Published in:
01-07-2008 | Original Paper
When Programs Benefit Some People More than Others: Tests of Differential Service Effectiveness
Authors:
Cathaleene Macias, Danson R. Jones, William A. Hargreaves, Qi Wang, Charles F. Rodican, Paul J. Barreira, Paul B. Gold
Published in:
Administration and Policy in Mental Health and Mental Health Services Research
|
Issue 4/2008
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Abstract
Practitioners need to know for whom evidence-based services are most or least effective, but few services research studies provide this information. Using data from a randomized controlled comparison of supported employment findings for two multi-service psychiatric rehabilitation programs, we illustrate and compare procedures for measuring program-by-client characteristic interactions depicting differential program effectiveness, and then illustrate how a significant program-by-client interaction can explain overall program differences in service effectiveness. Interaction analyses based on cluster analysis-identified sample subgroups appear to provide statistically powerful and meaningful hypothesis tests that can aid in the interpretation of main effect findings and help to refine program theory.