Intervenciones educativas o combinadas para adultos mayores adictos al alcohol: revisión integradora de la literatura

Autores/as

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2026.237505

Palabras clave:

Anciano, Alcoholismo, Consumo Excessivo de Bebidas Alcoholicas, Autocuidado, Automanejo, Educación en Salud

Resumen

Objetivo: identificar los efectos de intervenciones educativas o combinadas sobre la capacidad funcional y la adicción al alcohol en adultos mayores mediante una revisión integradora de la literatura. Metodología: revisión integradora de la literatura, realizada en las siguientes bases de datos: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Medline - US National Library of Medicine (PubMed), Web of Science (WoS), Scopus (Elsevier) y SciELO. El levantamiento bibliográfico se realizó en abril de 2025 y arrojó 2194 publicaciones, de las cuales se seleccionaron 8 artículos para su análisis con el apoyo del programa de software Rayyan. Resultados: los estudios incluidos presentaron diversidad metodológica (ensayos clínicos aleatorizados, y estudios cualitativos, observacionales, experimentales y de cohorte). Las intervenciones analizadas variaron entre estrategias educativas, de autocuidado, psicosociales, tecnológicas y combinadas. Los principales efectos observados fueron los siguientes: reducción del consumo de alcohol, mejoría en la capacidad funcional, mantenimiento de la abstinencia, bienestar emocional, apoyo social y aumento en la adhesión al tratamiento. Factores como nivel de estudios, percepción del riesgo y contexto social influyeron en estos resultados. Además, en estos estudios
se destacan los desafíos estructurales en el acceso a la atención, especialmente en poblaciones vulnerables. Conclusión: las intervenciones educativas o combinadas han demostrado ser eficaces para reducir el consumo de alcohol y mejorar el estado funcional de los adultos mayores, y deben adaptarse a las características individuales y contextuales de la población.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

1. Veerbeek MA, ten Have M, van Dorsselaer S, Voshaar RCO, Rhebergen D, Willemse BM. Differences in alcohol use between younger and older people: results from a general population study. Drug Alcohol Depend. 2019;202:18–23. https://doi.org/10.1016/j.drugalcdep.2019.04.023

2. Vals K, Kiivet RA, Leinsalu M. Alcohol consumption, smoking and overweight as a burden for health care services utilization: a cross-sectional study in Estonia. BMC Public Health. 2013;13:772. https://doi.org/10.1186/1471-2458-13-772

3. Hogenkamp PS, Benedict C, Sjögren P, Kilander L, Lind L, Schiöth HB. Late-life alcohol consumption and cognitive function in elderly men. Age (Dordr). 2014;36(1):243–9. https://doi.org/10.1007/s11357-013-9538-7

4. Kim JW, Lee DY, Lee BC, Jung MH, Kim H, Choi YS, et al. Alcohol and cognition in the elderly: a review. Psychiatry Investig. 2012;9(1):8–16. https://doi.org/10.4306/pi.2012.9.1.8

5. Oliveira REM, Consoli LMFV, Godoy ARA, Franco LJ. Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study. Cien Saude Colet. 2023;28(8):2355–62. https://doi.org/10.1590/1413-81232023288.06492023en

6. Tabernero C, Luque B, Cuadrado E. A multilevel study of alcohol consumption in young adults: self-efficacy, peers' motivations and protective strategies. Int J Environ Res Public Health. 2019;16(16):2827. https://doi.org/10.3390/ijerph16162827

7. Barbosa MMS, Pereira C, Cruz DT, Leite ICG. Prevalence and factors associated with alcohol and tobacco use among non-institutionalized elderly persons. Rev Bras Geriatr Gerontol. 2018;21(2):123–33. https://doi.org/10.1590/1981-22562018021.170185

8. Najafi M, Gholipour K, Amerzadeh M, Kiaei MZ, Kalhor R. A framework for elderly participation in primary health care in Tabriz health complexes. BMC Geriatr. 2023;23:499. https://doi.org/10.1186/s12877-023-04217-1

9. Destro JR, Marín MJ, Otani MAP, Selleti JDN, Higa EFR. Experiences of alcohol-dependent elderly: grounded theory. Rev Esc Enferm USP. 2022;56:e20220064. https://doi.org/10.1590/1980-220x-reeusp-2022-0064en

10. Račić M, Joksimović V, Joksimović B, Kusmuk S, Kozomara L. Alcohol consumption among elderly primary health care patients: the impact of alcohol on overall health. Opsta Med. 2014;20(1-2):9–17. https://doi.org/10.5937/opmed1402009r

