Engaging in Community Dialogues on Low-Risk Alcohol Use Guidelines for Older Adults

Canham, Sarah L.; Humphries, Joe; Kupferschmidt, Anthony L.; Lonsdale, Emily

doi:10.1177/0733464819886449

Cited by 3 publications

(5 citation statements)

References 15 publications

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“…Indeed, for health promotion efforts and interventions to be effective in reducing older adults' alcohol-related harms, practitioners need to meet their patients and clients "where they are at" (O'Rourke, Ruiz, & Allen, 2015). Workshop dialogues offered a unique method for accessing this information in a comfortable and non-judgmental way (Canham, Humphries, Kupferschmidt, & Lonsdale, 2019).…”

Section: Discussionmentioning

confidence: 99%

Updated Understanding of the Experiences and Perceptions of Alcohol Use in Later Life

et al. 2020

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The purpose of this study was to update our understandings of older adults’ experiences and perceptions of alcohol use. Taking a community-based research approach, three Knowledge Café workshops hosted 66 older adults and service providers in Vancouver, BC. Thematic analysis identified three overarching categories: (a) reasons older adults use alcohol, including out of habit, social expectations, or to self-medicate; (b) personal experiences of alcohol use, including reduced consumption over time as a result of the cost of alcohol, the physical effects, and increased knowledge about the effects of alcohol; and (c) older adults’ perceptions of alcohol use outcomes, including positive outcomes from drinking in moderation and negative outcomes that can worsen one’s health, lead to tolerance, and harm others. Developing and promoting healthy drinking behaviours in later life is needed as the general population continues to age.

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Section: Discussionmentioning

confidence: 99%

Updated Understanding of the Experiences and Perceptions of Alcohol Use in Later Life

et al. 2020

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“…49 Resultant disregard for alcohol-related risk messages is well evidenced in older populations. 9 , 24 , 50 Increasing media coverage highlighting harms faced by older populations from alcohol may lead to recognition that risks may be associated with their drinking.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Primary care practitioners' advice is important to inform older people's decisions about drinking, raising awareness of potential effects on health. [9][10][11][12][13][14] Promoting healthier lifestyles and preventing disease are key activities in primary care. 15 Screening and brief intervention to address hazardous alcohol use are integrated within primary care services, 14,16 using specific screening tools to identify risks associated with patients' drinking.…”

Section: Introductionmentioning

confidence: 99%

Managing older people’s perceptions of alcohol-related risk: a qualitative exploration in Northern English primary care

2020

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BackgroundRisk of harm from drinking increases with age as alcohol affects health conditions and medications that are common in later life. Different types of information and experiences affect older people’s perceptions of alcohol’s effects, which must be navigated when supporting healthier decisions on alcohol consumption.AimTo explore how older people understand the effects of alcohol on their health; and how these perspectives are navigated in supportive discussions in primary care to promote healthier alcohol use.Design and settingA qualitative study consisting of semi-structured interviews and focus groups with older, non-dependent drinkers and primary care practitioners in Northern England.MethodA total of 24 older adults aged ≥65 years and 35 primary care practitioners participated in interviews and focus groups. Data were analysed thematically, applying principles of constant comparison.ResultsOlder adults were motivated to make changes to their alcohol use when they experienced symptoms, and if they felt that limiting consumption would enable them to maintain their quality of life. The results of alcohol-related screening were useful in providing insights into potential effects for individuals. Primary care practitioners motivated older people to make healthier decisions by highlighting individual risks of drinking, and potential gains of limiting intake.ConclusionLater life is a time when older people may be open to making changes to their alcohol use, particularly when suggested by practitioners. Older people can struggle to recognise potential risks or perceive little gain in acting on perceived risks. Such perceptions may be challenging to navigate in supportive discussions.

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“…Primary care services have a key role in supporting older people's decisions about alcohol; raising awareness of the potential impact on their health (9)(10)(11)(12)(13)(14)(15)(16). Promoting healthier lifestyles and preventing disease are encompassed in primary care (17).…”

Section: Main Text Introductionmentioning

confidence: 99%

“…Primary care services have a key role in supporting older people’s decisions about alcohol use, raising awareness of the potential impact on their health. 9 – 16 Promoting healthier lifestyles and preventing disease are encompassed in primary care. 17 Screening and brief intervention to address hazardous alcohol use are incorporated in many primary care services.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting primary care practitioners’ alcohol-related discussions with older adults: a qualitative study

et al. 2021

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Background: Risk of harm from drinking is heightened in later life, due to age-related sensitivities to alcohol. Primary care services have a key role in supporting older people to make healthier decisions about alcohol. Aim: To examine primary care practitioners’ perceptions of factors that promote and challenge their work to support older people in alcohol risk-reduction. Design and Setting: Qualitative study consisting of semi-structured interviews and focus groups with primary care practitioners in Northern England. Method: Thirty-five practitioners (general practitioners, practice/district nurses, pharmacists, dentists, social care practitioners, domiciliary carers) participated in eight interviews and five focus groups. Data were analysed thematically, applying principles of constant comparison. Results: Practitioners highlighted particular sensitivities amongst older people to discussing alcohol, and reservations about older people’s resistance to making changes in old age; given drinking practices could be established, and promote socialisation and emotional wellbeing in later life. Age-related health issues increased older people’s contact with practitioners; but management of older people’s long-term conditions was prioritised over discussion of alcohol. Dedicated time to address alcohol in routine consultations with older people, and training in alcohol intervention facilitated practitioners; particularly pharmacists and practice nurses. Conclusion: There are clear opportunities to support older people in primary care to make healthier decisions about alcohol. Dedicated time to address alcohol, training in identification of alcohol-related risks, particularly those associated with old age; and tailored interventions for older people, feasible to implement in practice settings, would support primary care practitioners to address older people’s alcohol use.

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Engaging in Community Dialogues on Low-Risk Alcohol Use Guidelines for Older Adults

Cited by 3 publications

References 15 publications

Updated Understanding of the Experiences and Perceptions of Alcohol Use in Later Life

Updated Understanding of the Experiences and Perceptions of Alcohol Use in Later Life

Managing older people’s perceptions of alcohol-related risk: a qualitative exploration in Northern English primary care

Factors affecting primary care practitioners’ alcohol-related discussions with older adults: a qualitative study

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