Manual

Conners 4 Manual

Chapter 10: Parental Education Level


Parental Education Level

view all chapter tables | print this section

Parental education level (PEL) can sometimes be considered a proxy for or a contributing factor to one’s socioeconomic status (SES), with SES being a characteristic upon which fairness can unduly vary. It was expected that the constructs measured on the Conners 4 would be independent of influence from PEL. To test this hypothesis and ensure generalizability of scores from the Conners 4 scales, individuals in the Parent and Self-Report samples reported the PEL of the rated youth from one of five options: No high school diploma (PEL 1), High school diploma/GED (PEL 2), Some college or associate’s degree (PEL 3), Bachelor’s degree (PEL 4), or Graduate or professional degree (PEL 5). Within the Normative Samples, the proportion of parents in each of these groups matched recent U.S. and Canadian census values (more information can be found in Parental Education Level in chapter 7, Standardization). For the sake of MI and DTF analyses, PEL was recategorized into two groups comprising individuals with and without post-secondary education (i.e., Group 1 consists of PEL 1 and PEL 2: N = 855 for Parent and 530 for Self-Report; Group 2 consists of PEL 3, PEL 4, and PEL 5: N = 2,385 for Parent and N = 1,057 for Self-Report).

First, differences in the factor structure based on PEL were evaluated with MI. With more stringent models tested at each level, neither the Conners 4 Parent nor the Conners 4 Self-Report displayed meaningful deterioration in model fit (see Table 10.29 and 10.30 for Parent and Self-Report, respectively). For Parent, some model comparisons were significant using the Satorra-Bentler χ2 test (e.g., the intercept model of the content scales; p < .001); however, the indicators must be considered in tandem, and many other model fit statistics did not show meaningful deterioration of fit. Therefore, the observed change in model fit is minor and not meaningful, such that invariance between the PEL groups on the construct assessed by the Conners 4 could reasonably be assumed. These results support the invariance of the Conners 4 scale scores across factor structure, thresholds, loadings, and intercepts among youth with parents with and without post-secondary education, meeting the first-step criteria for establishing its unbiased and generalizable use with these populations.


Click to expand

Table 10.29. Measurement Invariance by Parental Education Level: Conners 4 Parent

Scales

Model

χ2

df

RMSEA

CFI

TLI

SRMR

Comparison

Satorra-Bentler χ2

df

CFI

Content Scales

Configural

12264.25***

3274

.041

.970

.968

.040

Threshold

12325.98***

3333

.041

.970

.969

.040

configural v. threshold

69.44

59

.000

Loading

12241.09***

3386

.040

.970

.970

.040

threshold v. loading

62.46

53

.000

Intercept

12252.05***

3439

.040

.970

.970

.041

loading v. intercept

179.92***

53

.000

Impairment & Functional Outcome Scales

Configural

2356.76***

298

.065

.981

.978

.044

Threshold

2413.44***

317

.064

.980

.979

.044

configural v. threshold

26.96

19

.001

Loading

2363.96***

333

.061

.981

.981

.044

threshold v. loading

26.48*

16

.001

Intercept

2368.02***

349

.060

.981

.982

.045

loading v. intercept

56.25***

16

.000

DSM Oppositional Defiant Disorder Symptoms Scale

Configural

968.17***

70

.089

.980

.974

.039

Threshold

1001.73***

80

.084

.979

.977

.039

configural v. threshold

9.50

10

.001

Loading

952.01***

89

.077

.981

.980

.039

threshold v. loading

8.91

9

.002

Intercept

918.53***

98

.072

.982

.983

.039

loading v. intercept

26.64**

9

.001

DSM Conduct Disorder Symptoms Scale

Configural

1191.07***

180

.059

.967

.961

.080

Threshold

1223.70***

195

.057

.966

.964

.080

configural v. threshold

17.11

15

.001

Loading

1226.59***

209

.055

.967

.967

.081

threshold v. loading

32.73**

14

.001

Intercept

1074.94***

223

.049

.972

.974

.081

loading v. intercept

20.82

14

.005

Note. N = 855 youth whose parents have a high school education or less (PEL 1 or PEL 2); N = 2,385 youth whose parents have a post-secondary education (PEL 3, PEL 4, or PEL 5). RMSEA = Root mean square error of approximation; CFI = Comparative Fit Index; TLI = Tucker-Lewis Index; SRMR = Standardized root mean square residual; RMSEA = Root mean square error of approximation; ∆CFI = change in CFI. * p < .05, ** p < .01, ***p < .001.


