Web-Based Supervisor Training: Dealing with Employee Drug and Alcohol Abuse

基于网络的主管培训：处理员工吸毒和酗酒问题

• 批准号: 8032544
• 负责人: Susan Wells Schroeder
• 金额: $ 78.9万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-03-01 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8032544
• 关键词: Absenteeism; Address; Adult; Alcohol abuse; Alcohol consumption; Alcohols; American; Behavior; Behavioral; Businesses; Characteristics; Clinical Trials Design; Collection; Crows; Data; Development; Devices; Drug Controls; Drug abuse; Drug usage; Drug user; Early treatment; Educational Curriculum; Educational workshop; Effectiveness; Employee; Employee Assistance Program (Health Care); Feasibility Studies; Feedback; Goals; Health Care Costs; Health Insurance; Health Planning; Healthcare Systems; Healthy People 2010; Heavy Drinking; Hospitalization; Human Resources; Illicit Drugs; Incidence; Individual; Industry; Injury; Instruction; Internet; Knowledge; Labor Forces; Learning; Length of Stay; Marketing; Modeling; Morale; Morbidity - disease rate; Notification; Online Systems; Outcome; Performance; Persons; Pharmaceutical Preparations; Phase; Play; Policies; Prevention; Problem behavior; Process; Productivity; Psychological Transfer; Public Health; Randomized Controlled Trials; Recovery; Reporting; Research; Role; Specific qualifier value; Substance Addiction; Substance abuse problem; Supervision; System; Testing; Theft; Time; Training; Training Programs; Training and Education; United States; United States Dept. of Health and Human Services; United States Substance Abuse and Mental Health Services Administration; Visit; Weather; Work; Workplace; addiction; alcohol and other drug; alcohol misuse; base; binge drinker; cost; cost effective; design; flexibility; follow-up; improved; innovation; interactive multimedia; intervention effect; knowledge base; member; model design; occupational health/safety; productivity loss; programs; prototype; public health relevance; randomized trial; substance abuser; success; theories; tool; working group

DESCRIPTION (provided by applicant): Alcohol and drug (AOD) abuse by employees causes many costly problems for business and industry including absenteeism, injuries, health insurance claims, loss of productivity, employee morale, theft, and fatalities. The loss to companies in the United States totals $184.6 billion a year. There are 150 million Americans in the labor force, of whom 10.5 percent of the full-time employed adults and 11.9 percent of the part-time employed adults were classified with substance dependence or abuse. An estimated 7.06 percent of the workforce used alcohol at least once during the workday, and 8.10 percent of the workforce used alcohol at least once either before work or during the workday. Supervisors are key members of the work group that can influence a co-worker to seek assistance through their employee assistance program or health plan benefit. Research has identified perceived barriers for supervisors including dysfunctional tolerance, enabling, problem minimization, and neutralization of deviance. Supervisor confidence has also been identified as a major factor in program implementation, including referring employees for appropriate assistance. There is considerable evidence to suggest that conventional supervisor training has not resulted in long-term sustainable outcomes in the workplace. The long term objective of the proposed project is to develop an interactive web-based supervisor training program that will: (1) reduce supervisor's tolerance for alcohol misuse and other drug use in the workplace, (2) increase supervisors' ability to effectively respond to workplace performance and behavior problems associated with the abuse of alcohol and other drugs (AOD), and (3) increase the incidence of early intervention for troubled employees. The finished product will be an interactive Web-based training program designed to address the shortcomings of conventional AOD supervisor trainings. We will adapt a state-of-the-art empirically-validated supervisor training curriculum, and use a proven-effective conceptual framework that is solidly based in behavioral management theory. We will incorporate principles of adult learning, current research on transfer of training, and proven-effective instructional design principles specific to e-Learning. In Phase I, we developed and tested a prototype of our proposed Web-based IMM training program and found significant effects and a high feasibility of success. In Phase II, we will develop the full-scope training program, and evaluate it in a large randomized trial. To accomplish the goals of Phase II, we propose three specific aims: (1) To determine optimal program characteristics, features and content desired by key stakeholders by collecting formative data, (2) develop a Web-based supervisor training program using an iterative development process, and (3) determine efficacy by evaluating the supervisor training program in a randomized trial with 334 supervisors. 1 PUBLIC HEALTH RELEVANCE: Substance abuse remains one of the nation's most important public health problems. It results in many costly problems to our health care system and contributes to or causes more than 70 conditions that require hospitalization. Additionally, substance abuse complicates the treatment of most illnesses, prolongs hospital stays, increases morbidity, and sharply raises health care costs. Alcohol and other drug use creates a $184.6 billion loss for employers in productivity, absenteeism, injuries, employee morale, theft, increased health insurance claims, and fatalities.

描述（由申请人提供）：员工滥用酒精和药物（AOD）会给企业和工业带来许多代价高昂的问题，包括缺勤、受伤、健康保险索赔、生产力损失、员工士气、盗窃和死亡。美国公司每年的损失总额为1846亿美元。美国有1.5亿劳动力，其中10.5%的全职就业成年人和11.9%的兼职就业成年人被归类为药物依赖或滥用。据估计，7.06%的劳动力在工作日至少饮酒一次，8.10%的劳动力在工作前或工作日至少饮酒一次。主管是工作组的关键成员，可以影响同事通过员工援助计划或健康计划福利寻求帮助。研究已经确定了感知障碍的主管，包括功能失调的宽容，使，问题最小化，和偏差的中和。主管的信心也被确定为计划实施的一个主要因素，包括推荐员工获得适当的帮助。有相当多的证据表明，传统的主管培训并没有在工作场所产生长期可持续的结果。拟议项目的长期目标是开发一个基于网络的交互式主管培训方案，该方案将：（1）降低主管对工作场所滥用酒精和其他药物的容忍度，（2）提高主管有效应对与滥用酒精和其他药物（AOD）相关的工作表现和行为问题的能力，及（3）增加对问题雇员的早期干预。最后的成果将是一个互动的网上培训方案，旨在解决传统的机场启用主任培训的缺点。我们将采用最先进的经过验证的主管培训课程，并使用一个基于行为管理理论的有效概念框架。我们将结合成人学习的原则，目前的研究转移的培训，并证明有效的教学设计原则，具体到电子学习。在第一阶段，我们开发并测试了我们提出的基于Web的IMM培训计划的原型，并发现了显着的效果和成功的高可行性。在第二阶段，我们将开发全方位的培训计划，并在一个大型随机试验中进行评估。为了实现第二阶段的目标，我们提出了三个具体目标：（1）通过收集形成性数据来确定关键利益相关者所期望的最佳计划特征，功能和内容，（2）使用迭代开发过程开发基于Web的主管培训计划，以及（3）通过在334名主管的随机试验中评估主管培训计划来确定有效性。1 公共卫生相关性：药物滥用仍然是国家最重要的公共卫生问题之一。它给我们的医疗保健系统带来了许多代价高昂的问题，并导致或导致了70多种需要住院治疗的疾病。此外，药物滥用使大多数疾病的治疗复杂化，延长住院时间，增加发病率，并急剧增加医疗保健费用。酒精和其他药物的使用给雇主造成了1846亿美元的损失，包括生产力、缺勤、受伤、员工士气、盗窃、增加的医疗保险索赔和死亡。