Miller Richard B, Nebeker-Adams Cara A, Anderson Shayne R, Bradford Angela B, Johnson Lee N
Marriage and Family Therapy Program, School of Family Life, Brigham Young University, Provo, Utah, USA.
Benteh Wellness Center, Palmer, Alaska, USA.
J Marital Fam Ther. 2023 Jan;49(1):36-48. doi: 10.1111/jmft.12600. Epub 2022 Aug 1.
The Systemic Clinical Outcome and Routine Evaluation version 15 (SCORE-15) is a measure used to assess family-level change in family therapy. The SCORE-15 has been demonstrated to be a reliable and valid measure, with high clinical utility; however, the SCORE-15 lacks the ability to determine whether the change in family functioning during the course of therapy is clinically significant. This study aimed to establish a reliable change index (RCI) and clinical cutoff score so that researchers and clinicians can determine clinically significant change in family therapy. US samples of 71 clinical participants and 244 community participants completed the SCORE-15. Results indicated a cutoff score of 40.37 and an RCI of 9.52. Consequently, family members who improve their SCORE-15 score during the course of therapy by at least 9 points and who cross the threshold of 40 during the course of therapy are considered to have experienced clinically significant change.
系统临床结果与常规评估第15版（SCORE - 15）是一种用于评估家庭治疗中家庭层面变化的测量工具。SCORE - 15已被证明是一种可靠且有效的测量工具，具有较高的临床实用性；然而，SCORE - 15缺乏判断治疗过程中家庭功能变化是否具有临床意义的能力。本研究旨在建立一个可靠变化指数（RCI）和临床临界分数，以便研究人员和临床医生能够确定家庭治疗中具有临床意义的变化。71名临床参与者和244名社区参与者的美国样本完成了SCORE - 15评估。结果表明临界分数为40.37，RCI为9.52。因此，在治疗过程中SCORE - 15分数至少提高9分且在治疗过程中超过40分阈值的家庭成员被认为经历了具有临床意义的变化。
