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The British Journal of Psychiatry (2002) 180: 51-60
© 2002 The Royal College of Psychiatrists

Towards a standardised brief outcome measure: psychometric properties and utility of the CORE—OM

CHRIS EVANS, MRCPsych

Tavistock & Portman NHS Trust, Tavistock Centre, London and Rampton Hospital, Retford, UK

JANICE CONNELL, BSc and MICHAEL BARKHAM, PhD

Psychological Therapies Research Centre, University of Leeds, UK

FRANK MARGISON, FRCPsych and GRAEME McGRATH, FRCPsych

Department of Psychotherapy, Manchester Royal Infirmary, UK

JOHN MELLOR-CLARK, MA and KERRY AUDIN, BSc

Psychological Therapies Research Centre, University of Leeds, UK

Correspondence: Dr Chris Evans, Rampton Hospital, Retford, Nottinghamshire DN22 0PD, UK. E-mail: chris{at}psyctc.org

Declaration of interest None. Funding detailed in Acknowledgements.

Background An acceptable, standardised outcome measure to assess efficacy and effectiveness is needed across multiple disciplines offering psychological therapies.

Aims To present psychometric data on reliability, validity and sensitivity to change for the CORE—OM (Clinical Outcomes in Routine Evaluation — Outcome Measure).

Method A 34-item self-report instrument was-developed, with domains of subjective well-being, symptoms, function and risk. Analysis includes internal reliability, test—retest reliability, socio-demographic differences, exploratory principal-component analysis, correlations with other instruments, differences between clinical and non-clinical samples and assessment of change within a clinical group.

Results Internal and test—retest reliability were good (0.75-0.95), as was convergent validity with seven other instruments, with large differences between clinical and non-clinical samples and good sensitivity to change.

Conclusions The CORE—OM is a reliable and valid instrument with good sensitivity to change. It is acceptable in a wide range of practice settings.


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