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The Evaluation of a Workplace Program to Prevent Substance Abuse: Challenges and Findings

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Abstract

Workplace consequences of alcohol and drug abuse include poor performance, fighting, insubordination, and occupational injuries. To address the need for workplace substance abuse prevention, the PREVENT program, originally designed for the United States Navy, was adapted to the railroad workforce. This study evaluates the impact of the PREVENT program on alcohol use and smoking among young adults ages 18–29 in the railroad industry. We discuss challenges to study protocol faced by this evaluation in the reality of the workplace. PREVENT is a 2-day health promotion program that includes substance abuse and smoking modules. Using a prospective controlled before–after study design, we compare self-reported alcohol use and smoking pre- versus post-intervention among PREVENT participants versus a comparison group of workers. Comparison and case group non-equivalency at baseline is controlled for using a propensity score. The study sample suffered high losses to follow-up. In the analysis, we included those lost to follow up and applied an intent-to-treat approach that assumed, conservatively, that substance use by non-respondents was identical pre and post. In regression analysis PREVENT participants showed significant declines in drinking levels post-intervention compared to comparison workers, controlling for baseline and demographic factors. Relative to pre-intervention levels PREVENT participants consumed 56 % fewer drinks (relative rate = 0.44, 95 % CI 0.23–0.85) and consumed alcohol on 32 % fewer days (relative rate = 0.68, 95 % CI 0.50–0.93) compared to comparison workers. Changes in smoking behaviors were not significant. We conclude that PREVENT is a promising program for reducing alcohol abuse.

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References

  • Ames, G. M., & Bennett, J. B. (2011). Prevention interventions of alcohol problems in the workplace: A review and guiding framework. Alcohol Research and Health, 34(2), 175–187.

    PubMed  PubMed Central  Google Scholar 

  • Ames, G. M., Grube, J. W., & Moore, R. S. (1997). The relationship of drinking and hangovers to workplace problems: An empirical study. Journal of Studies on Alcohol, 58(1), 37–47.

    Article  CAS  PubMed  Google Scholar 

  • Bennett, J. B., Patterson, C. R., Reynolds, G. S., Wiitala, W. L., & Lehman, W. E. (2004). Team awareness, problem drinking and drinking climate: Workplace social health promotion in a policy context. American Journal of Health Promotion, 19(2), 103–113.

    Article  PubMed  PubMed Central  Google Scholar 

  • Blum, T. C., Roman, P. M., & Martin, J. K. (1993). Alcohol consumption and work performance. Journal of Studies on Alcohol, 54, 61–70.

    Article  CAS  PubMed  Google Scholar 

  • Broome, K. M., & Bennett, J. B. (2011). Reducing heavy alcohol consumption in young restaurant workers. Journal of Studies on Alcohol and Drugs, 72(1), 117–124.

    Article  PubMed  Google Scholar 

  • Bureau of Labor Statistics. (2013). Labor force statistics from the current population survey, household data, annual averages. Employment status of the civilian noninstitutional population by age, sex, and race, 2012. http://www.bls.gov/cps/cpsaat03.htm. Accessed October 17, 2013.

  • Center for Behavioral Health Statistics and Quality, & Administration, S. A. a. M. H. S. (2012). National Household Survey on Drug Use and Health (NSDUH). http://www.icpsr.umich.edu/icpsrweb/SAMHDA/sda. Accessed June, 2012.

  • Cook, R., & Schlenger, W. (2002). Prevention of substance abuse in the workplace: Review of research on the delivery of services. Journal of Primary Prevention, 23(1), 115–142.

    Article  Google Scholar 

  • Csiernik, R. A. (2004). Review of EAP evaluation in the 1990s. Employee Assistance Quarterly, 19(4), 21–34.

    Article  Google Scholar 

  • Dawson, D. A. (1994). Heavy drinking and the risk of occupational injury. Accident Analysis and Prevention, 26(5), 655–665.

    Article  CAS  PubMed  Google Scholar 

  • Deitz, D., Cook, R. F., & Hersch, R. (2005). Workplace health promotion and utilization of health services: Follow-up data findings. Journal of Behavioral Health Services and Research, 32(3), 306–319.

    Article  PubMed  Google Scholar 

  • Galvin, D. M., Spicer, R. S., Becker, L. R., Miller, T. R., Taylor, D. M., & Sabol, J. A. (2012). Does an interactive health promotion website facilitate workplace peer-to-peer substance abuse prevention? California Journal of Health Promotion, 10, 1–12.

    Google Scholar 

  • Hersch, R., Cook, R., Hughes, D., Leaf, S., Billings, D., & Kaplan, S. (2009). Healthy worklife for young adults. Washington, DC: Substance Abuse Services and Mental Health Administration.

    Google Scholar 

  • Institute of Medicine. (1994). Growing up tobacco free: Preventing nicotine addiction in children. Washington, DC: National Academy Press.

    Google Scholar 

  • Johnstone, B. M., Leino, E. V., Ager, C. R., Ferrer, H., & Fillmore, K. M. (1996). Determinants of life-course variation in the frequency of alcohol consumption: Meta-analysis of studies from the collaborative alcohol-related longitudinal project. Journal of Studies on Alcohol, 57, 494–506.

