Community based interventions for problematic substance use in later life: a systematic review of evaluated studies and their outcomes
| Autor: | Trish Hafford-Letchfield, Betsy Thom, Briony Jain, Carmel Clancy, Tricia McQuarrie |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Aging Health Toxicology and Mutagenesis Psychological intervention lcsh:Medicine Poison control Review Suicide prevention older people 03 medical and health sciences Underserved Population 0302 clinical medicine Intervention (counseling) Humans 030212 general & internal medicine interventions Aged Aged 80 and over evaluation 030503 health policy & services lcsh:R Public Health Environmental and Occupational Health Human factors and ergonomics care services Middle Aged ageing Evaluation Studies as Topic Economic evaluation Chronic Disease Quality of Life problematic substance use Female Brief intervention 0305 other medical science Psychology Alcoholic Intoxication |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 17, Iss 7994, p 7994 (2020) |
| ISSN: | 1660-4601 |
| Popis: | Problematic substance use (PSU) in later life is a growing global problem of significant concern in tandem with a rapidly ageing global population. Prevention and interventions specifically designed for older people are not common, and those designed for mixed-age groups may fail to address the unique and sometimes complex needs of ageing communities. We report findings from a systematic review of the empirical evidence from studies which formally evaluated interventions used with older people and reported their outcomes. Nineteen studies were included, of which thirteen focused solely on alcohol-related problems. Eight interventions utilised different types of screening, brief advice and education. The remaining drew on behavioural, narrative and integrated or multi-disciplinary approaches, which aimed to meet older people’s needs holistically. Quality assessment of study design helped to review evaluation practice. Findings point to recommendations for sustainable and well-designed intervention strategies for PSU in later life, which purposefully align with other areas of health and well-being and are delivered in locations where older people normally seek, or receive, help. There is further scope for engagement with older people’s own perspectives on their needs and help-seeking behaviours. Economic evaluation of the outcome of interventions would also be useful to establish the value of investing in targeted services to this underserved population. |
| Databáze: | OpenAIRE |
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