Research and Statistics Flashcards

Learn key research methods, data analysis concepts, and statistical tools used to evaluate outcomes and evidence in marriage and family therapy. (39 cards)

3
Q

Reliability

A

The ability of a test to produce the same results over and over.

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4
Q

Validity

A

Whether a test measures what it says it measures.

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5
Q

Internal Validity

A

The ability to establish a causal relationship between independent (causal) and dependent (effect) variables.

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6
Q

External Validity

A

Whether the relationship between independent and dependent variables can be generalized to others.

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7
Q

Effect Size

A

A statistic used to compare treatment effectiveness across studies based on standard deviation units.

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8
Q

Type 1 Error

A

A false positive (rejecting a true null hypothesis).

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9
Q

Type 2 Error

A

A false negative (failing to reject a false null hypothesis).

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10
Q

Mode

A

The most frequent score in a dataset.

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11
Q

Median

A

The score that divides data in half; helps balance out outlying scores.

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12
Q

Mean

A

The average; least susceptible to sampling fluctuations.

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13
Q

1 Standard Deviation

A

68.2% of data falls within 1 SD of the mean.

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14
Q

2 Standard Deviations

A

95% of data falls within 2 SD of the mean.

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15
Q

3 Standard Deviations

A

99.7% of data falls within 3 SD of the mean.

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16
Q

Evidence-Based Practice

(singular)

A

Using general evidence to inform treatment (keeping up with literature, attending workshops, using SAMHSA toolkits).

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17
Q

Evidence-Based Treatments/Practices

(plural)

A

Manualized treatments for specific populations that have been rigorously tested with control groups, blind, randomized, supported by NIMH and SAMHSA.

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18
Q

Clinical Trials Requirements

A
  • Must have control or comparison group
  • Must be blind
  • Must be randomized
  • Research supported by NIMH and SAMHSA
  • Criteria set by APA
19
Q

Outcome-Informed Practice

A

Using client feedback (ORS and SRS) to inform daily practice based on common factors model.

20
Q

ORS

(Outcome Rating Scale)

A

Tool used to measure client outcomes session by session; RCTs with couples showed 4x the rate of change and better long-term outcomes.

21
Q

SRS

(Session Rating Scale)

A

Tool used to measure the therapeutic alliance and session quality.

22
Q

Conduct Disorder Evidence Base for MFT

A

Very strong evidence for systemic-strategic FAMILY treatment (not individual youth).

23
Q

Drug Abuse Evidence Base for MFT

A

Very strong evidence base for family therapy, especially with youth.

24
Q

Psychoeducation for Major Mental Illness Base for MFT

A

Very strong evidence, particularly with multifamily groups.

25
Q

Couple Distress Evidence Base for MFT

A

Very strong evidence for couple therapy.

26
Q

Alcoholism Evidence Base for MFT

A

Strong evidence for couple/family treatment with both adults and adolescents.

