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Published in: Prevention Science 7/2015

01-10-2015

Increasing the Sensitivity of Measures to Change

Authors: Carlotta Ching Ting Fok, David Henry

Published in: Prevention Science | Issue 7/2015

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Abstract

Little attention is paid in prevention research to the ability of measures to accurately assess change, termed “responsiveness” or “sensitivity to change.” This paper reviews definitions and measures of responsiveness, and suggests five strategies for increasing sensitivity to change, with central focus on prevention research with small samples: (a) improving understandability and cultural validity, (b) assuring that the measure covers the full range of the latent construct being measured, (c) eliminating redundant items, (d) maximizing sensitivity of the device used to collect responses; and (e) asking directly about change. Examples of the application of each strategy are provided. The discussion focuses on using the issues as a checklist for improving measures and the implications of sensitivity to change for prevention research with small samples.
Literature
go back to reference Bartunek, J. M., & Moch, M. K. (1987). First-order, second-order, and third-order change and organization development interventions: A cognitive approach. The Journal of Applied Behavioral Science, 23, 483–500. doi:10.1177/002188638702300404.CrossRef Bartunek, J. M., & Moch, M. K. (1987). First-order, second-order, and third-order change and organization development interventions: A cognitive approach. The Journal of Applied Behavioral Science, 23, 483–500. doi:10.​1177/​0021886387023004​04.CrossRef
go back to reference Beneke, M., & Rasmus, W. (1992). ‘Clinical global impressions’ (ECDEU): Some critical comments. Pharmacopsychiatrie, 25, 171–176.CrossRef Beneke, M., & Rasmus, W. (1992). ‘Clinical global impressions’ (ECDEU): Some critical comments. Pharmacopsychiatrie, 25, 171–176.CrossRef
go back to reference Campbell, D. T., Stanley, J. C., & Gage, N. L. (1963). Experimental and quasi-experimental designs for research. Boston: Houghton, Mifflin and Company. Campbell, D. T., Stanley, J. C., & Gage, N. L. (1963). Experimental and quasi-experimental designs for research. Boston: Houghton, Mifflin and Company.
go back to reference Dahlke, F., Lohaus, A., & Gutzmann, H. (1992). Reliability and clinical concepts underlying global judgments in dementia: Implications for clinical research. Psychopharmacology Bulletin, 28, 425–432.PubMed Dahlke, F., Lohaus, A., & Gutzmann, H. (1992). Reliability and clinical concepts underlying global judgments in dementia: Implications for clinical research. Psychopharmacology Bulletin, 28, 425–432.PubMed
go back to reference Ebesutani, C., Drescher, C. F., Reise, S. P., Heiden, L., Hight, T. L., Damond, J. D., & Young, J. (2012). The Loneliness Questionnaire–Short version: An evaluation of reverse-worded and non-reverse-worded items via item response theory. Journal of Personality Assessment, 94, 427–437. doi:10.1080/00223891.2012.662188.CrossRefPubMed Ebesutani, C., Drescher, C. F., Reise, S. P., Heiden, L., Hight, T. L., Damond, J. D., & Young, J. (2012). The Loneliness Questionnaire–Short version: An evaluation of reverse-worded and non-reverse-worded items via item response theory. Journal of Personality Assessment, 94, 427–437. doi:10.​1080/​00223891.​2012.​662188.CrossRefPubMed
go back to reference Fok, C. C. T., Allen, J., Henry, D., Mohatt, G., & People Awakening Team. (2011a). Multicultural Mastery Scale for Youth: Multidimensional assessment of culturally mediated coping strategies. Psychological Assessment. doi:10.1037/a0025505.PubMedCentralPubMed Fok, C. C. T., Allen, J., Henry, D., Mohatt, G., & People Awakening Team. (2011a). Multicultural Mastery Scale for Youth: Multidimensional assessment of culturally mediated coping strategies. Psychological Assessment. doi:10.​1037/​a0025505.PubMedCentralPubMed
go back to reference Fok, C.C.T., Allen, J.A., & Henry, D., The People Awakening Team. (2011b). The Brief Family Relationship Scale: A brief measure of the relationship dimension in family functioning. doi:10.1177/1073191111425856. Fok, C.C.T., Allen, J.A., & Henry, D., The People Awakening Team. (2011b). The Brief Family Relationship Scale: A brief measure of the relationship dimension in family functioning. doi:10.​1177/​1073191111425856​.
