The organisation has worked with other academic institutions which meant its employees were familiar with the process of taking part in research

One way of addressing these barriers, advocated by the National Institute for Health and Care Excellence, is to investigate the effectiveness of SBI in non-medical settings, such as the workplace, particularly in view of the high costs of alcohol misuse to employers. There have been relatively few trials evaluating the effectiveness of SBI for alcohol misuse in the workplace setting. In 2009, a systematic review of workplace interventions for alcohol-problems identified seven randomised trials evaluating brief interventions or counselling-based interventions. Although there was some evidence that brief intervention and psychosocial skills training are effective in this setting, studies were fraught with methodological limitations including lack of exposure to the intervention, contamination of the intervention, and control groups obtaining access to the intervention. One of the challenges with delivering SBI to employees in the workplace is the stigma associated with accessing services for alcohol misuse in this setting. Electronic screening and brief intervention allows employees to access the intervention in a private and confidential setting. The Internet enables the delivery of personalised feedback, which can be tailored according to baseline data and delivered instantaneously on any device with access to the Internet, hence at low cost and with wide reach and convenience. Some studies have found Internet-based interventions to be effective at reducing alcohol consumption when compared with minimally active comparator groups, with a small number of studies finding them to be as effective as active comparator groups, such as in-person cognitive behavioural therapy, but most of the evidence is based in student populations. Another way of addressing the stigma surrounding SBI for alcohol in the workplace may be to deliver it in the context of a health check. In 2009, a large GANT61 feasibility study found SBI delivered in person by occupational health to be acceptable to employees of a Scottish Local Authority, where 92% of respondents to a general lifestyle survey were reportedly happy to be asked about their drinking. Online health checks have the additional advantage of ensuring that alcohol questions are asked alongside other behaviours and not avoided, which is a concern when brief advice is delivered in-person. A top priority of Public Health England for 2013/14 is to reduce preventable mortality and morbidity associated with alcohol consumption, smoking, poor diet and lack of exercise, therefore an online intervention that combines brief advice on all of these health behaviours is ideal for the workplace setting. The aim of this study was to determine the effectiveness and cost of screening and personalised feedback on alcohol consumption, delivered as part of an online health check in a workplace setting. It was hypothesised that participants receiving the personalised feedback on alcohol consumption would reduce their alcohol intake more than those not receiving the feedback. Campaigns often include online information, assess risk, facilitate monitoring activity, share information, present prizes to winners of competitions, and include: virtual gyms, road shows, health fairs and articles in newsletters.

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