Comparing outcomes: The Clinical Outcome in Routine Evaluation from an international point of view

Zeldovich, Marina; Alexandrowicz, Rainer W.

doi:10.1002/mpr.1774

Cited by 8 publications

(5 citation statements)

References 57 publications

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“…According to the instrument manual, the CORE-OM is not limited to a particular diagnosis [ 44 ]. Thus, the tool was applied to the case mix of our study with different baseline diagnoses.…”

Section: Methodsmentioning

confidence: 99%

Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study

Shalaby

Spurvey

Knox

et al. 2022

IJERPH

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Background: Peer support workers (PSW) and text messaging services (TxM) are supportive health services that are frequently examined in the field of mental health. Both interventions have positive outcomes, with TxM demonstrating clinical and economic effectiveness and PSW showing its utility within the recovery-oriented model. Objective: To evaluate the effectiveness of PSW and TxM in reducing psychological distress of recently discharged patients receiving psychiatric care. Methods: This is a prospective, rater-blinded, pilot-controlled observational study consisting of 181 patients discharged from acute psychiatric care. Patients were randomized into one of four conditions: daily supportive text messages only, peer support only, peer support plus daily text messages, or treatment as usual. Clinical Outcomes in Routine Evaluation—Outcome Measure (CORE-OM), a standardized measure of mental distress, was administered at four time points: baseline, six weeks, three months, and six months. MANCOVA was used to assess the impact of the interventions on participants’ scores on four CORE-OM subscales across the three follow-up time points. Recovery, clinical change, and reliable change in CORE-OM all-item analysis were examined across the four groups, and the prevalence of risk symptoms was measured. Results: A total of 63 patients completed assessments at each time point. The interaction between PSW and TxM was predictive of differences in scores on the CORE-OM functioning subscale with a medium effect size (F1,63 = 4.19; p = 0.045; ηp2 = 0.07). The PSW + TxM group consistently achieved higher rates of recovery and clinical and reliable improvement compared to the other study groups. Additionally, the text message group and the PSW + TxM group significantly reduced the prevalence of risk of self/other harm symptoms after six months of intervention, with 27.59% (χ2(1) = 4.42, p = 0.04) and 50% (χ2(1) = 9.03, p < 0.01) prevalence reduction, respectively. Conclusions: The combination of peer support and supportive text messaging is an impactful intervention with positive clinical outcomes for acute care patients. Adding the two interventions into routine psychiatric care for patients after discharge is highly recommended.

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“…According to the instrument manual, the CORE-OM is not limited to a particular diagnosis [ 44 ]. Thus, the tool was applied to the case mix of our study with different baseline diagnoses.…”

Section: Methodsmentioning

confidence: 99%

Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study

Shalaby

Spurvey

Knox

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The original version in English has been translated into 54 languages and dialects (Zeldovich & Alexandrowicz, 2019). The Spanish version of the CORE-OM has shown good psychometric properties as a reliable and valid instrument to measure the progress of Spanishspeaking psychological therapy patients (Trujillo et al, 2016).…”

Section: Implications For Policymentioning

confidence: 99%

Implementation of a psychological treatment outcomes evaluation system for young people at Uruguay's National Health System: Using CORE‐OM

Dogmanas

Arias

Gago

et al. 2022

Couns and Psychother Res

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“…The original as well as translated versions of CORE‐OM have been subject to a number of psychometric studies examining aspects of its reliability and validity in different settings and samples (see, e.g., Evans et al, 2002; Zeldovich & Alexandrowicz, 2019). The results of these studies indicated high levels of internal consistency as well as stability (Evans et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

“…As the main focus of the present study was to examine the functioning of the CORE‐OM using a Rasch model, it was of specific interest whether CORE‐OM was sufficiently unidimensional (one‐factorial) to be subjected to a Rasch analysis. It was clear from a recent systematic review and meta‐analysis examining the psychometric properties (including the factorial structure) of CORE‐OM (Zeldovich & Alexandrowicz, 2019) that the four domains of CORE‐OM do not map onto four separate factors. Instead, studies have reported one, two or three‐factorial solutions (for a review, see Zeldovich & Alexandrowicz, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…It was clear from a recent systematic review and meta‐analysis examining the psychometric properties (including the factorial structure) of CORE‐OM (Zeldovich & Alexandrowicz, 2019) that the four domains of CORE‐OM do not map onto four separate factors. Instead, studies have reported one, two or three‐factorial solutions (for a review, see Zeldovich & Alexandrowicz, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Examining the psychometric properties of the Swedish version of Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE‐OM) in a clinical sample using classical test theory and item response theory

Åström

Sundström

Lyrén

2022

Clin Psychology and Psychoth

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The aim of this study was to examine the psychometric properties of the Swedish version of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) using classical test theory and item response theory (IRT). The CORE-OM is a commonly used 34-item self-report instrument measuring psychological problems/ distress covering four domains: subjective well-being, problems/symptoms, functioning and risk. Despite its broad application, only a few studies have used IRT to examine the psychometric properties, and the properties of the Swedish version have only been examined in one initial study. The present study included 1,011 clients with mild to moderate symptoms of distress, applying for psychotherapy at an outpatient training clinic in Sweden. Clients' responses were subjected to classical item analyses as well as IRT (Rasch) analysis using the partial credit model. The classical analyses demonstrated high levels of internal consistency and acceptable levels of item discrimination for the majority of the items, although lower for some items, particularly in the Risk domain. IRT analyses showed that there was a rather good match between item and respondent locations and the measurement precision was high. Disordered step and average measures for some of the items in the Risk domain indicate that these items were problematic from a psychometric point of view and only applicable for a minority of the participants. Differential item functioning for gender in some of the items suggests that they might need to be revised to minimise potential gender bias.

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Comparing outcomes: The Clinical Outcome in Routine Evaluation from an international point of view

Cited by 8 publications

References 57 publications

Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study

Clinical Outcomes in Routine Evaluation Measures for Patients Discharged from Acute Psychiatric Care: Four-Arm Peer and Text Messaging Support Controlled Observational Study

Implementation of a psychological treatment outcomes evaluation system for young people at Uruguay's National Health System: Using CORE‐OM

Examining the psychometric properties of the Swedish version of Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE‐OM) in a clinical sample using classical test theory and item response theory

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