Published online Mar 22, 2014. doi: 10.5498/wjp.v4.i1.13
Revised: January 15, 2014
Accepted: March 3, 2014
Published online: March 22, 2014
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.