Discriminant Validity of the Brazilian Version of SCORE-15: A Study with Community and Clinical Samples
DOI:
https://doi.org/10.36489/saudecoletiva.2025v15i95p15768-15781Keywords:
Family relations, Self report, Reproducibility of resultsAbstract
ABSTRACT
Objective: To assess the discriminant validity of the Brazilian version of the Systemic Clinical Outcome and Routine Evaluation – 15 (SCORE-15) and to define cutoff points for the classification of functional and problematic family functioning. Method: The sample included participants from the Southeast region (community sample) and families with children with cerebral palsy from the North region (clinical sample). Discriminant validity was verified using a mean comparison test, while cutoff points were analyzed using the Receiver Operating Characteristic curve. Results: The SCORE-15 presents discriminant capacity when comparing the two samples, especially in the dimensions of communication and family difficulties. The cutoff points were: Strengths dimension = 1.8; Communication dimension = 2.8; and Difficulties = 3.0. Conclusion: The instrument can assist in the assessment of families with children with different pediatric chronic diseases, in which family functioning influences treatment.
References
Stratton P, Lask J, Bland J, Nowotry E, Evans C, Singh R, Janes E, Peppiant A. Detecting therapeutic improvement early in therapy: Validation of the SCORE-15 index of family functioning and change. J. Fam. Ther. 2010;36:3-19. DOI: https://doi.org/10.1111/1467-6427.12022
Bié D, Narciso I, Crespo C, Roberto M. Family functioning in the Mozambican context: Results of a psychometric study of the SCORE-15 scale. J. Fam. Ther. 2022;00:1-13. DOI: https://doi.org/10.1111/1467-6427.12417
Paolini D, Schepisi L The Italian version of SCORE-15: Validation and potential use. Fam. Process. 2020;59(4):1789-1800 DOI: https://doi.org/10.1111/famp.12495
Shine BK, Park YJ, Ahn BW, Bae J, Park JS, Han SH. Validation Study of Korean Translated Systemic Clinical Outcome Routine Evaluation-15 as Self-Report Family Assessment Measure: Focusing on Adolescent in Daegu and North Gyeongsang Province. Korean J. Fam. Med. 2020;41(6):398-403. DOI: https://doi.org/10.4082/kjfm.19.0076
Dessen MA. Estudando a Família em Desenvolvimento: Desafios Conceituais e Teóricos. Psicol., Ciênc. Prof. 2010;30(núm. esp.):202-219. DOI: https://doi.org/10.1590/S1414-98932010000500010
Carter B, McGoldrick M. As mudanças no ciclo de vida Familiar. São Paulo: Artes Médicas; 1995.
Geralis E. Crianças com paralisia cerebral: guia para pais e educadores. Porto Alegre: Artmed; 2007.
Afonso T, Ramos MFH, França IL, Pontes FAR, Silva SSC. Cuidado Parental à Criança com Paralisia Cerebral: uma Revisão Sistemática da Literatura. Rev. Bras. Ed. Esp. 2016;22(3):455-470. DOI: https://doi.org/10.1590/S1413-65382216000300011
Aguiar MPPA, Lira NA, Morais NA. Family Functioning of People with Disabilities: Cluster-Based Analysis. Paidéia. 2022;32:e3228. DOI: https://doi.org/10.1590/1982-4327e3228
Dertly S, Yilmar QSA, Gunay V. Care burden: perceived social support. coping attitudes and life satisfaction of mothers with children with cerebral palsy. Child Care Health Dev. 2024;50:e13297. DOI: https://doi.org/10.1111/cch.13297
Dias BLS, Rodrigues MCC, Duarte JLMB. Quality of life of families and Siblings of children with Cerebral Palsy treated at a reference neurorehabilitation center in Brazil. J. Pediatr. 2024;100(5):519-526. DOI: https://doi.org/10.1016/j.jped.2024.03.010
Klalil M, Elweshahy H, Omar T, Ahmed S. Quality of care provided to children with cerebral palsy. Alexandria. Egypt Leste Mediterr Saúde J. 2018;24(6):522-531. DOI: https://doi.org/10.26719/2018.24.6.522
NiyonsengaI J, Uwingeneye L, MusabyemariyaI I, SagahutuI JB, Cavallini F, Caricati L, Mutabaruka J et al. The psychosocial determinants of adherenceto home-based rehabilitation strategies in parents of children with cerebral palsy: A systematic review. PLoS ONE. 2024;19(6):e0305432. DOI: https://doi.org/10.1371/journal.pone.0305432
Santos BA, Milbrath VM, Freitag VL, Gabatz RIB, Vaz JC. Social support network for the family of cerebral palsy bearing children. Rev. Pesqui. 2019;11(5):1300-1306. DOI: https://doi.org/10.9789/2175-5361.2019.v11i5.1300-1306
Colver A, Rapp M, Eisemann N, Ehlinger V, Thyen U, O’Dickinson H, Parkes J, Parkinson K et al. Self-reported quality of life of adolescents with Cerebral Palsy: A cross-sectional and longitudinal analysis. Lancet. 2016;21:705-716. DOI: https://doi.org/10.1016/S0140-6736(14)61229-0
Vilaça M, Silva J, Relvas AP. Systemic Clinical Outcome Routine Evaluation (SCORE-15). In Relvas AP, Major S, coords. Instrumentos de Avaliação Familiar: Funcionamento e Intervenção. Imprensa da Universidade de Coimbra; 2014 DOI: https://doi.org/10.14195/978-989-26-0839-6_1
Stratton P, Bland J, Janes E, Lask J. Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: The SCORE. J. Fam. Ther. 2010;32(3):232-258. DOI: https://doi.org/10.1111/j.1467-6427.2010.00507.x
Zweig MH, Campbell G. Receiver-operating characteristics (ROC) plots: A fundamental evaluating tool in clinical medicine. Clin. Chem. 1993;39:561-577. DOI: https://doi.org/10.1093/clinchem/39.4.561
The jamovi project. Jamovi. (Version 2.6) [Computer Software]. 2024.
Vilaça M, Sousa B, Stratton P, Relvas AP. The 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE- 15) scale: Portuguese validation studies. Span. J. Psychol. 2015;18(87):1-10. DOI: https://doi.org/10.1017/sjp.2015.95
O'Hanrahan K, White MD, Carr A, Cahill P, Keenleyside M, Fitzhenry M, Harte E, Hayes J et al. Validation of 28 and 15 items versions of the SCORE: Family assessment questionnaire with adult mental health service users. J. Fam. Ther. 2017;39(1):4-20. DOI: https://doi.org/10.1111/1467-6427.12107
Fay D, Carr A, O’Reilly K, Cahill P, Dooley B, Guerin S, Stratton P. Irish norms for the SCORE-15 and SCORE-28 from a national telephone survey. J. Fam. Ther. 2013;35(1):24-42. DOI: https://doi.org/10.1111/j.1467-6427.2011.00575.x








