Low levels of alcohol may be hazardous in the elderly, but available educat
ion focuses on younger, abusive, and dependent drinkers. A total of 209 old
er persons participated in various components of the development and evalua
tion of 'A Toast To Health In Later Life!' health promotion materials for t
he elderly. Patient focus groups, physicians, educators, and alcohol-use re
searchers contributed to all materials and measures. An education model for
older adults guided the instructional format. Knowledge and self-efficacy
scores increased significantly from pre- to post-test. Over 45% of persons
in selected senior centers reviewed the materials without prompting by the
study team. Older adults are willing to read extensively about the relation
ships among drinking, health, and medication use. Patient educators should
include consumers in the design of health promotion materials and measures.
Practitioners who rely on written educational materials for patient educat
ion and counseling should be provided with evidence of appropriateness, eff
ectiveness, and feasibility. (C) 2001 Elsevier Science Ireland Ltd. All rig
hts reserved.