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      Examining concurrent validity and item selection of the Session Wants and Needs Outcome Measure (SWAN-OM) in a children and young people web-based therapy service

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          Abstract

          Background

          Single-session mental health interventions are frequently attended by children and young people (CYP) in both web-based and face-to-face therapy settings. The Session “Wants” and “Needs” Outcome Measure (SWAN-OM) is an instrument developed in a web-based therapy service to overcome the challenges of collecting outcomes and experiences of single-session therapies (SSTs). It provides pre-defined goals for the session, selected by the young person prior to the intervention, on which progress toward achievement is scored at the end of the session.

          Objective

          The objective of this study was to evaluate the instrument's psychometric properties, including concurrent validity against three other frequently used outcome and experience measures, at a web-based and text-based mental health service.

          Methods

          The SWAN-OM was administered for a period of 6 months to 1,401 CYP (aged 10–32 years; 79.3% white; 77.59% female) accessing SST on a web-based service. Item correlations with comparator measures and hierarchical logistic regressions to predict item selection were calculated for concurrent validity and psychometric exploration.

          Results

          The most frequently selected items were “ Feel better” ( N = 431; 11.61%) and “ Find ways I can help myself” ( N = 411; 11.07%); unpopular items were “ Feel safe in my relationships” ( N = 53; 1.43%) and “ Learn the steps to achieve something I want” ( N = 58; 1.56%). The SWAN-OM was significantly correlated with the Experience of Service Questionnaire, particularly the item “ Feel better” [rs (109) = 0.48, p < 0.001], the Youth Counseling Impact Scale, particularly the item “ Learn the steps to achieve something I want” [rs (22) = 0.76, p < 0.001], and the Positive and Negative Affect Schedule, particularly the items “ Learn how to feel better” [rs (22) = 0.72, p < 0.001] and “ Explore how I feel” [rs (70) = −0.44, p < 0.001].

          Conclusion

          The SWAN-OM demonstrates good concurrent validity with common measures of outcome and experience. Analysis suggests that lesser-endorsed items may be removed in future iterations of the measure to improve functionality. Future research is required to explore SWAN-OM's potential to measure meaningful change in a range of therapeutic settings.

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          Most cited references84

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          Development and validation of brief measures of positive and negative affect: The PANAS scales.

          In recent studies of the structure of affect, positive and negative affect have consistently emerged as two dominant and relatively independent dimensions. A number of mood scales have been created to measure these factors; however, many existing measures are inadequate, showing low reliability or poor convergent or discriminant validity. To fill the need for reliable and valid Positive Affect and Negative Affect scales that are also brief and easy to administer, we developed two 10-item mood scales that comprise the Positive and Negative Affect Schedule (PANAS). The scales are shown to be highly internally consistent, largely uncorrelated, and stable at appropriate levels over a 2-month time period. Normative data and factorial and external evidence of convergent and discriminant validity for the scales are also presented.
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            Self-Determination Theory in Work Organizations: The State of a Science

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              What is satisfying about satisfying events? Testing 10 candidate psychological needs.

              Three studies compared 10 candidate psychological needs in an attempt to determine which are truly most fundamental for humans. Participants described "most satisfying events" within their lives and then rated the salience of each of the 10 candidate needs within these events. Supporting self-determination theory postulates (Ryan & Deci, 2000)--autonomy, competence, and relatedness, were consistently among the top 4 needs, in terms of both their salience and their association with event-related affect. Self-esteem was also important, whereas self-actualization or meaning, physical thriving, popularity or influence, and money-luxury were less important. This basic pattern emerged within three different time frames and within both U.S. and South Korean samples and also within a final study that asked, "What's unsatisfying about unsatisfying events?" Implications for hierarchical theories of needs are discussed.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                09 February 2023
                2023
                : 14
                : 1067378
                Affiliations
                [1] 1Kooth Plc , London, United Kingdom
                [2] 2Anna Freud Centre, CORC , London, United Kingdom
                [3] 3Evidence Base Practice Unit (EBPU), University College London , London, United Kingdom
                [4] 4School of Psychology, University of Kent, Canterbury , Kent, United Kingdom
                [5] 5Department of Psychology, University of Exeter, Exeter , Devon, United Kingdom
                Author notes

                Edited by: Luke Balcombe, Griffith University, Australia

                Reviewed by: Flavio Cannistrà, Italian Center for Single Session Therapy SRLS, Italy; Monte Bobele, Our Lady of the Lake University, United States

                *Correspondence: Santiago De Ossorno Garcia ✉ santiago.de.ossorno@ 123456gmail.com
                Louisa Salhi ✉ lsalhi@ 123456kooth.com

                This article was submitted to Digital Mental Health, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2023.1067378
                9947788
                7c13ff22-4cbe-432a-ab22-3e0908881a6c
                Copyright © 2023 De Ossorno Garcia, Edbrooke-Childs, Salhi, Ruby, Sefi and Jacob.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 11 October 2022
                : 16 January 2023
                Page count
                Figures: 1, Tables: 6, Equations: 0, References: 87, Pages: 17, Words: 15678
                Funding
                This study has been funded as part of service improvement and innovation by Kooth plc. There has been no external funding sought to carry out this study. As the funder of the project, Kooth plc provided the resources to plan for, collect, analyze data, and to write the report for this study. This funding source had no role in the design of this study and did not have any role during its execution, analyses, the interpretation of the data, or decision to submit results.
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                single session therapy (sst),instrument evaluation,digital mental health,web-based therapy,internet delivered psychological treatments,concurrent validity,patient reported outcome measures (prom),swan-om

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