Workplace interventions for preventing job loss and other work related outcomes in workers with alcohol misuse

Liira, Helena; Knight, Andrew P.; Sim, Moira; Wilcox, Helen; Cheetham, Shelley; Aalto, Mauri T.

doi:10.1002/14651858.cd012344

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Employees who received the brief intervention as an adjunct to the SSB sales ban reported the largest decreases in SSB intake and experienced the greatest benefits for cardiometabolic health risk. Employers have efficiently and effectively implemented brief interventions to address employee alcohol intake for many years, 25 and similar approaches could be used to target SSBs. This study suggests that combining changes in the food environment with a targeted intervention can bolster health benefits beyond those achieved by a workplace sales ban alone.…”

Section: Discussionmentioning

confidence: 99%

Association of a Workplace Sales Ban on Sugar-Sweetened Beverages With Employee Consumption of Sugar-Sweetened Beverages and Health

Epel

Hartman

Jacobs³

et al. 2020

JAMA Intern Med

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IMPORTANCE Reductions in sugar-sweetened beverage (SSB) intake can improve health, but are difficult for individuals to achieve on their own. OBJECTIVES To evaluate whether a workplace SSB sales ban was associated with SSB intake and cardiometabolic health among employees and whether a brief motivational intervention provides added benefits to the sales ban. DESIGN, SETTING, AND PARTICIPANTS This before-after study and additional randomized trial conducted from July 28, 2015, to October 16, 2016, at a Northern California university and hospital assessed SSB intake, anthropometrics, and cardiometabolic biomarkers among 214 full-time English-speaking employees who were frequent SSB consumers (Ն360 mL [Ն12 fl oz] per day) before and 10 months after implementation of an SSB sales ban in a large workplace, with half the employees randomized to receive a brief motivational intervention targeting SSB reduction. INTERVENTIONS The employer stopped selling SSBs in all workplace venues, and half the sample was randomized to receive a brief motivational intervention and the other half was a control group that did not receive the intervention. This intervention was modeled on standard brief motivational interventions for alcohol used in the workplace that promote health knowledge and goal setting. MAIN OUTCOMES AND MEASURES Outcomes included changes in SSB intake, Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), and measures of abdominal adiposity. The primary associations tested were the correlation between changes in SSB intake and changes in HOMA-IR. RESULTS Among the 214 study participants, 124 (57.9%) were women, with a mean (SD) age of 41.2 (11.0) years and a baseline mean (SD) body mass index of 29.4 (6.5). They reported a mean daily intake of 1050 mL (35 fl oz) of SSBs at baseline and 540 mL (18 fl oz) at follow-up-a 510-mL (17-fl oz) (48.6%) decrease (P < .001). Reductions in SSB intake correlated with improvements in HOMA-IR (r = 0.16; P = .03). Those not randomized to receive the brief intervention reduced their SSB intake by a mean (SD) of 246.0 (84.0) mL (8.2 [2.8] fl oz), while those also receiving the brief intervention reduced SSB intake by 762.0 (84.0) mL (25.4 [2.8] fl oz). From baseline to follow-up, there were significant reductions in mean (SE) waist circumference (2.1 [2.8] cm; P < .001). CONCLUSIONS AND RELEVANCE This study's findings suggest that the workplace sales ban was associated with a reduction in SSB intake and a significant reduction in waist circumference among employees within 10 months. The randomized clinical trial portion of this study found that targeting those at high risk with a brief motivational intervention led to additional improvements. Workplace sales bans may offer a promising new private-sector strategy for reducing the health harms of SSB intake. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02585336

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Section: Discussionmentioning

confidence: 99%

Association of a Workplace Sales Ban on Sugar-Sweetened Beverages With Employee Consumption of Sugar-Sweetened Beverages and Health

Epel

Hartman

Jacobs³

et al. 2020

JAMA Intern Med

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“…Internationally, a multicomponent policy is considered to be an asset in the face of AOD-related problems on the work floor 21 40. It includes rules on the availability and consumption of AOD in the workplace; intervention procedures in case of malfunctioning; assessment and referral of workers with an alcohol or drug problem; and information and education 40.…”

Section: Discussionmentioning

confidence: 99%

Alcohol and other drug use among Belgian workers and job-related consequences

Lambrechts

Vandersmissen²,

Godderis

2019

Occup Environ Med

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ObjectivesThis study aimed to obtain prevalence data on use of alcohol and other drugs (AOD) among Belgian workers, and to explore the associations between self-reported AOD use and job-related effects as experienced by workers, and the level of workers’ well-being, respectively.MethodsIn this cross-sectional study (2016), 5367 workers filled out a questionnaire including validated instruments such as the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Job-related effects were defined as: being late at work, absenteeism, loss of productivity, injuries, conflicts with co-workers and sanctions by employers. Descriptive and multiple logistic regression analyses were performed.ResultsBased on AUDIT-C, 39.1% of last year drinkers had an indication of problem drinking. The odds of experienced job-related effects was 3.6 (CI 2.86 to 4.60) times larger than the odds among workers without this indication. This ratio decreased to 3.2 (CI 2.52 to 4.11), controlling for language, gender, family context, level of education and sector. Respondents who used illicit drugs more frequently (>once a month) also had an increased risk for experienced job-related effects (OR 5.8; CI 2.87 to 11.84). Having a low level of well-being increased the risk for job-related effects due to psychoactive medication (OR 2.3, CI 1.10 to 4.91).DiscussionIn this study, self-reported AOD use was associated with short-term job-related effects. This suggests that an AOD policy in different sectors is needed with respect for the organisational culture. Its focus should lie on prevention and early detection of AOD problems, and on the mental health of workers. Attention is required for the non-medical use of prescription drugs.

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Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review

Pollock

Campbell

Cheyne

et al. 2020

Cochrane Database of Systematic Reviews

445

428

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Workplace interventions for preventing job loss and other work related outcomes in workers with alcohol misuse

Abstract: This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness of workplace interventions for preventing job loss or other work-related outcomes in workers with alcohol misuse compared to no intervention or alternative interventions

Cited by 4 publications

References 37 publications

Association of a Workplace Sales Ban on Sugar-Sweetened Beverages With Employee Consumption of Sugar-Sweetened Beverages and Health

Association of a Workplace Sales Ban on Sugar-Sweetened Beverages With Employee Consumption of Sugar-Sweetened Beverages and Health

Alcohol and other drug use among Belgian workers and job-related consequences

Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review

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