View

16.

Immonen S, Valvanne J, Pitkala K . The prevalence of potential alcohol-drug interactions in older adults. Scand J Prim Health Care. 2013; 31(2):73-8. PMC: 3656398. DOI: 10.3109/02813432.2013.788272. View

17.

Cousins G, Galvin R, Flood M, Kennedy M, Motterlini N, Henman M . Potential for alcohol and drug interactions in older adults: evidence from the Irish longitudinal study on ageing. BMC Geriatr. 2014; 14:57. PMC: 4008399. DOI: 10.1186/1471-2318-14-57. View

18.

Breslow R, Dong C, White A . Prevalence of alcohol-interactive prescription medication use among current drinkers: United States, 1999 to 2010. Alcohol Clin Exp Res. 2015; 39(2):371-9. PMC: 4331237. DOI: 10.1111/acer.12633. View

19.

Chikritzhs T, Stockwell T, Naimi T, Andreasson S, Dangardt F, Liang W . Has the leaning tower of presumed health benefits from 'moderate' alcohol use finally collapsed?. Addiction. 2015; 110(5):726-7. DOI: 10.1111/add.12828. View

20.

Moore N, Pollack C, Butkerait P . Adverse drug reactions and drug-drug interactions with over-the-counter NSAIDs. Ther Clin Risk Manag. 2015; 11:1061-75. PMC: 4508078. DOI: 10.2147/TCRM.S79135. View