The Spanish version of the YP-CORE (Young Person’s Clinical Outcomes in Routine Evaluation).

Abstract

Given the increasing prevalence of mental health problems in the general population, it is necessary to use assessment tools aimed at collecting psychological information of the person, (re)designing appropriate therapeutic interventions, and ultimately promoting adequate psychological rehabilitation. For that purpose, the Young Person’s – Clinical Outcomes in Routine Evaluation (YP-CORE) is an instrument designed to measure the outcome of therapeutic interventions in young people aged from 11 to 16 years in terms of general distress. The main objective of this study was to adapt the YP-CORE into Spanish, estimating also its psychometric properties. We describe the process of adaptation into Spanish and a first psychometric study of the YP-CORE. 104 participants were recruited in the clinical sample and 131 in the non-clinical sample. Given the non-normality of the data, both parametric and non-parametric analyses were applied to estimate acceptability, internal consistency, test-retest stability, differences between clinical and non-clinical samples, the influence of age and gender, the factorial structure, and the cut-off score. Also, convergent validity was studied with the Youth Self-Report (YSR). The YP-CORE showed good levels of acceptability, adequate internal consistency and test-retest stability, with moderately high correlations. In addition, the instrument yielded significant correlations with all dimensions of YSR, with the highest being those between both totals scores. Moreover, it has also proven to be useful in discriminating between clinical and non-clinical samples, showing a small effect of age but a larger effect of sex, with higher scores for females. Principal Component Analysis replicates the original structure. The cut-off scores to calculate the clinically significant change are also provided. These results allow a reliable use of the instrument, although there are certain limitations suggesting the need for conducting more research with larger and more representative samples.

Full text

THE SPANISH VERSION OF THE YP-CORE (YOUNG
PERSON’S CLINICAL OUTCOMES IN ROUTINE EVALUATION)
Badia, E., Medina, J. C., Feixas, G., Bados, A., Magallón, E., & Evans, C.
II INTERNATIONAL CONGRESS OF CLINICAL AND HEALTH PSYCHOLOGY
ON CHILDREN AND ADOLESCENTS
BARCELONA 2016 / 17 –19 NOVEMBER

Mental health problems in children
and adolescents are around 20%
- Need to apply effective and efficient interventions
TRACKING THE PROCESS
- Need to use pantheoretical measures
COMPARING ACCROSS THEARPIES AND DIAGNOSES
YP-CORE: Young Person’s Clinical Outcomes in Routine Evaluation
Introduction

TRANSLATION
PSYCHOMETRIC VALIDATION
- Non-clinical sample: n = 136 participants (49% males; age quartiles: 12, 13, 14)
- Clinical sample: 112 participants (30% males, age quartiles: 14, 15, 16)
- Instruments: YP-CORE + Youth Self Report
Methods
•1 translator
•1 mental
health
professional
•4 lay people
Translation
•CORE representative
•3 mental health
professionals
•1 lay person (14 years)
Discussion
•7 children and
adolescents
Review
•2 bilingual
mental health
professionals
Back-
translation

Results
235 (94,8%) totally
Non clinical sample (96,3%)
Clinical sample (92,9%)
No normality Non parametric statistics
Alpha values > 0,7
Males: 0,83 (IC 95%: 0,71 –0,91)
Females: 0,85 (IC 95%: 0,79 –0,89)
Rho Spearman 0,637 (statistically significant)
All correlations were statistically significant between YSR and YP-CORE
Highest correlations Between Total scores
Between YP-CORE Total score and YSR internalizing
problems, mood and depression

Results
40,00
30,00
20,00
10,00
0,00
Non clinical Clinical
Differences between clinical
and non clinical sample
Gender influence PCA (clinical sample)
Group Cut-off
scores Total
Cut
-off
scores
Total –Risk
Males 12,72 13,88
Females 15,49 16,64
Total Sample
14,91 16,05
Cut-off scores
40,00
30,00
20,00
10,00
0,00
Non clinical Clinical
Male
Female
Item Factors
1 2
10,885
60,847
90,787
70,718
20,643
80,570
40,505
10 0,838
30,708
50,673

Discussion
- First psychometric validation study for the Spanish YP-CORE.
- Good psychometric properties.
-Strengths:
- Promising test to be used in a wide range of services.
- Able to detect psychological distress (allows identification of more severe cases).
- Brief and easy to understand.
-Limitations:
-Samples’ size (both clinical and non-clinical) moderately low.
- Overlap between the two samples.
- Clinical change still needs to be estimated.

Thank You!
Eric Badia –e_badia@ub.edu
Joan C. Medina –jcmedina@ub.edu