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well this is dr. grande welcome to a video on understanding and calculating sensitivity specificity and accuracy using Microsoft Excel oftentimes in counseling research we develop instruments diagnostic instruments screening instruments to detect the presence of mental health disorders and we want some way to evaluate these instruments so that we can know how useful the instruments will be and that we can be aware of the potential benefits and potential risks associated with an instrument so taking a look at these fictitious data have loaded into Excel I have a column test result as binary itamp;#39;s positive or negative Iamp;#39;m gonna have a column named reality which also has two possible outcomes positive and negative so letamp;#39;s say that weamp;#39;re developing an instrument letamp;#39;s say itamp;#39;s a screening instrument thatamp;#39;s designed to detect generalized anxiety disorders and we have here in the reality column the results from the gold standard for det