11. Costa e Silva PV, Santos MBF, Marchini L. Alcohol and medication use among elderly community-dwelling Brazilians. Int J Gerontol. 2014;8(3):133–6. https://doi.org/10.1016/j.ijge.2013.08.009

12. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546–53. https://doi.org/10.1111/j.1365-2648.2005.03621.x

13. Athamneh LN, Brown J, Stein JS, Gatchalian KM, LaConte SM, Bickel WK. Expanding temporal windows reduces alcohol use. Psychol Addict Behav. 2021;35(6):721–9. https://doi.org/10.1037/pha0000460

14. Campbell A, Millen S, Jordan U, Watson D, Watson J, McCorry R. Exploring the experiences of residents and their families in an alcohol-related brain injury residential rehabilitation unit in Northern Ireland: a qualitative study. Front Public Health. 2024;12:1397428. https://doi.org/10.3389/fpubh.2024.1397428

15. Cook WK, Ye Y, Zhu Y, Karriker-Jaffe KJ, Mulia N. Trends and disparities in alcohol screening and brief counseling following the U.S. Affordable Care Act. Drug Alcohol Depend. 2025;268:112558. https://doi.org/10.1016/j.drugalcdep.2025.112558

16. Cucciare MA, Benton C, Hildebrand D, Marchant K, Ghaus S, Han X, et al. Adapting an alcohol care linkage intervention to US military veterans presenting to primary care with hazardous drinking and PTSD and/or depression symptoms: a qualitative study. J Clin Psychol Med Settings. 2024;31(2):417–31. https://doi.org/10.1007/s10880-023-09986-w

17. Curylo M, Rynkiewicz-Andryśkiewicz M, Andryśkiewicz P, Mikos M, Lusina D, Raczkowski JW, et al. Sense of coherence and health behavior of men with alcohol addiction. Int J Environ Res Public Health. 2022;19(14):8650. https://doi.org/10.3390/ijerph19148650

18. Didier N, Cao D, King AC. The eyes have it: alcohol-induced eye movement impairment and perceived impairment in older adults with and without alcohol use disorder. Alcohol Clin Exp Res. 2025;49(2):437–47. https://doi.org/10.1111/acer.15509

19. Laari S, Kauranen T, Turunen K, Mustanoja S, Tatlisumak T, Poutiainen E. Executive and memory dysfunction related to binge drinking in stroke survivors during a 9-year follow-up. Front Aging Neurosci. 2024;16:1360236. https://doi.org/10.3389/fnagi.2024.1360236

20. Staudt A, Freyer-Adam J, Meyer C, Bischof G, John U, Baumann S. Moderating effect of educational background on efficacy of a computer-based brief intervention addressing alcohol use: randomized controlled trial. JMIR Public Health Surveill. 2022;8(6):e33345. https://doi.org/10.2196/33345

21. Machado VC, Santos MA. Family support from the perspective of patients in psychiatric rehospitalization: a qualitative study. Interface (Botucatu). 2012;16(42):945–56. https://doi.org/10.1590/S1414-32832012005000036

22. Pereira CA, Gomes L, Rezende EF, Chariglione IPFS, Moraes CF, Alves VP, et al. Factors associated with above-average cognitive performance in long-lived older adults. Estud Psicol (Campinas). 2024;41:e210207. https://doi.org/10.1590/1982-0275202441e210207en

23. Aita AA, Satler C, Silva HS, Chariglione IPFS. Neuropsychological and physical trajectories in neurotypical and high-cognitive performing older adults. J Geriatr Med. 2021;3(2):4–14. https://doi.org/10.30564/jgm.v3i2.3602

24. Kawas CH, Legdeur N, Corrada MM. What have we learned from cognition in the oldest-old. Curr Opin Neurol. 2021;34(2):258–65. https://doi.org/10.1097/wco.0000000000000910

25. Eriksson M, Lindström B. Antonovsky's sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health. 2006;60(5):376–81. https://doi.org/10.1136/jech.2005.041616

26. Volkow ND, Koob GF, McLellan AT. Neurobiologic advances from the brain disease model of addiction. N Engl J Med. 2016;374(4):363–71. https://doi.org/10.1056/NEJMra1511480

Publicado

2026-11-06

Cómo citar

Silva da Cruz Simião, C., Federighi Baisi Chagas, E., & Sales Rodrigues, P. (2026). Intervenciones educativas o combinadas para adultos mayores adictos al alcohol: revisión integradora de la literatura. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 22, e-237505. https://doi.org/10.11606/issn.1806-6976.smad.2026.237505