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Abstract
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.
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.
| Original language | English |
|---|---|
| Pages (from-to) | 638-646 |
| Number of pages | 9 |
| Journal | Journal of Studies on Alcohol and Drugs |
| Volume | 82 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 19 Sep 2021 |
Bibliographical note
Open Science - YesFunding Information: This study was supported by Alcohol Research UK (Research Innovation Grant Number: R2016/04).
Keywords
- alcohol brief intervention
- screening and brief intervention
- consensus methods
- core outocme sets
- consensus standards
- hazardous drinking
- alcohol
- harmful drinking
- public health
- health psychology
ASJC Scopus subject areas
- Health(social science)
- Toxicology
- Psychiatry and Mental health
Access to Document
- 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
Copyright 2021 the authors. This is an open access article published under a Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium, provided the author and source are cited.
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Harm reduction and health psychology
Gillian Shorter (Invited speaker)
14 Jul 2023Activity: Talk or presentation types › Invited talk
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Measuring change from alcohol brief interventions: development of an international consensus core outcome set: full report
Shorter, G. W., Heather, N., Bray, J. W., Berman, A. H., Giles, E. L., Clarke, M., Barbosa, C., O'Donnell, A. J., Holloway, A. & Newbury-Birch, D., 03 Jan 2023, Alcohol Change UK. 65 p.Research output: Book/Report › Commissioned report
Open AccessFile -
The ORBITAL Core Outcome Set: Response to de Bejczy et al., 2022 on biomarkers and methodological innovation in core outcome sets
Shorter, G., Heather, N., Berman, A. H., Giles, E. L., Barbosa, C., Monteiro, M. G., Cowell, A., Toner, P. & Bray, J. W., 08 Mar 2022, In: Journal of Studies on Alcohol and Drugs. 83, 2, p. 298-300Research output: Contribution to journal › Article › peer-review
Open AccessFile8 Downloads (Pure) -
The ‘Outcome Reporting in Brief Intervention Trials: Alcohol’ (ORBITAL) core outcome set: international consensus on key outcomes in efficacy and effectiveness trials of alcohol brief interventions
Shorter, G., 29 Jun 2021.Research output: Contribution to conference › Paper › peer-review