@article{ref1,
title="A cluster randomized trial of alcohol prevention in small businesses: A cascade model of help seeking and risk reduction",
journal="American journal of health promotion",
year="2014",
author="Reynolds, G. Shawn and Bennett, Joel B.",
volume="29",
number="3",
pages="182-191",
abstract="Purpose . The current study adapted two workplace substance abuse prevention programs and tested a conceptual model of workplace training effects on help seeking and alcohol consumption. Design . Questionnaires were collected 1 month before, 1 month after, and 6 months within a cluster randomized field experiment. Setting . Texas small businesses in construction, transportation, and service industries. Subjects . A total of 1510 employees from 45 businesses were randomly assigned to receive no training or one of the interventions. Intervention . The interventions were 4-hour on-the-job classroom trainings that encouraged healthy lifestyles and seeking professional help (e.g., from the Employee Assistance Program [EAP]). The Team Awareness Program focused on peer referral and team building. The Choices in Health Promotion Program delivered various health topics based on a needs assessment. Measures . Questionnaires measured help-seeking attitudes and behavior, frequency of drinking alcohol, and job-related incidents. Analysis . Mixed-model repeated-measures analyses of covariance were computed. Results . Relative to the control group, training was associated with significantly greater reductions in drinking frequency, willingness to seek help, and seeking help from the EAP. After including help-seeking attitudes as a covariate, the correlation between training and help seeking becomes nonsignificant. Help-seeking behavior was not correlated with drinking frequency. Conclusion . Training improved help-seeking attitudes and behaviors and decreased alcohol risks. The reductions in drinking alcohol were directly correlated with training and independent from help seeking.<p /> <p>Language: en</p>",
language="en",
issn="0890-1171",
doi="10.4278/ajhp.121212-QUAN-600",
url="http://dx.doi.org/10.4278/ajhp.121212-QUAN-600"
}