Detecting therapeutic improvement early in therapy: validation of the SCORE-15 index of family functioning and change

被引:74
作者
Stratton, Peter [1 ]
Lask, Judith [2 ]
Bland, Julia [3 ]
Nowotny, Ewa [4 ]
Evans, Chris [5 ]
Singh, Reenee [6 ]
Janes, Emma [7 ]
Peppiatt, Anneka [8 ]
机构
[1] Univ Leeds, Inst Hlth Sci, Leeds Family Therapy & Res Ctr, Leeds LS2 9JT, W Yorkshire, England
[2] Kings Coll London, Inst Psychiat, Sect Family Therapy, London, England
[3] South London & Maudsley NHS Fdn Trust, London, England
[4] Kings Coll London, Inst Psychiat, Dept Child & Adolescent Psychiat, London, England
[5] Nottinghamshire Healthcare NHS Trust, Nottingham, England
[6] Tavistock & Portman NHS Fdn Trust, London, England
[7] East London Trust, London, England
[8] UCL, London WC1E 6BT, England
关键词
SCORE; outcome; validity; family functioning; systemic psychotherapy; COUPLE;
D O I
10.1111/1467-6427.12022
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The SCORE index of family functioning and change is an established measure, with strong psychometric properties, of the quality of family life. We report the sensitivity to therapeutic change of the short form, the SCORE-15. Data are reported from 584 participants aged above 11 years, representing 239 families. All couples and families had been referred for systemic couples and family therapy, completing the form at start of the first session and close to the fourth. The SCORE-15 is shown to be acceptable with strong consistency and reliability. Change over only three sessions was highly statistically significant. Further validation is provided by improvements in quantified scores correlating significantly with independent measures provided by family members and by their therapists. The SCORE-15 is a proven measure of therapy and of therapeutic change in family functioning. It is therefore a routinely usable tool applicable to service evaluation, quality improvement, and to support clinical practice.
引用
收藏
页码:3 / 19
页数:17
相关论文
共 16 条
[1]   Validation of a 28-item version of the Systemic Clinical Outcome and Routine Evaluation in an Irish context: the SCORE-28 [J].
Cahill, Paul ;
O'Reilly, Ken ;
Carr, Alan ;
Dooley, Barbara ;
Stratton, Peter .
JOURNAL OF FAMILY THERAPY, 2010, 32 (03) :210-231
[2]  
Evans C., 1998, EVID-BASED MENT HEAL, V1, P70, DOI [10.1136/ebmh.1.3.70, DOI 10.1136/EBMH.1.3.70]
[3]   Irish norms for the SCORE-15 and 28 from a national telephone survey [J].
Fay, Declan ;
Carr, Alan ;
O'Reilly, Ken ;
Cahill, Paul ;
Dooley, Barbara ;
Guerin, Suzanne ;
Stratton, Peter .
JOURNAL OF FAMILY THERAPY, 2013, 35 (01) :24-42
[4]  
Fraser J.S., 2007, Second-order change in psychotherapy: The golden thread that unifies effective treatments
[5]  
Fujiwara D., 2011, VALUATION TECHNIQUES
[6]   Clients' perceptions of pivotal moments in couples therapy: A qualitative study of change in therapy [J].
Helmeke, KB ;
Sprenkle, DH .
JOURNAL OF MARITAL AND FAMILY THERAPY, 2000, 26 (04) :469-483
[7]   CLINICAL-SIGNIFICANCE - A STATISTICAL APPROACH TO DEFINING MEANINGFUL CHANGE IN PSYCHOTHERAPY-RESEARCH [J].
JACOBSON, NS ;
TRUAX, P .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1991, 59 (01) :12-19
[8]  
Jordan M., 2012, NEW ENGL J MED, V367, P292
[9]  
Lambert M.J., 2008, Handbook of counselling psychology, P233
[10]   VALIDITY OF PSYCHOLOGICAL-ASSESSMENT - VALIDATION OF INFERENCES FROM PERSONS RESPONSES AND PERFORMANCES AS SCIENTIFIC INQUIRY INTO SCORE MEANING [J].
MESSICK, S .
AMERICAN PSYCHOLOGIST, 1995, 50 (09) :741-749