How consistent are clinical significance classifications when calculation methods and outcome measures differ?

Ronk, Fiona R.; Hooke, Geoffrey R.; Page, Andrew C.

doi:10.1111/j.1468-2850.2012.01281.x

Cited by 47Psychotherapy Techniques and ApplicationsPsychometric Methodologies and TestingAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

How consistent are clinical significance classifications when calculation methods and outcome measures differ?

Ronk, Fiona R., Hooke, Geoffrey R., Page, Andrew C.·2012·Clinical Psychology Science and Practice

DOI 10.1111/j.1468-2850.2012.01281.x

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Abstract

Outcome studies report the percentage of clinically significant outcomes; however, the reliability of these classifications is unclear. The current study explored the extent to which inconsistencies arise in classifying patient outcomes using five clinical significance calculation methods and three outcome measures. Adult inpatients (N = 2,676) treated for depression completed the three outcome measures pre- and post-treatment. Their outcomes were classified as recovered, improved, unchanged, or deteriorated using selected clinical significance calculation methods and outcome measures. The choice of outcome measure used in calculating clinical significance had a greater impact on the classification than the choice of clinical significance calculation method. Guidelines for reporting recovery rates are presented to ensure that appropriate conclusions are drawn.

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Preface
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Construct and Data-Evaluation Validity
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Single-Case Experimental Research Designs
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Control and Comparison Groups
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Cautions, Negative Effects, and Replication
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Selecting Measures for Research
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Glossary
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Special Topics of Assessment
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References
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Ideas that Begin the Research Process
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Methodology
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Subject Index
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Presenting and Analyzing the Data
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Name Index
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Scientific Integrity
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Introduction
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Assessment: Types of Measures and Their Use
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Experimental Research Using Group Designs
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Ethical Issues and Guidelines for Research
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Communication of Research Findings
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Authors: Ronk, F. R., Hooke, G. R., & Page, A. C.
Affiliations: The University of Western Australia (AU)
ORCID: Hooke, Geoffrey R.
Page, Andrew C.
Venue: Clinical Psychology Science and Practice
Publisher: American Psychological Association (APA)
Published: 2012-06
Volume: 19
Issue: 2
Pages: 167-179
ISSN: 0969-5893 (ISSN-L)
1468-2850
DOI: 10.1111/j.1468-2850.2012.01281.x
OpenAlex: W2080834572
Cited by: 47
References: 35
Citations by year: 2025: 1 · 2023: 1 · 2022: 3 · 2021: 27 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 2
FWCI: 2.90
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 1187 d)
Locations: Clinical Psychology Science and Practice (publishedVersion)
UWA Profiles and Research Repository (UWA) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: clinical significance, outcome classification, depression, inpatient care, recovery rate, outcome measures, classification consistency, reporting guidelines, treatment outcomes

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How consistent are clinical significance classifications when calculation methods and outcome measures differ?

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