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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA013925-03
Application #
7102757
Study Section
Special Emphasis Panel (ZAA1-EE (11))
Program Officer
Roach, Deidra
Project Start
2004-09-05
Project End
2009-07-31
Budget Start
2006-08-01
Budget End
2007-07-31
Support Year
3
Fiscal Year
2006
Total Cost
$542,445
Indirect Cost
Name
Research Triangle Institute
Department
Type
DUNS #
004868105
City
Research Triangle
State
NC
Country
United States
Zip Code
27709
Bray, Jeremy W; Zarkin, Gary A; Hinde, Jesse M et al. (2012) Costs of alcohol screening and brief intervention in medical settings: a review of the literature. J Stud Alcohol Drugs 73:911-9
Cowell, Alexander J; Bray, Jeremy W; Hinde, Jesse M (2012) The cost of screening and brief intervention in employee assistance programs. J Behav Health Serv Res 39:55-67
Bray, Jeremy W; Cowell, Alexander J; Hinde, Jesse M (2011) A systematic review and meta-analysis of health care utilization outcomes in alcohol screening and brief intervention trials. Med Care 49:287-94
Cowell, Alexander J; Bray, Jeremy W; Mills, Michael J et al. (2010) Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy. Drug Alcohol Rev 29:623-30
Bray, Jeremy W; Loomis, Brett R; Engelen, Mark (2009) You save money when you buy in bulk: does volume-based pricing cause people to buy more beer? Health Econ 18:607-18
Bray, Jeremy W; Loomis, Brett; Engelen, Mark (2007) Correlates of in-store promotions for beer: differential effects of market and product characteristics. J Stud Alcohol Drugs 68:220-7
Bray, Jeremy W; Zarkin, Gary A (2006) Economic evaluation of alcoholism treatment. Alcohol Res Health 29:27-33