Article Text

Download PDFPDF

1063 The development of an alcohol screening guideline for occupational physicians
  1. Marie-Claire Lambrechts1,2,
  2. Lode Godderis1,3
  1. 1KU Leuven, University of Leuven, Centre Environment and Health, Belgium
  2. 2VAD Flemish centre of expertise on alcohol and other drugs, Brussels, Belgium
  3. 3Idewe, External Service for Prevention and Protection at Work, Heverlee, Belgium


Introduction Screening tools provide occupational physicians the ability to inform employees about their alcohol consumption, and the possibility to take preventive measures. In addition, the occupational physician can detect risky and harmful alcohol use. So far, clear screening guidelines to deal with alcohol misuse in occupational health setting are lacking.

Methods Between June 2016 and March 2017, we organised four World Cafés with a motivated group of occupational physicians. The World Café method is a Large Scale Intervention and an evidence-based approach in which stakeholders actively participate. The different screening tools were discussed and the guideline was concretized.

Result The Alcohol Use Disorders Identification Test—Consumption (AUDIT-C) was selected as the most adequate and feasible instrument to screen workers. This shortened version of the AUDIT (the first 3 of 10 questions focuses on the consumption of alcohol) is a brief, validated screening instrument for risky drinking and alcohol misuse. The working group advised to organise targeted screening during individual medical examinations (i.e. pre-recruitment medical examination, periodic medical examination, occupational aptitude test, return to work screening and consultations with workers showing deteriorated job performances). We made flowcharts for each type of examination, with an overview of the possible initiatives of occupational physicians based on the score of the screening test, i.e. brief interventions. The guideline also stipulated in which circumstances additional biomarkers are required. Finally, the use of AUDIT-C for health promotion initiatives was concretized. In that case, results will be analysed on a company level and may thus form the basis for prevention measures.

Conclusion This consensus guideline is the first guideline for occupational physicians. It will now be submitted for validation, subsequently followed by its implementation.

  • Occupational Medicine
  • World Café

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.