This Mid-Career Investigator Award in Patient-Oriented Research (K24) will allow the candidate to continue her career development by developing a new focus on older Latino drinking, enhancing her ability to mentor beginning clinician investigators, and furthering her research in understanding, identifying and intervening to reduce risks associated with alcohol use in older adults. Her research is focused on the idea that older adults are at increased risk for alcohol-related complications based upon their particular combination of alcohol use, medical and psychiatric conditions, symptoms and medication use (i.e., at-risk drinking). The goal of this research is to better understand the risks and benefits of alcohol use among older adults having differing comorbidites and to prevent adverse alcohol-related outcomes in this population. The research plan includes two ongoing trials to test the effectiveness of a screening and brief advice intervention to reduce at-risk drinking in older adults in primary care settings, the Healthy Living as You Age Study (HLAYA) and Project SHARE. It also includes two proposed pilot projects. The first is a study exploring the utility of the HLAYA screening and intervention method to reduce at-risk drinking in older Latinos in Los Angeles via cognitive and structured interviews. The second is a study in which pharmacy data will be coupled with mailed survey data to identify older adults who take medications that might be risky when consumed with sufficient amounts of alcohol, and then to randomly assign these risky drinkers to receive mailed personalized feedback on their risks to determine if such feedback reduces their risks. The candidate will learn about drinking and health concerns among older persons, including Latinos, by conducting the proposed and ongoing studies, completing coursework, and interacting with an advisory board of 3 experts in Latino health, and 1 expert in alcohol and aging and another expert on safe medication use in older adults. Plans for future research based on the planned research and training are also proposed. Because the candidate is a geriatrician alcohol researcher with a new interest in Latinos, her mentoring plan will focus on bringing a) aging researchers into alcohol;b) alcohol researchers into aging;and c) Latino researchers into both aging and alcohol. She will use a structured approach to mentoring trainees for specific projects, and provide career advice and technical and financial support for their research. Over the next five years, the candidate aims to maintain full effort in research, gain expertise in older Latino drinking and health and methods of identifying and reducing at-risk drinking, build upon her mentoring skills and experience, disseminate her research findings through presentations and publications, and help to train the next generation of patient-oriented investigators to advance research in alcohol use and its risks in older persons, including older Latinos.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AA015957-04
Application #
7883183
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Breslow, Rosalind
Project Start
2007-07-05
Project End
2012-06-30
Budget Start
2010-07-01
Budget End
2011-06-30
Support Year
4
Fiscal Year
2010
Total Cost
$178,866
Indirect Cost
Name
University of California Los Angeles
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Kim, Seungyoun; Spilman, Samantha L; Liao, Diana H et al. (2018) Social networks and alcohol use among older adults: a comparison with middle-aged adults. Aging Ment Health 22:550-557
Han, Benjamin H; Termine, Domenic J; Moore, Alison A et al. (2018) Medical multimorbidity and drug use among adults in the United States. Prev Med Rep 12:214-219
Han, Benjamin H; Moore, Alison A; Sherman, Scott E et al. (2018) Prevalence and correlates of binge drinking among older adults with multimorbidity. Drug Alcohol Depend 187:48-54
Han, Benjamin H; Masukawa, Kristin; Rosenbloom, David et al. (2018) Use of web-based screening and brief intervention for unhealthy alcohol use by older adults. J Subst Abuse Treat 86:70-77
Del Pino, Homero E; Harawa, Nina T; Liao, Diana et al. (2018) Age and Age Discordance Associations with Condomless Sex Among Men Who Have Sex with Men. AIDS Behav 22:649-657
Daniels, Joseph; Maleke, Kabelo; Lane, Tim et al. (2017) Learning to Live With HIV in the Rural Townships: A Photovoice Study of Men Who Have Sex With Men Living With HIV in Mpumalanga, South Africa. J Assoc Nurses AIDS Care 28:408-421
Nguyen, Annie L; Lake, Jordan E; Reid, M Carrington et al. (2017) Attitudes towards exercise among substance using older adults living with HIV and chronic pain. AIDS Care 29:1149-1152
Kuerbis, Alexis N; Hail, Lisa; Moore, Alison A et al. (2017) A pilot study of online feedback for adult drinkers 50 and older: Feasibility, efficacy, and preferences for intervention. J Subst Abuse Treat 77:126-132
Han, Benjamin H; Moore, Alison A; Sherman, Scott et al. (2017) Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005-2014. Drug Alcohol Depend 170:198-207
Del Pino, Homero E; Moore, Mignon R; Dacus, Jagadisa-Devasri et al. (2016) Stigma and Family Relationships of Middle-Aged Gay Men in Recovery. J Gay Lesbian Soc Serv 28:1-19

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