Alcohol Screening and Brief Intervention in an EAP

描述（由申请人提供）：1998年由罗伯特·伍德约翰逊基金会资助的一项研究发现，酒精使用是工作场所表现问题和低生产率的最大原因（Mangione，Howland，& Lee，1998; Mangione等人，1999年）。它还确定，在工作日午餐期间偶尔喝酒或在工作日晚上喝得太多的非依赖性社交饮酒者是工作场所与酒精相关的生产力问题的主要原因。更令人不安的是，这项研究的结论是，工作场所没有有效的手段来打击这种“危险饮酒”。" 然而，最近的证据表明，有一种可能的方法可以解决危险饮酒的问题， 工作场所筛查和简短干预（SBI）。SBI是一种有效的工具，以减少危险饮酒，包括管理一个标准化的筛选工具，以确定危险的饮酒者，其次是简短的建议或咨询，以帮助危险的饮酒者减少或停止他们的酒精消费。SBI已在各种环境中实施，如医院、初级保健诊所、急诊室、临床研究环境和大学校园，但尚未在工作场所正式实施。 我们的研究设计和方法的制定，以提供一个全面的评估SBI通过员工援助计划（EAP）。使用一个强大的，随机设计，我们将评估SBI在减少危险的饮酒行为和相关的工作场所表现问题的EAP客户的有效性。我们还将估计SBI的成本，成本效益和收益成本，为EAP管理员和雇主提供他们需要的关键信息，以确定SBI是否是一项明智的投资。总之，我们的研究结果将为研究人员，EAP专业人士，雇主和政策制定者提供一个完整的图片的成本，效益，可行性和可持续性的SBI计划在EAP。

DESCRIPTION (provided by applicant): A 1998 study funded by the Robert Wood Johnson Foundation found that alcohol use is the single greatest cause of performance problems and low productivity in the workplace (Mangione, Howland, & Lee, 1998; Mangione et al., 1999). It also established that non-dependent, social drinkers who occasionally drink during a workday lunch or drink too much on a work night cause the majority of alcohol-related productivity problems at the workplace. Even more troubling, this study concluded that work-places have no effective means of combating such "risky drinking." Recent evidence, however, suggests a possible means of addressing risky drinking in the workplacemscreening and brief intervention (SBI). SBI is an effective tool to reduce risky drinking that consists of administering a standardized screening instrument to identify risky drinkers, followed by brief advice or counseling to help the risky drinkers reduce or cease their alcohol consumption. SBI has been implemented in a variety of settings, such as hospitals, primary care clinics, emergency rooms, clinical research settings, and college campuses, but has not yet been formally implemented in a workplace setting. Our study design and methods are formulated to provide a comprehensive evaluation of SBI delivered through an Employee Assistance Program (EAP). Using a strong, randomized design, we will assess the effectiveness of SBI in reducing risky drinking behaviors and related workplace performance problems among EAP clients. We will also estimate the cost, cost-effectiveness, and benefit-cost of SBI, giving EAP administrators and employers the critical information they need to determine if SBI is a wise investment. Taken together, our findings will provide researchers, EAP professionals, employers, and policy makers with a complete picture of the costs, benefits, feasibility, and sustainability of an SBI program within an EAP.