Measuring the potency of risk factors for clinical or policy significance

被引:83
作者
Kraemer, HC
Kazdin, AE
Offord, DR
Kessler, RC
Jensen, PS
Kupfer, DJ
机构
[1] Univ Pittsburgh, Western Psychiat Inst & Clin, Sch Med, Dept Psychiat, Pittsburgh, PA 15213 USA
[2] Stanford Univ, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA
[3] Yale Univ, Dept Psychol, New Haven, CT 06520 USA
[4] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada
[5] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[6] NIMH, Child & Adolescent Disorders Res Branch, Rockville, MD 20857 USA
关键词
D O I
10.1037/1082-989X.4.3.257
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
For those in the prevention field who need to use risk factors to identify those at risk, mere statistical significance is not sufficient to establish clinical or policy significance. For that purpose, some measure of "potency" of risk factors is needed, that is, an effect size interpretable and meaningful in a clinical or policy context. The numerous possible candidate measures available often lead to contradictory conclusions. Which of the candidate measures is right or wrong for clinical and policy decision making depends on the fit between the trade-offs between false-positive and false-negative decisions implicit in the definition of the measure land often unknown to the user) and those related to a specific context of application.
引用
收藏
页码:257 / 271
页数:15
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