CORE: Clinical Outcomes in Routine Evaluation

Evans, Chris; Mellor‐Clark, John; Margison, Frank; Barkham, Michael; Audin, Kerry; Connell, Janice; McGrath, Graeme

doi:10.1080/713680250

Cited by 485 publications

(444 citation statements)

References 21 publications

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“…The Cronbach's alpha (α) is given for all participants in the current sample pre therapy. (Evans, 2000): This is a 34 item measure of general mental health over the past week, designed to measure the effectiveness of psychotherapy interventions. Example questions include "I have felt overwhelmed by my problems" and "I have thought of hurting myself".…”

Section: Methodsmentioning

confidence: 99%

Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

Richardson¹,

Bell²,

Bolderston³

et al. 2017

Behav. Cogn. Psychother.

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Background: Previous studies have demonstrated Acceptance and Commitment Therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. Aims:To conduct a preliminary evaluation whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Service (NHS) community mental health service for adults.Method: Staff were trained in ACT and conducted one-to-one therapy with clients. Measures on general mental health, depression, fusion and values were given pre-therapy post-therapy and at three month follow-up. Results:Standardised measures showed significant improvements post-therapy for global mental health, depression, cognitive fusion and values post-treatment. These were partially maintained at follow-up and remained after an intent-to-treat analysis. There were no differences in outcomes between psychologists and non-psychologists, Conclusions: ACT may be delivered effectively with limited training for complex cases in secondary care, though further research is needed. ACT IN AN NHS SERVICE 3 Development and Evaluation of Acceptance and Commitment Therapy delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental HealthService: A Preliminary Analysis. IntroductionAcceptance and Commitment Therapy (ACT) is a 'third wave therapy' which tries to change how individuals relate to their thoughts and emotions rather than change the thoughts and emotions themselves. It is a therapeutic approach that uses acceptance and mindfulness processes, and commitment and behaviour change processes, to produce greater psychological flexibility (Hayes, Strosahl, and Wilson, 1999). Psychological flexibility can be Meta-analyses have also suggested that ACT may be effective for a range of problems including anxiety disorders, psychosis, OCD, anxiety, drug abuse, trichotillomania and skin picking and tinnitus (Montgomery, Kim, and Franklin, 2011;Öst, 2008)

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Section: Methodsmentioning

confidence: 99%

Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

Richardson¹,

Bell²,

Bolderston³

et al. 2017

Behav. Cogn. Psychother.

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“…A variety of valid and reliable instruments were employed in the different studies to measure depressive symptoms (Table 1) Three studies in the review used the Clinical Outcomes in Routine EvaluationOutcome Measure (Evans et al, 2000). It comprises items on symptoms of depression and anxiety, items on functioning including general functioning, social relationships and close relationships, items on trauma, on physical symptoms, and on risk assessment.…”

Section: Outcome Measures Usedmentioning

confidence: 99%

Computer-based psychological treatments for depression: A systematic review and meta-analysis

Richards

Richardson

2012

Clinical Psychology Review

1,356

1,096

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The aim of the paper was to systematically review the literature on computer-based psychological treatments for depression and conduct a meta-analysis of the RCT studies, including examining variables which may effect outcomes. Database and hand searches were made using specific search terms and inclusion criteria. The review included a total of 40 studies (45 published papers), and 19 RCTs (23 published papers)were included in a standard meta-analysis. The review describes the different computer- research is required to determine the best type, frequency, and duration of human support for users (Marks, Cavanagh, & Gega, 2007). Secondly, dropout is a continued cause of concern, with only just over half completing all sessions (Waller & Gilbody, 2009). Whether support predicts dropout is of importance, but has yet to be determined.The current systematic review and meta-analysis sought to evaluate the overall effectiveness of computer-based treatments for depression, as well as examining the impact of support on dropout rates and clinical outcomes. A number of other reviews and meta-analysis exist to date (Andersson & Cuijpers, 2009; Barak, Hen, BonielNissim, & Shapira, 2008; Spek, Cuijpers et al., 2007).This paper aimed to provide a systematic update to this previous work and to use meta- All results were assessed at either title, abstract, or by reading the full paper to determine whether the study met the established inclusion criteria. Included studies could be deployed using a variety of different computer-based technologies, synchronously and asynchronously, they could be solely self-administered or therapistled; or a blended delivery using both. Study participants had to be adults (18+ years) with depression (self-report or diagnosis), established using valid and reliable measures, whom may also have had comorbidity, e.g. anxiety or physical health problems. Studies included were published in peer-reviewed journals in English in the last 10 years, which investigated a computer-based treatment for depression, and included reliable and valid A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTCOMPUTER-BASED PSYCHOLOGICAL TREATMENTS FOR DEPRESSION 5 outcome measures for assessing depression. Participants could be from the general population or a clinical group so long as depression was specifically measured.Preliminary research into recent developments in computerized paradigms for depression such as cognitive bias modification (CBM) based interventions were not considered for inclusion (e.g. Blackwell & Holmes, 2010).Duplicates were rejected and studies were assessed by the first author, any difficulties discussed with the second author, and a final decision reached. Finally, a hand search was made of papers to identify other relevant studies for inclusion. For the systematic review a comprehensive summary of information extracted from the papers was written, that considered the interventions employed, methodological design, communication and support types used in the studies, clinical outcomes, ...

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“…The SIS as a whole (alpha = 0.85) and its separate subscales (Social Isolation = 0.76; Social Acceptance = 0.76; Social Relations = 0.70) demonstrated good internal consistency (Secker et al, 2009). Secker et al (2009) also assessed how the scale related to two measures of similar constructs: the Clinical Outcomes in Routine Evaluation (CORE: a measure of overall mental health; Evans et al, 2000) and a measure of empowerment (Schafer, 2000). The SIS was significantly correlated with both of these measures (with poor mental health associated with low levels of social inclusion, and high levels of social inclusion associated with high levels of empowerment).…”

Section: Development Of the Social Inclusion Scale (Sis)mentioning

confidence: 99%

Validation of the Social Inclusion Scale with Students

Wilson

Secker

2015

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Interventions (such as participatory arts projects) aimed at increasing social inclusion are increasingly in operation, as social inclusion is proving to play a key role in recovery from mental ill health and the promotion of mental wellbeing. These interventions require evaluation with a systematically developed and validated measure of social inclusion; however, a "gold-standard" measure does not yet exist. The Social Inclusion Scale (SIS) has three subscales measuring social isolation, relations and acceptance. This scale has been partially validated with arts and mental health project users, demonstrating good internal consistency. However, test-retest reliability and construct validity require assessment, along with validation in the general population. The present study aimed to validate the SIS in a sample of university students. Test-retest reliability, internal consistency, and convergent validity (one aspect of construct validity) were assessed by comparing SIS scores with scores on other measures of social inclusion and related concepts. Participants completed the measures at two time-points seven-to-14 days apart. The SIS demonstrated high internal consistency and test-retest reliability, although convergent validity was less well-established and possible reasons for this are discussed. This systematic validation of the SIS represents a further step towards the establishment of a "gold-standard" measure of social inclusion.

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CORE: Clinical Outcomes in Routine Evaluation

Cited by 485 publications

References 21 publications

Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis

Computer-based psychological treatments for depression: A systematic review and meta-analysis

Validation of the Social Inclusion Scale with Students

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