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对老年人酒精与药物相互作用态度的持续干预效果

Sustained Intervention Effects on Older Adults' Attitudes Towards Alcohol and Medication Interactions.

作者信息

Zanjani Faika, Allen Hannah, Schoenberg Nancy, Martin Catherine, Clayton Richard

机构信息

Virginia Commonwealth University School of Allied Health Professions,

University of Maryland School of Public Health,

出版信息

Am J Health Educ. 2018;49(2):66-73. doi: 10.1080/19325037.2017.1414641. Epub 2018 Feb 8.

Abstract

BACKGROUND

Older adults are at risk for experiencing alcohol and medication interactions (AMI) given concomitant alcohol and medication use. However, there have been limited efforts to develop and evaluate AMI prevention interventions.

PURPOSE

The current study examined sustained intervention effects on older adults' attitudes, awareness, and intentions regarding AMI.

METHODS

A sample of N = 134 older adults completed assessments before and after exposure to AMI risk educational materials (Times 1 and 2). N = 97 participants (72%) were reached for a three-month follow-up phone call (Time 3).

RESULTS

There was a positive linear trend over time in the number of identified AMI side effects. While knowledge of intervention messages remained high and stable over time, quadratic trends for perceived importance of AMI messages indicated positive short-term effects that did not sustain over time. Few differences by drinking status were found.

DISCUSSION

This intervention had positive short-term effects on AMI awareness, intentions, and perceived messaging importance, but these short-term effects were only maintained over time for awareness.

TRANSLATION TO HEALTH EDUCATION PRACTICE

This study provides Certified Health Education Specialists with a model for planning and evaluating a brief intervention to prevent AMI among older adults.

摘要

背景

鉴于老年人同时使用酒精和药物,他们面临酒精与药物相互作用(AMI)的风险。然而,在开发和评估预防AMI的干预措施方面所做的努力有限。

目的

本研究考察了持续干预对老年人关于AMI的态度、认知和意图的影响。

方法

134名老年人组成的样本在接触AMI风险教育材料之前和之后(第1次和第2次)完成了评估。97名参与者(72%)接到了为期三个月的随访电话(第3次)。

结果

已识别的AMI副作用数量随时间呈正线性趋势。虽然随着时间的推移,对干预信息的了解保持在较高且稳定的水平,但AMI信息的感知重要性的二次趋势表明短期效果良好,但未随时间持续。按饮酒状况几乎未发现差异。

讨论

该干预对AMI认知、意图和感知信息重要性有积极的短期影响,但这些短期影响仅在认知方面随时间得以维持。

对健康教育实践的意义

本研究为认证健康教育专家提供了一个规划和评估针对老年人预防AMI的简短干预措施的模型。

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