@article{ref1,
title="Workplace intervention programmes for decreasing alcohol use in military personnel: a systematic review",
journal="BMJ military health",
year="2020",
author="Watterson, Jason R. and Gabbe, B. and Rosenfeld, J. V. and Ball, H. and Romero, L. and Dietze, P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Harmful or risky-single occasion drinking (RSOD) alcohol use in the  military is a significant problem. However, most studies of interventions have  focused on veterans, representing a missed opportunity for intervention with active  military personnel. Using the PRISMA (Preferred Reporting Items for Systematic  Reviews and Meta-Analyses) framework, the aim of this systematic review was to  analyse and synthesise the evidence related to workplace-based interventions for  reducing alcohol use in active-duty military personnel. <br><br>METHODS: Four electronic  databases and reference lists of relevant articles were searched from database  inception until 20 January 2020. This review focused on experimental and  quasi-experimental studies of active-duty military personnel. Data extraction and  methodological quality assessment were independently performed by two reviewers  using a standardised checklist. A third reviewer was used to arbitrate the disputed  studies for final selection. <br><br>RESULTS: The search yielded seven studies from an  initial 1582 records identified. A range of interventions were used in these studies  (four randomised controlled trials, two non-randomised trials and one before and  after cohort study), including web-based approaches, telephone-delivered  interventions and individual and group-based face-to-face interventions. Seven  studies found decreased drinking, measured using a range of outcomes, following the  intervention. However, this was not sustained in the longer term in any of the  studies. <br><br>CONCLUSIONS: The low methodological rigour of most studies limited the  capacity to demonstrate the efficacy of the interventions studied. Given the  importance of reducing harmful or RSOD use of alcohol in the military, future  studies would benefit from improved methodological rigour including ensuring  adequate study power, randomisation, selection of validated outcome measures,  including measures other than consumption (eg, attitudinal measures), and  longer-term follow-up. There is also a need to develop methods that ensure  participant loss to follow-up is minimised.<p /> <p>Language: en</p>",
language="en",
issn="2633-3767",
doi="10.1136/bmjmilitary-2020-001584",
url="http://dx.doi.org/10.1136/bmjmilitary-2020-001584"
}