Department of Behavioural Sciences and Learning, Linköping University, SE-581 83, Linköping, Sweden.
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, 00202, Kenya.
BMC Psychol. 2018 Oct 1;6(1):48. doi: 10.1186/s40359-018-0260-1.
There is no generic psychotherapy outcome measure validated for Kenyan populations. The objective of this study was to test the acceptability and factor structure of the Clinical Outcomes in Routine Evaluation - Outcome Measure in patients attending psychiatric clinics at two state-owned hospitals in Nairobi.
Three hundred and forty-five patients filled out the CORE-OM after their initial therapy session. Confirmatory and Exploratory Factor Analysis (CFA/EFA) were used to study the factor structure of the CORE-OM.
The English version of the CORE-OM seemed acceptable and understandable to psychiatric patients seeking treatment at the state-owned hospitals in Nairobi. Factor analyses showed that a model with a general distress factor, a risk factor, and a method factor for positively framed items fit the data best according to both CFA and EFA analysis. Coefficient Omega Hierarchical showed that the general distress factor was reliably measured even if differential responding to positively framed items was regarded as error variance.
The English language version of the CORE-OM can be used with psychiatric patients attending psychiatric treatment in Nairobi. The factor structure was more or less the same as has been shown in previous studies. The most important limitation is the relatively small sample size.
目前尚无针对肯尼亚人群的通用心理治疗结局衡量标准。本研究的目的是检验 CORE-OM 在两家内罗毕国有医院精神科门诊患者中的可接受性和结构因素。
345 名患者在初始治疗后填写了 CORE-OM。采用验证性和探索性因子分析（CFA/EFA）来研究 CORE-OM 的结构因素。
对于在内罗毕国有医院接受治疗的精神科患者来说，CORE-OM 的英文版本似乎是可以接受和理解的。因子分析表明，根据 CFA 和 EFA 分析，具有一般困扰因素、风险因素和积极框架项目方法因素的模型最适合数据。系数奥米茄层次表明，即使将对积极框架项目的差异反应视为误差方差，一般困扰因素也能得到可靠的测量。
CORE-OM 的英文版本可用于在内罗毕接受精神科治疗的精神科患者。其结构因素或多或少与之前的研究结果相同。最主要的限制是样本量相对较小。
