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Mailed Feedback Reduces Consumption Among Moderate Drinkers Who Are Employed

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Abstract

To test the efficacy of mailed feedback for drinking reduction among employees of a manufacturing firm, 48 drinkers were recruited and alternately assigned to receive mailed feedback on their drinking either immediately or after an 8-week waiting period. Using a delayed treatment design, participants were assessed by mail at baseline, 8, and 16 weeks. After viewing their feedback, participants indicated a higher level of importance of making a change, but not confidence in their ability. There were also significant decreases in consumption after receiving the feedback, and these changes were mediated by participants' increased perceptions regarding the “riskiness” of alcohol consumption. An additional 26 nondrinkers at baseline volunteered to participate and also were mailed feedback. Among this group, receipt of feedback indicating a very low level of risk did not lead to increased drinking. This cost-effective intervention appears to reduce consumption among light-to-moderate drinkers, and may warrant a larger place in the framework of workplace alcohol reduction programs.

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REFERENCES

  • Agostinelli, G., Brown, J. M., & Miller, W. R. (1995). Effects of normative feedback on consumption among heavy drinking college students. Journal of Drug Education, 25, 31-40.

    Google Scholar 

  • Andreasson, S., & Brandt, L. (1997). Mortality and morbidity related to alcohol. Alcohol and Alcoholism, 32, 173-178.

    Google Scholar 

  • Armor, D. J., Polich, J. M., & Stambul, H. B. (1978). Alcoholism and treatment. New York: Wiley.

    Google Scholar 

  • Baer, J. S., Marlatt, G. A., Kivlahan, D. R., Fromme, K., Larimer, M. E., & Williams, E. (1992). An experimental test of three methods of alcohol reduction with young adults. Journal of Consulting and Clinical Psychology, 60, 974-979.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.

    Google Scholar 

  • Bennett, J. B., & Lehman, W. E. (2001). Workplace substance abuse prevention and help seeking: Comparing team-oriented and informational training. Journal of Occupational Health Psychology, 6(3), 243-254.

    Google Scholar 

  • Calahan, D. (1970). Problem drinkers: A national survey. San Francisco: Jossey-Bass.

    Google Scholar 

  • Calahan, D. (1987). Studying drinking patterns rather than alcoholism. In M. Galanter (Ed.), Recent developments in alcoholism (Vol. 5, pp. 363-372). New York: Plenum.

    Google Scholar 

  • Calahan, D., Cisin, I. H., & Crossley, H. M. (1969). American drinking practices. New Brunswick, NJ: Rutgers Center on Alcohol Studies.

    Google Scholar 

  • Collins, S. E., Carey, K. B., & Sliwinski, M. J. (2002). Mailed personalized normative feedback as a brief intervention for at-risk college drinkers. Journal of Studies on Alcohol, 63, 559-567.

    Google Scholar 

  • Cook, R. F., Back, A., & Trudeau, J. V. (1996). Substance abuse prevention in the workplace: Recent findings and an expanded conceptual model. Journal of Primary Prevention, 16(3), 319-339.

    Google Scholar 

  • Duitsman, D. M., & Colbry, S. L. (1995). Perceived risk and use as predictors of substance use among college students. Health Values, 19, 44-52.

    Google Scholar 

  • Edwards, G., Orford, J., & Egert, S. (1977). Alcoholism: A controlled trial of treatment and advice. Journal of Studies on Alcohol, 38, 1004-1031.

    Google Scholar 

  • Foote, A., & Erfurt, J. C. (1991). Effects of EAP follow-up on prevention of relapse among substance abuse clients. Journal of Studies on Alcohol, 52, 241-248.

    Google Scholar 

  • Harwood, H., Fountain, D., & Livermore, G. (1998). The economic costs of alcohol and drug abuse in the United States: 1992. Rockville, MD: National Institute of Alcohol Abuse and Alcoholism.

    Google Scholar 

  • Hersch, R. K., Cook, R. F., Deitz, D. K., & Trudeau, J. V. (2000). Methodological issues in workplace substance abuse prevention research. Journal of Behavioral Health Services and Research, 27(2), 144-151.

    Google Scholar 

  • Hutchinson, W. S., & Emener, W. G. (1997). Employee assistance programs: A basic text. Springfield, IL: Thomas.

    Google Scholar 

  • Institute of Medicine, National Academy of Sciences. (1990). Broadening the base of treatment for alcohol problems. Washington, DC: National Academy Press.

