A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use
Employee alcohol and other drug use can negatively impact the workplace, resulting in absenteeism, reduced productivity, high turnover, and worksite safety issues. As the workplace can influence employee substance use through environmental and cultural factors, it also presents a key opportunity to...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1051119/full |
| _version_ | 1828095908113285120 |
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| author | Ashleigh K. Morse Mina Askovic Jayden Sercombe Kate Dean Alana Fisher Alana Fisher Christina Marel Mary-Lou Chatterton Frances Kay-Lambkin Emma Barrett Matthew Sunderland Logan Harvey Natalie Peach Maree Teesson Katherine L. Mills |
| author_facet | Ashleigh K. Morse Mina Askovic Jayden Sercombe Kate Dean Alana Fisher Alana Fisher Christina Marel Mary-Lou Chatterton Frances Kay-Lambkin Emma Barrett Matthew Sunderland Logan Harvey Natalie Peach Maree Teesson Katherine L. Mills |
| author_sort | Ashleigh K. Morse |
| collection | DOAJ |
| description | Employee alcohol and other drug use can negatively impact the workplace, resulting in absenteeism, reduced productivity, high turnover, and worksite safety issues. As the workplace can influence employee substance use through environmental and cultural factors, it also presents a key opportunity to deliver interventions, particularly to employees who may not otherwise seek help. This is a systematic review of workplace-based interventions for the prevention and treatment of problematic substance use. Five databases were searched for efficacy, effectiveness and/or cost-effectiveness studies and reviews published since 2010 that measured use of psychoactive substances (i.e., alcohol, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotics, anxiolytics, and stimulants) as a primary or secondary outcome, in employees aged over 18. Thirty-nine articles were identified, 28 describing primary research and 11 reviews, most of which focused solely on alcohol use. Heterogeneity between studies with respect to intervention and evaluation design limited the degree to which findings could be synthesized, however, there is some promising evidence for workplace-based universal health promotion interventions, targeted brief interventions, and universal substance use screening. The few studies that examined implementation in the workplace revealed specific barriers including lack of engagement with e-health interventions, heavy use and reluctance to seek help amongst male employees, and confidentiality concerns. Tailoring interventions to each workplace, and ease of implementation and employee engagement emerged as facilitators. Further high-quality research is needed to examine the effectiveness of workplace substance use testing, Employee Assistance Programs, and strategies targeting the use of substances other than alcohol in the workplace.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227598, PROSPERO [CRD42021227598]. |
| first_indexed | 2024-04-11T07:20:52Z |
| format | Article |
| id | doaj.art-62de39ef3b10419a9cb078fb47c9eb6a |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T07:20:52Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-62de39ef3b10419a9cb078fb47c9eb6a2022-12-22T04:37:39ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10511191051119A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance useAshleigh K. Morse0Mina Askovic1Jayden Sercombe2Kate Dean3Alana Fisher4Alana Fisher5Christina Marel6Mary-Lou Chatterton7Frances Kay-Lambkin8Emma Barrett9Matthew Sunderland10Logan Harvey11Natalie Peach12Maree Teesson13Katherine L. Mills14The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaeCentre Clinic, School of Psychological Sciences, Macquarie University, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaDeakin Health Economics, Deakin University, Geelong, VIC, AustraliaPriority Research Centre for Brain and Mental Health, University of Newcastle, Newcastle, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, AustraliaEmployee alcohol and other drug use can negatively impact the workplace, resulting in absenteeism, reduced productivity, high turnover, and worksite safety issues. As the workplace can influence employee substance use through environmental and cultural factors, it also presents a key opportunity to deliver interventions, particularly to employees who may not otherwise seek help. This is a systematic review of workplace-based interventions for the prevention and treatment of problematic substance use. Five databases were searched for efficacy, effectiveness and/or cost-effectiveness studies and reviews published since 2010 that measured use of psychoactive substances (i.e., alcohol, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotics, anxiolytics, and stimulants) as a primary or secondary outcome, in employees aged over 18. Thirty-nine articles were identified, 28 describing primary research and 11 reviews, most of which focused solely on alcohol use. Heterogeneity between studies with respect to intervention and evaluation design limited the degree to which findings could be synthesized, however, there is some promising evidence for workplace-based universal health promotion interventions, targeted brief interventions, and universal substance use screening. The few studies that examined implementation in the workplace revealed specific barriers including lack of engagement with e-health interventions, heavy use and reluctance to seek help amongst male employees, and confidentiality concerns. Tailoring interventions to each workplace, and ease of implementation and employee engagement emerged as facilitators. Further high-quality research is needed to examine the effectiveness of workplace substance use testing, Employee Assistance Programs, and strategies targeting the use of substances other than alcohol in the workplace.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227598, PROSPERO [CRD42021227598].https://www.frontiersin.org/articles/10.3389/fpubh.2022.1051119/fullsubstance usealcohol usedrug useworkplacesystematic review |
| spellingShingle | Ashleigh K. Morse Mina Askovic Jayden Sercombe Kate Dean Alana Fisher Alana Fisher Christina Marel Mary-Lou Chatterton Frances Kay-Lambkin Emma Barrett Matthew Sunderland Logan Harvey Natalie Peach Maree Teesson Katherine L. Mills A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use Frontiers in Public Health substance use alcohol use drug use workplace systematic review |
| title | A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use |
| title_full | A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use |
| title_fullStr | A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use |
| title_full_unstemmed | A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use |
| title_short | A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use |
| title_sort | systematic review of the efficacy effectiveness and cost effectiveness of workplace based interventions for the prevention and treatment of problematic substance use |
| topic | substance use alcohol use drug use workplace systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1051119/full |
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