주기적 결과 모니터링을 위한 성과 측정 척도 개발 및 타당화

초록

This study developed and validated the Outcome Measurement Scale (OMS), integrating symptom reduction and a multidimensional well-being perspective for Routine Outcome Monitoring (ROM). To address limitations of the existing Outcome Rating Scale (ORS), widely used for ROM, and based on a review of relevant literature, a brief outcome scale was developed. The OMS consists of five items measuring psychological discomfort, self-concept, intimate relationships, work and roles, and overall satisfaction. In a preliminary survey of 400 university students, item analysis and exploratory factor analysis supported a unidimensional structure. A subsequent survey of 1,000 participants from the general population confirmed this structure through confirmatory factor analysis, demonstrating excellent internal consistency (α = .93). The OMS exhibited strong concurrent validity through significant correlations with established ROM measures, including the Clinical Outcomes in Routine Evaluation-Outcome Measure, depression (PHQ-9), anxiety (GAD-7), and well-being (WHO-5 Index). Implications for clinical practice and study limitations are discussed.

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