Additional file 2: of Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)

Summary details of the 44 included studies. (DOCX 30 kb

Additional file 1: of Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)

MEDLINE search strategy. (DOCX 15 kb

Demographics and health behaviours at baseline.

a<p>IQR  =  Interquartile range.</p>b<p>Alcohol Use Disorders Identification Test – Consumption. Scores range from 0 to 12, where score of 5 or more indicates alcohol misuse <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-Bush1" target="_blank">[36]</a>, <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-British1" target="_blank">[37]</a>.</p><p>Demographics and health behaviours at baseline.</p

Consort diagram.

<p>Consort diagram.</p

Outcomes by sex and randomised group at 3 months.

a<p>1 UK unit  = 8 grams ethanol.</p>b<p>Alcohol Use Disorders Identification Test. Scores range from 0 to 40, where score of 8 or more indicates alcohol misuse <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-Babor1" target="_blank">[41]</a>.</p>c<p>Alcohol Use Disorders Identification Test – Consumption. Scores range from 0 to 12, where score of 5 or more indicates alcohol misuse <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-Bush1" target="_blank">[36]</a>, <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-British1" target="_blank">[37]</a>.</p>d<p>EQ-5D utility measure of quality of life <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112553#pone.0112553-EuroQol1" target="_blank">[42]</a>.</p><p>Outcomes by sex and randomised group at 3 months.</p

Costs related to number of days of sickness absence and number and duration of hospital admissions in the past three months.

<p>Costs related to number of days of sickness absence and number and duration of hospital admissions in the past three months.</p

Acceptability of using online health check at three month follow-up.

<p>Acceptability of using online health check at three month follow-up.</p

Baseline characteristics across all six workplaces.

<p>Baseline characteristics across all six workplaces.</p

Strobe diagram of participant flow through the study.

<p>Strobe diagram of participant flow through the study.</p

Online Health Check for Reducing Alcohol Intake among Employees: A Feasibility Study in Six Workplaces across England

<div><p>Background</p><p>Most hazardous and harmful drinkers are of working age and do not seek help with their drinking. Occupational health services are uniquely placed to universally screen employees across the range of socioeconomic and ethnic groups. The aim was to explore the feasibility and acceptability of offering electronic screening and brief intervention for alcohol misuse in the context of a health check in six different workplace settings.</p><p>Methods and Findings</p><p>Employees were recruited from six workplaces across England, including three local authorities, one university, one hospital and one petro-chemical company. A total of 1,254 (8%) employees completed the health check and received personalised feedback on their alcohol intake, alongside feedback on smoking, fruit and vegetable consumption and physical activity. Most participants were female (65%) and of ‘White British’ ethnicity (94%), with a mean age of 43 years (SD 11). Participants were mostly in Intermediate occupations (58%), followed by Higher managerial / professional (39%) and Routine and manual occupations (2%). A quarter of participants (25%) were drinking at hazardous levels (33% male, 21% female), which decreased with age. Sixty-four percent (n=797) of participants completed online follow-up at three months. Most participants were supportive of workplaces offering employees an online health check (95%), their preferred format was online (91%) and many were confident of the confidentiality of their responses (60%). Whilst the feedback reminded most participants of things they already knew (75%), some were reportedly motivated to change their behaviour (13%).</p><p>Conclusions</p><p>Online health screening and personalised feedback appears feasible and acceptable, but challenges include low participation rates, potentially attracting ‘worried well’ employees rather than those at greatest health risk, and less acceptance of the approach among older employees and those from ethnic minority backgrounds and routine or manual occupations.</p></div