TABLE 1

Distribution-based measures suggested to determine minimal clinically important difference (MCID)

MeasureDefinitionSuggested MCID
Effect sizeStandardised measure of change obtained by dividing the difference in scores from baseline to post-treatment by the standard deviation of baseline scores<0.20: no change
0.20–0.49: small change
0.50–0.79: moderate change
≥0.80: large change
Standard error of measurementsIt represents the variation in patient-reported outcome scores attributed to instrument unreliability, in which a change smaller than the calculated sem is likely due to measurement error rather than a true changeThreshold values of 1 sem, 1.96 sem and 2.77 sem have been suggested
Standard deviationMeasure used to quantify the amount of variation or dispersion of a set of data values≥0.5 sd
Coefficient of variationStandardised measure of dispersion of a frequency distribution≥1.65 CV
Minimal detectable changeThe smallest threshold of change in scores that can be considered above the measurement error with a given level of confidence (usually 95% confidence)≥MDC
Reliable change indexStatistic that determines the magnitude of change score necessary of a given self-report measure to be considered statistically reliable
It is calculated by dividing the individual patient change in score by the square root of the sem
≥1.96