Deck 14: Assessment and Evaluation of Interventions

Question 1

Social impact measures refer to:

A) the degree to which socialization has effected treatment outcomes
B) determining the importance of behavior change by assessing the opinions of those in the client's social world
C) measures which determine the client's ability to function in social situations
D) outcomes assessed in everyday life that are important to society at large

Answer 1

outcomes assessed in everyday life that are important to society at large

Question 2

What comparison occurs when a dysfunctional sample comparison method is used to evaluate the clinical significance of an effect?

A) Determining whether clients fall within the normative range of performance after treatment
B) Determining whether clients differ markedly from a normative sample after treatment
C) Determining whether clients fall within the dysfunctional range of performance after treatment
D) Determining whether clients differ markedly from a dysfunctional sample after treatment

Answer 2

Determining whether clients differ markedly from a dysfunctional sample after treatment

Question 3

Which of the following is a potential problem with social impact measures of evaluating clinical significance?

A) Low believability
B) Not important to society
C) Insensitivity to intervention effects
D) Change does not mean the problem is solved

Answer 3

Insensitivity to intervention effects

Question 4

It is important that the disseminability of treatment be examined because:

A) the more narrow and specific a treatment is to a particular group the better the treatment
B) the better able a treatment is to be extended to new settings, clients, and services, the more accessible and valuable the treatment will be to larger populations
C) many clinical treatments are complex and need to me monitored for effectiveness
D) self-help therapies have been criticized as not being as effective as therapy received in a clinical setting

Question 5

How is clinical significance determined when using subjective evaluation criteria?

A) Comparing the clients' standing with that of a dysfunctional sample
B) Comparing the clients' standing with that of a normative sample
C) Assessing clients' standing on diagnostic status after treatment
D) Assessing opinions of those in contact with the clie nt

Question 6

What is the clinical significance of an investigation?

A) The importance of findings to society at large
B) The practical value or importance of the effect of an intervention
C) The extent to which a difference can be detected when a difference exists
D) The theoretical value of the effect to the clinical literature

Question 7

When looking at the scope and breadth of change it is important to:

A) look not only at the symptom changes, but other measures that may have importance to the client and society at large
B) maintain a narrow focus by examine the symptom changes and not get distracted by other factors that are related to change
C) include measures of deviance when making evaluations
D) include multiple cases in your analysis of individual changes

Question 8

Making an ipsative comparison when evaluating clinical significance means comparing:

A) the individual with him or herself
B) the individual's performance with the performance of the general population
C) the individual's performance with the performance of a dysfunctional population
D) the individual 's performance with the performance of the other's in the subject group

Question 9

One of two main reasons to conduct assessments during the course of a treatment outcome are:

A) determine the statistical significance of particular variables before the end of treatment
B) allow for a margin of error in the regularity of assessments by having multiple assessments
C) evaluating the mechanisms or factors that explain change
D) ensuring that measures are easy for the client to complete

Question 10

Evaluating mechanisms for change is an important part of continuing assessment throughout treatment. Once such mechanism that can have a positive effect on treatment outcomes is:

A) therapist/patient alliance
B) therapist/patient discord
C) patient/family distancing
D) effects therapy has on the clinician

Question 11

Attrition is particularly problematic when obtaining follow up data because:

A) loss of too many subjects may alter the reliability of the data
B) low subject response may reflect poorly on the researcher
C) the remaining data may not represent the "true" level of functioning if the complete sample of subjects is not reassessed
D) the amount of time and resources used to re-locate subjects can be extremely costly

Question 12

Relying on whether or not a client meets diagnostic criteria for the psychiatric disorder being treated is problematic because:

A) the measure being used to evaluate the disorder may not be validated
B) the client may not want to complete the measure
C) not meeting diagnostic criteria does not mean that all the problems associated with the disorder are gone
D) the measure may not include all of the specific problems the client was experiencing

Question 13

Clinical significance differs from statistical significance in that:

A) It shows how much the client has improved based on the measures administered.
B) It measures practical value or importance of effect of the intervention on the client.
C) It measures the client's feelings about therapy and his or her therapist.
D) It measures the way in which the clinician and the client interacted during sessions and the effect this interaction had on therapy.

Question 14

When evaluating a client's progress using comparison with a dysfunctional group how many standard deviations above the group mean must the client be to indicate clinical significance?

A) one standard deviation
B) two standard deviations
C) five standard deviations
D) seven standard deviations

Question 15

Follow up assessment occurs:

A) exactly one year from the end of treatment
B) any point ranging form weeks to years after treatment
C) no more than one month after treatment
D) only several years after the end of treatment