@article{4a731e146eba48879e1dc898f2a70356,
title = "Factor analysis of the Clinical Outcomes in Routine Evaluation - Outcome Measures (CORE-OM) in a Kenyan sample",
abstract = "Background: There is no generic psychotherapy outcome measure validated for Kenyan populations. The objective of this study was to test the acceptability and factor structure of the Clinical Outcomes in Routine Evaluation - Outcome Measure in patients attending psychiatric clinics at two state-owned hospitals in Nairobi. Methods: Three hundred and forty-five patients filled out the CORE-OM after their initial therapy session. Confirmatory and Exploratory Factor Analysis (CFA/EFA) were used to study the factor structure of the CORE-OM. Results: The English version of the CORE-OM seemed acceptable and understandable to psychiatric patients seeking treatment at the state-owned hospitals in Nairobi. Factor analyses showed that a model with a general distress factor, a risk factor, and a method factor for positively framed items fit the data best according to both CFA and EFA analysis. Coefficient Omega Hierarchical showed that the general distress factor was reliably measured even if differential responding to positively framed items was regarded as error variance. Conclusions: The English language version of the CORE-OM can be used with psychiatric patients attending psychiatric treatment in Nairobi. The factor structure was more or less the same as has been shown in previous studies. The most important limitation is the relatively small sample size.",
keywords = "Factor analysis, Outcome measurement, Psychological assessment, Psychological distress, Psychotherapy",
author = "Fredrik Falkenstr{\"o}m and Manasi Kumar and Aiysha Zahid and Mary Kuria and Caleb Othieno",
note = "Funding Information: The authors would also like to thank the Center for Clinical Research S{\"o}rmland for a small grant supporting this project via a grant to FF. The project was also supported in 2015–2016 by MEPI/Prime-K seed grant covered under award 1R24TW008889 from the US National Institutes of Health to MK. The content is solely the responsibility of the authors and does not necessarily represent the official views of the US National Institute of Health. Both funding agencies have not influenced any part of the study or results in any way. Funding Information: The authors wish to thank Carol Mwakio, Judy Mbuthia, and Yvonne Olando for help with data collection at KNH and Mathare Hospital. We wish to thank all our participants- patients and staff at Mathare and Kenyatta National Hospitals for their cooperation. The authors would also like to thank the Center for Clinical Research S{\"o}rmland for a small grant supporting this project via a grant to FF. The project was also supported in 2015-2016 by MEPI/Prime-K seed grant covered under award 1R24TW008889 from the US National Institutes of Health to MK. The content is solely the responsibility of the authors and does not necessarily represent the official views of the US National Institute of Health. Both funding agencies have not influenced any part of the study or results in any way. Publisher Copyright: {\textcopyright} 2018 The Author(s).",
year = "2018",
month = oct,
day = "1",
doi = "10.1186/s40359-018-0260-1",
language = "English",
volume = "6",
journal = "BMC psychology",
issn = "2050-7283",
publisher = "BioMed Central Ltd.",
number = "1",
}