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Bains, Scott, Kellett, & Saxon (2014) used t-tests to determine whether group cognitive-behavior therapy was effective at improving the psychological well-being of older adults. Specifically,

Bains, Scott, Kellett, & Saxon (2014) used t-tests to determine whether group cognitive-behavior therapy was effective at improving the psychological well-being of older adults. Specifically, the researchers looked at changes in four different psychological measures among 34 patients, all over age 65, who completed six weeks of group therapy. Four different psychological measures were given three times. The four measures were:

(1) HADS Anxiety: The anxiety-related portion of the Hospital Anxiety and Depression Scale, with higher scores indicating higher levels of anxiety.

(2) HADS-Depression: The depression-related portion of the Hospital Anxiety and Depression Scale, with higher scores indicating higher levels of depression.

(3) CORE-OM: The Clinical Outcomes in Routine Evaluation-Outcome Measure, which measures levels of distress (high scores) vs. psychological well-being (low scores).

(4) HoNOS 65+: The Health of the Nation Outcome Score, which measures various aspects of psychological and social health, with higher scores indicating poorer health.

The three times of testing were as follows:

(TIme 1) At "Assessment" - before therapy began

(Time 2) At "Termination" - after six sessions of therapy had been completed

(Time 3) At "Follow-up" - at a follow-up session several weeks after therapy had been completed

They compared the scores at each time of testing: Time 1 with Time 2; Time 1 with TIme 3; Time 2 with Time 3.Dependent samples t-tests were used for each comparison. The results are summarized in the table below. Notice from the footnote below the table that statistically significant results are noted with asterisks. Choose one of the comparisons and explain the results by answering the questions listed below.

Table 1. Group mean score and associated comparisons (Bains et al., 2014, p. 1060)

Assessment to termination

Assessment to follow-up

Termination to follow-up

Measure

Assessment mean (SD)

Termination mean (SD)

Follow-up mean (SD)

t

d

t

d

t

d

HADS- Anxiety

10.85 (5.30)

9.35 (4.61)

6.06 (5.40)

2.08*

0.3

2.03

0.4

0.37

0.1

HADS-Depression

9.10 (4.57

7.24 (3.80)

7.26 (4.31)

2.01

0.4

1.71

0.4

-0.02

-0.01

CORE-

OM

14.30 (6.00)

12.00 (7.10)

11.30 (7.67)

2.74**

0.4

3.45**

0.5

0.54

0.1

HoNOS 65+

9.23 (4.81)

8.40 (4.60)

7.74 (4.40)

1.43

0.2

2.53*

0.3

0.69

0.1

*p<.05

**p<.01

Reference

Bains, M. K., Scott, S., Kellett, S., & Saxon, D. (2014). Group psychoeducative cognitive-behaviour therapy for mixed anxiety and depression with older adults. Aging & Mental Health, 18(8), 1057-1065. https://doi-org.lscsproxy.lonestar.edu/10.1080/13607863.2014.908459

1. Choose the psychological measure and the comparison (between which two times of testing) you are focusing on:

a. Name of Psychological Measure:

b. Times compared:

2. What is the calculated value of the test statistic?

3. What is the associated p-value as reported in the results? (p>.05, p<.05, or p<.01)

4. Use this online calculator (https://www.socscistatistics.com/pvalues/tdistribution.aspx ) to determine the exact p-value, based on the pdf in the research (33), using a two-tailed test. Be sure it is in accordance with your answer in question 3.

4. Is the result statistically significant?

5. Based on the results presented in the above table, what is the effect size for this result?

6. Would you say that the effect is small, medium or large?

7. Write the result in "APA" format (include the values of t, p, and d). From the online calculator, click on "How to Report a T-Test Result" but also add the value of Cohen's d, as given in the table.

8. In one or two sentences, summarize the result.

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