Healthy Living as You Age (HLAYA)

This study has been completed.
Sponsor:
Information provided by:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ClinicalTrials.gov Identifier:
NCT00379093
First received: September 19, 2006
Last updated: July 10, 2009
Last verified: July 2009
  Purpose

Older persons who drink can be vulnerable to negative consequences of drinking. This trial aims to prevent harm from alcohol use in older adults through a program of screening and brief advice followed up with several health education phone calls.


Condition Intervention Phase
Alcohol Related Disorders
Alcohol Drug Interactions
Behavioral: Brief advice
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
Official Title: Preventing Harm From Alcohol Use in Older Adults

Resource links provided by NLM:


Further study details as provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Primary Outcome Measures:
  • Reducing at-risk drinking [ Time Frame: 12 month ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Reducing alcohol use [ Time Frame: 12 month ] [ Designated as safety issue: Yes ]
  • Reducing the number of risks among those still considered at-risk drinkers. [ Time Frame: 12 month ] [ Designated as safety issue: Yes ]

Enrollment: 631
Study Start Date: August 2003
Study Completion Date: July 2008
Primary Completion Date: April 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Brief advice

    The intervention will have the following components:

    A) At the time of the recruitment visit, all intervention group patients will receive:

    • A personalized risk report;
    • An educational booklet titled "Healthy Drinking as You Age";
    • A drinking diary;
    • Brief advice to reduce their drinking by their physicians;

    B) After the recruitment visit, all intervention group patients will receive up to 3 telephone calls from a health educator. After each call, intervention group patients may choose to receive a letter updating their health risks.

    Also, at the conclusion of their interaction with the health educator, they may choose to have a letter summarizing the calls sent to their physician.

Detailed Description:

Approximately 50% of persons aged 65 years and older drink alcohol. Older persons are particularly susceptible to adverse consequences of drinking such as falls, depression, sleep disorders, stomach upset, hypertension, and alcohol/drug interactions. This is because of age-related changes in the body that affect how older persons react to alcohol and also because of the age-associated increases in illness and medication use.

In the current project we aim to see if screening and brief advice given to older risky drinkers in a physician's office followed by up to 3 health education phone calls may reduce their risks associated with alcohol use. We plan to use a newly developed and tested measure, the Comorbidity Alcohol Risk Evaluation Tool (CARET), to screen for older persons (aged 55 and older) whose use of alcohol alone or in combination with their illnesses, symptoms, and medication use may be causing them harm, or increasing their risk for harm. Persons whose responses on the CARET indicate they might be risky drinkers will be randomized to receive either a brief intervention to reduce their risks or usual care.

The intervention will have the following components:

A) At the time of the recruitment visit, all intervention group patients will receive:

  1. A personalized risk report;
  2. An educational booklet titled "Healthy Drinking as You Age";
  3. A drinking diary;
  4. Brief advice to reduce their drinking by their physicians;

B) After the recruitment visit, all intervention group patients will receive up to 3 telephone calls from a health educator. After each call, intervention group patients may choose to receive a letter updating their health risks. Also, at the conclusion of their interaction with the health educator, they may choose to have a letter summarizing the calls sent to their physician.

At the time of the recruitment visit, control group patients will receive a booklet on a variety of healthy behaviors titled "Healthy Living as You Age." Both control and intervention group patients will receive a telephone call from a research associate 3 months and 12 months after initial enrollment in the study to administer the CARET again.

We will analyze our results to look for differences between the intervention and control groups at 12 months in the a) proportions of them identified as risky drinkers by the CARET; b) the amount they drink; c) the numbers of risks identifying those persons who are still risky drinkers and d) the difference in their expectations regarding aging.

  Eligibility

Ages Eligible for Study:   55 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • At least 55 years of age
  • Seeing a participating physician (internists or family physicians employed at any of the participating sites)
  • Have had at least one alcoholic drink in the last week

Exclusion Criteria:

  • Too ill to participate
  • Have received substance abuse services in past 3 months
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00379093

Locations
United States, California
UCLA Department of Medicine, Geriatrics Research Center
Los Angeles, California, United States, 90024
Sponsors and Collaborators
Investigators
Principal Investigator: Alison A. Moore, MD, MPH UCLA DOM-Geriatrics
  More Information

No publications provided

Responsible Party: Alison A. Moore, MD, MPH - Principal Investigator, University of California, Los Angeles, David Geffen School of Medicine
ClinicalTrials.gov Identifier: NCT00379093     History of Changes
Other Study ID Numbers: NIAAA-MOO-013937, NIH Grant 5 RO1 AA 013937
Study First Received: September 19, 2006
Last Updated: July 10, 2009
Health Authority: United States: Federal Government

Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):
Alcohol
Comorbidity
Aging
Brief Advice
Randomized Trial

Additional relevant MeSH terms:
Alcohol-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Substance-Related Disorders

ClinicalTrials.gov processed this record on October 22, 2014