PMID- 23706155
OWN - NLM
STAT- MEDLINE
DCOM- 20150622
LR  - 20220318
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 13
DP  - 2013 May 24
TI  - Health on the web: randomised trial of work-based online screening and brief 
      intervention for hazardous and harmful drinking.
PG  - 505
LID - 10.1186/1471-2458-13-505 [doi]
AB  - BACKGROUND: Alcohol misuse is a significant international public health problem. 
      Screening and brief intervention (SBI) in primary care reduces alcohol 
      consumption by about 15 - 30%, sustained over 12 months in hazardous or harmful 
      drinkers but implementation has proved difficult leading to growing interest in 
      exploring the effectiveness of SBI in other settings, including the workplace. 
      Computerised interventions for alcohol misuse can be as effective as traditional 
      face-to-face interventions and may have advantages, including anonymity, 
      convenience and availability. METHODS/DESIGN: Individually randomised controlled 
      trial to determine the effectiveness and cost-effectiveness of offering online 
      screening and brief intervention for alcohol misuse in a workplace. PARTICIPANTS: 
      adults (aged 18 or over) employed by participating employers scoring 5 or more on 
      a three item screen for alcohol misuse (the AUDIT-C) indicating possible 
      hazardous or harmful alcohol consumption, recruited through the offer of an 
      online health check providing screening for a range of health behaviours with 
      personalised feedback. PARTICIPANTS who accept the health check and score 5 or 
      more on the alcohol screen will be randomised to receiving immediate feedback on 
      their alcohol consumption and access to an online intervention offering support 
      in reducing alcohol consumption (Down Your Drink) or delayed feedback and access 
      to Down Your Drink after completion of follow-up data at three months. All 
      employees who take the online health check will receive personalised feedback on 
      other screened health behaviours including diet, physical activity, smoking, and 
      body mass index. The primary outcome is alcohol consumption in the past week at 
      three months; secondary outcomes are the AUDIT, EQ-5D, days off work, number and 
      duration of hospital admissions, costs and use of the intervention. A sample size 
      of 1,472 participants (736 in each arm) provides 90% power with 5% significance 
      to determine a 20% reduction in alcohol consumption. Outcomes between groups at 
      three months will be compared following the intention to treat principle and 
      economic analyses will follow NICE guidance. DISCUSSION: This innovative design 
      avoids recruitment bias by not mentioning alcohol in the invitation and avoids 
      reactivity of assessment by not collecting baseline data on alcohol consumption.
FAU - Murray, Elizabeth
AU  - Murray E
AD  - Research Department of Primary Care and Population Health, University College 
      London, Upper Floor 3, Royal Free Hospital, Rowland Hill Street, London, NW3 2PF, 
      England. Elizabeth.murray@ucl.ac.uk.
FAU - Khadjesari, Zarnie
AU  - Khadjesari Z
FAU - Linke, Stuart
AU  - Linke S
FAU - Hunter, Rachael
AU  - Hunter R
FAU - Freemantle, Nick
AU  - Freemantle N
LA  - eng
GR  - G0501298/MRC_/Medical Research Council/United Kingdom
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20130524
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adult
MH  - Alcohol Drinking/*prevention & control
MH  - Female
MH  - Health Promotion
MH  - Humans
MH  - *Internet
MH  - Male
MH  - Mass Screening/methods
MH  - Middle Aged
MH  - Patient Education as Topic/methods
MH  - Patient Selection
MH  - Preventive Health Services/methods
MH  - Treatment Outcome
PMC - PMC3671166
EDAT- 2013/05/28 06:00
MHDA- 2015/06/24 06:00
PMCR- 2013/05/24
CRDT- 2013/05/28 06:00
PHST- 2012/10/10 00:00 [received]
PHST- 2013/05/21 00:00 [accepted]
PHST- 2013/05/28 06:00 [entrez]
PHST- 2013/05/28 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
PHST- 2013/05/24 00:00 [pmc-release]
AID - 1471-2458-13-505 [pii]
AID - 10.1186/1471-2458-13-505 [doi]
PST - epublish
SO  - BMC Public Health. 2013 May 24;13:505. doi: 10.1186/1471-2458-13-505.