The development of a reliable change index and cutoff score for the SCORE‐15

Abstract

The Systemic Clinical Outcome and Routine Evaluation version 15 (SCORE‐15) is a measure used to assess family‐level change in family therapy. The SCORE‐15 has been demonstrated to be a reliable and valid measure, with high clinical utility; however, the SCORE‐15 lacks the ability to determine whether the change in family functioning during the course of therapy is clinically significant. This study aimed to establish a reliable change index (RCI) and clinical cutoff score so that researchers and clinicians can determine clinically significant change in family therapy. US samples of 71 clinical participants and 244 community participants completed the SCORE‐15. Results indicated a cutoff score of 40.37 and an RCI of 9.52. Consequently, family members who improve their SCORE‐15 score during the course of therapy by at least 9 points and who cross the threshold of 40 during the course of therapy are considered to have experienced clinically significant change.

Validation of the intersession alliance measure: Individual, couple, and family versions

“…The total score is the most commonly used in research (Carr & Stratton, 2017). Total scores range from 15 to 75, with lower scores associated with better functioning and scores higher than 40 indicating clinical distress (Miller et al, 2023).…”

Piloting a narrative‐mantra multi‐clinician group for mental health clinicians at a child and adolescent mental health service in London, UK

“…There are several published papers about adapting the family SCORE-15 for various specific groups, languages and cultures for clinical and research purposes (for example, Limsuwan & Prachason, 2021;Teh et al, 2017;Teh & Lek, 2018). There are also studies addressing the scale's reliability, validity and clinical cutoff points (for example, Fay et al, 2013;Miller et al, 2022). Miller et al (2022) proposed the clinical cutoff to be at least a total average score of 2.72 out of 5.00 or a total score of 40.37 out of 75.00.…”

“…There are also studies addressing the scale's reliability, validity and clinical cutoff points (for example, Fay et al, 2013;Miller et al, 2022). Miller et al (2022) proposed the clinical cutoff to be at least a total average score of 2.72 out of 5.00 or a total score of 40.37 out of 75.00.…”

“…Miller et al. (2022) proposed the clinical cutoff to be at least a total average score of 2.72 out of 5.00 or a total score of 40.37 out of 75.00.…”