OQ®-45.2

OQ®-45.2

THE OQ®-45.2 – THE GOLD STANDARD OF PATIENT-REPORTED OUTCOME MEASURES

– The OQ®-45.2 is the most peer-reviewed patient-reported outcome measure (PROM) in the world.

– Recommended by The Joint Commission.

– Considered the gold standard for adult outcome assessment in global psychology research.

– Used across diverse clinical settings, from: solo practitioners and small clinics to large health systems, the OQ is useful to nearly every client across diagnostic categories and treatment modalities.

*A valid license from OQ® Measures is required to use the OQ®-45. Any unauthorized use is strictly prohibited.

The OQ -45.2 has been proven to:

    - Accurately measure a clients General Distress

    - Predict treatment failure with a high degree of success

    - Accurately assess client progress

What is general distress?

General distress is a comprehensive measure of a client’s emotional and psychological well-being. With high reliability and validity, the OQ evaluates symptoms related to depression, anxiety, interpersonal difficulties, and daily functioning. By assessing these factors, clinicians gain a clear understanding of a client’s overall distress level, allowing for informed treatment planning. These factors are assessed by using three subscales that have been researched:

       1. Symptom Distress: Subjective discomfort; intrapsychic functioning with an emphasis on                     depression and anxiety.

       2. Interpersonal Relations: Loneliness, conflict with others and marriage and family                                   difficulties.

       3. Social Role: Difficulties in the workplace, school or home duties.

Predicting Treatment Failure

One of the most valuable features of the OQ is its ability to identify clients at risk of treatment failure early in the therapeutic process. Research has shown that predictive analytics based on OQ scores can help clinicians recognize when adjustments to treatment are necessary, improving overall success rates and reducing the likelihood of negative outcomes.

Accurately Assess Client Progress

The OQ provides measurable data that tracks changes in a client’s condition over time. By regularly administering the questionnaire, clinicians can objectively evaluate treatment effectiveness, adjust interventions as needed, and ensure that therapy is leading to meaningful improvements. This data-driven and researched approach supports better clinical outcomes and enhances client engagement.

This is a collection of only some of the research done for the OQ-45:

 

1. Reliability and Validity

Takara, R., Beecher, M. E., Okiishi, J. C., Shimokawa, K., Lambert, M. J., & Griner, D. (2017). Translation of the Outcome Questionnaire-45 (OQ) into Japanese: A cultural adaptation. Psychotherapy Research, 27(2), 154–166. https://doi.org/10.1080/10503307.2015.1080876

Boswell, D. L., White, J. K., Sims, W. D., Harrist, R. S., & Romans, J. S. C. (2013). Reliability and validity of the Outcome Questionnaire–45.2. Psychological Reports, 112(3), 689-693. https://doi.org/10.2466/02.08.PR0.112.3.689-693

Bludworth, J. L., Tracey, T. J., & Glidden-Tracey, C. (2010). The bilevel structure of the Outcome Questionnaire-45. Psychological Assessment, 22(2), 350–355. https://doi.org/10.1037/a0019187

Li, Y., & Luo, H. (2009). The reliability and validity of the Outcome Questionnaire-Chinese version. Chinese Mental Health Journal, 23(2), 105-107.

Trotter, V. K., Lambert, M. J., Burlingame, G. M., Rees, F., Carpenter, B. N., Steffen, P. R., Jackson, A., & Eggett, D. (2009). Measuring work productivity with a mental health self-report measure. Journal of Occupational and Environmental Medicine, 51(6), 739–746.

Lambert, M. J., Smart, D. W., Campbell, M. P., Hawkins, E. J., Harmon, C., & Slade, K. L. (2006). Psychotherapy Outcome, as Measured by the OQ-45, in African American, Asian/Pacific Islander, Latino/a, and Native American Clients Compared with Matched Caucasian Clients. Journal of College Student Psychotherapy, 20(4), 17–29.

Lambert, M. J., Burlingame, G. M., Umphress, V. J., Hansen, N. B., Vermeersch, D., Clouse, G., & Yanchar, S. (1996). The reliability and validity of the Outcome Questionnaire. Clinical Psychology and Psychotherapy, 3, 106–116.

2. Effectiveness of the OQ-45

Amble, I., Gude, T., Stubdal, S., Andersen, B. J., & Wampold, B. E. (2015). The effect of implementing the Outcome Questionnaire-45.2 feedback system in Norway: A multisite randomized clinical trial in a naturalistic setting. Psychotherapy Research, 25(6), 669–677. https://doi.org/10.1080/10503307.2014.928756

Amble, I., Gude, T., Stubdal, S., Andersen, B. J., & Wampold, B. E. (2015). The effect of implementing the Outcome Questionnaire-45.2 feedback system in Norway: A multisite randomized clinical trial in a naturalistic setting. Psychotherapy Research, 25(6), 669–677.

