School of Nursing and Health Sciences, University of Sunderland, Sunderland, SR1 3SD, UK.
Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, NE7 7XA, UK.
BMC Public Health. 2018 Mar 1;18(1):302. doi: 10.1186/s12889-018-5199-x.
Older individuals are consuming alcohol more frequently yet there is limited evidence on the effectiveness of current interventions. This systematic review aims to investigate interventions that target alcohol use in individuals aged 55 + .
CINAHL, ERIC, MEDLINE, Science Direct, PsychInfo, SCOPUS, Web of Science and socINDEX were searched using terms devised from the PICO (Population, Intervention, Comparison and Outcome) tool. Studies using pharmaceutical interventions, or those that investigated comorbidities or the use of other substances were excluded. Peer reviewed empirical studies written in the English language that compared the outcomes of alcohol related interventions to standard care were included in this review. Studies were appraised and assessed for quality using the relevant Critical Appraisal Skills Programme checklist.
Seven papers were included in this review. Six were conducted in the United States of America and one in Denmark. The interventions were carried out in primary care centres and in community based groups. The studies included in this review showed varying levels of success. Participants showed improvements in at least one area of alcohol consumption or frequency of consumption however, these did not always reach significance.
Individuals in this age group appear to respond well to interventions aimed at reducing alcohol consumption. However, included studies had limitations, in particular many did not include a clear intervention description; leaving us unable to fully investigate the components required for success. Further research is needed on the effective components of alcohol interventions targeting older people.
老年人饮酒频率越来越高，但目前针对这一人群的干预措施的效果证据有限。本系统评价旨在调查针对 55 岁及以上人群饮酒问题的干预措施。
使用 PICO（人群、干预、比较和结局）工具拟定的术语，对 CINAHL、ERIC、MEDLINE、Science Direct、PsychInfo、SCOPUS、Web of Science 和 socINDEX 进行了检索。排除了使用药物干预或调查合并症或其他物质使用的研究。本综述纳入了同行评审的英文实证研究，这些研究比较了与标准护理相关的酒精干预措施的结果。使用相关的批判性评估技能计划检查表对研究进行评估和质量评估。
本综述共纳入 7 篇论文。其中 6 项研究在美国进行，1 项在丹麦进行。干预措施在初级保健中心和社区团体中进行。本综述纳入的研究显示出不同程度的成功。参与者在至少一个饮酒量或饮酒频率方面有所改善，但这些改善并不总是具有统计学意义。
这一年龄组的人似乎对旨在减少饮酒量的干预措施反应良好。然而，纳入的研究存在局限性，特别是许多研究没有明确的干预描述，使我们无法充分调查成功所需的组成部分。需要进一步研究针对老年人的有效酒精干预措施的组成部分。
