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CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties
BACKGROUND: Instruments for monitoring the clinical status of adolescents with emotional problems are needed. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) according to theory measures problems/symptoms, well-being, functioning and risk. Documentation of whether the theoretic...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439542/ https://www.ncbi.nlm.nih.gov/pubmed/32819424 http://dx.doi.org/10.1186/s40359-020-00459-5 |
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author | Lorentzen, Veronica Handegård, Bjørn Helge Moen, Connie Malén Solem, Kenth Lillevoll, Kjersti Skre, Ingunn |
author_facet | Lorentzen, Veronica Handegård, Bjørn Helge Moen, Connie Malén Solem, Kenth Lillevoll, Kjersti Skre, Ingunn |
author_sort | Lorentzen, Veronica |
collection | PubMed |
description | BACKGROUND: Instruments for monitoring the clinical status of adolescents with emotional problems are needed. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) according to theory measures problems/symptoms, well-being, functioning and risk. Documentation of whether the theoretical factor structure for CORE-OM is applicable for adolescents is lacking. METHODS: This study examined the factor structure and psychometric properties of the CORE-OM based on two samples of adolescents (age 14–18): youths seeking treatment for emotional problems (N = 140) and high school students (N = 531). A split half approach was chosen. An exploratory factor analysis (EFA) was performed on the first half of the stratified samples to establish the suitability of the model. A Confirmatory Factor Analysis (CFA) with the chosen model from the EFA was performed on the second half. Internal consistency and clinical cut-off scores of the CORE-OM were investigated. RESULTS: The best fitting model only partially confirmed the theoretical model for the CORE-OM. The model consisted of five factors: 1) General problems, 2) risk to self, 3) positive resources 4) risk to others and 5) problems with others. The clinical cut-off score based on the all-item total was higher than in an adult sample. Both the all-item total and general problems cut-off scores showed gender differences. CONCLUSION: The factor analysis on CORE-OM for adolescents resulted in a five-factor solution, and opens up for new subscales concerning positive resources and problems with others. A 17-item solution for the general problems/symptoms scale is suggested. We advise developers of self-report instruments not to reverse items, if they do not intend to measure a separate factor, since these seem to affect the dimensionality of the scales. Comparing means for gender in non-clinical samples should not be done without modification of the general emotional problem and the positive resources scales. Slightly elevated CORE-OM scores (up to 1.3) in adolescents may be normal fluctuations. |
format | Online Article Text |
id | pubmed-7439542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74395422020-08-24 CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties Lorentzen, Veronica Handegård, Bjørn Helge Moen, Connie Malén Solem, Kenth Lillevoll, Kjersti Skre, Ingunn BMC Psychol Research Article BACKGROUND: Instruments for monitoring the clinical status of adolescents with emotional problems are needed. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) according to theory measures problems/symptoms, well-being, functioning and risk. Documentation of whether the theoretical factor structure for CORE-OM is applicable for adolescents is lacking. METHODS: This study examined the factor structure and psychometric properties of the CORE-OM based on two samples of adolescents (age 14–18): youths seeking treatment for emotional problems (N = 140) and high school students (N = 531). A split half approach was chosen. An exploratory factor analysis (EFA) was performed on the first half of the stratified samples to establish the suitability of the model. A Confirmatory Factor Analysis (CFA) with the chosen model from the EFA was performed on the second half. Internal consistency and clinical cut-off scores of the CORE-OM were investigated. RESULTS: The best fitting model only partially confirmed the theoretical model for the CORE-OM. The model consisted of five factors: 1) General problems, 2) risk to self, 3) positive resources 4) risk to others and 5) problems with others. The clinical cut-off score based on the all-item total was higher than in an adult sample. Both the all-item total and general problems cut-off scores showed gender differences. CONCLUSION: The factor analysis on CORE-OM for adolescents resulted in a five-factor solution, and opens up for new subscales concerning positive resources and problems with others. A 17-item solution for the general problems/symptoms scale is suggested. We advise developers of self-report instruments not to reverse items, if they do not intend to measure a separate factor, since these seem to affect the dimensionality of the scales. Comparing means for gender in non-clinical samples should not be done without modification of the general emotional problem and the positive resources scales. Slightly elevated CORE-OM scores (up to 1.3) in adolescents may be normal fluctuations. BioMed Central 2020-08-20 /pmc/articles/PMC7439542/ /pubmed/32819424 http://dx.doi.org/10.1186/s40359-020-00459-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Lorentzen, Veronica Handegård, Bjørn Helge Moen, Connie Malén Solem, Kenth Lillevoll, Kjersti Skre, Ingunn CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title | CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title_full | CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title_fullStr | CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title_full_unstemmed | CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title_short | CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
title_sort | core-om as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439542/ https://www.ncbi.nlm.nih.gov/pubmed/32819424 http://dx.doi.org/10.1186/s40359-020-00459-5 |
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