Preliminary development and validation of the Eating Pathology Clinical Outcomes Tracker.
Document Type
Article
Publication Date
8-2025
Identifier
DOI: 10.1037/pas0001388
Abstract
There are few routine outcomes monitoring (ROM) tools available to track changes in eating-disorder (ED) symptom expression. Given that ROM is critical for providing measurement-based care, there is a pressing need to develop ROM tools for EDs. The present study developed and validated the Eating Pathology Clinical Outcomes Tracker (EPCOT). Study 1 included administering the initial EPCOT item pool to college students (N = 380). In Study 2 (Recovery Record), a revised EPCOT item pool was administered to adolescents and adults with an ED (N = 2,196). Participants were retested at 1- to 2-week (n = 964) and 1-month (n = 473) follow-up. Finally, Study 3 (Mechanical Turk sample) was a longitudinal study of community adults who were tested at baseline (N = 305), 1-week (n = 240), and 6-month (n = 172) follow-up. Analyses included exploratory and confirmatory analysis and item response theory to identify differential item functioning across weight categories and ED diagnostic groups. The final version of the EPCOT had 24 items and eight scales. The EPCOT showed evidence for moderate-to-good test-retest reliability and good-to-excellent internal consistency, discriminant and convergent validity, and criterion-related validity. Finally, in Study 3, several EPCOT scales demonstrated predictive validity for predicting general and ED-specific psychiatric impairment at 6-month follow-up. The EPCOT showed initial promise as a tool that can be used to help clinicians track progress in therapy over time and may have utility in research contexts.
Journal Title
Psychological assessment
Volume
37
Issue
8
First Page
331
Last Page
346
MeSH Keywords
Humans; Female; Male; Feeding and Eating Disorders; Adult; Young Adult; Adolescent; Reproducibility of Results; Longitudinal Studies; Psychometrics; Outcome Assessment, Health Care; Middle Aged
PubMed ID
40455510
Keywords
Feeding and Eating Disorders; Reproducibility of Results; Longitudinal Studies; Psychometrics; Health Care Outcome Assessment
Recommended Citation
Forbush KT, Chen Y, Joo S, et al. Preliminary development and validation of the Eating Pathology Clinical Outcomes Tracker. Psychol Assess. 2025;37(8):331-346. doi:10.1037/pas0001388
COinS
Comments
Grants and funding