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Health Measurement ScalesA practical guide to their development and use$
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David L. Streiner and Geoffrey R. Norman

Print publication date: 2008

Print ISBN-13: 9780199231881

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199231881.001.0001

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Measuring change

Measuring change

(p.277) Chapter 11 Measuring change
Health Measurement Scales

David L. Streiner

Geoffrey R. Norman

Oxford University Press

At first glance, measuring change appears to be a straightforward task. On closer inspection, it is fraught with difficulties, both mathematical and conceptual. This chapter discusses the difficulties in measuring change, including reliability of the change score, as well as various indices of sensitivity to change. There is a discussion of more recent and sophisticated ways of measuring change, including individual growth curve analysis.

Keywords:   growth curves, sensitivity to change, responsiveness, mathematical difficulties, conceptual difficulties

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