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Process / pipelineIndividual change classification

Clinical Significance Analysis

Clinical significance analysis is a method for deciding whether an individual client's change after treatment is not only statistically reliable but also meaningful in real-world terms — specifically, whether the client has moved out of the dysfunctional range and into the range typical of a functional or non-clinical population. Formalized by Neil Jacobson and Paula Truax in 1991, it combines a reliable-change criterion with a clinical cutoff to sort each client into categories such as recovered, improved, unchanged, or deteriorated, complementing group-level statistics that say nothing about individual benefit.

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  1. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. DOI: 10.1037/0022-006X.59.1.12
  2. Jacobson, N. S., Roberts, L. J., Berns, S. B., & McGlinchey, J. B. (1999). Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives. Journal of Consulting and Clinical Psychology, 67(3), 300–307. DOI: 10.1037/0022-006X.67.3.300

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ScholarGate. (2026, June 22). Clinical Significance Analysis of Individual Treatment Outcome. ScholarGate. https://scholargate.app/no/social-work/clinical-significance-analysis

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ScholarGateClinical Significance Analysis (Clinical Significance Analysis of Individual Treatment Outcome). Hentet 2026-06-24 fra https://scholargate.app/no/social-work/clinical-significance-analysis · Datasett: https://doi.org/10.5281/zenodo.20539026