Abstract
The evolution of managed behavioral health care has led to an increased emphasis on reliable and valid assessment of outcomes in clinical practice. The present study evaluated the convergent, divergent, and concurrent validity and sensitivity to change of two widely used measures: Behavior and Symptom Identification Scale (BASIS-32) and Outcome Questionnaire (OQ-45). Comparisons of the two measures revealed that both were sensitive to change over a relatively short inpatient stay. Both measures also showed evidence of convergent and divergent validity of specific subscales, although the total scores of each measure also were highly correlated. Evidence of concurrent validity was suggested by differences between diagnostic groups on specific subscale scores. Together with previous research, these results suggest that the BASIS-32 and OQ-45 can be useful measures for tracking patient functioning over a range of treatment contexts.
Similar content being viewed by others
References
Barlow DH. Effectiveness of psychotherapy: science and policy.Clinical Psychology: Science and Practice. 1996;3:236–240.
Sederer LI, Dickey B, eds.Outcomes Assessment in Clinical Practice. Baltimore, MD: Williams & Wilkins; 1996.
Lambert MJ, Okiishi JC, Finch AE, et al. Outcome assessment: from conceptualization to implementation.Professional Psychology: Research and Practice, 1998;29:63–70.
Bergin AE, Garfield SL, eds.Handbook of Psychotherapy and Behavior Change. 4th ed. New York: Wiley; 1994.
Hoffmann FL, Capelli K, Mastrianni X. Measuring treatment outcome for adults and adolescents: reliability and validity of the BASIS-32.Journal of Mental Health Administration. 1997;24:316–331.
Docherty JP, Streeter MJ. Measuring outcomes. In: Sederer LI, Dickey B, eds.Outcomes Assessment in Clinical Practice. Baltimore, MD: Williams & Wilkins; 1996:8–18.
Eisen SV, Dickey B. Mental health outcome assessment: the new agenda.Psychotherapy. 1996;33:181–189.
Sederer LI, Dickey B, Hermann RC. The imperative of outcomes assessment in psychiatry. In: Sederer LI, Dickey B, eds.Outcomes Assessment in Clinical Practice. Baltimore, MD: Williams & Wilkins; 1996:1–7.
Burlingame GM, Lambert MJ, Reisinger CW, et al. Pragmatics of tracking mental health outcomes in a managed care setting.Journal of Mental Health Administration. 1995;22:226–236.
McGlynn EA. Domains of study and methodological challenges. In: Sederer LI, Dickey B, eds.Outcomes Assessment in Clinical Practice. Baltimore, MD: Williams & Wilkins; 1996:19–24.
Froyd JE, Lambert MJ, Froyd JD. A review of practices of psychotherapy outcome measurement.Journal of Mental Health. 1996;5:11–15.
Eisen SV, Dill DL, Grob MC. Reliability and validity of a brief patient-report instrument for psychiatric outcome evaluation.Hospital and Community Psychiatry. 1994;45:242–247.
Lambert MJ, Hansen NB, Umphress V, et al.Administration and Scoring Manual for the OQ-45.2. Stevenson, MD: American Professional Credentialing Services; 1996.
Russo J, Roy-Byrne P, Jaffe C, et al. The relationship of patient-administered outcome assessments to quality of life and physician ratings: validity of the BASIS-32.Journal of Mental Health Administration. 1997;24:200–214.
Eisen SV, Wilcox M, Leff HS, et al. Assessing behavioral health outcomes in outpatient programs: reliability and validity of the BASIS-32.Journal of Behavioral Health Services & Research. 1999;26:5–17.
Klinkenberg WD, Cho DW, Vieweg B. Reliability and validity of the interview and self-report versions of the BASIS-32.Psychiatric Services. 1998;49:1229–1231.
Lambert MJ, Burlingame GM, Umphress VJ, et al. The reliability and validity of the outcome questionnaire.Clinical Psychology and Psychotherapy. 1996;3:249–258.
Umphress VJ, Lambert MJ, Smart DW, et al. Concurrent and construct validity of the outcome questionnaire.Journal of Psychoeducational Assessment. 1997;15:40–55.
Moran PW, Doerfler LA, Scherz J, et al. Rehospitalization of patients in a managed care environment.Mental Health Services Research. 2000;2:191–199.
Eisen SV, Culhane MA. Behavior and symptom identification scale (BASIS-32). In: Maruish MM, ed.The Use of Psychological Testing for Treatment Planning and Outcomes Assessment. 2nd ed. Mahwah, NJ: Lawrence Erlbaum; 1999:759–790.
Strosahl K. Entering the new frontier of managed mental health care: gold mines and land mines.Cognitive and Behavioral Practice. 1994;1:5–23.
Lambert MJ, Finch AE. The outcome questionnaire. In: Maruish MM, ed.The Use of Psychological Testing for Treatment Planning and Outcomes Assessment. 2nd ed. Mahwah, NJ: Lawrence Erlbaum; 1999:831–869.
Kessler RC, McGonagle KA, Zhao S. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the national comorbidity survey.Archives of General Psychiatry. 1994;51:8–19.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Doerfler, L.A., Addis, M.E. & Moran, P.W. Evaluating mental health outcomes in an inpatient setting: Convergent and divergent validity of the OQ-45 and BASIS-32. The Journal of Behavioral Health Services & Research 29, 394–403 (2002). https://doi.org/10.1007/BF02287346
Issue Date:
DOI: https://doi.org/10.1007/BF02287346