Detecting alcohol problems in older adults: can we do better?

Taylor, Christine; Jones, Katy A.; Dening, Tom

doi:10.1017/s1041610214001641

Cited by 10 publications

(9 citation statements)

References 53 publications

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“…This finding corroborates the conclusion of Taylor et al (2014) that standardized instruments have problems in identifying people with alcohol use disorders in older adults. In addition to some diagnostic criteria not being applicable to older adults, older adults may no longer recognize or remember their own adaptation processes leading to tolerance – a core diagnostic criterion of alcohol dependence.…”

supporting

confidence: 92%

“…The role of standardized instruments in identifying older adults with alcohol problems Taylor et al (2014) raise an important issue concerning the detection of alcohol problems in older adults. The authors identify a number of age-related factors playing a role in the detection of alcohol problems, such as stigma, the concept of alcohol use disorder diagnoses and their standardized assessment, and drinking levels.…”

Section: E T T E R Doi:101017/s1041610216001587mentioning

confidence: 99%

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The role of standardized instruments in identifying older adults with alcohol problems

Rehm

Manthey

2016

Int. Psychogeriatr.

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Taylor et al. (2014) raise an important issue concerning the detection of alcohol problems in older adults. The authors identify a number of age-related factors playing a role in the detection of alcohol problems, such as stigma, the concept of alcohol use disorder diagnoses and their standardized assessment, and drinking levels. They list a comprehensive review of tools for assessing alcohol problems among older adults, including laboratory tests, questionnaires, and interviews.

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supporting

confidence: 92%

Section: E T T E R Doi:101017/s1041610216001587mentioning

confidence: 99%

The role of standardized instruments in identifying older adults with alcohol problems

Rehm

Manthey

2016

Int. Psychogeriatr.

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“…We found that the proportion of respondents with alcohol conversations decreased with age. In contrast, previous research and national data indicates that older adults are more susceptible to negative health consequences of alcohol, and see their primary care physician more frequently than younger adults, thus creating more reasons and more opportunities for addressing alcohol [ 30 , 31 ]. This is in line with evidence indicating a higher threshold for initiating alcohol conversations with older adults [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Addressing Patients’ Alcohol Consumption–A Population-Based Survey of Patient Experiences

Lid

Karlsson

Thomas

et al. 2021

Int J Public Health

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Objectives: To identify the proportion of the population that had experienced that alcohol was addressed in health care the previous year, to explore experiences and perceived effects of addressing alcohol, and to investigate the proportion of risky drinkers in the population.Methods: Cross-sectional national web-based survey with 1,208 participants. Socio-demographic data, alcohol consumption (AUDIT-C), and experiences with alcohol conversations were investigated.Results: Approximately four in five respondents had visited health care the past 12 months, and one in six reported having experienced addressing alcohol. Women and older respondents were less likely to report having experienced alcohol conversations compared to other groups. Risky drinkers were not more likely to have experienced an alcohol conversation, but reported longer duration of alcohol conversations and more frequently perceived addressing alcohol as awkward or judgmental. Almost a third of respondents were classified as risky drinkers.Conclusion: The proportion experiencing addressing alcohol in routine health care is low, also among risky drinkers, and risky drinkers more frequently experienced the conversations as judgmental. More sensitive and relevant ways of addressing alcohol in health care is needed.

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“…Patients over 60 years of age are more vulnerable to alcohol and are therefore at greater risk of harming their health by using alcohol, for reasons of physiological age changes, other medical conditions and use of medication (26).…”

Section: The Strengths and Weaknesses Of The Studymentioning

confidence: 99%

“…It is therefore a strength of the study that as many as 45 per cent of participants were recruited from other wards than the Emergency Department's observation and treatment ward. Interventions based on the relevance of alcohol to the patient's health problem appear to be particularly useful to the elderly, due to their reduced tolerance to alcohol, a greater number of relevant clinical issues and more frequent contact with the health service (26,29).…”

Section: The Strengths and Weaknesses Of The Studymentioning

confidence: 99%

Is it acceptable to be asked about alcohol habits when admitted to a somatic hospital ward?

Lid¹,

Tvedt²,

Idsøe³

et al. 2020

Sykepleien

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Background: Excessive consumption of alcohol is an important cause of increased morbidity and mortality. When a patient's alcohol consumption is a potential contributory factor to poor health, Norwegian hospitals have a duty to identify this and take the necessary steps. Understanding the patients' values, preferences and experiences is key to evidence-based practice, combined with knowledge about the e ects of treatment and the clinicians' experiential knowledge. Objective:To explore what patients with no known history of substance use problems felt about being referred to and having a conversation with an alcohol and drug counsellor.Method: Since 2008, Stavanger University Hospital (SUH) has o ered the services of a drug and alcohol liaison team, currently consisting of a registered nurse and a social worker. The team's objective is to improve the quality of treatment on somatic wards by identifying underlying substance use problems and o ering appropriate help. Patients who had talked to an alcohol and drug counsellor at SUH and who had no previous history of substance use problems were invited to take part in a telephone interview one week after they were admitted to hospital. Results:The majority of the study participants took a positive view on having their alcohol habits addressed. Patients under 60 years of age were generally more positive, and they saw a clearer connection between their alcohol habits and their own health than patients who were 60 years of age or older. Ninetythree per cent of the participants felt that their conversation with the alcohol and drug counsellor had focused on their own health and life situation to some extent or to a great extent, while 54 per cent believed that alcohol habits would be addressed during later consultations with their general practitioner. Conclusion:The study shows that patients with no previous history of substance use problems generally accepted that their alcohol habits were addressed and that they were g referred to an alcohol and drug counsellor. We need more knowledge about how the subject of alcohol can be raised in ways that are meaningful to the individual patient, and about the patients' perspective on interaction between general practitioners and the specialist health service. Procedures for identifying substance abuse have been establishedWhat do patients think about having their substance use addressed?Many would have gone below the radar Many believed that their alcohol habits would be raised in consultations with their general practitioner

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Detecting alcohol problems in older adults: can we do better?

Cited by 10 publications

References 53 publications

The role of standardized instruments in identifying older adults with alcohol problems

The role of standardized instruments in identifying older adults with alcohol problems

Addressing Patients’ Alcohol Consumption–A Population-Based Survey of Patient Experiences

Is it acceptable to be asked about alcohol habits when admitted to a somatic hospital ward?

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