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Home > The "Outcome Reporting in Brief Intervention Trials: Alcohol" (ORBITAL) core outcome set: international consensus on outcomes to measure in efficacy and effectiveness trials of alcohol brief interventions.

Shorter, Gillian W and Bray, Jeremy W and Heather, Nick and Berman, Anne H and Giles, Emma L and Clarke, Mike and Barbosa, Carolina and O'Donnell, Amy J and Holloway, Aisha and Riper, Heleen and Daeppen, Jean-Bernard and Monteiro, Maristela G and Saitz, Richard and McNeely, Jennifer and McKnight-Eily, Lela and Cowell, Alex and Toner, Paul and Newbury-Birch, Dorothy (2021) The "Outcome Reporting in Brief Intervention Trials: Alcohol" (ORBITAL) core outcome set: international consensus on outcomes to measure in efficacy and effectiveness trials of alcohol brief interventions. Journal of Studies on Alcohol and Drugs, 82, (5), pp. 638-646. https://doi.org/10.15288/jsad.2021.82.638.

External website: https://www.jsad.com/doi/10.15288/jsad.2021.82.638

OBJECTIVE: The purpose of this study was to report the "Outcome Reporting in Brief Intervention Trials: Alcohol" (ORBITAL) recommended core outcome set (COS) to improve efficacy and effectiveness trials/evaluations for alcohol brief interventions (ABIs).

METHOD: A systematic review identified 2,641 outcomes in 401 ABI articles measured by 1,560 different approaches. These outcomes were classified into outcome categories, and 150 participants from 19 countries participated in a two-round e-Delphi outcome prioritization exercise. This process prioritized 15 of 93 outcome categories for discussion at a consensus meeting of key stakeholders to decide the COS. A psychometric evaluation determined how to measure the outcomes.

RESULTS: Ten outcomes were voted into the COS at the consensus meeting: (a) typical frequency, (b) typical quantity, (c) frequency of heavy episodic drinking, (d) combined consumption measure summarizing alcohol use, (e) hazardous or harmful drinking (average consumption), (f) standard drinks consumed in the past week (recent, current consumption), (g) alcohol-related consequences, (h) alcohol-related injury, (i) use of emergency health care services (impact of alcohol use), and (j) quality of life.

CONCLUSIONS: The ORBITAL COS is an international consensus standard for future ABI trials and evaluations. It can improve the synthesis of new findings, reduce redundant/selective reporting (i.e., reporting only some, usually significant outcomes), improve between-study comparisons, and enhance the relevance of trial and evaluation findings to decision makers. The COS is the recommended minimum and does not exclude other, additional outcomes.


Item Type
Article
Publication Type
International, Open Access, Article
Drug Type
Alcohol
Intervention Type
Screening / Assessment
Date
September 2021
Identification #
https://doi.org/10.15288/jsad.2021.82.638
Page Range
pp. 638-646
Volume
82
Number
5
EndNote

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