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Updated: May 5, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Reliability and validity of the Outcome Questionnaire-45.2
Donald L Boswell1, Jason K White, Wendy D Sims
1School of Applied Health and Educational Psychology, Oklahoma State University, 434 Willard Hall, Stillwater, OK 74078, USA. don.boswell@okstate.edu
This study found the Outcome Questionnaire-45.2 (OQ-45.2) to be a reliable tool for assessing counseling clients. Its total score and Symptom Distress subscale demonstrated strong validity, supporting its use in clinical settings.
Area of Science:
- Psychological Assessment
- Clinical Psychology
- Counseling Research
Background:
- The Outcome Questionnaire-45.2 (OQ-45.2) is utilized for client intake at a Midwestern university counseling center.
- Assessing the psychometric properties of widely used clinical instruments is crucial for evidence-based practice.
Purpose of the Study:
- To evaluate the reliability and validity of the Outcome Questionnaire-45.2 (OQ-45.2) in a university counseling center population.
- To determine the internal consistency and convergent validity of the OQ-45.2 and its subscales.
Main Methods:
- A random sample of 220 client records from a university counseling center was analyzed.
- Internal consistency was assessed using Cronbach's alpha coefficients.
- Convergent validity was examined by correlating OQ-45.2 scores with clients' presenting concerns.
Main Results:
- Acceptable internal consistency was found for all OQ-45.2 subscales and the total score.
- High reliability coefficients were observed for the total score and Symptom Distress subscale.
- Strong evidence for validity was found for the OQ-45.2 total score and Symptom Distress subscale, with weaker support for Interpersonal Relations and Social Role subscales.
Conclusions:
- The OQ-45.2 demonstrates good reliability and validity, particularly for its total score and Symptom Distress subscale, in this university counseling center sample.
- The findings support the continued use of the OQ-45.2 for client assessment in similar clinical settings.
- Further research may be warranted to strengthen the evidence for the Interpersonal Relations and Social Role subscales.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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