Workplace alcohol harm reduction intervention in Australia: Cluster non‐randomised controlled trial

Pidd, Ken; Roche, Ann; Cameron, Jacqui; Lee, Nicole; Jenner, Linda; Duraisingam, Vinita

doi:10.1111/dar.12660

Cited by 29 publications

(59 citation statements)

References 43 publications

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“…Such screening and feedback enables employees who are not dependent on alcohol to stop or reduce their alcohol consumption [ 37 ]. The study contributes to the evidence on effectiveness of AUDIT as part of interventions to reduce harmful alcohol use [ 38 ]. Brief behaviour change interventions are also effective [ 39 ] and it is likely that this counselling was the component most responsible for the reduction in harmful alcohol use.…”

Section: Discussionmentioning

confidence: 99%

Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

Schouw

Mash

Kolbe-Alexander

2020

Global Health Action

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Background Globally 71% of deaths are attributed to non-communicable diseases (NCD). The workplace is an opportune setting for health promotion programs and interventions that aim to prevent NCDs. However, much of the current evidence is from high-income countries. Objective The aim of this study was to evaluate changes in NCD risk factors, associated with the Healthy Choices at Work programme (HCWP), at a commercial power plant in South Africa. Methods This was a before-and-after study in a randomly selected sample of 156 employees at baseline and 137 employees at 2-years. The HCWP focused on food services, physical activity, health and wellness services and managerial support. Participants completed questionnaires on tobacco smoking, harmful alcohol use, fruit and vegetable intake, physical activity, psychosocial stress and history of NCDs. Clinical measures included blood pressure, total cholesterol, random blood glucose, body mass index, waist circumference and waist-to-hip ratio. The 10-year cardiovascular risk was calculated using a validated algorithm. Sample size calculations evaluated the power of the sample to detect meaningful changes in risk factors Results Paired data was obtained for 137 employees, the mean age was 42.7 years (SD 9.7) and 64% were male. The prevalence of sufficient fruit and vegetable intake increased from 27% to 64% (p < 0.001), those meeting physical activity guidelines increased from 44% to 65% (p < 0.001). Harmful alcohol use decreased from 21% to 5% (p = 0.001). There were clinical and statistically significant improvements in systolic and diastolic blood pressure (mean difference −10.2 mmHg (95%CI: −7.3 to −13.2); and −3.9 mmHg (95%CI: −1.8 to −5.8); p < 0.001) and total cholesterol (mean difference −0.45 mmol/l (−0.3 to −0.6)). There were no significant improvements in BMI. Psychosocial stress from relationships with colleagues, personal finances, and personal health improved significantly. The cardiovascular risk score decreased by 4.5% (> 0.05). Conclusion The HCWP was associated with clinically significant reductions in behavioural, metabolic and psychosocial risk factors for NCDs.

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Section: Discussionmentioning

confidence: 99%

Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

Schouw

Mash

Kolbe-Alexander

2020

Global Health Action

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“…Given the costs stemming from high alcohol consumption, the workplace may be an appropriate setting for preventive strategies. However, previous studies often focused on young adults in school-based settings [ 13 , 14 ], and workplace-based prevention programs have solely been conducted outside of Sweden [ 5 , 15 - 17 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Combining Organizational Alcohol Policy and Skills Training for Managers to Reduce Hazardous Alcohol Consumption in Swedish Workplaces: Study Protocol for a Cluster Randomized Study

