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首页> 外文期刊>The American journal of drug and alcohol abuse >Comparing behavioral health models for reducing risky drinking among older male veterans
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Comparing behavioral health models for reducing risky drinking among older male veterans

机译：比较较老男退伍军人风险饮酒的行为健康模式

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Background: Screening older veterans in Veterans Affairs Medical Center (VAMC) primary care clinics for risky drinking facilitates early identification and referral to treatment. Objective: This study compared two behavioral health models, integrated care (a standardized brief alcohol intervention co-located in primary care clinics) and enhanced referral care (referral to specialty mental health or substance abuse clinics), for reducing risky drinking among older male VAMC primary care patients. VAMC variation was also examined. Method: A secondary analysis of longitudinal data from the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study, a multisite randomized controlled trial, was conducted with a sample of older male veterans (n = 438) who screened positive for risky drinking and were randomly assigned to integrated or enhanced referral care at five VAMCs. Results: Generalized estimating equations revealed no differences in either behavioral health model for reducing risky drinking at a 6-month follow-up (AOR: 1.46; 95% CI: 0.42-5.07). Older veterans seen at a VAMC providing geriatric primary care and geriatric evaluation and management teams had lower odds of risky drinking (AOR: 0.24; 95% CI: 0.07-0.81) than those seen at a VAMC without geriatric primary care services. Conclusions: Both integrated and enhanced referral care reduced risky drinking among older male veterans. However, VAMCs providing integrated behavioral health and geriatric specialty care may be more effective in reducing risky drinking than those without these services. Integrating behavioral health into geriatric primary care may be an effective public health approach for reducing risky drinking among older veterans.
机译：背景：筛选老虎师在退伍军人事务的医疗中心（VAMC）风险饮酒的初级保健诊所有助于早期识别和转诊治疗。目的：这项研究比较了两种行为健康模式，综合护理（在初级保健诊所共同坐在初级保健诊所）和增强的转诊护理（转诊到特种心理健康或药物滥用诊所），以减少较老的男性VAMC的风险初级保健患者。还检查了VAMC变异。方法：对老年人（Prism-e）研究中的初级保健研究中的纵向数据的二次分析来自老年人（Prism-e）研究，是一种筛选的较大的男性退伍军人样本（n = 438）筛选风险饮酒正面，并随机分配到五个VAMC中综合或增强的转诊护理。结果：广义估计方程在6个月的随访中揭示了减少风险饮酒的行为健康模型的差异（AOR：1.46; 95％CI：0.42-5.07）。在VAMC提供老年初级保健和老年评估和管理团队的老人的风险饮酒可能性较低（AOR：0.24; 95％CI：0.07-0.81），而没有老年初级保健服务。结论：综合和增强的转诊护理降低了老年男性退伍军人的风险饮酒。然而，提供综合行为健康和老年特种护理的vamcs可能更有效地减少风险饮酒而不是那些没有这些服务的风险。将行为健康融入老年初级保健可能是减少老虎携州减少风险饮酒的有效公共卫生方法。

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