Denoting treatment outcome in child and adolescent psychiatry: a comparison of continuous and categorical outcomes.

Various approaches have been proposed to denote treatment outcome, such as the effect size of the pre-to-posttest change, percentage improvement, statistically reliable change, and clinical significant change. The aim of the study is to compare these approaches and evaluate their aptitude to differe...

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Publicado en:European Child & Adolescent Psychiatry Vol. 24; no. 5; pp. 553 - 564
Autores principales: Beurs, Edwin, Barendregt, Marko, Rogmans, Bente, Robbers, Sylvana, Geffen, Marieke, Aggelen-Gerrits, Marleen, Houben, Huub
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2015
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      pub: Springer Nature
      place: New York, New York
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        atl: Denoting treatment outcome in child and adolescent psychiatry: a comparison of continuous and categorical outcomes.
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          Beurs, Edwin
          Barendregt, Marko
          Rogmans, Bente
          Robbers, Sylvana
          Geffen, Marieke
          Aggelen-Gerrits, Marleen
          Houben, Huub
        affil: Stichting Benchmark GGZ, Rembrandtlaan 46 3723 BK Bilthoven The Netherlands
      sug:
        subj:
          Treatment Outcomes Netherlands
          Child Psychiatry
          Adolescent Psychiatry
          Child Behavior Checklist
          Checklists
          Questionnaires
          Netherlands
          DSM
          Patient Assessment
          Outcomes Research
          Human
          Male
          Female
          Child
          Adolescence
          Effect Size
          Descriptive Statistics
          T-Tests
          Analysis of Variance
          Pearson's Correlation Coefficient
          Kendall's tau
          Spearman's Rank Correlation Coefficient
          Chi Square Test
          Post Hoc Analysis
          P-Value
          Pretest-Posttest Design
          Therapeutics Evaluation
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Various approaches have been proposed to denote treatment outcome, such as the effect size of the pre-to-posttest change, percentage improvement, statistically reliable change, and clinical significant change. The aim of the study is to compare these approaches and evaluate their aptitude to differentiate among child and adolescent mental healthcare providers regarding their treatment outcome. Comparing outcomes according to continuous and categorical outcome indicators using real-life data of seven mental healthcare providers, three using the Child Behavior Checklist and four using the Strengths and Difficulties Questionnaire as primary outcome measure. Within each dataset consistent differences were found between providers and the various methods led to comparable rankings of providers. Statistical considerations designate continuous outcomes as the optimal choice. Change scores have more statistical power and allow for a ranking of providers at first glance. Expressing providers' performance in proportions of recovered, changed, unchanged, or deteriorated patients has supplementary value, as it denotes outcome in a manner more easily interpreted and appreciated by clinicians, managerial staff, and, last but not least, by patients or their parents.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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