Subscales and items within each scale | CAP Stockholm | USa | Diff between CAP Stockholm—USc | |||||
---|---|---|---|---|---|---|---|---|
Strongly disagree % | Disagree % | Neutral % | Agree % | Strongly agree % | M (SD) N | M (SD) N | ||
Benefit over clinical judgment | 3.14 (0.65) 338 | 2.95 (0.68) 1439 | *** | |||||
Using clinical judgment to diagnose children is superior to using standardized assessment measuresb | 4.5 | 25.2 | 47.4 | 18.0 | 4.8 | 2.93 (0.90) 333 | 3.16 (0.96) 1439 | *** |
Standardized measures don’t capture what’s really going on with children and their familiesb | 5.3 | 34.7 | 40.7 | 17.2 | 2.1 | 2.76 (0.87) 337 | 3.11 (0.95) 1439 | *** |
Clinical problems are too complex to be captured by a standardized measureb | 5.4 | 31.8 | 29.5 | 27.1 | 6.3 | 2.97 (1.03) 336 | 3.02 (0.98) 1439 | ns |
Standardized measures provide more useful information than other assessments like informal interviews or observations | 7.5 | 34.4 | 42.2 | 13.2 | 2.7 | 2.69 (0.90) 334 | 2.5 (0.82) 1439 | *** |
Standardized measures don’t tell me anything I can’t learn from just talking to children and their familiesb | 15.2 | 53.3 | 19.0 | 9.8 | 2.7 | 2.32 (0.94) 336 | 2.47 (1.06) 1439 | * |
Practicality | 3.19 (0.44) 338 | 3.19 (0.56) 1404 | ns | |||||
Standardized measures can efficiently gather information from multiple individuals (e.g. children, parents, teachers) | 0.6 | 3.0 | 11.9 | 57.3 | 27.3 | 4.08 (0.75) 337 | 3.91 (0.79) 1404 | *** |
Standardized assessments are readily available in the language my children and their families speak | 21.4 | 29.4 | 41.5 | 6.5 | 1.2 | 2.38 (0.93) 337 | 3.34 (1.12) 1404 | *** |
There are few standardized measures valid for ethnic minority children and their familiesb | 1.2 | 3.9 | 37.9 | 34.8 | 22.1 | 3.73 (0.89) 330 | 3.32 (0.82) 1404 | *** |
I have adequate training in the use of standardized measures | 3.3 | 13.9 | 18.6 | 38.2 | 26.0 | 3.70 (1.10) 338 | 3.25 (1.24) 1404 | *** |
Standardized diagnostic interviews interfere with establishing rapport during an intakeb | 15.4 | 28.8 | 27.0 | 18.4 | 10.4 | 2.80 (1.20) 337 | 3.04 (1.09) 1404 | *** |
Standardized measures take too long to administer and scoreb | 7.4 | 31.0 | 35.1 | 21.4 | 5.1 | 2.90 (1.00) 336 | 2.99 (1.07) 1404 | ns |
Standardized symptom checklists are too difficult for many children and their families to read or understandb | 3.3 | 27.0 | 44.8 | 22.6 | 2.4 | 2.94 (0.85) 337 | 2. 72 (0.92) 1404 | *** |
Copyrighted standardized measures are affordable for use in practice | 2.7 | 5.4 | 74.4 | 12.3 | 5.1 | 3.12 (0.69) 332 | 2.71 (0.99) 1404 | *** |
Completing a standardized measure is too much of a burden for children and their familiesb | 13.9 | 45.7 | 33.8 | 6.2 | 0.3 | 2.33 (0.80) 337 | 2.69 (0.93) 1404 | *** |
The information I receive from standardized measures isn’t worth the time I spend administering, scoring and interpreting the resultsb | 10.4 | 43.0 | 32.9 | 11.0 | 2.7 | 2.53 (0.92) 337 | 2.58 (1.08) 1404 | ns |
Psychometric quality | 3.81 (0.49) 340 | 3.78 (0.50) 1428 | ns | |||||
Clinicians should use assessments with demonstrated reliability and validity | 0.9 | 1.5 | 12.2 | 42.7 | 42.7 | 4.25 (0.79) 337 | 4.20 (0.83) 1428 | ns |
Standardized measures help with accurate diagnosis | 1.2 | 2.7 | 16.9 | 48.8 | 30.5 | 4.05 (0.83) 338 | 3.91 (0.77) 1428 | ** |
Standardized measures help detect diagnostic comorbidity (presence of multiple diagnoses) | 0.3 | 2.4 | 24.8 | 53.7 | 18.8 | 3.90 (0.74) 335 | 3.67 (0.72) 1428 | *** |
Standardized measures help with differential diagnosis (deciding between 2 diagnoses) | 0.6 | 5.4 | 29.0 | 49.6 | 15.5 | 3.74 (0.80) 335 | 3.64 (0.78) 1428 | * |
Standardized measures overdiagnose psychopathologyb | 6.0 | 25.7 | 47.2 | 19.4 | 1.8 | 2.85 (0.86) 335 | 2.84 (0.89) 1428 | ns |
Most standardized measures aren’t helpful because they don’t map on to DSM diagnostic criteriab | 14.3 | 38.7 | 42.9 | 3.6 | 0.6 | 2.38 (0.79) 336 | 2.45 (0.84) 1428 | ns |
It is not necessary for assessment measures to be standardized in research studiesb | 37.7 | 37.4 | 16.9 | 5.6 | 2.4 | 1.98 (0.99) 337 | 1.68 (0.84) 1428 | *** |
Utility of diagnosis | 3.60 (0.55) 330 | 3.15 (0.71) 1634 | *** | |||||
Accurate diagnosis is an important part of my treatment planning. | 0.3 | 0.0 | 9.9 | 39.2 | 50.6 | 4.40 (0.69) 330 | 3.96 (0.93) 1634 | *** |
Most children and families come to work on problems of daily life rather than being diagnosedb | 1.2 | 7.6 | 26.8 | 48.2 | 16.2 | 3.70 (0.86) 328 | 3.72 (1.07) 1634 | ns |
It is sometimes necessary to give a diagnosis that is not clinically indicated to qualify for servicesb | 28.9 | 31.3 | 23.0 | 12.1 | 4.7 | 2.31 (1.15) 327 | 2.89 (1.22) 1634 | *** |
Making a diagnosis is more important for obtaining services or benefits than for planning of treatmentb | 20.9 | 31.8 | 31.5 | 12.9 | 2.9 | 2.46 (1.05) 328 | 2.88 (1.23) 1634 | *** |
It is sometimes necessary to make a less serious diagnosis than clinically indicated to avoid stigma attached to serious diagnosesb | 41.5 | 33.5 | 16.8 | 7.4 | 0.9 | 1.94 (0.98) 328 | 2.72 (1.14) 1634 | *** |