title: Development of the clinically adaptive multidimensional outcome survey.
abstract: Routine outcome monitoring (ROM) has been strongly endorsed by psychotherapy researchers, but has yet to achieve widespread implementation in clinical settings. This article describes the development of the Clinically Adaptive Multidimensional Outcome Survey (CAMOS), an innovative ROM system that allows for local adaptation while providing high quality data.
  
  
  
  Three-hundred and four clients at a university counseling center and 211 female patients at an eating disorder treatment facility were administered the CAMOS at intake, and 118 took the CAMOS at both intake and discharge. Two models were developed and compared. Both models were developed using exploratory and confirmatory factor analysis.
  
  
  
  A five-factor model was found to have the best model fit, internal consistency, convergent validity, and discriminant validity.
  
  
  
  The CAMOS has evidence to support its reliability and validity as a measure of various dimensions of distress. Distinctive tailoring features of the CAMOS compared to other ROM measures are described.
authors.affiliation: a Department of Counseling Psychology , Brigham Young University , Provo , UT , USA.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Sanders
authors.affiliation: a Department of Counseling Psychology , Brigham Young University , Provo , UT , USA.
authors.forename: P Scott
authors.initials: PS
authors.lastname: Richards
authors.affiliation: a Department of Counseling Psychology , Brigham Young University , Provo , UT , USA.
authors.forename: Jason A
authors.initials: JA
authors.lastname: McBride
mesh_terms: D000328:Adult; D055317:Evidence-Based Practice; D005163:Factor Analysis, Statistical; D001068:Feeding and Eating Disorders / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D015233:Models, Statistical; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000592:standards; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D011613:Psychotherapy / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D055815:Young Adult
keywords: Psychotherapy outcomes; hermeneutics; practice-based evidence; psychometrics; routine outcome monitoring; validity