go back to reference Fok, C.C.T., Henry, D., & Allen, J.A. (this issue). Maybe small is too small a term: Introduction to advancing small sample prevention science. Fok, C.C.T., Henry, D., & Allen, J.A. (this issue). Maybe small is too small a term: Introduction to advancing small sample prevention science.
go back to reference Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., Rush, A. J., & Weissman, M. M. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Archives of General Psychiatry, 48, 851–855.CrossRefPubMed Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., Rush, A. J., & Weissman, M. M. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Archives of General Psychiatry, 48, 851–855.CrossRefPubMed
go back to reference Grice, H. P. (1975). Logic and conversation. In P. Cole & J. L. Morgan (Eds.), Syntax and semantics (Vol. 3, pp. 41–58). New York: Academic. Grice, H. P. (1975). Logic and conversation. In P. Cole & J. L. Morgan (Eds.), Syntax and semantics (Vol. 3, pp. 41–58). New York: Academic.
go back to reference Guastello, S. J., Aruka, Y., Doyle, M., & Smerz, K. E. (2008). Cross-cultural generalizability of a cusp catastrophe model for binge drinking among college students. Nonlinear Dynamics, Psychology, and Life Sciences, 12, 397–407.PubMed Guastello, S. J., Aruka, Y., Doyle, M., & Smerz, K. E. (2008). Cross-cultural generalizability of a cusp catastrophe model for binge drinking among college students. Nonlinear Dynamics, Psychology, and Life Sciences, 12, 397–407.PubMed
go back to reference Guy, W. (1976). Clinical global impressions. In W. Guy (Ed.), ECDEU assessment manual for psychopharmacology, revised (pp. 218–222). Rockville: National Institute of Mental Health. Guy, W. (1976). Clinical global impressions. In W. Guy (Ed.), ECDEU assessment manual for psychopharmacology, revised (pp. 218–222). Rockville: National Institute of Mental Health.
go back to reference Guyatt, G., Walter, S., & Norman, G. (1987). Measuring change over time: Assessing the usefulness of evaluative instruments. Journal of Chronic Diseases, 40, 171–178.CrossRefPubMed Guyatt, G., Walter, S., & Norman, G. (1987). Measuring change over time: Assessing the usefulness of evaluative instruments. Journal of Chronic Diseases, 40, 171–178.CrossRefPubMed
go back to reference Guyatt, G. H., Deyo, R. A., Charlson, M., Levine, M. N., & Mitchell, A. (1989). Responsiveness and validity in health status measurement: A clarification. Journal of Clinical Epidemiology, 42, 403–408.CrossRefPubMed Guyatt, G. H., Deyo, R. A., Charlson, M., Levine, M. N., & Mitchell, A. (1989). Responsiveness and validity in health status measurement: A clarification. Journal of Clinical Epidemiology, 42, 403–408.CrossRefPubMed
go back to reference Hanley, J. A., & McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristics curves derived from the same cases. Radiology, 148, 839–843.CrossRefPubMed Hanley, J. A., & McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristics curves derived from the same cases. Radiology, 148, 839–843.CrossRefPubMed
go back to reference Hays, R. D., & Hadorn, D. (1992). Responsiveness to change: An aspect of validity, not a separate dimension. Quality of Life Research, 1, 73–75.CrossRefPubMed Hays, R. D., & Hadorn, D. (1992). Responsiveness to change: An aspect of validity, not a separate dimension. Quality of Life Research, 1, 73–75.CrossRefPubMed
go back to reference Henry, D., Pavuluri, M. N., Youngstrom, E., & Birmaher, B. (2008). Accuracy of brief and full forms of the child mania rating scale. Journal of Clinical Psychology, 64, 1–14. doi:10.1002/jclp.20464.CrossRef Henry, D., Pavuluri, M. N., Youngstrom, E., & Birmaher, B. (2008). Accuracy of brief and full forms of the child mania rating scale. Journal of Clinical Psychology, 64, 1–14. doi:10.​1002/​jclp.​20464.CrossRef
go back to reference Himadi, W. G., Boice, R., & Barlow, D. H. (1986). Assessment of agoraphobia—II: Measurement of clinical change. Behaviour Research and Therapy, 24, 321–332.CrossRefPubMed Himadi, W. G., Boice, R., & Barlow, D. H. (1986). Assessment of agoraphobia—II: Measurement of clinical change. Behaviour Research and Therapy, 24, 321–332.CrossRefPubMed
go back to reference Jackson, T., McKenzie, J., & Hobfoll, S. E. (2000). Communal aspects of self-regulation. In M. Boekaerts, P. R. Pintrich, & M. Zeider (Eds.), Handbook of self-regulation. San Diego: Academic. Jackson, T., McKenzie, J., & Hobfoll, S. E. (2000). Communal aspects of self-regulation. In M. Boekaerts, P. R. Pintrich, & M. Zeider (Eds.), Handbook of self-regulation. San Diego: Academic.
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12.CrossRefPubMed Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12.CrossRefPubMed
