PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral in Managing At-Risk Alcohol Use
This study was part of the Primary Care Research in Substance Abuse and Mental Health for the Elderly study (PRISM-E) and determined the relative effectiveness of two different models of care for reducing at-risk alcohol use among primary care patients aged 65 and older. This multisite study was a r...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2006-07, Vol.57 (7), p.954-958 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Oslin, David W Grantham, Susan Coakley, Eugenie Maxwell, James Miles, Keith Ware, James Blow, Frederic C Krahn, Dean D Bartels, Stephen J Zubritsky, Cynthia |
| description | This study was part of the Primary Care Research in Substance Abuse and Mental Health for the Elderly study (PRISM-E) and determined the relative effectiveness of two different models of care for reducing at-risk alcohol use among primary care patients aged 65 and older.
This multisite study was a randomized clinical trial comparing integrated care with enhanced specialty referral for older primary care patients screened and identified to have at-risk drinking.
Before the study, the 560 participants consumed a mean of 17.9 drinks per week and had a mean of 21.1 binge episodes in the prior three months. At six months, both treatment groups reported lower levels of average weekly drinking (p |
| doi_str_mv | 10.1176/ps.2006.57.7.954 |
| format | Article |
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This multisite study was a randomized clinical trial comparing integrated care with enhanced specialty referral for older primary care patients screened and identified to have at-risk drinking.
Before the study, the 560 participants consumed a mean of 17.9 drinks per week and had a mean of 21.1 binge episodes in the prior three months. At six months, both treatment groups reported lower levels of average weekly drinking (p<.001) and binge drinking (p<.001), despite low levels of treatment engagement. However, the declines did not differ significantly between treatment groups.
These results suggest that older persons with at-risk drinking can substantially modify their drinking over time. Although no evidence suggested that the model of care was important in achieving this result, the magnitude of reduction in alcohol use was comparable with other intervention studies.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/ps.2006.57.7.954</identifier><identifier>PMID: 16816279</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Association</publisher><subject>Aged ; Alcohol Drinking - prevention & control ; Alcohol Drinking - psychology ; Alcohol use ; Alcoholism - rehabilitation ; Alcoholism and acute alcohol poisoning ; Anxiety Disorders - diagnosis ; Anxiety Disorders - psychology ; Anxiety Disorders - rehabilitation ; Biological and medical sciences ; Clinical trials ; Comorbidity ; Comparative analysis ; Delivery of Health Care, Integrated ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Depressive Disorder - rehabilitation ; Female ; Follow-Up Studies ; Geriatric Assessment ; Geriatrics ; Humans ; Intervention ; Male ; Medical sciences ; Mental health care ; Miscellaneous ; Models, Theoretical ; Patient Care Team ; Primary Health Care ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Referral and Consultation ; Risk Factors ; Social psychiatry. Ethnopsychiatry ; Temperance - psychology ; Toxicology</subject><ispartof>Psychiatric services (Washington, D.C.), 2006-07, Vol.57 (7), p.954-958</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Psychiatric Publishing, Inc. Jul 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a3494-6005cddc68c4c0a6cac0995f01740fb2b88c763753e4032cd716a05a07374c273</citedby><cites>FETCH-LOGICAL-a3494-6005cddc68c4c0a6cac0995f01740fb2b88c763753e4032cd716a05a07374c273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ps.2006.57.7.954$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ps.2006.57.7.954$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2842,2846,21605,21606,21607,21608,27901,27902,77534,77535,77537,77542</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17934284$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16816279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oslin, David W</creatorcontrib><creatorcontrib>Grantham, Susan</creatorcontrib><creatorcontrib>Coakley, Eugenie</creatorcontrib><creatorcontrib>Maxwell, James</creatorcontrib><creatorcontrib>Miles, Keith</creatorcontrib><creatorcontrib>Ware, James</creatorcontrib><creatorcontrib>Blow, Frederic C</creatorcontrib><creatorcontrib>Krahn, Dean D</creatorcontrib><creatorcontrib>Bartels, Stephen J</creatorcontrib><creatorcontrib>Zubritsky, Cynthia</creatorcontrib><title>PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral in Managing At-Risk Alcohol Use</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>This study was part of the Primary Care Research in Substance Abuse and Mental Health for the Elderly study (PRISM-E) and determined the relative effectiveness of two different models of care for reducing at-risk alcohol use among primary care patients aged 65 and older.
This multisite study was a randomized clinical trial comparing integrated care with enhanced specialty referral for older primary care patients screened and identified to have at-risk drinking.
Before the study, the 560 participants consumed a mean of 17.9 drinks per week and had a mean of 21.1 binge episodes in the prior three months. At six months, both treatment groups reported lower levels of average weekly drinking (p<.001) and binge drinking (p<.001), despite low levels of treatment engagement. However, the declines did not differ significantly between treatment groups.
