Several researchers have called for schools to interpret universal screening results using posterior probabilities. Following this recommendation could require schools to move away from direct-route, single-measure screening unless base rates of risk fall within a narrow range. In this descriptive study, we investigated two questions surrounding…

Several researchers have called for schools to interpret universal screening results using posterior probabilities. Following this recommendation could require schools to move away from direct-route, single-measure screening unless base rates of risk fall within a narrow range. In this descriptive study, we investigated two questions surrounding…

Many studies have shown that using a computer-aided detection (CAD) system does not significantly improve diagnostic accuracy in radiology, possibly because radiologists fail to interpret the CAD results properly. We tested this possibility using screening mammography as an illustrative example. We carried out two experiments, one using 28…

Assessment is fundamental to school psychology, but its purpose has shifted from making predictions about children to improving outcomes for children. This commentary on the special issue focuses on screening and progress-monitoring decisions that can be used to solve student problems. We outline several psychometric and practical issues that…

This study employed a Multi-Attribute Utility (MAU) model to examine the Pap test decision-making process among Pacific Islanders (PI) residing in Southern California. A total of 585 PI women were recruited through social networks from Samoan and Tongan churches, and Chamorro family clans. A questionnaire assessed Pap test knowledge, beliefs and…

Universal screening is designed to be an efficient method for identifying preschool students with mental health problems, but prior to use, screening systems must be evaluated to determine their appropriateness within a specific setting. In this article, an evidence-based validity framework is applied to four screening systems for identifying…

RTI as a framework for decision making has implications for the diagnosis of specific learning disabilities. Any diagnostic tool must meet certain standards to demonstrate that its use leads to predictable decisions with minimal risk. Classification agreement analyses are described as optimal for demonstrating the technical adequacy of RTI…

Perhaps the greatest value of response to intervention (RTI) as a decision framework is that it brings attention to variables (e.g., mastery of prerequisite skills, frequency of instructional corrective feedback, reinforcement schedules for correct responding) that if changed might make a meaningful difference for students (e.g., child rate of…