Brief Intervention in the Workplace for Heavy Drinkers: A Randomized Clinical Trial in Japan

Ito, Chieko; Yuzuriha, Takefumi; Noda, Tatsuya; Ojima, Toshiyuki; Hiro, Hisanori; Higuchi, Susumu

doi:10.1093/alcalc/agu090

Cited by 23 publications

(37 citation statements)

References 26 publications

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“…This finding suggests that occupational health staffs need to monitor the mental health of men who start regularly drinking 80 g or more of alcohol per week. This threshold is much lower than actual levels of alcohol consumption among candidates for brief interventions5, 6, 7 ) , which are considered effective to reduce alcohol consumption. Thus, it is necessary to focus not only on alcohol consumption but also on changes in drinking habits and onset.…”

Section: Discussionmentioning

confidence: 87%

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Changes in drinking habits and psychological distress in Japanese non- or occasional drinking workers: a one-year prospective cohort study

et al. 2017

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This study investigated whether non- or occasional drinkers’ changes in drinking habits during a one-year period were related to psychological distress. Overall, 2,495 non- or occasional drinking employees (2,109 men and 386 women) completed a self-administered questionnaire measuring alcohol intake, psychological distress (12-item General Health Questionnaire), and demographic characteristics at baseline and one-year follow-up. They also completed a Web-based version of the Brief Job Stress Questionnaire to assess job stressors at baseline. Participants were categorized into three groups (stable non- or occasional drinkers; new light drinkers; new moderate drinkers) according to weekly alcohol consumption at follow-up (males 0 g/wk, 1–79 g/wk, and ≥80 g/wk; females 0 g/wk, 1–39 g/wk, and ≥40 g/wk, respectively); multiple logistic regression analyses were conducted by sex. Among only male participants, both stable non- or occasional drinkers and new moderate drinkers showed significantly higher odds ratios for psychological distress at follow-up than new light drinkers after adjusting for demographic characteristics, job stressors, and psychological distress at baseline (adjusted odds ratios of 1.72 and 1.99, respectively). These findings suggest that men who started to drink 80 g or more alcohol per week during the one-year follow-up period should have been monitored for psychological distress.

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Section: Discussionmentioning

confidence: 87%

“…It is therefore necessary to prevent poor mental health in the workplace. Poor mental health is associated with alcohol intake4 ) , and some studies have used methods such as brief interventions5, 6, 7 ) to induce heavy drinking workers to change their drinking patterns.…”

Section: Introductionmentioning

confidence: 99%

Changes in drinking habits and psychological distress in Japanese non- or occasional drinking workers: a one-year prospective cohort study

et al. 2017

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“…The authors confirmed the viability of alcohol consumption screening and the effect on the reduction of the consumption by workers, corroborating some international studies carried out in worker health services of some companies. 7,9,[16][17] The workers that had a high risk of alcohol consumption reduced their excessive consumption, although they did not consider themselves as people who drink too much. Some studies show that 9/12 the decrease is higher in the three first months after the BI and tends to diminish over time, which emphasizes the need for worker health teams to monitor the participants.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to stress the need to keep the follow-up and monitoring of the examined workers. [7][8][15][16][17][18][19][20] The present study emphasized the importance of carrying out screening procedures in worker health services asking health-related questions in periodic tests, as exemplified by the Worker Health Booklet in association with the AUDIT questionnaire. This strategy allows to obtain more reliable answers regarding alcohol consumption and higher adherence to the treatment, allowing to standardize team care.…”

Section: Discussionmentioning

confidence: 99%

Reduction of the Alcohol Consumption Among Workers Using a Brief Intervention

Brites

Abreu

Portela

2019

Texto contexto - enferm.

