Effectiveness of nurse-delivered screening and brief alcohol intervention in the workplace: A randomized controlled trial at five Japan-based companies

Yuki Kuwabara, Aya Kinjo, Maya Fujii, Ruriko Minobe, Hitoshi Maesato, Susumu Higuchi, Hisashi Yoshimoto, Maki Jike, Yuichiro Otsuka, Osamu Itani, Yoshitaka Kaneita, Hideyuki Kanda, Hideaki Kasuga, Teruna Ito, Yoneatsu Osaki

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Excessive alcohol use is a leading cause of global morbidity and premature mortality. This study evaluated the effectiveness of two types of nurse-delivered interventions to reduce excessive alcohol consumption among screened participants using the alcohol use disorders identification test (AUDIT) in the workplace. Methods: A randomized controlled trial involving AUDIT-positive employees of five Japan-based companies was conducted. A total of 351 participants were randomized into groups that received a patient information leaflet (PIL), 5 min of brief advice, or 15 min of brief advice and counseling. Outcomes (weekly alcohol consumption and drinking and binge drinking frequency in the previous 30 days) were evaluated at 6 and 12-month follow-up. Results: The follow-up rates were 96.3% (n = 338) and 94.9% (n = 333) at 6 and 12 months, respectively. At 6 months, the mean change in weekly alcohol consumption was −38.1 g (−1.64 US fluid oz/week) in the 15-min brief advice and counseling group, which differed significantly from the PIL group. The reduction in the advice and counseling group persisted at 12-month follow-up but was no longer significantly different from the PIL group. There was no significant change in alcohol consumption observed in the 5-min brief advice group. Improvement in drinking and binge drinking frequency was observed in all three groups. Conclusions: Nurse-delivered 15-min brief advice and counseling was effective over a 6-month period in reducing alcohol consumption in a workplace setting. This finding suggests that the implementation of workplace screening and brief intervention could play a useful role in preventing the burden of harmful alcohol use.

Original languageEnglish
Pages (from-to)1720-1731
Number of pages12
JournalAlcoholism: Clinical and Experimental Research
Volume46
Issue number9
DOIs
Publication statusPublished - Sep 2022
Externally publishedYes

Keywords

  • brief intervention
  • excessive alcohol drinking
  • prevention
  • workplace

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health

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