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Relatives' Perspectives on What Works to Reduce Problematic Alcohol Use in Older Adults: A Realist Evaluation
Fieke A E van den Bulck1, Andrea D Rozema1, Rob H L M Bovens1,2
1Tranzo Scientific Center for Care and Wellbeing, School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
International Journal of Mental Health and Addiction
|June 11, 2026
Summary
Relatives
Area of Science:
- Gerontology
- Public Health
- Psychology
Background:
- Problematic alcohol use is increasing in older adults.
- This trend significantly impacts the health of older adults and their relatives.
- Relatives play a crucial role in addressing this issue.
Purpose of the Study:
- To explore relatives' perspectives on effective strategies for reducing problematic alcohol use in older adults.
- To identify key elements, mechanisms, and contexts that influence intervention outcomes.
- To refine existing program theories based on family member insights.
Main Methods:
- A realist evaluation approach was employed.
- An initial program theory was tested using interviews with 14 partners and family members of older adults.
- Data analysis focused on identifying Context-Element-Mechanism-Outcome (C-E-M-O) configurations.
Main Results:
- Key elements identified include addressing causes of use, personalized approaches, feedback, structured programs, frequent contact, understanding impact on relatives, and relative involvement.
- Mechanisms such as a sense of control and a deterrent to drink were highlighted.
- Relatives emphasized the need for confrontation, structured support, and involvement in interventions and abstinence.
Conclusions:
- Relatives' insights offer valuable additions to existing intervention theories for older adults' problematic alcohol use.
- Focusing on specific elements and mechanisms, particularly those involving relatives, is crucial for effective outcomes.
- Tailored interventions incorporating family perspectives can improve treatment success.
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