Equivalence-based measures of clinical significance: assessing treatments for depression.
Treatment efficacy is largely determined by statistical significance testing, and clinical significance testing is often used to quantify or qualify the efficacy of a treatment at the individual or group level. This study applies the equivalence-based clinical significance model proposed by Kendall, Marrs-Garcia, Nath, and Sheldrick (1999) and a revised model proposed by Cribbie and Arpin-Cribbie (2009) to the assessment of treatments for depression. Using several studies that investigated treatments for depression, the authors tested whether the posttreatment means were equivalent to those for a similar normal comparison group. All of the studies had significant improvement from pretest to posttest, although for many of the studies the treated group was not equivalent to a normal comparison group at posttest. Further, there are important differences between the conclusions drawn from the Kendall et al. and Cribbie and Arpin-Cribbie methods for assessing equivalence-based clinical significance.
Nasiakos
George
G
Department of Psychology, York University, Toronto, Ontario, Canada.
Cribbie
Robert A
RA
Arpin-Cribbie
Chantal A
CA
D015928:Cognitive Behavioral Therapy / Q000592:standards; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000592:standards; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000592:standards*; D016896:Treatment Outcome