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Between-group minimally important change versus individual treatment responders
by
Hays, Ron D.
, Peipert, John Devin
in
COMMENTARY
/ Estimates
/ Humans
/ Medicine
/ Medicine & Public Health
/ Patients
/ Public Health
/ Quality of life
/ Quality of Life - psychology
/ Quality of Life Research
/ Retrospective Studies
/ Sociology
/ Standard deviation
2021
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Between-group minimally important change versus individual treatment responders
by
Hays, Ron D.
, Peipert, John Devin
in
COMMENTARY
/ Estimates
/ Humans
/ Medicine
/ Medicine & Public Health
/ Patients
/ Public Health
/ Quality of life
/ Quality of Life - psychology
/ Quality of Life Research
/ Retrospective Studies
/ Sociology
/ Standard deviation
2021
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Do you wish to request the book?
Between-group minimally important change versus individual treatment responders
by
Hays, Ron D.
, Peipert, John Devin
in
COMMENTARY
/ Estimates
/ Humans
/ Medicine
/ Medicine & Public Health
/ Patients
/ Public Health
/ Quality of life
/ Quality of Life - psychology
/ Quality of Life Research
/ Retrospective Studies
/ Sociology
/ Standard deviation
2021
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Between-group minimally important change versus individual treatment responders
Journal Article
Between-group minimally important change versus individual treatment responders
2021
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Overview
Purpose
Estimates of the minimally important change (MIC) can be used to evaluate whether group-level differences are large enough to be important. But responders to treatment have been based upon group-level MIC thresholds, resulting in inaccurate classification of change over time. This article reviews options and provides suggestions about individual-level statistics to assess whether individuals have improved, stayed the same, or declined.
Methods
Review of MIC estimation and an example of misapplication of MIC group-level estimates to assess individual change. Secondary data analysis to show how perceptions about meaningful change can be used along with significance of individual change.
Results
MIC thresholds yield over-optimistic conclusions about responders to treatment because they classify those who have not changed as responders.
Conclusions
Future studies need to evaluate the significance of individual change using appropriate individual-level statistics such as the reliable change index or the equivalent coefficient of repeatability. Supplementing individual statistical significance with retrospective assessments of change is desirable.
Publisher
Springer Science + Business Media,Springer International Publishing,Springer Nature B.V
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