Elling¹,

Wilson²,

Carlbring³

et al. 2020

JMIR Res Protoc

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Background High alcohol consumption poses risks to individual health and society. Previous alcohol interventions have mainly focused on high-risk consumers or young adults in school-based settings. Since the majority of the adult population is in the workforce, the workplace can be considered a favorable arena for implementing interventions. Objective This protocol describes a project aimed at increasing knowledge of the effectiveness of combining the implementation of an organizational alcohol policy with skills training for managers as a workplace alcohol prevention program, by evaluating the intervention and exploring managers’ perceptions of the intervention. Methods Organizations with at least 100 employees were invited to take part in the project. A total of 11 organizations (744 managers and 11,761 employees) were included in the project. Data are collected through self-administered online surveys at baseline, 12 months, and 24 months. The primary outcome is managers’ inclination to initiate an early alcohol intervention (eg, by initiating a dialogue) when concern regarding employees’ hazardous alcohol consumption arises. The secondary outcomes of interest are managers’ and employees’ organizational alcohol policy knowledge and changes in alcohol consumption, as measured using the Alcohol Use Disorder Identification Test (AUDIT) score. A linear mixed-model framework will be used to model variability on different levels. Primary analysis will follow an intention-to-treat approach. Additionally, managers’ responses from semistructured interviews will be analyzed using thematic analysis to explore managers’ experiences regarding the prevention program. Results This study is ongoing. The overall study start was on January 2018, and the study is planned to end in December 2020. Baseline and 12-month follow-up measurements have been collected. Conclusions This project is designed to evaluate the effectiveness of an alcohol prevention program regarding higher inclination to initiate early alcohol interventions after policy implementation and skills training among managers, compared to the usual practices in the workplace. The results from this study can contribute to increased knowledge about alcohol interventions and future prevention programs in the workplace. Trial Registration ISRCTN17250048; http://www.isrctn.com/ISRCTN17250048 International Registered Report Identifier (IRRID) DERR1-10.2196/17145

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“…This lack of concordance therefore underscores the limitations of education approaches in isolation and, again, highlights the need for interventions that address the wider workplace, alcohol‐related safety risks and cultural norms concerning alcohol [32]. Encouragingly, there are growing examples of effective interventions that can be feasibly executed in blue collar workplaces that have been demonstrated to achieve positive results in terms of reducing risky alcohol consumption and associated reinforcers [10,51–52]. Further in‐depth research is required that examines the key drivers of industry and organisational culture in relation to risky alcohol use to inform effective intervention strategies, programs and policies in this high‐risk industry.…”

Section: Discussionmentioning

confidence: 99%

“…As a depressant, alcohol slows the body's motor and sensory systems and impairs balance, co‐ordination, perception and decision‐making, and can contribute to decrements in human performance with negative implications for workplace safety. Problematic alcohol use by workers can impair productivity [6–7], and increase absenteeism and associated costs [8–11].…”

Section: Introductionmentioning

confidence: 99%

Construction workers' alcohol use, knowledge, perceptions of risk and workplace norms

Roche

Chapman

Duraisingam

et al. 2020

Drug and Alcohol Review

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Introduction and Aims. Globally, there is growing concern regarding workers' alcohol use and its implications for health, wellbeing and workplace safety. Male-dominated industries are more susceptible to risky alcohol consumption and its associated harms. This paper investigated the patterns, prevalence and predictors of risky drinking among construction workers. Design and Methods. Male construction workers (n = 511) completed a survey measuring alcohol-related measures including Alcohol Use Disorders Identification Test-Concise (AUDIT-C), which was compared with population data. Hierarchical multiple regression examined alcohol-related knowledge, perception of risk to workplace safety, psychological distress, job stress, general health, quality of life and workplace alcohol culture variables as predictors of risky drinking. Results. Prevalence of risky drinking was higher than the national average, particularly for younger (<25 years) and mid-aged (45-54 years) workers. One in six construction workers reported workmates being visibly affected by alcohol in the workplace. Key predictors of risky drinking were perception of alcohol-related risks to workplace safety, general health, alcohol knowledge and descriptive norms regarding workmates' alcohol use. Discussion and Conclusions. These findings provide useful insights into the patterns and predictors of risky drinking in construction and can inform future preventive programs and interventions in high-risk workplaces. In addition to tailoring programs to both young and mid-aged workers, this work highlights the importance of implementing strategies to increase awareness of risks to workplace safety; and the adoption of norms that inhibit the social acceptability of risky drinking behaviour in the wider workplace.

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Workplace alcohol harm reduction intervention in Australia: Cluster non‐randomised controlled trial

Cited by 29 publications

References 43 publications

Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

Effectiveness of Combining Organizational Alcohol Policy and Skills Training for Managers to Reduce Hazardous Alcohol Consumption in Swedish Workplaces: Study Protocol for a Cluster Randomized Study

Construction workers' alcohol use, knowledge, perceptions of risk and workplace norms

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