Additional Statistics
Knowledge Item: CA-Program Satisfaction-10

Model 2: Gender as the First Split of the Sample

As an alternative to the exhaustive CHAID (CHi-square Automatic Interaction Detector) model shown in the Extended Results section of this Knowledge Item, an alternate model was calculated. As opposed to the other, purely empirical model, in this model, the first predictive factor was specified to be patient gender. Then, for each gender, a purely empirical model was developed. The resulting model is shown in the figure below. As can be seen, the differences in overall satisfaction related to criminal justice involvement are pronounced for male patients but not for female patients.

While the sample can be split on several factors to yield groups of patients who are relatively more or less satisfied, it should be recognized that the vast majority of all patients are highly satisfied with their services.

Note that in the following CHAID diagram, green bars represent the distribution among clients of total satisfaction scores.

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Click on graphic to expand. (IE 6 users may also have to click the graphic expansion button in the new window.)

More Information:     CHAID and CHAID Diagram

Click here for a list of the possible predictor variables that would have been entered, if statistically significant, into this CHAID model, and a discussion of several important methodological issues about these indicators.

Note on CHAID models: CHAID is a useful method of summarizing data, and can show major natural divisions of the sample by various defining variables. It must be recognized, however, that CHAID is analogous to a "forward" stepwise regression analysis and has all of the possible inferential difficulties of such stepwise regression methods. The statistical significance tests are sequential ones dependent on prior splits of the sample. In many cases, the models presented should be considered as suggestive, but not absolutely definitive as there may be alternate models that also fit these data in a statistically or theoretically acceptable manner. This model may have been manually altered very slightly from the automated CHAID modeling trees; specifically, categories for "missing values" may have been separated (or re-split) from categories for actual values with which they were statistically merged if the authors judged this would give a more clear interpretation of the data; the separation may result in a "missing category" with only a few cases that could be statistically merged with one of the other categories. [In those cases where the "missing value" category is combined with actual values, it was judged that the automated split was a better representation of these data.] The use of Bonferroni confidence intervals to correct for the potentially large number of statistical tests in this model building method and the use of more stringent alpha levels results in relatively conservative data representations. All patient-client model analyses were conducted by the senior author [GH] so that consistent data fitting techniques and judgments would be employed in the different areas studied. In many cases, alternate models are presented so that the viewer can judge the appropriateness of one or more ways of looking at the same data.

Appendix: Charts showing the relationship of each service need and vulnerability to the Total Satisfaction Score.


Model 3: Heroin Use as the First Split of the Sample

As an alternative to the exhaustive CHAID (CHi-square Automatic Interaction Detector) model shown in the Extended Results section of this Knowledge Item, an alternate model was calculated. As opposed to the other, purely empirical model, in this model, the first predictive factor was specified to be heroin use pattern. Then, heroin users and nonusers were further divided into crack users and nonusers. The resulting model is shown in the figure below. As can be seen, active drug users are somewhat less, but highly, satisfied than individuals who do not abuse drugs.

Note that in the following CHAID diagrams, green bars represent the distribution among clients of total satisfaction scores.

Click graphic to expand. (IE 6 users may also have to click the graphic expansion button in the new window.)
Click on graphic to expand. (IE 6 users may also have to click the graphic expansion button in the new window.)


More Information:     CHAID and CHAID Diagram

Click here for a list of the possible predictor variables that would have been entered, if statistically significant, into this CHAID model, and a discussion of several important methodological issues about these indicators.

Appendix: Charts showing the relationship of each service need and vulnerability to the Total Satisfaction Score.


Alternate Models



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More Information:     CHAID and CHAID Diagram




Appendix to CHAID Analyses on Needs and Vulnerabilities:
Relationship of the Individual Needs and Vulnerabilities to the Total Satisfaction Score

The following graphics show the relationship between the presence or absence of each of the needs and vulnerability indicators and the Total Satisfaction Score for male and female patients. These results supplement the CHAID analysis but are not a formal part of it.

In each set, the first chart is an error bar plot which shows the mean of the Total Satisfaction Score and the 95% confidence interval around the mean. This plot is useful for examining the central tendency in the scores as related to the indicator against which it is plotted. The second chart in the set is a boxplot. The boxplot represents the median score for each group, and the total distribution of scores using the convention that the box represents the 25th to the 75th percentile and the whiskers represent the expected "tails" of the distribution. After each chart there is hyperlink to a description of how to interpret that type of chart.

Managed Care: Race-Ethnicity and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Sexual Orientation and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Age and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Primary Language and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Childcare Needs and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Highest Grade Completed and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Employment Status and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Insurance Coverage and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Alcohol Problem and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Heroin Use and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Crack Use and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Other Drug Use and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Criminal Justice System Involvement and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Sex Work and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Sex with Injection Drug User and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Housing Status and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Dependent Upon Public Supported Medical Services and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Drug Abuse and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Type of Clinic and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Managed Care: Site Code and Total Satisfaction Score

More Information:     Error Bar Chart

More Information:     Boxplot


Means

Total Satisfaction Score by Race-Ethnicity by Gender


Total Satisfaction Score by Sexual Orientation by Gender


Total Satisfaction Score by Age by Gender


Total Satisfaction Score by Primary Language by Gender


Total Satisfaction Score by Childcare Needs by Gender


Total Satisfaction Score by Highest Grade Completed by Gender


Total Satisfaction Score by Employment Status by Gender


Total Satisfaction Score by Insurance Coverage by Gender


Total Satisfaction Score by Alcohol Problem by Gender


Total Satisfaction Score by Heroin Use by Gender


Total Satisfaction Score by Crack Use by Gender


Total Satisfaction Score by Other Drug Use by Gender


Total Satisfaction Score by Criminal Justice System Involvement by Gender


Total Satisfaction Score by Sex Work by Gender


Total Satisfaction Score by Sex with Injection Drug User by Gender


Total Satisfaction Score by Housing Status by Gender


Total Satisfaction Score by Dependent Upon Public Supported Medical Services by Gender


Total Satisfaction Score by Drug Abuse by Gender

Last Updated: March 25, 2005; data through June 15, 1999; analyses conducted October 1999 and March - May 2000.



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