Versão Portuguesa do CORE-OM: tradução, adaptação e estudo preliminar das suas propriedades psicométricas

Abstract

ResumoContexto: O Clinical Outcome Routine Evaluation -Outcome Measure (CORE-OM) é um instrumento europeu de autorrelato para medir a saúde mental em adultos e se encontra adaptado para mais de 20 países. O CORE-OM é utilizado em contextos clínicos hospitalares, saúde ocupacional e educacional, assim como na avaliação da qualidade dos serviços de saúde mental. Objetivos: Este estudo apresenta a tradução e a adaptação do CORE-OM para a língua portuguesa. Métodos: A tradução do CORE-OM seguiu o protocolo internacional da equipe CORE System Trust, em colaboração com os autores originais da medida. Este protocolo envolveu sete traduções independentes, elaboradas por pessoas com/sem familiaridade com a área de saúde mental e por tradutores profissionais. Essas traduções foram posteriormente discutidas em formato de grupo focal, do qual resultou uma versão final da medida. Participaram no processo de tradução indivíduos de várias faixas etárias, contextos socioculturais e níveis de escolaridade. Resultados: Resultados preliminares numa amostra de 111 indivíduos (população geral) revelam que essa tradução é fiável e com elevada consistência interna. Conclusão: A versão portuguesa do CORE-OM aqui apresentada é relevante e adequada, sendo um instrumento indicado para avaliar a mudança psicológica tanto em investigação como na prática clínica.Sales CMD, et al. / Rev Psiq Clín. 2012;39(2):54-9 Palavras-chave: Tradução, bem-estar psicológico, medidas de autorrelato, CORE-OM, versão portuguesa. AbstractBackground: The Clinical Outcome Routine Evaluation -Outcome Measure (CORE-OM) is a European self-report measure of psychological well-being in adults, which is already adapted for more than 20 countries. The CORE-OM is applicable in primary care settings, in occupational health and educational contexts, as well as for evaluations of mental health services quality. Objectives: To translate the CORE-OM into and adapt it to the Portuguese language. Methods: The translation of CORE-OM to Portuguese was conducted in accordance with the CORE System Trust international guidelines, in collaboration with the authors of the original CORE-OM. This guidelines involved seven independent translations by individuals familiar/non-familiar with the field of mental health and by licensed translators. After the discussion of these translations in a focus group, a final version of the Portuguese CORE-OM was established. Individuals from different age groups, socio-cultural backgrounds and educational levels participated in this translation process. Results: Preliminary results in a sample of 111 individuals (general population) show that the translated measure is confidential and has a good internal reliability. Discussion: The Portuguese version of the CORE-OM is a valid and adequate instrument to evaluate psychological changes, both in research and clinical practice contexts.

Balancing clinical risk with countertransference management protects alliance

“…Namely, one must be careful about the small sample size; problematic internal consistency in CFI subscales (possibly due to the self-reported form and/or insufficient sample size) and the CORE risk scale (in line with results from the Portuguese version - Sales et al, 2012); possible distortions due to measurement error (structural equation modelling with latent variables is desirable as soon as sample size allows); and the lack of qualitative data. Hopefully, our ongoing longitudinal study will help overcome some of these problems, while increasing statistical power.…”

“…Measure (CORE-OM; Evans et al, 2000; Portuguese version by Sales, Moleiro, Evans, & Alves, 2012) is a 34-item self-report questionnaire designed to measure different aspects of adults' mental health in the context of psychological therapies. It is not a diagnostic tool and can be used in a variety of contexts and intervention modalities for pre-treatment assessment and/or as a measure of change during or after therapy.…”

Psychometrics of the Personal Questionnaire: A client-generated outcome measure.

“…This study used Portuguese translations of two measures to examine change and provide evidence for the convergent validity of PQ scores; in both cases higher scores indicated greater distress or dysfunction: (a) Clinical Outcome Routine Evaluation -Outcome Measure (CORE-OM; Portuguese version: Sales, Moleiro, Evans & Alves, 2012), used also in sample 2 above. (Internal consistency for this sample: .93.)…”

Studying the Efficacy of Psychodrama With the Hermeneutic Single Case Efficacy Design: Results From a Longitudinal Study

“…Clinical Outcomes in Routine Evaluation Outcome Measure ( Evans et al, 2000 , 2002 ; Lyne et al, 2006 ; Portuguese version by Sales et al, 2012 ) assesses the effectiveness of the clinical intervention and consists of 34 statements that the patients must evaluate on a five-point Likert scale, based on how frequently they experienced a certain mood during the previous week, in accordance with the following gradation: 0, “Not at all”; 1, “only occasionally”; 2, “occasionally”; 3, “often”; and 4, “very often or always.” This instrument is divided into four domains: Subjective Well-being (four items), Problems/Symptoms (12 items), Life Functioning (12 items), and Risk/Harm (six items). Of the 34 items, approximately 50% relate to problems of low intensity, such as “I felt tense, anxious, and nervous,” while the remaining 50% of items relate to problems of high intensity, such as “I felt panic or terror.” Twenty-five percent of all items concern positive statements with reverse scores.…”