go back to reference Kristal, A. R., Beresford, S. A., & Lazovich, D. (1994). Assessing change in diet-intervention research. The American Journal of Clinical Nutrition, 59, 185S–189S.PubMed Kristal, A. R., Beresford, S. A., & Lazovich, D. (1994). Assessing change in diet-intervention research. The American Journal of Clinical Nutrition, 59, 185S–189S.PubMed
go back to reference Lewin, K. (1947). Frontiers in group dynamics. Human Relations, 1, 143–153.CrossRef Lewin, K. (1947). Frontiers in group dynamics. Human Relations, 1, 143–153.CrossRef
go back to reference Liang, M. H., Fossel, A. H., & Larson, M. G. (1990). Comparisons of five health status instruments for orthopaedic evaluation. Medical Care, 28, 632–642.CrossRefPubMed Liang, M. H., Fossel, A. H., & Larson, M. G. (1990). Comparisons of five health status instruments for orthopaedic evaluation. Medical Care, 28, 632–642.CrossRefPubMed
go back to reference Linacre, J. M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3, 85–106.PubMed Linacre, J. M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3, 85–106.PubMed
go back to reference Mohatt, G. V., Fok, C. C. T., Henry, D., Allen, J., & People Awakening Team. (2014). Feasibility of a community intervention for the prevention of suicide and alcohol abuse with Yup’ik Alaska Native youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies. American Journal of Community Psychology, 54, 153–169. doi:10.1007/s10464-014-9646-2.PubMedCentralCrossRefPubMed Mohatt, G. V., Fok, C. C. T., Henry, D., Allen, J., & People Awakening Team. (2014). Feasibility of a community intervention for the prevention of suicide and alcohol abuse with Yup’ik Alaska Native youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies. American Journal of Community Psychology, 54, 153–169. doi:10.​1007/​s10464-014-9646-2.PubMedCentralCrossRefPubMed
go back to reference Norman, G. R., Stratford, P., & Regehr, G. (1997). Methodological problems in the retrospective computation of responsiveness to change: The lesson of Cronbach alpha. Journal of Clinical Epidemiology, 50, 869–879.CrossRefPubMed Norman, G. R., Stratford, P., & Regehr, G. (1997). Methodological problems in the retrospective computation of responsiveness to change: The lesson of Cronbach alpha. Journal of Clinical Epidemiology, 50, 869–879.CrossRefPubMed
go back to reference Pavuluri, M. N., Henry, D., Naylor, M., Carbray, J., Sampson, G., & Janicak, P. G. (2004). A pharmacotherapy algorithm for stabilization and maintenance of pediatric bipolar disorder. Journal of American Academy of Child and Adolescent Psychiatry, 43, 859–867.CrossRef Pavuluri, M. N., Henry, D., Naylor, M., Carbray, J., Sampson, G., & Janicak, P. G. (2004). A pharmacotherapy algorithm for stabilization and maintenance of pediatric bipolar disorder. Journal of American Academy of Child and Adolescent Psychiatry, 43, 859–867.CrossRef
go back to reference Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health & Social Behavior, 22, 337–356.CrossRef Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health & Social Behavior, 22, 337–356.CrossRef
go back to reference Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefPubMed Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefPubMed
go back to reference Puhan, M. A., Bryant, D., Guyatt, G. H., Heels-Ansdell, D., & Schünemann, H. J. (2005). Internal consistency reliability is a poor predictor of responsiveness. Health and Quality of Life Outcomes, 3, 1–8. doi:10.1186/1477-7525-3-33.CrossRef Puhan, M. A., Bryant, D., Guyatt, G. H., Heels-Ansdell, D., & Schünemann, H. J. (2005). Internal consistency reliability is a poor predictor of responsiveness. Health and Quality of Life Outcomes, 3, 1–8. doi:10.​1186/​1477-7525-3-33.CrossRef
go back to reference Rizopoulos, D. (2006). ltm: An R package for latent variable modelling and item response theory analyses. Journal of Statistical Software, 17, 1–25.CrossRef Rizopoulos, D. (2006). ltm: An R package for latent variable modelling and item response theory analyses. Journal of Statistical Software, 17, 1–25.CrossRef
go back to reference Samejima, F. (1969). Estimation of latent ability using a response pattern of graded scores. Psychometrika Monograph Supplement, 34, 100–114. Samejima, F. (1969). Estimation of latent ability using a response pattern of graded scores. Psychometrika Monograph Supplement, 34, 100–114.