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Objective: to analyze the effect of a brief intervention on the reduction of the alcohol consumption pattern among workers from the worker health perspective. Methods: a quasi-experimental study with a single sample of 36 workers, applying the positive (>8) Alcohol Use Disorders Identification Test and sample selection and using data from the Worker Health Booklet in combination with the mentioned test. Participants had three weekly sessions of brief intervention with motivational interviewing and were reevaluated after three months. Data were analyzed quantitatively. The Wilcoxon test was applied to data on the reduction of the consumption pattern, and a significance p<0.05 was adopted. Results: risky consumption prevailed (61.1%), followed by probable dependence (27.8%) and hazardous consumption (11.1%). The score obtained in the test after three months of the brief intervention was lower than the initial result, with Z=-4.709 and p<0.000. Regarding sociodemographic and occupational characteristics, all the participants showed a significant reduction. Concerning Alcohol Use Disorders Identification Test questions, there was a reduction, especially in the frequency (Z=-3.880 and p<0.000) and binge drinking (Z=-4.144 and p<0.000). Conclusion: the effect of brief intervention associated with motivational interviewing reduced the alcohol consumption pattern among workers at a public university. RESUMOObjetivo: analisar o efeito da Intervenção Breve na redução do padrão de consumo de álcool entre trabalhadores, na perspectiva da saúde do trabalhador. Método: estudo quase-experimental com amostra única de 36 servidores, e Teste de Identificação de Problemas Relacionados ao Álcool positivo (>8), e seleção da amostra, utilizando dados do Caderno de Saúde do Servidor associado ao referido teste. Os participantes receberam três sessões de Intervenção Breve por meio de entrevista motivacional, semanal, e após três meses foram reavaliados. Os dados foram analisados quantitativamente. Foi utilizado o teste de Wilcoxon na redução do padrão de consumo, adotandose significância de p<0,05. Resultados: o consumo de risco apresentou maior frequência (61,1%), seguido de provável dependência (27,8%) e nocivo (11,1%). Após três meses de Intervenção Breve, score encontrado no teste foi inferior ao do resultado inicial com Z=-4,709 e p<0,000. Quanto às características sociodemográficas e ocupacionais, todos apresentaram redução significativa. Em relação às questões do Teste de Identificação de Problemas Relacionados ao Álcool, reduziram principalmente na frequência (Z=-3,880 e p<0,000) e no consumo binge drinking (Z=-4,144 e p<0,000). Conclusão: o efeito da Intervenção Breve, associado à entrevista motivacional, reduziu o padrão de consumo de álcool entre os trabalhadores de uma universidade pública. DESCRITORES: Abuso de álcool. Trabalhadores. Saúde do trabalhador. Entrevista motivacional. Atenção primária à saúde. REDUCCIÓN DEL CONSUMO DE ALCOHOL ENTRE TRABAJADORES UTILIZANDO LA INTERVENCIÓN BREVE RESUMENObjetivo: Analizar el efecto...

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“…The calendar style exerted a self-monitoring effect, as participants were able to grasp the relationship between changes in their behavior and alcohol consumption, such as "the relationship between weekend dinner parties and alcohol consumption" and "setting alcohol-free days and its effects", at a glance. While the introduction of a drinking diary was not shown to exert a significant effect in one study [43], Hara et al [44] described the effectiveness of moderate-drinking goals and a drinking diary. Nevertheless, with the finding that levels of achievement of behavioral goals were high in the HAPPY Plus, using a longer measurement period, it is conceivable that results could be reflected in improved physiological indicators and AUDIT scores.…”

Section: Effects Of the Happy Plus Vs The Happymentioning

confidence: 99%

Effects of a Revised Moderate Drinking Program for Enhancing Behavior Modification in the Workplace for Heavy Drinkers: A Randomized Controlled Trial in Japan

Harada¹,

Moriyama²,

Uno³

et al. 2015

Health

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This study examined the effects of the Hizen Alcoholism Prevention Program (HAPPY) and the revised version of HAPPY (HAPPY Plus), and also compared the two programs to determine whether the HAPPY Plus achieved better outcomes for heavy drinkers in the workplace. The HAPPY Plus designed to strengthen participants' recruitment, perception of threat, stress management, behavior modification by self-monitoring using a calendar-based diary, and to prevent dropout by telephone and e-mail follow-up by a trained nurse. Participants were men and women who consumed at least 20 g and 10 g of alcohol daily, respectively, and had not been diagnosed with alcohol dependence. A group intervention, 3-month randomized controlled trial was conducted. The control and intervention groups received the HAPPY and HAPPY Plus, respectively. The primary endpoint was average daily alcohol consumption. The Alcohol Use Disorders Identification Test (AUDIT), weight, body mass index, blood pressure, liver function, goal achievement rate, self-efficacy, and self-esteem were also measured. Out of 88 recruited employees, 83 (intervention group: 40; control group: 43) completed the study (completion rates were 100% and 93.4% respectively). As a result, average daily alcohol consumption decreased significantly in both groups (p < 0.001), but did not differ between groups. Even though behavior change rate was higher, and self-efficacy and confidence increased in the intervention group, AUDIT decreased in both groups but was significant only in the control group. Physiological indicators in the intervention group improved, but were not significant between the groups. Against the program revision, this study did not prove * Corresponding author. K. Harada et al.1602 superiority of HAPPY Plus to the HAPPY regarding the indicators. However, better behavior modification and lower dropout were observed in the HAPPY Plus. Therefore, after further improvement is made, this group intervention program is applied to the workplace.

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Brief Intervention in the Workplace for Heavy Drinkers: A Randomized Clinical Trial in Japan

Abstract: BI in the workplace is effective for increasing the number of alcohol-free days. However, the effectiveness on decreasing alcohol consumption was unclear, which could be explained by alcohol screening itself causing a reduction in drinking.

Cited by 23 publications

References 26 publications

Changes in drinking habits and psychological distress in Japanese non- or occasional drinking workers: a one-year prospective cohort study

Changes in drinking habits and psychological distress in Japanese non- or occasional drinking workers: a one-year prospective cohort study

Reduction of the Alcohol Consumption Among Workers Using a Brief Intervention

Effects of a Revised Moderate Drinking Program for Enhancing Behavior Modification in the Workplace for Heavy Drinkers: A Randomized Controlled Trial in Japan

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