Outcome Reporting in Brief Intervention Trials: Alcohol' (ORBITAL) core outcome set: from international consensus to international use?

  • Gillian Shorter
  • , Jeremy W Bray
  • , Nick Heather
  • , Anne H Berman
  • , Emma L Giles
  • , Mike Clarke
  • , C Barbosa
  • , Amy J O'Donnell
  • , Aisha Holloway
  • , Heleen Riper
  • , Jean-Bernard Daeppen
  • , Maristela Monteiro
  • , Richard Saitz
  • , Jennifer McNeely
  • , Lela McKnight-Eily
  • , Alex Cowell
  • , Paul Toner
  • , Dorothy Newbury-Birch

Research output: Contribution to conferencePaperpeer-review

Abstract

Background: INEBRIA members developed the 'Outcome
Reporting in Brief Intervention Trials: Alcohol'
(ORBITAL) core outcome set (COS) for efficacy and
effectiveness of trials and evaluations for alcohol
brief interventions (ABIs). Here we summarise this
process and discuss how we might improve uptake and
use in the INEBRIA and ABI community
Methods: We used the COMET Initiative methodology.
This involved a systematic review which identified
2641 outcomes in 401 ABI papers measured by 1560
different approaches. These outcomes were
aggregated into outcome categories, and 150
participants from 19 countries participated in a
two-round e-Delphi outcome prioritization exercise
which identified 15 of 93 outcome categories to be
discussed at a consensus meeting of key
stakeholders. A psychometric evaluation determined
how to measure the core outcomes and we draw on
established COS for dissemination strategies.
Results: Ten outcomes with measures form the
ORBITAL COS: typical quantity, typical frequency,
frequency of heavy episodic drinking, a combined
consumption measure summarizing alcohol use,
hazardous or harmful drinking (average
consumption), standard drinks consumed in the past
week (current consumption), alcohol-related
consequences, alcohol-related injury, use of
emergency healthcare services (impact of alcohol
use), and quality of life. To support potential
users, we created a data dictionary, used open
science for transparency and to support
implementation, and have plans to disseminate
widely to individuals and groups.
Conclusion: The ORBITAL COS is a consensus standard
for future trials/evaluations of ABIs as the
recommended minimum and does not limit other
outcomes relevant to your trial. It can improve
synthesis of new trial findings, between-study
comparisons, citations/use of research, and enhance
utility of findings for decision makers. It can
reduce redundant or selective measurement
(reporting only some, usually significant
outcomes). However, this will only be possible if
our ABI/SBIRT community use it and we invite
feedback to support its use.
Original languageEnglish
Publication statusPublished - 24 Sept 2021
EventINEBRIA Conference 2021 - Online, Goa, India
Duration: 22 Sept 202124 Sept 2021
http://inebria.net/meetings-and-activities/virtual-events/virtual-events-2021/

Conference

ConferenceINEBRIA Conference 2021
Country/TerritoryIndia
CityGoa
Period22/09/202124/09/2021
Internet address

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