“…However, the Total score has demonstrated sensitivity to change across a number of studies (Lambert, Burlingame, et al., ; Vermeersch, Lambert, & Burlingame, ; Vermeersch, et al., ). The OQ‐45 has been investigated with various ethnic groups, including African Americans (Nebeker, Lambert, & Huefner, ) and Asian and Pacific Islanders (Gregersen, Nebeker, Seely, & Lambert, ). Gregersen et al () found that although African Americans and Caucasians had comparable scores on the OQ‐45, Asian and Pacific Islanders had higher mean scores than these groups.…”