These results suggest that older persons with at-risk drinking can substantially modify their drinking over time. Although no evidence suggested that the model of care was important in achieving this result, the magnitude of reduction in alcohol use was comparable with other intervention studies.</description><subject>Aged</subject><subject>Alcohol Drinking - prevention & control</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol use</subject><subject>Alcoholism - rehabilitation</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety Disorders - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Clinical trials</subject><subject>Comorbidity</subject><subject>Comparative analysis</subject><subject>Delivery of Health Care, Integrated</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - rehabilitation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health care</subject><subject>Miscellaneous</subject><subject>Models, Theoretical</subject><subject>Patient Care Team</subject><subject>Primary Health Care</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Referral and Consultation</subject><subject>Risk Factors</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Temperance - psychology</subject><subject>Toxicology</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v2zAMhoVhw_q1-06DMKBHu5QtiXZvQZCtAVqsSNuzwMhy6s6RXck59N9XRQLk1JMI4eFL8mHsp4BcCNRXY8wLAJ0rzDGvlfzCToVSmNUI8DXVgCorsIQTdhbjCwAIFPo7OxG6ErrA-pS196vlw122uObzYTtS6OLg-dDypZ_cJtDkGj6n4Dj5hi_8M3mbfh5GZzvqpze-cq0LgXreeX5Hnjad3_DZlK26-J_Pejs8Dz1_iu6CfWupj-7H4T1nT38Wj_Ob7Pbf3-V8dptRKWuZaQBlm8bqykoLpC1ZqGvVpr0ltOtiXVUWdYmqdBLKwjbpHAJFgCVKmy49Z7_3uWMYXncuTuZl2AWfRppClIACa5kg2EM2DDEG15oxdFsKb0aA-fBqxoQnr0ahQZO8ppZfh9zdeuuaY8NBZAIuDwBFS30bkqkuHrmEyKL6CMr2HI1jd1zu08HvUOGMTg</recordid><startdate>200607</startdate><enddate>200607</enddate><creator>Oslin, David W</creator><creator>Grantham, Susan</creator><creator>Coakley, Eugenie</creator><creator>Maxwell, James</creator><creator>Miles, Keith</creator><creator>Ware, James</creator><creator>Blow, Frederic C</creator><creator>Krahn, Dean D</creator><creator>Bartels, Stephen J</creator><creator>Zubritsky, Cynthia</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>200607</creationdate><title>PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral in Managing At-Risk Alcohol Use</title><author>Oslin, David W ; Grantham, Susan ; Coakley, Eugenie ; Maxwell, James ; Miles, Keith ; Ware, James ; Blow, Frederic C ; Krahn, Dean D ; Bartels, Stephen J ; Zubritsky, Cynthia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a3494-6005cddc68c4c0a6cac0995f01740fb2b88c763753e4032cd716a05a07374c273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Alcohol Drinking - prevention & control</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol use</topic><topic>Alcoholism - rehabilitation</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety Disorders - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Clinical trials</topic><topic>Comorbidity</topic><topic>Comparative analysis</topic><topic>Delivery of Health Care, Integrated</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder - rehabilitation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental health care</topic><topic>Miscellaneous</topic><topic>Models, Theoretical</topic><topic>Patient Care Team</topic><topic>Primary Health Care</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Referral and Consultation</topic><topic>Risk Factors</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Temperance - psychology</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oslin, David W</creatorcontrib><creatorcontrib>Grantham, Susan</creatorcontrib><creatorcontrib>Coakley, Eugenie</creatorcontrib><creatorcontrib>Maxwell, James</creatorcontrib><creatorcontrib>Miles, Keith</creatorcontrib><creatorcontrib>Ware, James</creatorcontrib><creatorcontrib>Blow, Frederic C</creatorcontrib><creatorcontrib>Krahn, Dean D</creatorcontrib><creatorcontrib>Bartels, Stephen J</creatorcontrib><creatorcontrib>Zubritsky, Cynthia</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oslin, David W</au><au>Grantham, Susan</au><au>Coakley, Eugenie</au><au>Maxwell, James</au><au>Miles, Keith</au><au>Ware, James</au><au>Blow, Frederic C</au><au>Krahn, Dean D</au><au>Bartels, Stephen J</au><au>Zubritsky, Cynthia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral in Managing At-Risk Alcohol Use</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2006-07</date><risdate>2006</risdate><volume>57</volume><issue>7</issue><spage>954</spage><epage>958</epage><pages>954-958</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>This study was part of the Primary Care Research in Substance Abuse and Mental Health for the Elderly study (PRISM-E) and determined the relative effectiveness of two different models of care for reducing at-risk alcohol use among primary care patients aged 65 and older.
This multisite study was a randomized clinical trial comparing integrated care with enhanced specialty referral for older primary care patients screened and identified to have at-risk drinking.
Before the study, the 560 participants consumed a mean of 17.9 drinks per week and had a mean of 21.1 binge episodes in the prior three months. At six months, both treatment groups reported lower levels of average weekly drinking (p<.001) and binge drinking (p<.001), despite low levels of treatment engagement. However, the declines did not differ significantly between treatment groups.
These results suggest that older persons with at-risk drinking can substantially modify their drinking over time. Although no evidence suggested that the model of care was important in achieving this result, the magnitude of reduction in alcohol use was comparable with other intervention studies.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Association</pub><pmid>16816279</pmid><doi>10.1176/ps.2006.57.7.954</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1075-2730 |
| ispartof | Psychiatric services (Washington, D.C.), 2006-07, Vol.57 (7), p.954-958 |
| issn | 1075-2730 1557-9700 |
| language | eng |
| recordid | cdi_proquest_journals_213071794 |
| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals; Psychiatry Legacy Collection Online Journals 1844-1996 |
| subjects | Aged Alcohol Drinking - prevention & control Alcohol Drinking - psychology Alcohol use Alcoholism - rehabilitation Alcoholism and acute alcohol poisoning Anxiety Disorders - diagnosis Anxiety Disorders - psychology Anxiety Disorders - rehabilitation Biological and medical sciences Clinical trials Comorbidity Comparative analysis Delivery of Health Care, Integrated Depressive Disorder - diagnosis Depressive Disorder - psychology Depressive Disorder - rehabilitation Female Follow-Up Studies Geriatric Assessment Geriatrics Humans Intervention Male Medical sciences Mental health care Miscellaneous Models, Theoretical Patient Care Team Primary Health Care Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Referral and Consultation Risk Factors Social psychiatry. Ethnopsychiatry Temperance - psychology Toxicology |
| title | PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral in Managing At-Risk Alcohol Use |
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