Probst, T., Lambert, M. J., Dahlbender, R. W., Loew, T. W., & Tritt, K. (2014). Providing patient progress feedback and clinical support tools to therapists: Is the therapeutic process of patients on-track to recovery enhanced in psychosomatic in-patient therapy under the conditions of routine practice? Journal of Psychosomatic Research, 76, 477-484.

de Jong, K., Timman, R., Hakkaart-Van Roijen, L., Vermeulen, P., Kooiman, K., Passchier, J., & Van Busschbach, J. (2014). The effect of outcome monitoring feedback to clinicians and patients in short and long-term psychotherapy: A randomized controlled trial. Psychotherapy Research, 24(6), 629–639.

Hansson, H., Rundberg, J., Österling, A., Öjehagen, A., & Berglund, M. (2013). Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population: A randomized controlled trial. Nordic Journal of Psychiatry, 67(4), 274–281. https://doi.org/10.3109/08039488.2012.736534

Crits-Christoph, P., Ring-Kurtz, S., Hamilton, J. L., Lambert, M. J., Gallop, R., McClure, B., Kulaga, A., & Rotrosen, J. (2012). A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programs. Journal of Substance Abuse Treatment, 42(3), 301–309. https://doi.org/10.1016/j.jsat.2011.09.003

de Jong, K., van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22(4), 464–474.

Shimokawa, K., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78(3), 298-311.

Hawkins, E. J., Lambert, M. J., Vermeersch, D. A., Slade, K., & Tuttle, K. (2004). The therapeutic effects of providing client progress information to therapists and patients. Psychotherapy Research, 14, 308–327.

Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., et al. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology and Psychotherapy, 9, 91–103.

Lambert, M. J., Whipple, J. L., Smart, D. W., Vermeersch, D. A., Nielsen, S. L., & Hawkins, E. J. (2001). The effects of providing therapists with feedback on client progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11, 49–68.

3. Predicting Treatment Failure and Improving Clinical Outcomes

de Jong, K., Conijn, J. M., Gallagher, R. A. V., Reshetnikova, A. S., Heij, M., & Lutz, M. C. (2021). Using progress feedback to improve outcomes and reduce drop-out, treatment duration, and deterioration: A multilevel meta-analysis. Clinical psychology review, 85, 102002.

Simon, W., Lambert, M. J., Harris, M. W., Busath, G., & Vazquez, A. (2012). Providing patient progress information and clinical support tools to therapists: Effects on patients at risk of treatment failure. Psychotherapy Research, 22, 638-647.

Slade, K., Lambert, M. J., Harmon, S. C., Smart, D. W., & Bailey, R. (2008). Improving psychotherapy outcome: The use of immediate electronic feedback and revised clinical support tools. Clinical Psychology & Psychotherapy, 15, 287–303.

Harmon, S. C., Lambert, M. J., Smart, D. W., Hawkins, E. J., Nielsen, S. L., Slade, K., et al. (2007). Enhancing outcome for potential treatment failures: Therapist/client feedback and clinical support tools. Psychotherapy Research, 17, 379–392.

Hannan, C., Lambert, M. J., Harmon, C., Nielsen, S. L., Smart, D. W., Shimokawa, K., & Sutton, S. W. (2005). A lab test and algorithms for identifying clients at risk for treatment failure. Journal of Clinical Psychology, 61(2), 155–163. https://doi.org/10.1002/jclp.20108

Whipple, J. L., Lambert, M. J., Vermeersch, D. A., Smart, D. W., Nielsen, S. L., & Hawkins, E. J. (2003). Improving the effects of psychotherapy: The use of early identification of treatment failure and problem-solving strategies in routine practice. Journal of Counseling Psychology, 58, 59–68.

Finch, A. E., Lambert, M. J., & Schaalje, B. G. (2001). Psychotherapy quality control: The statistical generation of expected recovery curves for integration into an early warning system. Clinical Psychology & Psychotherapy, 8(4), 231–242. https://doi.org/10.1002/cpp.286

 We have successfully integrated with many EHR's including:

                        

     

 

                     

As long your EHR is willing to work with us, we can integrate with almost any EHR.

The OQ-45 is currently available in over 40 languages including:

 

Unlimited Use - One Price

At OQ®Measures, we believe that effective mental health assessment should be accessible and easy to implement. That’s why we offer a straightforward, per-seat annual pricing model—allowing unlimited administrations throughout the year at no additional cost.

Why our pricing model works for you:

  • Unlimited administrations – No per-test fees, so you can use the OQ® as often as needed without worrying about extra costs.
  • Encourages frequent use – Track progress over time without restrictions, improving patient outcomes.
  • Predictable costs – A simple $250 per-full time equivalent seat annual fee makes budgeting easy for clinics, hospitals, and mental health organizations.
  • Scalable for any organization – Whether you're a small practice or a large healthcare system, our model supports your needs without hidden fees.
  • Three instruments for the price of one - Access any three instruments at no additional cost under a single license.
  • Training is included - When you choose the OQ®, you get full access to onboarding and training — all included, at no extra cost.  

Our instruments can be completed via software or on paper! Click here for more information.

Please contact sales@oqmeasures.com to request a personalized quote for your customized needs, or you may Contact Us to Buy A License

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