Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa

 

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dc.contributor.author Burnhams, Nadine Harker
dc.contributor.author London, Leslie
dc.contributor.author Laubscher, Ria
dc.contributor.author Nel, Elmarie
dc.contributor.author Parry, Charles
dc.date.accessioned 2016-10-21T09:11:04Z
dc.date.available 2016-10-21T09:11:04Z
dc.date.issued 2015-05-08
dc.identifier.citation Burnhams, N. H., London, L., Laubscher, R., Nel, E., & Parry, C. (2015). Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa. Substance abuse treatment, prevention, and policy, 10(1), 1.
dc.identifier.uri http://dx.doi.org/10.1186/s13011-015-0014-5
dc.identifier.uri http://hdl.handle.net/11427/22258
dc.description.abstract Objective: To test the effectiveness of a programme aimed at reducing the risky use of alcohol and alcohol-related HIV risk and increase help-seeking behaviour among a sample of municipal employees in the Western Cape Province, South Africa. Methods: A clustered randomised controlled trial was conducted in 2011–2012 among 325 employees. The eight hour intervention, Team Awareness (TA), addressing behavioural risk among employees was administered to 168 employees in the intervention arm and the 157 employees in the control arm who received a one-hour wellness talk. Results: The results show that TA had the greatest impact on risky drinking practices and hangover effects. There was a significant group × time interaction (F (1, 117) = 25.16, p < 0.0001) with participants in the intervention condition reducing number of days on which they engaged in binge drinking. There was also a significant time effect with participants in the intervention condition reducing the likelihood of going to work with a hangover (F (1,117) = 4.10, p = 0.045). No reduction in HIV-related risk behaviours were found. Conclusions: This intervention study was able to demonstrate a modest but significant reduction in risky drinking practices and hangover effects. This provides encouraging evidence for the effectiveness of interventions that address risky use of alcohol among employed persons, further providing a launch pad for strengthening and replicating future RCT studies on workplace prevention, especially in developing country settings. Clinical Trial Registration Number: Pan-African Control Trial Registry (201301000458308).
dc.publisher BioMed Central
dc.rights Creative Commons Attribution License
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.source Substance Abuse Treatment, Prevention, and Policy
dc.source.uri https://substanceabusepolicy.biomedcentral.com/
dc.subject Alcohol
dc.subject Employees
dc.subject Prevention
dc.subject Alcohol-related HIV risks
dc.subject Evidence-based
dc.subject Team awareness
dc.title Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa
dc.type Journal Article
dc.date.updated 2016-09-14T18:04:08Z
dc.language.rfc3066 en
dc.rights.holder Burnhams et al.
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Burnhams, N. H., London, L., Laubscher, R., Nel, E., & Parry, C. (2015). Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa. <i>Substance Abuse Treatment, Prevention, and Policy</i>, http://hdl.handle.net/11427/22258 en_ZA
dc.identifier.chicagocitation Burnhams, Nadine Harker, Leslie London, Ria Laubscher, Elmarie Nel, and Charles Parry "Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa." <i>Substance Abuse Treatment, Prevention, and Policy</i> (2015) http://hdl.handle.net/11427/22258 en_ZA
dc.identifier.vancouvercitation Burnhams NH, London L, Laubscher R, Nel E, Parry C. Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa. Substance Abuse Treatment, Prevention, and Policy. 2015; http://hdl.handle.net/11427/22258. en_ZA
dc.identifier.ris TY - Journal Article AU - Burnhams, Nadine Harker AU - London, Leslie AU - Laubscher, Ria AU - Nel, Elmarie AU - Parry, Charles AB - Objective: To test the effectiveness of a programme aimed at reducing the risky use of alcohol and alcohol-related HIV risk and increase help-seeking behaviour among a sample of municipal employees in the Western Cape Province, South Africa. Methods: A clustered randomised controlled trial was conducted in 2011–2012 among 325 employees. The eight hour intervention, Team Awareness (TA), addressing behavioural risk among employees was administered to 168 employees in the intervention arm and the 157 employees in the control arm who received a one-hour wellness talk. Results: The results show that TA had the greatest impact on risky drinking practices and hangover effects. There was a significant group × time interaction (F (1, 117) = 25.16, p < 0.0001) with participants in the intervention condition reducing number of days on which they engaged in binge drinking. There was also a significant time effect with participants in the intervention condition reducing the likelihood of going to work with a hangover (F (1,117) = 4.10, p = 0.045). No reduction in HIV-related risk behaviours were found. Conclusions: This intervention study was able to demonstrate a modest but significant reduction in risky drinking practices and hangover effects. This provides encouraging evidence for the effectiveness of interventions that address risky use of alcohol among employed persons, further providing a launch pad for strengthening and replicating future RCT studies on workplace prevention, especially in developing country settings. Clinical Trial Registration Number: Pan-African Control Trial Registry (201301000458308). DA - 2015-05-08 DB - OpenUCT DO - 10.1186/s13011-015-0014-5 DP - University of Cape Town J1 - Substance Abuse Treatment, Prevention, and Policy KW - Alcohol KW - Employees KW - Prevention KW - Alcohol-related HIV risks KW - Evidence-based KW - Team awareness LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa TI - Results of a cluster randomised controlled trial to reduce risky use of alcohol, alcohol-related HIV risks and improve help-seeking behaviour among safety and security employees in the Western Cape, South Africa UR - http://hdl.handle.net/11427/22258 ER - en_ZA


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