Click to expand

Table 10.30. Measurement Invariance by Parental Education Level: Conners 4 Self-Report

Scales

Model

χ2

df

RMSEA

CFI

TLI

SRMR

Comparison

Satorra-Bentler χ2

df

CFI

Content Scales

Configural

7056.41***

3390

.037

.956

.954

.051

Threshold

7119.01***

3450

.037

.956

.955

.051

configural v. threshold

58.60

60

.000

Loading

7100.77***

3504

.036

.957

.956

.051

threshold v. loading

69.40

54

.001

Intercept

7081.25***

3558

.035

.958

.958

.051

loading v. intercept

87.12**

54

.001

Impairment & Functional Outcome Scales

Configural

1269.45***

298

.064

.947

.939

.064

Threshold

1303.50***

317

.063

.946

.941

.064

configural v. threshold

14.78

19

.001

Loading

1251.52***

333

.059

.949

.948

.064

threshold v. loading

19.87

16

.003

Intercept

1203.01***

349

.056

.953

.954

.065

loading v. intercept

16.43

16

.004

DSM ODD
Symptoms Scale

Configural

624.32***

70

.100

.941

.925

.065

Threshold

659.13***

80

.096

.939

.931

.065

configural v. threshold

10.91

10

.002

Loading

600.51***

89

.085

.946

.945

.065

threshold v. loading

5.60

9

.007

Intercept

563.97***

98

.077

.951

.955

.065

loading v. intercept

11.02

9

.005

DSM CD
Symptoms Scale

Configural

571.25***

180

.052

.946

.937

.084

Threshold

593.97***

194

.051

.945

.940

.084

configural v. threshold

21.24

14

.001

Loading

576.54***

208

.047

.949

.948

.084

threshold v. loading

12.07

14

.004

Intercept

528.31***

222

.042

.958

.960

.086

loading v. intercept

16.83

14

.009

Note. N = 530 youth whose parents have a high school education or less (PEL 1 or PEL 2); N = 1,057 youth whose parents have a post-secondary education (PEL 3, PEL 4, or PEL 5). RMSEA = Root mean square error of approximation; CFI = Comparative Fit Index; TLI = Tucker-Lewis Index; SRMR = Standardized root mean square residual; RMSEA = Root mean square error of approximation; ∆CFI = change in CFI. * p < .05, ** p < .01, ***p < .001.


Next, differences in the scales’ functioning for the two broad PEL groups were explored with DTF. An example of a DTF graph for the comparison of low PEL and high PEL groups for Parent and Self-Report is provided in Figure 10.4. Test functioning curves for each group are depicted, along with a shaded band to display a 95% confidence interval, and the two groups’ curves are almost completely overlapping, demonstrating a lack of difference for the Inattention/Executive Dysfunction scale. Similar results were found for all scales across both rater forms. The effect sizes from DTF analyses are summarized in Table 10.31. Results from both Parent and Self-Report show trivial differences between PEL groups (e.g., the largest effect size was |.08|, representing a negligible effect). The lack of differential functioning of the Conners 4 scales between the different PEL groups is further evidence of the test’s equivalence across demographic subgroups. Taken together, both MI and DTF analyses indicate that the Conners 4 can generalize across PEL, as there are no meaningful differences in the measurement properties of the test.


Figure 10.4. Differential Test Functioning by Parental Education Level: Inattention/Executive Dysfunction

a) Parent

Parent

b) Self-Report

Self-Report


Click to expand

Table 10.31. Differential Test Functioning Effect Sizes by Parental Education Level