27
Relationship Education Evidence Base for MFT
Strong evidence of **improvement with non-distressed couples**.
28
Depression and Couple Therapy Base for MFT
Couples therapy indicated when **marital problems** are part of presenting issues.
29
Chronic Illness in Children Base for MFT
Strong evidence for **family therapy**, especially for **diabetes** and **asthma**.
30
Reliability vs. Validity
**RELIABILITY** = consistency. If you measure something repeatedly, do you get the same result? A reliable scale gives you the same weight each time. **VALIDITY** = accuracy. Does the test actually measure what it claims to measure? A scale that's consistently 10 pounds off is reliable but not valid. ## Footnote Memory trick: Reliable = Repeatable. Valid = on the V-mark (right on target).
31
Common Factors
Research shows that outcome variance can be attributed to: * 40% client variables (e.g. motivation, resources, severity, etc.) * 30% quality of the therapeutic relationships * 15% hope/placebo * 15% therapeutic model
32
Descriptive Statistics
Descriptive statistics **SUMMARIZE** and **DESCRIBE** data. They paint a picture of what you're looking at without making predictions. Common types: * Mean (average) * Median (middle value) * Mode (most common) * Range (highest to lowest) * Standard deviation (how spread out the data is) ## Footnote Example: If you're tracking session attendance rates, descriptive stats tell you the average number of sessions clients attend, the range, etc.
33
Inferential Statistics
Using your sample data to make **predictions** or draw **conclusions** about a larger population (what MIGHT BE). ## Footnote Example: "Based on our sample, we can infer that the average attendance for all clients in this population is likely between 7.5 and 9.5 sessions, with 95% confidence"
34
t-Test | (Single Measure Comparison)
It compares the means of **TWO** groups to see if they're significantly different. Common uses: * Independent t-test: Compare two different groups (treatment vs. control) * Paired t-test: Compare same group at two times (pre-test vs. post-test) ## Footnote Example: Do couples who complete therapy (Group A) have significantly different relationship satisfaction scores than couples on a waitlist (Group B)? Remember: t-test is for comparing TWO groups. For 3+ groups, use ANOVA.
35
ANOVA vs. ANCOVA
**ANOVA** (Analysis of Variance): Compares means across 3+ groups to see if there are significant differences. **ANCOVA** (Analysis of Covariance): Same as ANOVA BUT controls for a confounding variable (covariate). ## Footnote Think: ANCOVA = ANOVA + Control variable ANOVA Example: Does therapy outcome differ between CBT, DBT, and family therapy groups? ANCOVA Example: Does therapy outcome differ between the three groups WHILE controlling for initial symptom severity?
36
Confidence Level
A 95% confidence level means if you repeated your study 100 times, about 95 of those times your results would fall **within the same range**. ## Footnote What it tells you: How confident you can be that your findings aren't just random chance. Common in research: 95% is standard (sometimes 99% for more certainty). Translation: 'We're 95% sure this result is real, not a fluke.'
37
Coefficient | (Correlation Coefficient)
It measures the **strength** and **direction** of a relationship between two variables. Range: -1.0 to +1.0 * +1.0 = perfect positive correlation (both go up together) * 0 = no correlation * -1.0 = perfect negative correlation (one goes up, other goes down) ## Footnote Example: Correlation between number of therapy sessions and symptom reduction might be r = 0.65 (strong positive relationship). Remember: Correlation ≠ causation! Just because things relate doesn't mean one causes the other.
38
Evidence-Based Treatment | (EBT)
An evidence-based treatment has been rigorously **tested** through research and shown to be **effective** for specific conditions. Three components (Sackett's definition): 1. Best research evidence (controlled studies) 2. Clinical expertise (your professional judgment) 3. Client values/preferences (what matters to them) ## Footnote Important: EBT doesn't mean ignoring your clinical judgment or the client's context—it means integrating all three. Examples: EFT for couples, MST for adolescents, MDFT for substance abuse
39
Correlation vs. Linear Causality
**LINEAR CAUSALITY**: A causes B (straight line, one-way, simple cause-and-effect). Example: "Mom's depression causes the child's behavior problems." Assumes: Single direction, one factor responsible. **CORRELATION**: Two variables are related or associated, but we can't assume one causes the other. Example: "There's a correlation between mom's depression and child's behavior problems" Means: They occur together, but we don't know: * Does A cause B? * Does B cause A? * Does a third factor (C) cause both? * Is it coincidence? In family therapy: We often see correlations between family members' symptoms and behaviors. Understanding that correlation ≠ causation helps us avoid oversimplifying complex family dynamics.
40
MANOVA vs. MANCOVA
**MANOVA** (Multivariate Analysis of Variance): Like ANOVA, but compares 3+ groups on MULTIPLE dependent variables simultaneously. **MANCOVA** (Multivariate Analysis of Covariance): Same as MANOVA BUT controls for one or more confounding variables (covariates). ## Footnote Key difference from ANOVA/ANCOVA: * ANOVA/ANCOVA = ONE outcome variable * MANOVA/MANCOVA = MULTIPLE outcome variables tested together Why use it: More efficient than running separate ANOVAs, and it accounts for correlations between outcome variables. MANOVA Example: Does therapy type (CBT, DBT, Family Therapy) affect depression scores, anxiety scores, AND relationship satisfaction scores all at once? MANCOVA Example: Does therapy type affect those three outcomes WHILE controlling for baseline symptom severity and number of sessions attended?
41
Regression
It examines the **relationship** between **one or more independent variables** (predictors) and a **dependent variable** (outcome). It helps you understand: 1. IF there's a relationship 2. HOW STRONG the relationship is 3. The DIRECTION of the relationship ## Footnote Example: Can we predict therapy outcomes (dependent variable) based on number of sessions, client age, and initial symptom severity (independent variables)? Key difference from correlation: Regression allows prediction and examines multiple predictors simultaneously, while correlation just shows if two variables are related.