At 12 months , the intervention was significantly associated with an increase in alcohol-related discussions with physicians ( 23 % vs. 13 % ; p .01 ) and reductions in at-risk drinking ( 56 % vs. 67 % ; p .01 ) , alcohol consumption ( -2.19 drinks per week ; p .01 ) , physician visits ( -1.14 visits ; p = .03 ) , emergency department visits ( 16 % vs. 25 % ; p .01 ) , and nonprofessional caregiving visits ( 12 % vs. 17 % ; p .01 ) .