Scale

Parent

Self-Report

Content Scales

Inattention/Executive Dysfunction

.03

−.02

Hyperactivity

−.04

.02

Impulsivity

.00

−.04

Emotional Dysregulation

.02

.05

Depressed Mood

−.02

−.04

Anxious Thoughts

.03

.03

Impairment & Functional
Outcome Scales

Schoolwork

.03

−.02

Peer Interactions

−.02

.00

Family Life

−.08

.04

DSM Symptom Scales

Oppositional Defiant Disorder Symptoms

.00

−.03

Conduct Disorder Symptoms

.00

.03

Note. Values presented are expected test score standardized differences (ETSSD); guidelines for interpreting |ETSSD|: negligible effect size < 0.20; small effect size = 0.20 to 0.49; medium effect size = 0.50 to 0.79; large effect size ≥ 0.80|. Positive ETSSD values indicate that higher scores would be observed for youth whose parents do not have post-secondary education (PEL 1 and PEL 2) relative to youth whose parents have post-secondary education (PEL 3, PEL 4, and PEL 5) with the same level of the construct being measured.


Next, the five PEL groups were compared in terms of the observed mean score group differences using data from the entire Normative Samples. PEL was compared via a series of ANCOVAs, with covariates to statistically control for the effects of other demographic factors (i.e., gender, language[s] spoken, race/ethnicity, clinical status, and age). Significant ANCOVA results (i.e., p < .01) were followed up with Tukey’s Honestly Significant Difference (HSD) post-hoc test to evaluate pairwise comparisons, alongside estimates of effect sizes for the omnibus test and pairwise differences.

Results are provided in Tables 10.32 for Parent and Table 10.33 for Self-Report. There were no significant effects of PEL on the Conners 4 Self-Report scales, as evidenced by the negligible effect sizes (η2 ranged from .00 to .01). Statistically significant differences between PEL groups were only observed for the Conners 4 Parent Peer Interactions and DSM Conduct Disorder Symptoms scales, but the sizes of these effects were not practically significant (partial η2 = .01 and .02, respectively). The post-hoc analyses revealed that for Peer Interactions, the PEL 1 group scored significantly higher than the PEL 3 group; however, the effect size was small (Cohen’s d = 0.26). For the DSM Conduct Disorder Symptoms scale, the post-hoc analysis revealed that the PEL 1 group scored significantly higher than all other groups, with small effect sizes (Cohen’s d = 0.26 to 0.31).

In line with expectations, PEL does not appear to have a significant influence on Conners 4 test scores, as evidenced by the lack of statistically and practically significant group differences in mean scores. Therefore, these results, along with the MI and DTF findings, support the unbiased use of the Conners 4 for youth with parents with diverse educational backgrounds.


Click to expand

Table 10.32a. Group Differences by Parental Education Level: Conners 4 Parent

Scale

PEL 1
(N = 192)

PEL 2
(N = 412)

PEL 3
(N = 453)

PEL 4
(N = 309)

PEL 5
(N = 194)

F
(4, 1540)