    Google Scholar 

  • Lapham, S. C., Chang, I., & Gregory, C. (2000). Substance abuse intervention for health care workers: A preliminary report. Journal of Behavioral Health Services Research, 27(2), 131-143.

    Google Scholar 

  • Mangione, T. W., Howland, J., Amick, B., Cote, J., Lee, M., Bell, N., & Levine, S. (1999). Employee drinking practices and work performance. Journal of Studies on Alcohol, 60, 261-270.

    Google Scholar 

  • Miller, W. R. (1996). Form 90: A structured assessment interview for drinking and related behaviors (Project MATCH Monograph No. 5). Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Miller, W. R. (Ed.). (2000). Project COMBINE Combined Behavioral Intervention Therapist manual. Unpublished manuscript, Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people to change. New York: Guilford.

    Google Scholar 

  • Miller, W. R., Benefield, R. G., & Tonigan, J. S. (1993). Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61, 455-461.

    Google Scholar 

  • Miller, W. R., Tonigan, J. S., & Longabaugh, R. (1995). The Drinker Inventory of Consequences (Project MATCH Monograph No. 4). Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Miller, W. R., Westerberg, V. S., & Waldron, H. B. (2003). Evaluating alcohol problems in adults and adolescents. In R. K. Hester & W. R. Miller (Eds.), Handbook of alcoholism treatment approaches (3rd Ed.), New York: Allyn and Bacon.

    Google Scholar 

  • Miller, W. R., Zweben, A., DiClemente, C. C., & Rychtarik, R. G. (1995). Motivational Enhancement Therapy Manual (Project MATCH Monograph No. 2). Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • National Institute on Alcohol Abuse and Alcoholism. (1997). Ninth special report to the U.S. Congress on alcohol and health. Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Parker, D. A., & Harford, T. C. (1992). The epidemiology of alcohol consumption and dependence across occupations in the United States. Alcohol Health and Research World, 16, 97-105.

    Google Scholar 

  • Polich, J. M. (1981). Epidemiology of alcohol abuse in military and civilian populations. American Journal of Public Health, 71, 1125-1152.

    Google Scholar 

  • Rollnick, S. (1998). Readiness, importance, and confidence: Critical conditions of change in treatment. In W. R. Miller & N. Heather (Eds.), Treating addictive behaviors (2nd Ed., pp. 49-60). New York: Plenum.

    Google Scholar 

  • Schroeder, R. C. (2001). High-risk drinking: A research-based approach to alcohol education on campus. Paper presented at the annual conference of the American College Health Association, Las Vegas, NV.

  • Stinson, F. S., Dufour, M. C., Steffens, R. A., & DeBakey, S. (1993). Alcohol-related mortality in the United States, 1979-1989. Alcohol Health and Research World, 17, 251-260.

    Google Scholar 

  • Walsh, D. C., Hingson, R. W., Merrigan, D. M., Levenson, S. M., Cupples, L. A., Heeren, T., Coffman, G. A., Becker, C. A., Barker, T. A., Hamilton, S. K., McGuire, T. G., & Kelly, C. A. (1991). A randomized trial of treatment options for alcohol-abusing workers. New England Journal of Medicine, 325, 775-782.

    Google Scholar 

  • Walters, S. T. (2000). In praise of feedback: An effective intervention for heavy drinking college students. Journal American College Health, 48, 235-238.

    Google Scholar 

  • Walters, S. T., Bennett, M. E., & Miller, J. H. (2000). Reducing alcohol use among college students: A controlled trial of two brief interventions. Journal of Drug Education, 30, 361-372.

    Google Scholar 

  • Williams, G. D., Aitken, S. S., & Malin, H. (1985). Reliability of self-reported alcohol consumption in a general population survey. Journal of Studies on Alcohol, 46, 223-227.

    Google Scholar 

  • Wolber, G., Carne, W. F., & Alexander, R. (1990). The validity of self-reported abstinence and quality sobriety following chemical dependence treatment. International Journal on Addictions, 25, 495-513.

    Google Scholar 

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Correspondence to Scott T. Walters.

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Walters, S.T., Woodall, W.G. Mailed Feedback Reduces Consumption Among Moderate Drinkers Who Are Employed. Prev Sci 4, 287–294 (2003). https://doi.org/10.1023/A:1026024400450

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