Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?

Alcohol screening and brief intervention for unhealthy alcohol use has not been consistently delivered in primary care as part of preventive healthcare. To explore whether telephone-based intervention delivered by a health educator is efficacious in reducing at-risk drinking among older adults in primary care settings. Secondary analyses of data from a randomized controlled trial. Subjects randomized to the intervention arm of the trial (n = 310). Personalized risk reports, advice from physicians, booklet about alcohol and aging, and up to three telephone calls from a health educator. All interventions were completed before the three-month follow-up. Risk outcomes (at-risk or not at-risk) at 3 and 12 months after enrollment. In univariate analyses, compared to those who remained at risk, those who achieved not at-risk outcome at 3 months were more likely to be women, Hispanic or non-white, have lower levels of education, consume less alcohol, drink less frequently, and have lower baseline number of risks. In mixed-effects logistic regression models, completing all three health educator calls increased the odds of achieving not at-risk outcome compared to not completing any calls at 3 months (OR 5.31; 95% CI 1.92–14.7; p = 0.001), but not at 12 months (OR 2.01; 95% CI 0.71–5.67; p = 0.18). Telephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months

The Simmental Breed: Population Structure and Generation Interval Trends

Pedigree data from the American Simmental Association from 1986-2008 were used to analyze the pedigree structure and changes in generation intervals over time within the Simmental breed. The number of breeders that accounted for 10% of sires of sires (SS), sires of dams (SD), dams of sires (DS), and dams of dams (DD) were 3, 5, 5, and 16, respectively. States with the greatest influenceon the four pathways of selection (SS, SD, DS, and DD) included Montana, South Dakota, Kansas, and Texas. In general, generation intervals for the four pathways decreased by year of birth over the time span of the data analyzed, albeit numerically slight. Averagegeneration intervals for sires and dams also decreased by year of birth, while animals increased slightly