Measurement properties of the Swedish clinical outcomes in routine evaluation outcome measures (CORE-OM): Rasch analysis and short version for depressed and anxious out-patients in a multicultural area

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Danielsson, Louise,1979Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation (författare)

Measurement properties of the Swedish clinical outcomes in routine evaluation outcome measures (CORE-OM) : Rasch analysis and short version for depressed and anxious out-patients in a multicultural area

Artikel/kapitelEngelska2022

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2022-02-19
NLM (Medline),2022
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:ri-58773
https://urn.kb.se/resolve?urn=urn:nbn:se:ri:diva-58773URI
https://doi.org/10.1186/s12955-022-01937-7DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-57528URI
https://gup.ub.gu.se/publication/313992URI

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Språk:engelska
Sammanfattning på:engelska

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INTRODUCTION: The Swedish version of the patient-reported Clinical Outcomes in Routine Evaluation Outcome Measures (CORE-OM) has demonstrated high reliability and acceptable convergent validity in explanatory factor analyses. However, the fundamental scale properties have not yet been validated according to item response theory. The aim of this study was to analyze the measurement properties of the Swedish CORE-OM in a cohort of psychiatric out-patients with depression and anxiety in a multicultural area and to explore combinations of items based on shorter versions of the scale (CORE-10, CORE-6D) to improve measurement properties. METHODS: Data from CORE-OM assessments of 337 patients were analyzed using Rasch analysis. The patients had a mean age of 30 ± 14 years, the majority were women (72%). Requirements for measurement properties were checked: overall model fit, item fit residuals, targeting, internal consistency, differential item functioning and thresholds. Sensitivity to change was also analyzed. RESULTS: The CORE-OM showed high internal consistency (person separation index = 0.947) and adequate targeting, but there was overall model misfit (item trait interaction χ2 = 917.53, p < 0.001), indication of local dependency, and differential item functioning in 9 items. The risk items showed problems with disordered thresholds. The emotional component of the shorter CORE-6D showed the best fit for our sample. Adding 3 items to include depressive and trauma-related content resulted in a unidimensional 8-item set with acceptable reliability, model fit, targeting and sensitivity to change. CONCLUSION: For out-patients with diagnosed depression or anxiety in a multicultural area, the Swedish CORE-OM showed high internal consistency, but also validity problems. Based on the shorter CORE-6D version, a unidimensional 8-item set could be an alternative brief measure of psychological distress for this population, but further validity studies are required. Qualitative studies exploring the CORE-OM items in non-native speakers are also warranted. © 2022. The Author(s).

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Internal validity
Item response theory
Patient-reported outcome measures
Psychometrics
adolescent
adult
anxiety
diagnosis
female
human
male
outpatient
procedures
psychometry
quality of life
questionnaire
reproducibility
Sweden
young adult
Humans
Outcome Assessment
Health Care
Outpatients
Reproducibility of Results
Surveys and Questionnaires
Psychometrics
Internal validity
Patient-reported outcome measures
Item response theory
psychometric properties
measurement model
hospital anxiety
inventory
utility
scores
care
Health Care Sciences & Services

Biuppslag (personer, institutioner, konferenser, titlar ...)

Elfström, Magnus,1971-Mälardalens universitet,Hälsa och välfärd,BEME(Swepub:mdh)mem05 (författare)
Galan Henche, JavierAngered Hospital, Sweden,Angered Hosp, Box 63, S-42224 Gothenburg, Sweden. (författare)
Melin, JeanetteRISE,Mätteknik,Res Inst Sweden, RISE Metrol, Gothenburg, Sweden.(Swepub:ri)jeanetteme@ri.se (författare)
Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering (creator_code:org_t)

Sammanhörande titlar

Ingår i:Health and Quality of Life Outcomes: NLM (Medline)20:1, s. 30-1477-7525

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Health and Quality of Life Outcomes (Sök värdpublikationen i LIBRIS)

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