Comparison of the Matthews Youth Test for Health and the Hunter-Wolf A-B Rating Scale: measures of type A behavior in children.

This study evaluated the extent to which two youth measures of Type A behavior--the Matthews Youth Test for Health (MYTH) and the Hunter-Wolf A-B Rating Scale--similarly assess the Type A construct. Data from 25 elementary teachers and from 300 of their students revealed that these scales are weakly correlated and that the concordance of their Type A-Type B classifications was only slightly above that expected by chance. Weak agreement was found even when teachers and students rated the same Type A behaviors, which suggests that variability in content was not the principal reason for the lack of agreement between these measures. The major implication of this study is that the MYTH and the Hunter-Wolf scale should not be considered interchangeable measures of Type A behavior. The study reveals that investigators' choice of a Type A measure may strongly affect the nature of their research findings and may inhibit the integration of their data with data from other investigators who employ different measures of the Type A construct. It is recommended that, if multiple measures cannot be used in a study, the investigator employ the MYTH.