p

Partial

η2

Significant
(p < .01) Tukey’s HSD Post Hoc
Test Results

Content Scales

Inattention/Executive
Dysfunction

EMM

56.0

54.7

55.3

54.7

54.8

0.88

.472

.00

SD

12.1

14.6

14.6

12.2

11.2

Hyperactivity

EMM

55.6

54.1

53.3

53.4

52.2

3.16

.013

.01

SD

12.7

15.4

15.3

12.8

11.8

Impulsivity

EMM

55.8

53.9

53.0

53.3

53.1

3.12

.014

.01

SD

12.6

15.2

15.2

12.7

11.7

Emotional
Dysregulation

EMM

54.7

53.6

52.8

52.9

53.1

1.49

.203

.00

SD

12.6

15.3

15.2

12.7

11.7

Depressed Mood

EMM

54.7

52.6

52.9

53.2

53.1

1.58

.178

.00

SD

12.8

15.5

15.5

12.9

11.9

Anxious Thoughts

EMM

54.7

53.3

52.8

53.8

52.9

1.49

.204

.00

SD

12.8

15.5

15.5

12.9

11.9

Impairment & Functional Outcome Scales

Schoolwork

EMM

56.1

54.0

54.6

53.4

53.2

3.16

.014

.01

SD

12.3

14.9

14.9

12.4

11.4

Peer
Interactions

EMM

56.6

53.8

52.9

53.9

53.4

4.89

.001

.01

PEL 1 > PEL 3

SD

12.5

15.2

15.1

12.6

11.6

Family Life

EMM

55.9

53.7

53.6

53.7

54.6

2.34

.053

.01

SD

12.5

15.1

15.0

12.6

11.6

DSM Symptom Scales

Oppositional Defiant Disorder Symptoms

EMM

54.8

53.1

52.8

52.5

53.7

1.89

.109

.00

SD

12.7

15.4

15.4

12.8

11.8

Conduct
Disorder
Symptoms

EMM

54.7

50.7

50.1

50.9

50.8

7.14

< .001

.02

PEL 1 >

PEL 2, PEL 3, PEL 4, PEL 5

SD

13.1

15.8

15.8

13.2

12.1

Note. EMM = estimated marginal means. PEL = Parental Education level; PEL 1 = No high school diploma; PEL 2 = High school diploma/GED; PEL 3 = Some college or associate’s degree; PEL 4 = Bachelor’s degree; PEL 5 = Graduate or professional degree. Guidelines for interpreting η2: negligible effect size < .01; small effect size = .01 to .05; medium effect size = .06 to .13; large effect size ≥ .14.


Click to expand

Table 10.32b. Group Differences by Parental Education Level: Conners 4 Parent Effect Sizes

Scale

Parental Education Level

1 vs. 2

1 vs. 3

1 vs. 4

1 vs. 5

2 vs. 3

2 vs. 4

2 vs. 5

3 vs. 4

3 vs. 5

4 vs. 5

Content Scales

Inattention/Executive
Dysfunction

0.09

0.05

0.11

0.11

−0.04

0.01

0.00

0.05

0.04

−0.01

Hyperactivity

0.10

0.16

0.17

0.27

0.06

0.05

0.13

−0.01

0.07

0.09

Impulsivity

0.13

0.20

0.20

0.22

0.06

0.05

0.06

−0.02

−0.01

0.01

Emotional Dysregulation

0.08

0.13

0.14

0.13

0.05

0.05

0.04

−0.01

−0.02

−0.01

Depressed Mood

0.14

0.12

0.12

0.13

−0.02

−0.04

−0.03

−0.02

−0.01

0.01

Anxious Thoughts

0.10

0.13

0.07

0.14

0.03

−0.04

0.03

−0.07

−0.01

0.07

Impairment & Functional Outcome Scales

Schoolwork

0.15

0.11

0.22

0.25

−0.04

0.04

0.06

0.09

0.10

0.02

Peer Interactions

0.20

0.26

0.21

0.27

0.06

−0.01

0.03

−0.07

−0.03

0.04

Family Life

0.15

0.16

0.17

0.10

0.01

0.00

−0.06

−0.01

−0.08

−0.07

DSM Symptom Scales

Oppositional Defiant Disorder Symptoms

0.12

0.14

0.18

0.09

0.02

0.04

−0.04

0.02

−0.06

−0.09

Conduct Disorder Symptoms

0.26

0.31

0.28

0.31

0.04

−0.02

−0.01

−0.06

−0.05

0.01

Note. Parental Education Levels: 1 = No high school diploma; 2 = High school diploma/GED; 3 = Some college or associate’s degree; 4 = Bachelor’s degree; 5 = Graduate or professional degree. Values presented are Cohen’s d effect size estimates; guidelines for interpreting Cohen’s |d|: negligible effect size < 0.20; small effect size = 0.20 to 0.49; medium effect size = 0.50 to 0.79; large effect size ≥ 0.80.


Click to expand

Table 10.33a. Group Differences by Parental Education Level: Conners 4 Self-Report

Scale

PEL 1
(N = 136)

PEL 2
(N = 284)

PEL 3
(N = 318)

PEL 4
(N = 215)

PEL 5
(N = 147)

