Brief Article
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World J Psychiatr. Mar 22, 2014; 4(1): 13-29
Published online Mar 22, 2014. doi: 10.5498/wjp.v4.i1.13
Assimilation approach to measuring organizational change from pre- to post-intervention
Scott C Moore, Katerine Osatuke, Steven R Howe
Scott C Moore, Katerine Osatuke, United States Veterans Health Administration, National Center for Organization Development, Cincinnati, OH 45249, United States
Steven R Howe, Department of Psychology, McMicken College of Arts Sciences/University of Cincinnati, Cincinnati, OH 45221-0037, United States
Author contributions: Moore SC collected the data; Osatuke K performed the data analyses; Moore SC and Osatuke K designed the study, interpreted the results of the analyses and wrote the manuscript; Howe SR coordinated the data collection and was involved in editing the manuscript for important structural aspects of presenting the intellectual content; Osatuke K, Moore SC and Howe SR were involved in revising the manuscript and approving its final version.
Correspondence to: Katerine Osatuke, PhD, United States Veterans Health Administration, National Center for Organization Development, 11500 Northlake Drive Ste 260, Cincinnati, OH 45249, United States. katerine.osatuke@va.gov
Telephone: +1-513-2472255 Fax: +1-513-2474699
Received: November 19, 2013
Revised: January 15, 2014
Accepted: March 3, 2014
Published online: March 22, 2014
Core Tip

Core tip: Measuring organizational change in real-world settings presents the challenge of objectively evaluating progress in problems subjectively experienced by participants. We illustrate a working solution, discussing an organizational intervention at a United States Veterans Affairs medical center. Within a year, the intervention addressed the hospital’s initially serious problems, to multiple stakeholders’ satisfaction. Traditional quantitative outcome measures, however, failed to capture the reported strong positive impact. We applied the Assimilation model, a clinical-developmental theory from psychotherapy research, that measures change levels in participants’ problematic experiences. The model and measure sensitively captured the progress described by the participants, previously missed by conventional outcome measures.