PREVENTION OF SUBSTANCE ABUSE THROUGH WORKSITE WELLNESS

这项研究的目的是检验工作地点的假设 健康计划可以作为一级和二级预防的方法。 酒精和其他毒品的使用。两种特定类型的weilness计划 将测试：(L)短期健康研讨会，包括 检查酒精和其他药物的使用与其他生活方式的关系 选择，以及侧重于具体健康风险和习惯的研讨会 (戒烟、体重管理、营养、锻炼)，以及(2) 个人健康咨询侧重于每个员工的特定健康 风险，包括注意个人使用酒精和其他 毒品。在初步健康筛查后(包括收集自我 报告关于酒精和其他药物使用以及压力症状的数据)， 两个研究地点(总共N=1900人)的员工将被随机分配到 这两个条件。这两个地点将在三年后重新筛选。 优先选择该时间段而不是较短时间段，以便 衡量长期影响。分析将检查数量和 使用酒精的频率、使用其他类型的药物和其他 通过工作场所健康计划解决健康风险(高血压、 高胆固醇、超重、吸烟和营养不良 锻炼)。与WeIlness计划的联系频率和最近程度将 作为协变量包括在研究小组作业中。此外 这项研究将使那些有过其他健康状况的员工 改进更有可能减少酒精和其他药物的消耗 而不是没有做出这样改进的员工，来检验这个假设 健康计划鼓励人们用健康的行为来替代 对于不健康的人。

The objective of the study is to test the hypothesis that worksite wellness programs can serve as methods of primary and secondary prevention of alcohol and other drug use. Two specific types of weIlness programs will be tested: (l) short-term wellness seminars, including seminars that examine use of alcohol and other drugs in relation to other lifestyle choices, as well as seminars focused on specific health risks and habits (smoking cessation, weight management, nutrition, exercise), and (2) individual wellness counseling focused on each employee's specific health risks, including attention to the individual's use of alcohol and other drugs. After initial wellness screening (including collection of self- report data on alcohol and other drug use and symptoms of stress), employees at two study sites (N=1,900 total) will be randomly allocated to the two conditions. Both locations will be rescreened after three years. This time period is chosen in preference to a shorter period, in order to measure long-term effects. Analysis will examine changes in quantity and frequency of alcohol use, in use of other types of drugs, and in the other health risks addressed by worksite wellness programs (high blood pressure, high cholesterol, excess weight, cigarette smoking, and inadequate exercise). Frequency and recency of contact with the weIlness program will be included as covariates along with study group assignment. In addition the study will famine whether employees who have made other health improvements are more likely to reduce alcohol and other drug consumption than employees who have not made such improvements, testing the hypothesis that wellness programs encourage people to substitute healthy behaviors for unhealthy ones.