Validation of the Opioid Overdose Risk Behavior Scale, version 2 (ORBS-2).
Validation of the Opioid Overdose Risk Behavior Scale, version 2 (ORBS-2).
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DOI：
10.1016/j.drugalcdep.2021.108721
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发表时间：
2021-06-01
影响因子：
4.2
通讯作者：
Bennett AS
中科院分区：
文献类型：
--
作者：
Elliott L;Crasta D;Khan M;Roth A;Green T;Kolodny A;Bennett AS
检查修订和扩展的阿片类药物过量风险行为量表的因素结构，并评估其与已知的过量指标和其他临床结构的关联。阿片类药物过量在美国仍然很高。我们缺乏强有力的工具来评估行为风险因素。我们修订并扩大了阿片类药物过量风险行为量表（ORBS-1），以便在更广泛的阿片类药物使用者中使用。使用受访者驱动的抽样，我们招募了报告当前非处方阿片类药物使用和纽约市居住的成年人（18岁以上）。参与者（N=575）完成了ORBS-1、ORBS-2和各种临床测量，然后在13个月的每月随访评估中完成了ORBS-2和过量风险结果。主成分分析确定了6个ORBS-2亚量表：处方阿片类药物滥用、危险非注射用药、注射用药、阿片类药物和苯二氮卓类药物同时使用、阿片类药物和酒精同时使用以及多种药物多物质使用。所有分量表均与ORBS-1及相应的临床构念存在中等程度的非参数相关性。其中5个分量表与自我报告的非致死性用药过量显著正相关（p < 0.01）。值得注意的是，高风险非注射用药亚量表与过去一个月的过量用药指标关系最为密切。确定的阿片类药物过量风险行为亚量表的心理测量学表明，风险行为工具在流行病学研究和临床实践中持续使用，重点是风险沟通和最小化。使用整个ORBS-2测量可以深入了解最关注的近端/行为因素，以降低过量死亡率。
To examine the factor structure of a revised and expanded opioid overdose risk behavior scale and assess its associations with known overdose indicators and other clinical constructs. Opioid-related overdose remains high in the U.S. We lack strong instrumentation for assessing behavioral risk factors. We revised and expanded the opioid overdose risk behavior scale (ORBS-1) for use among a broader range of people who use opioids. Using respondent-driven sampling we recruited adults (18+) reporting current unprescribed opioid use and New York City residence. Participants (N=575) completed the ORBS-1, ORBS-2, and a variety of clinical measures and then completed the ORBS-2 and overdose risk outcomes across monthly follow-up assessments over a 13-month period. Principal components analysis was used to identify six ORBS-2 subscales, Prescription Opioid Misuse, Risky Non-Injection Use, Injection Drug Use, Concurrent Opioid and Benzodiazepine Use, Concurrent Opioid and Alcohol Use, and Multiple-Drug Polysubstance Use. All subscales showed moderate non-parametric correlations with the ORBS-1 and with corresponding clinical constructs. Five of the subscales were significantly (p < .01) positively associated with self-reported non-fatal overdose. Of note, the Risky Non-Injection Use subscale was the most strongly associated with past-month overdose indicators. Psychometrics for the opioid overdose risk behavior subscales identified suggest the ongoing utility of risk behavioral instrumentation for epidemiological research and clinical practice focused on risk communication and minimization. Use of the entire ORBS-2 measure can provide insight into the proximal/behavioral factors of greatest concern to reduce overdose mortality.
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影响因子：
7.4
作者：
Butler, Stephen F.;Budman, Simon H.;Jamison, Robert N.
通讯作者：
Jamison, Robert N.
DOI：
10.1146/annurev-soc-060116-053556
发表时间：
2017-01-01
期刊：
ANNUAL REVIEW OF SOCIOLOGY, VOL 43
影响因子：
--
作者：
Heckathorn, Douglas D.;Cameron, Christopher J.
通讯作者：
Cameron, Christopher J.
影响因子：
12.7
作者：
Cicero, Theodore J.;Ellis, Matthew S.;Kasper, Zachary A.
通讯作者：
Kasper, Zachary A.
影响因子：
7.2
作者：
Chinman, Matthew;Gellad, Walid F.;Hausmann, Leslie R. M.
通讯作者：
Hausmann, Leslie R. M.
影响因子：
4.2
作者：
Grundmann, Oliver
通讯作者：
Grundmann, Oliver