go back to reference Sato, T. L., Turnbull, C. D., Davidson, J. R. T., & Madakasira, S. (1984). Depressive illness and placebo response. International Journal of Psychiatry Medicine, 14, 171–179.CrossRef Sato, T. L., Turnbull, C. D., Davidson, J. R. T., & Madakasira, S. (1984). Depressive illness and placebo response. International Journal of Psychiatry Medicine, 14, 171–179.CrossRef
go back to reference Schwarz, N. (1999). Self-reports: How the questions shape the answers. American Psychologist, 54, 93–105.CrossRef Schwarz, N. (1999). Self-reports: How the questions shape the answers. American Psychologist, 54, 93–105.CrossRef
go back to reference Schwarz, N., Knäuper, B., Hippler, H. J., Noelle-Neumann, E., & Clar, F. (1991). Rating scales: Numeric values may change the meaning of scale labels. Public Opinion Quarterly, 55, 570–582.CrossRef Schwarz, N., Knäuper, B., Hippler, H. J., Noelle-Neumann, E., & Clar, F. (1991). Rating scales: Numeric values may change the meaning of scale labels. Public Opinion Quarterly, 55, 570–582.CrossRef
go back to reference Spearing, M. K., Post, R. M., Levericha, G. S., Brandt, D., & Nolen, W. (1997). Modification of the Clinical Global Impressions (CGI) scale for use in bipolar illness (BP): The CGI-BP. Psychiatric Research, 73, 159–171.CrossRef Spearing, M. K., Post, R. M., Levericha, G. S., Brandt, D., & Nolen, W. (1997). Modification of the Clinical Global Impressions (CGI) scale for use in bipolar illness (BP): The CGI-BP. Psychiatric Research, 73, 159–171.CrossRef
go back to reference Spybrook, J., Raudenbush, S. W., Congdon, R., & Martínez, A. (2009). Optimal design for longitudinal and multilevel research: Documentation for the “Optimal Design” software. New York: William T. Grant Foundation. Spybrook, J., Raudenbush, S. W., Congdon, R., & Martínez, A. (2009). Optimal design for longitudinal and multilevel research: Documentation for the “Optimal Design” software. New York: William T. Grant Foundation.
go back to reference Streiner, D. L., & Norman, G. R. (1995). Health measurement scales: A practical guide to their development and use (3rd ed.). Oxford: Oxford University Press. Streiner, D. L., & Norman, G. R. (1995). Health measurement scales: A practical guide to their development and use (3rd ed.). Oxford: Oxford University Press.
go back to reference Wakschlag, L.S., Briggs-Gowan, M.J., Choi, S.W., Nichols, S.R., Kestler, J., Burns, J.L., … & Henry, D. (2014). Advancing a multidimensional, developmental spectrum approach to preschool disruptive behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 82–96. Wakschlag, L.S., Briggs-Gowan, M.J., Choi, S.W., Nichols, S.R., Kestler, J., Burns, J.L., … & Henry, D. (2014). Advancing a multidimensional, developmental spectrum approach to preschool disruptive behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 82–96.
go back to reference Wästberg, B. A., Haglund, L., & Eklund, M. (2012). The work environment impact scale–self-rating (WEIS-SR) evaluated in primary health care in Sweden. Work: A Journal of Prevention, Assessment and Rehabilitation, 42, 447–457. Wästberg, B. A., Haglund, L., & Eklund, M. (2012). The work environment impact scale–self-rating (WEIS-SR) evaluated in primary health care in Sweden. Work: A Journal of Prevention, Assessment and Rehabilitation, 42, 447–457.
go back to reference West, A. E., Celio, C. I., Henry, D. B., & Pavuluri, M. N. (2011). Child mania rating scale-parent version: A valid measure of symptom change due to pharmacotherapy. Journal of Affective Disorders, 128, 112–119.PubMedCentralCrossRefPubMed West, A. E., Celio, C. I., Henry, D. B., & Pavuluri, M. N. (2011). Child mania rating scale-parent version: A valid measure of symptom change due to pharmacotherapy. Journal of Affective Disorders, 128, 112–119.PubMedCentralCrossRefPubMed
go back to reference Zimmerman, M., McGlinchey, J. B., Posternak, M. A., Friedman, M., Attiullah, N., & Boerescu, D. (2006). How should remission from depression be defined? The depressed patient’s perspective. American Journal of Psychiatry, 163, 148–150.CrossRefPubMed Zimmerman, M., McGlinchey, J. B., Posternak, M. A., Friedman, M., Attiullah, N., & Boerescu, D. (2006). How should remission from depression be defined? The depressed patient’s perspective. American Journal of Psychiatry, 163, 148–150.CrossRefPubMed
Metadata
Title
Increasing the Sensitivity of Measures to Change
Authors
Carlotta Ching Ting Fok
David Henry
Publication date
01-10-2015
Publisher
Springer US
Published in
Prevention Science / Issue 7/2015
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-015-0545-z

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