Tags

Type your tag names separated by a space and hit enter

A systematic review of the effectiveness of employer-led interventions for drug misuse.
J Occup Health. 2020 Jan; 62(1):e12133.JO

Abstract

AIMS

Employers in the United States incur substantial costs associated with substance use disorders. Our goal was to examine the effectiveness of employer-led interventions to reduce the adverse effects of drug misuse in the workplace.

METHODS

We conducted a systematic review of studies that evaluated the effectiveness of recommended workplace interventions for opioids and related drugs: employee education, drug testing, employee assistance programs, supervisor training, written workplace drug-free policy, and restructuring employee health benefit plans. We searched PubMed MEDLINE, EMBASE (embase.com), PsycINFO (Ebsco), ABI Inform Global, Business Source Premier, EconLit, CENTRAL, Web of Science (Thomson Reuters), Scopus (Elsevier), Proquest Dissertations, and Epistemonikos from inception through May 8, 2019, with no date or language restrictions. We included randomized controlled trials, quasi-experimental studies, and cross-sectional studies with no language or date restrictions. The Downs and Black questionnaire was used to assess the quality of included studies. The results were reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

RESULTS

In all, 27 studies met our inclusion criteria and were included in the systematic review. Results were mixed, with each intervention shown to be effective in at least one study, but none showing effectiveness in over 50% of studies. Studies examining the impact of interventions on workplace injuries or accidents were more commonly reported to be effective. Although four studies were randomized controlled trials, the quality of all included studies was "fair" or "poor."

CONCLUSIONS

Despite the opioid epidemic, high-quality studies evaluating the effectiveness of employer-led interventions to prevent or reduce the adverse effects of substance use are lacking. Higher quality and mixed methods studies are needed to determine whether any of the interventions are generalizable and whether contextual adaptations are needed. In the meantime, there is a reason to believe that commonly recommended, employer-led interventions may be effective in some environments.

Authors+Show Affiliations

Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA.Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA.Galter Health Sciences Library and Learning Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA.Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USA. Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32533807

Citation

Akanbi, Maxwell O., et al. "A Systematic Review of the Effectiveness of Employer-led Interventions for Drug Misuse." Journal of Occupational Health, vol. 62, no. 1, 2020, pp. e12133.
Akanbi MO, Iroz CB, O'Dwyer LC, et al. A systematic review of the effectiveness of employer-led interventions for drug misuse. J Occup Health. 2020;62(1):e12133.
Akanbi, M. O., Iroz, C. B., O'Dwyer, L. C., Rivera, A. S., & McHugh, M. C. (2020). A systematic review of the effectiveness of employer-led interventions for drug misuse. Journal of Occupational Health, 62(1), e12133. https://doi.org/10.1002/1348-9585.12133
Akanbi MO, et al. A Systematic Review of the Effectiveness of Employer-led Interventions for Drug Misuse. J Occup Health. 2020;62(1):e12133. PubMed PMID: 32533807.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A systematic review of the effectiveness of employer-led interventions for drug misuse. AU - Akanbi,Maxwell O, AU - Iroz,Cassandra B, AU - O'Dwyer,Linda C, AU - Rivera,Adovich S, AU - McHugh,Megan Colleen, PY - 2020/01/13/received PY - 2020/05/02/revised PY - 2020/05/12/accepted PY - 2020/6/14/entrez PY - 2020/6/14/pubmed PY - 2020/6/14/medline KW - illicit drugs KW - intervention KW - opioids misuse KW - systematic review KW - workplace SP - e12133 EP - e12133 JF - Journal of occupational health JO - J Occup Health VL - 62 IS - 1 N2 - AIMS: Employers in the United States incur substantial costs associated with substance use disorders. Our goal was to examine the effectiveness of employer-led interventions to reduce the adverse effects of drug misuse in the workplace. METHODS: We conducted a systematic review of studies that evaluated the effectiveness of recommended workplace interventions for opioids and related drugs: employee education, drug testing, employee assistance programs, supervisor training, written workplace drug-free policy, and restructuring employee health benefit plans. We searched PubMed MEDLINE, EMBASE (embase.com), PsycINFO (Ebsco), ABI Inform Global, Business Source Premier, EconLit, CENTRAL, Web of Science (Thomson Reuters), Scopus (Elsevier), Proquest Dissertations, and Epistemonikos from inception through May 8, 2019, with no date or language restrictions. We included randomized controlled trials, quasi-experimental studies, and cross-sectional studies with no language or date restrictions. The Downs and Black questionnaire was used to assess the quality of included studies. The results were reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. RESULTS: In all, 27 studies met our inclusion criteria and were included in the systematic review. Results were mixed, with each intervention shown to be effective in at least one study, but none showing effectiveness in over 50% of studies. Studies examining the impact of interventions on workplace injuries or accidents were more commonly reported to be effective. Although four studies were randomized controlled trials, the quality of all included studies was "fair" or "poor." CONCLUSIONS: Despite the opioid epidemic, high-quality studies evaluating the effectiveness of employer-led interventions to prevent or reduce the adverse effects of substance use are lacking. Higher quality and mixed methods studies are needed to determine whether any of the interventions are generalizable and whether contextual adaptations are needed. In the meantime, there is a reason to believe that commonly recommended, employer-led interventions may be effective in some environments. SN - 1348-9585 UR - https://www.unboundmedicine.com/medline/citation/32533807/A_systematic_review_of_the_effectiveness_of_employer-led_interventions_for_drug_misuse L2 - https://dx.doi.org/10.1002/1348-9585.12133 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.