Validation of the Systemic Clinical Outcome and Routine Evaluation (SCORE‐15) self‐report questionnaire: index of family functioning and change in Swedish families

Abstract

Instruments for evaluating the progress and outcome of systemic therapeutic treatments in clinical practice need to be easily administered and have sound psychometric properties. The Systemic Clinical Outcome and Routine Evaluation, 15‐item version (SCORE‐15), is a self‐report instrument that measures aspects of family functioning. This study investigates the psychometric qualities of a Swedish version of SCORE‐15. Seventy Swedish families with healthy children and 159 families with children with psychiatric or behavioural problems were included in the study, resulting in a total of 397 individuals. Results showed that SCORE‐15 differentiated clinical from non‐clinical families with acceptable psychometric properties for test‐retest, internal consistency, convergent and construct validity, as well as sensitivity to change for the clinical sample. The three‐factor solution of strengths, difficulties and communication was tested. Results imply preliminary psychometric support for the use of the Swedish version of SCORE‐15 to evaluate progress and outcome in clinical practice.Practitioner points SCORE‐15 is an easily administered questionnaire suitable for use in clinical practice to evaluate systemic therapeutic progress and outcome The Swedish version of SCORE‐15 has acceptable psychometric properties

Perceived burden and family functioning among informal caregivers of individuals living with schizophrenia in Tanzania: a cross-sectional study

“…However, due to incomplete data for one caregiver, the regression analyses included 65 individuals with schizophrenia and 65 matched caregivers, excluding the pair with missing data. Missing values in the SCORE-15, HHI, and WHODAS were handled using mean imputation—the imputed value being the average of all observed responses within the same domain for that participant—as per the recommendation of the developers of the scales [ 26 , 29 , 33 ]. Univariable and multivariable logistic regression models were fitted to data to explore potential correlates of caregiver burden, including family functioning.…”

Funcionamento Familiar: Revisão de Estudos Empíricos sobre Medidas de Avaliação (FAD, FACES-IV e SCORE-15)

“…O SCORE-15 (Stratton et al, 2014), tendo sido primeiramente desenvolvido no Reino Unido e na Irlanda, rapidamente foi alvo de validações em outros países, tais como Portugal (Vilaça et al, 2015), Suécia (Zetterqvist et al, 2019), Polônia (Jósefik et al, 2016), Itália (Paolini & Schepisi, 2020) e a versão tailandesa na Ásia (Limsuwan & Prachason, 2018). Os 15 itens representam descrições de vários aspetos da interação familiar e encontram-se distribuídos por três dimensões (Vilaça et al, 2015): Recursos familiares (e.g., "Somos bons a encontrar novas formas de lidar com as dificuldades"), Comunicação na família (e.g., "Na minha família muitas vezes não se diz a verdade uns com os outros") e Dificuldades familiares (e.g., "Sentimo-nos muito infelizes em nossa família").…”

“…As investigações referidas evidenciaram as adequadas propriedades psicométricas do instrumento testadas em diferentes países (Paolini & Schepisi, 2020;Vilaça et al, 2015;Zetterqvist et al, 2019) após a intervenção terapêutica (Hamilton et al, 2015). O SCORE-15 também se mostrou eficaz como instrumento complementar nas pesquisas portuguesas (Carvalho et al, 2017;Fonseca et al, 2018).…”

Cross‐cultural validation of the Turkish version of SCORE‐15

“…• SCORE-15 is a brief and effective instrument for assessing overall family functioning with specific dimensions of family strengths, communication and difficulties • The Turkish version of SCORE-15 exhibited similar factorial properties across gender and community/clinical groups • The Turkish version of SCORE-15 can be used in both clinical and community contexts for research and intervention Findings from confirmatory factor analysis studies showed that SCORE-15 with its subdimensional structure evaluates the family's strength, difficulties and communication (Carr & Stratton, 2017;Fay et al, 2013;Hamilton et al, 2015;Paolini & Schepisi, 2020;Stratton et al, 2010;Vilaça et al, 2018;Zetterqvist et al, 2020). However, further studies have been recommended to test this three-factor structure for the generalisability of previous limited results concerning confirmatory factor analysis (Carr & Stratton, 2017).…”

“…SCORE-15 has been translated into thirty-two languages, including Italian, Portuguese, Chinese, Finnish, Norwegian, Polish, Hindi and Swedish (EFTA, 2021), and a number of studies have shown that SCORE-15 has reliability and the ability to measure change over the course of the therapeutic process (e.g. Fay et al, 2013;Hamilton et al, 2015;Limsuwan & Prachason, 2020;Paolini & Schepisi, 2020;Stratton et al, 2010;Stratton et al, 2014;O'Hanrahan et al, 2017;Vilaça et al, 2015Vilaça et al, , 2018Zetterqvist et al, 2020).…”