Accepted for/Published in: JMIR Research Protocols
Date Submitted: Nov 21, 2019
Date Accepted: Jun 2, 2020
Effectiveness of Combining Organisational Alcohol Policy and Managers’ Skills Training to Reduce Hazardous Alcohol Consumption in Swedish Workplaces: A Study Protocol for a Cluster Randomised Study
ABSTRACT
Background:
High alcohol consumption poses risks to individual health and society. Previous alcohol interventions mainly focus on high-risk consumers or young adults in school-based settings. Since the majority of the adult population is in the workforce, the workplace can be considered a favourable arena for implementing interventions.
Objective:
This protocol describes a project aimed at increasing knowledge of the effectiveness of an alcohol prevention programme in the workplace, by evaluating the intervention and exploring managers’ perceptions of the intervention.
Methods:
Organisations with at least 100 employees are invited to take part in the project. A total of 13 organisations are randomised to either an intervention or a waitlist control group; however, only 11 organisations (n=744 managers and n=11,761 employees) are included in the project. Data are collected through self-administered online surveys at baseline, 12- and 24 months follow-ups. The primary outcome is managers’ inclination to initiate early alcohol intervention (e.g. by initiating a dialogue) when concern regarding employees’ hazardous alcohol consumption arises. The secondary outcomes of interest are managers’ and employees’ organisational alcohol policy knowledge and changes in alcohol consumption measured using the Alcohol Use Disorder Identification Test score. Additionally, managers’ responses from semi-structured interviews are analysed using thematic analysis. A linear mixed-model framework is used to model variability on different levels. Primary analysis follows an intention-to-treat approach.
Results:
This study is ongoing. The overall start was on January 2018 and is expected to end in December 2020. Baseline and 12 months follow-up measurements have been collected.
Conclusions:
This project is designed to evaluate the effectiveness of an alcohol prevention programme regarding higher inclination to initiate early alcohol interventions after policy development and skills training among managers, compared to the usual practices in the workplace. The study results can contribute to increased knowledge about alcohol interventions and future prevention programmes in the workplace. Clinical Trial: ISCRTN.com, ID: ISRCTN17250048. Retrospectively registered on 11 October 2019.
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