The OQ-45 and MyOutcomes

| February 28, 2013
fit outcomes, myoutcomes, cdoi

The Outcome Questionnaire 45 (OQ-45) is one of several tools that have been developed to address the goals of evidence-based therapy. Even more so, this tool is similar to MyOutcomes’ Outcome Rating Scale (ORS) which itself was designed to work within the framework of the feedback-informed therapy model.

Like the ORS, the OQ-45 is a measure of subjective comfort/discomfort, interpersonal relationships and social role performance since the last meeting with their therapist. It also includes nine items that measure psychopathology. Both of these tools are comparable in their ability to detect clients at risk of failing to achieve their therapeutic goals and they both reduce client deterioration rates to a similar degree.

The OQ-45 is ideally administered prior to the beginning of a session, since it can take as long as 10 minutes to complete. The ORS, on the other hand, takes less than a minute and therefore doesn't require special scheduling nor does it take valuable time away from the therapeutic session. The OQ-45 lacks efficacy with populations under 18 years of age whereas the ORS can be used easily with adults, adolescents and the CORS has been normed for use with children. As home atmosphere can play a role in the subjective well-being of children and teenagers, the ORS is also able to collect and integrate the same information from their caretaker.

The ORS and the OQ-45 are both powerful tools that provide feedback to the therapist as to changes or lack thereof in the subjective state of the client. As the subjective state is typically what brings an individual in for counselling, having regular measures of that state enables the therapist to evaluate their therapeutic strategy and being able to quantify the client's subjective state has been demonstrated to improve therapeutic outcomes.

Another factor shown to improve therapeutic outcomes is the therapist-client alliance. MyOutcomes has a distinct advantage over the OQ-45 in this regard. Packaged with the ORS is the Session Rating Scale (SRS) which has the same ease of use and accessibility as the ORS. The SRS is administered at the end of each session, providing the therapist with immediate feedback regarding the client's perception of their relationship. If difficulties exist for the therapeutic bond, the therapist has the ability to immediately address any relevant issues with client.

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Category: Outcome Rating Scale

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