    Article  CAS  PubMed  Google Scholar 

  • Larson, S. L., Eyerman, J., Foster, M. S., & Gfroerer, J. (2007). Worker substance use and workplace policies and programs. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies.

    Book  Google Scholar 

  • Mangione, T. W., Howland, J., Amick, B., Cote, J., Lee, M., Bell, N., et al. (1999). Employee drinking practices and work performance. Journal of Studies on Alcohol, 60(2), 261–270.

    Article  CAS  PubMed  Google Scholar 

  • Mihalic, S. W., & Elliott, D. (1997). Short- and long-term consequences of adolescent work. Youth & Society, 28, 464–498.

    Article  Google Scholar 

  • Miller, T. R., Zaloshnja, E., & Spicer, R. S. (2007). Effectiveness and benefit-cost ratios of peer-based workplace substance abuse prevention coupled with random testing. Accident Analysis and Prevention, 39(3), 565–573.

    Article  PubMed  Google Scholar 

  • Mortimer, J. T., Finch, M. D., & Ryu, S. (1996). The effects of work intensity on adolescent mental health, achievement, and behavioral adjustment: New evidence from a prospective study. Child Development, 67(3), 1243–1261.

    CAS  PubMed  Google Scholar 

  • National Institute on Alcohol Abuse and Alcoholism. (1997). Ninth special report to the U.S. Congress on alcohol and health. Bethesda, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Normand, J., Lempert, R., & O’Brien, C. (1994). Under the influence? Drugs and the American workforce. Washington, DC: National Academy Press, Institute of Medicine.

    Google Scholar 

  • Paschall, M. J., Ringwalt, C. L., & Flewelling, R. L. (2002). Explaining higher levels of alcohol use among working adolescents: An analysis of potential explanatory variables. Journal of Studies on Alcohol, 63(2), 169–178.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390–395.

    Article  CAS  PubMed  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: Crossing traditional boundaries of therapy. Malabar, FL: Krieger.

    Google Scholar 

  • Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. Amercian Journal of Health Promotion, 12(1), 38–48.

    Article  CAS  Google Scholar 

  • Reynolds, G. S., & Bennett, J. B. (2015). A cluster randomized trial of alcohol prevention in small businesses: A cascade model of help seeking and risk reduction. American Journal of Health Promotion, 29(3), 182–191.

    Article  PubMed  Google Scholar 

  • Spicer, R. S., & Miller, T. R. (2005). Impact of a workplace peer-focused substance abuse prevention and early intervention program. Alcoholism, Clinical and Experimental Research, 29(4), 609–611.

    Article  PubMed  Google Scholar 

  • Spicer, R. S., Miller, T. R., & Smith, G. (2003). Worker substance use, workplace problems and the risk of occupational injury: A matched case-control study. Journal of Studies on Alcohol, 64(4), 570–578.

    Article  PubMed  Google Scholar 

  • Spicer, R. S., Nelkin, V., Miller, T. R., & Becker, L. (2004). Using corporate data in workplace program evaluation. American Journal of Evaluation, 25(1), 109–119.

  • Spicer, R., & Zaloshnja, E. (2011). Substance abuse prevention for the young workforce in the railroad industry: An adaptation of the prevent program. In J. Bray, D. Galvin, & L. Cluff (Eds.), Young adults in the workplace: A multi-site initiative of substance use prevention programs (pp. 29–44). Research Triangle Park, NC: RTI Press Publication BK-0005-1103, RTI Press.

    Google Scholar 

  • Steinberg, L., & Dornbusch, S. (1991). Negative correlates of part-time employment during adolescence: Replication and elaboration. Developmental Psychology, 27, 304–313.

    Article  Google Scholar 

  • Steinberg, L., Fegley, S., & Dornbusch, S. M. (1993). Negative impact of part-time work on adolescent adjustment: Evidence from a longitudinal study. Developmental Psychology, 29, 171–180.

    Article  Google Scholar 

  • Taylor, D. M., Murphy, B. E., & Turcotte, J. S. (2002). Personal responsibility and values, education and training (PREVENT): 28 years of service. Calverton, MD: Pacific Institute for Research and Evaluation.

    Google Scholar 

  • Valois, R. F., Dunham, A. C. A., Jackson, K. L., & Waller, J. (1999). Association between employment and substance abuse behaviors among public high school adolescents. Journal of Adolescent Health, 25, 256–263.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This study was funded under Grant # 1 UD 1 SP11140 from the United States Substance Abuse and Mental Health Administration (SAMHSA). All views expressed herein and any errors or omissions are those of the authors and may not reflect those of SAMHSA.

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Authors and Affiliations

  1. Pacific Institute for Research and Evaluation, 11720 Beltsville Drive, Suite 900, Calverton, MD, 20705, USA

    Rebecca S. Spicer & Ted R. Miller

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  1. Rebecca S. Spicer
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  2. Ted R. Miller
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Correspondence to Rebecca S. Spicer.

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Spicer, R.S., Miller, T.R. The Evaluation of a Workplace Program to Prevent Substance Abuse: Challenges and Findings. J Primary Prevent 37, 329–343 (2016). https://doi.org/10.1007/s10935-016-0434-7

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  • DOI: https://doi.org/10.1007/s10935-016-0434-7

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