Community Care Behavioral Health Organization, 112 Washington Place, Suite 700, Pittsburgh, PA, 15219, USA,
Community Ment Health J. 2014 Feb;50(2):204-8. doi: 10.1007/s10597-013-9627-1. Epub 2013 Jun 8.
The current investigation sought to provide reliability and validity evidence for the Child Outcomes Survey (COS), a brief measure designed with a dual purpose to measure functioning and therapeutic relationship and to serve as a clinician-caregiver communication tool. Exploratory (EFA) and confirmatory factor analyses (CFA) were performed using a sample of 774 responses collected from 15 provider sites throughout the state of Pennsylvania. Results of the EFA (n = 387) uncovered a three factor structure (family functioning, child functioning, and therapeutic relationship) which was confirmed in the CFA (n = 387). The internal consistency reliability of the three subscales ranged from α = .76 to α = .91. There was a significant relationship between the therapeutic relationship subscale and the use of the COS as a communication aid (r s = .50, p < .001). Findings support the COS as an accurate measure of functioning and therapeutic relationship and its utility as a communication aid between clinician and caregiver.
本研究旨在为儿童结果调查（COS）提供信度和效度证据，该调查是一种简短的测量工具，具有双重目的，即测量功能和治疗关系，并作为临床医生-照顾者沟通工具。使用来自宾夕法尼亚州 15 个提供者站点的 774 个响应的样本进行了探索性（EFA）和验证性因子分析（CFA）。EFA（n = 387）的结果发现了一个三因素结构（家庭功能、儿童功能和治疗关系），在 CFA（n = 387）中得到了确认。三个分量表的内部一致性信度范围从α=.76 到α=.91。治疗关系分量表与 COS 作为沟通辅助工具的使用之间存在显著关系（rs =.50，p <.001）。研究结果支持 COS 作为功能和治疗关系的准确测量工具，以及其作为临床医生和照顾者之间沟通辅助工具的效用。
