Development of the clinically adaptive multidimensional outcome survey

Area of Science:

• Psychotherapy research
• Clinical psychology
• Health services research

Background:

• Routine outcome monitoring (ROM) is endorsed by psychotherapy researchers but not widely used in practice.
• Existing ROM systems may lack flexibility for clinical settings.
• There is a need for adaptable, high-quality ROM tools.

Purpose of the Study:

• To describe the development of the Clinically Adaptive Multidimensional Outcome Survey (CAMOS).
• To introduce an innovative ROM system allowing local adaptation and high-quality data collection.
• To provide a reliable and valid measure for various dimensions of distress.

Main Methods:

• The CAMOS was administered to 304 clients at a university counseling center and 211 patients at an eating disorder facility.
• 118 participants completed the CAMOS at both intake and discharge.
• Exploratory and confirmatory factor analysis were used to develop and compare two models.

Main Results:

• A five-factor model demonstrated the best model fit.
• The chosen model exhibited strong internal consistency, convergent validity, and discriminant validity.
• The CAMOS proved reliable and valid for measuring distress dimensions.

Conclusions:

• The CAMOS is a reliable and valid tool for routine outcome monitoring.
• Its distinctive tailoring features enhance its utility compared to other ROM measures.
• The CAMOS supports adaptable, high-quality data collection in clinical settings.