F
(4, 1084)

p

Partial η2

Content Scales

Inattention/Executive
Dysfunction

EMM

52.6

53.3

52.9

52.2

53.4

0.55

.697

.00

SD

11.9

13.5

14.0

12.2

11.6

Hyperactivity

EMM

51.8

52.9

51.8

51.6

52.6

0.79

.534

.00

SD

12.1

13.7

14.1

12.4

11.7

Impulsivity

EMM

52.7

51.6

51.7

51.4

51.8

0.40

.806

.00

SD

12.2

13.8

14.3

12.5

11.8

Emotional
Dysregulation

EMM

51.5

51.5

51.9

51.3

52.6

0.45

.774

.00

SD

12.2

13.8

14.2

12.5

11.8

Depressed Mood

EMM

52.6

51.4

52.7

52.5

52.0

0.85

.494

.00

SD

12.2

13.8

14.3

12.5

11.9

Anxious Thoughts

EMM

51.2

51.6

52.4

52.5

52.5

0.70

.590

.00

SD

12.2

13.8

14.2

12.5

11.8

Impairment & Functional Outcome Scales

Schoolwork

EMM

53.0

52.4

53.2

51.6

52.0

1.02

.398

.00

SD

12.0

13.6

14.1

12.3

11.7

Peer
Interactions

EMM

52.5

52.0

51.9

52.0

51.0

0.48

.754

.00

SD

12.2

13.8

14.3

12.5

11.9

Family Life

EMM

51.3

51.3

51.6

51.4

51.7

0.07

.991

.00

SD

12.4

14.0

14.5

12.7

12.1

DSM Symptom Scales

Oppositional Defiant Disorder Symptoms

EMM

51.2

51.3

51.3

50.5

51.4

0.29

.883

.00

SD

12.3

13.9

14.4

12.6

11.9

Conduct
Disorder
Symptoms

EMM

51.2

50.5

50.4

48.6

49.6

1.75

.136

.01

SD

12.6

14.3

14.8

12.9

12.3

Note. EMM = estimated marginal means. PEL = Parental Education level; PEL 1 = No high school diploma; PEL 2 = High school diploma/GED; PEL 3 = Some college or associate’s degree; PEL 4 = Bachelor’s degree; PEL 5 = Graduate or professional degree. Guidelines for interpreting η2: negligible effect size < .01; small effect size = .01 to .05; medium effect size = .06 to .13; large effect size ≥ .14.


Click to expand

Table 10.33b. Group Differences by Parental Education Level: Conners 4 Self-Report Effect Sizes

Scale

Parental Education Level

1 vs. 2

1 vs. 3

1 vs. 4

1 vs. 5

2 vs. 3

2 vs. 4

2 vs. 5

3 vs. 4

3 vs. 5

4 vs. 5

Content Scales

Inattention/Executive
Dysfunction

−0.05

−0.02

0.04

−0.07

0.03

0.09

−0.01

0.05

−0.04

−0.10

Hyperactivity

−0.08

0.00

0.02

−0.07

0.08

0.10

0.02

0.01

−0.06

−0.08

Impulsivity

0.09

0.07

0.11

0.08

−0.01

0.01

−0.01

0.02

−0.01

−0.03

Emotional Dysregulation

0.00

−0.03

0.01

−0.09

−0.03

0.01

−0.08

0.04

−0.05

−0.10

Depressed Mood

0.09

−0.01

0.01

0.05

−0.10

−0.08

−0.05

0.02

0.06

0.04

Anxious Thoughts

−0.03

−0.09

−0.11

−0.11

−0.06

−0.07

−0.07

−0.01

−0.01

0.00

Impairment & Functional Outcome Scales

Schoolwork

0.04

−0.02

0.11

0.08

−0.05

0.07

0.04

0.12

0.09

−0.03

Peer Interactions

0.04

0.04

0.04

0.13

0.00

0.00

0.08

0.00

0.07

0.09

Family Life

0.00

−0.02

−0.01

−0.04

−0.02

−0.01

−0.03

0.02

−0.01

−0.03

DSM Symptom Scales

Oppositional Defiant Disorder Symptoms

−0.01

−0.01

0.06

−0.02

0.00

0.06

−0.01

0.06

−0.01

−0.08

Conduct Disorder Symptoms

0.06

0.06

0.21

0.13

0.01

0.14

0.06

0.13

0.05

−0.08

Note. Parental Education Levels: 1 = No high school diploma; 2 = High school diploma/GED; 3 = Some college or associate’s degree; 4 = Bachelor’s degree; 5 = Graduate or professional degree. Values presented are Cohen’s d effect size estimates; guidelines for interpreting Cohen’s |d|: negligible effect size < 0.20; small effect size = 0.20 to 0.49; medium effect size = 0.50 to 0.79; large effect size ≥ 0.80.


< Back Next >