Screening and brief intervention delivery in the workplace to reduce alcohol-related harm: a pilot randomized controlled trial.
نویسندگان
چکیده
AIM To explore the feasibility and cost effectiveness of screening and delivery of a brief intervention for hazardous drinking employees. METHODS A pilot randomised controlled trial of a brief intervention delivered by an Occupational Health nurse versus no delivery of brief intervention (control group) conducted in a Local Authority Council (LCA) in the United Kingdom. Changes in quality of life and economic indicators were measured by the EQ-5D. RESULTS 627 employees were screened of whom 163 (26.01%) fulfilled the inclusion criteria with a total of 57 (35%) agreeing to participate. No significant differences were found between the groups for baseline demographics or levels/patterns of alcohol consumption. A statistically significant effect was found in the mean AUDIT scores over time (F=8.96, p=0.004) but not for group (F=0.017, p=0.896), and no significant interaction was found (F=0.148, p=0.702). The cost of each intervention was calculated at £12.48, the difference in service costs was calculated at £344.50 per person; that is there was a net saving of health and other care costs in the intervention group compared to the control group. The QALYs fell in both intervention and control groups, the difference -0.002-(-0.010) yields a net advantage of the intervention of 0.008 QALYs. CONCLUSION The main results from this pilot study suggest that alcohol brief interventions delivered in the workplace may offer the potential to reduce alcohol-related harm and save public sector resources. A fully powered multi-centre trial is warranted to contribute to the current evidence base and explore further the potential of alcohol brief interventions in the workplace. In a full trial the recruitment method may need to be re-considered.
منابع مشابه
Screening and Brief Interventions Delivery in the Workplace to Reduce Alcohol-Related Harm: a Pilot Randomized Controlled Trial
متن کامل
How and when health-care practitioners in Aboriginal Community Controlled Health Services deliver alcohol screening and brief intervention, and why they don't: a qualitative study.
INTRODUCTION Indigenous Australians experience a disproportionately high burden of alcohol-related harm. Alcohol screening and brief intervention (SBI) offers the potential to reduce this harm if barriers to its delivery in Aboriginal Community Controlled Health Services (ACCHSs) can be optimally targeted. AIMS . Examine health-care practitioners' perceptions of, and practices in, alcohol SBI...
متن کاملWeb-based alcohol intervention for Mäori university students: double-blind, multi-site randomized controlled trial
AIMS Like many indigenous peoples, New Zealand Māori bear a heavy burden of alcohol-related harm relative to their non-indigenous compatriots, and disparities are greatest among young adults. We tested the effectiveness of web-based alcohol screening and brief intervention (e-SBI) for reducing hazardous drinking among Māori university students. DESIGN Parallel, double-blind, multi-site, rando...
متن کاملHealth on the web: a randomised controlled trial of work-based online screening and brief intervention for reducing alcohol intake
Introduction An estimated 11-17 million work days are lost annually in Britain due to alcohol-related sickness, with total costs to the workplace of £6.4bn (compared with £1.7bn to health services). The workplace provides an ideal setting for online screening and brief intervention, with access to a potentially large sample of adults from varying socioeconomic groups. The aim of this study was ...
متن کاملHealth on the Web: Randomised Controlled Trial of Online Screening and Brief Alcohol Intervention Delivered in a Workplace Setting
BACKGROUND Alcohol misuse in England costs around £7.3 billion (US$12.2 billion) annually from lost productivity and absenteeism. Delivering brief alcohol interventions to employees as part of a health check may be acceptable, particularly with online delivery which can provide privacy for this stigmatised behaviour. Research to support this approach is limited and methodologically weak. The ai...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- International journal of nursing studies
دوره 52 1 شماره
صفحات -
تاریخ انتشار 2015