Structural equation modeling (SEM) is a very general and flexible multivariate technique that allows relationships among variables to be examined. The roots of SEM are in the social sciences. In writing this textbook, the authors look to make SEM accessible to a wider audience of researchers across many disciplines, addressing issues unique to health and medicine. The book gives health and medical researchers the tools to apply SEM approaches to study complex relationships between clinical measurements, individual and community-level characteristics, and patient-reported scales.

Douglas D. Gunzler is a tenured Associate Professor of Medicine and Population and Quantitative Health Sciences in the Population Health Research Institute at the Center for Health Care Research and Policy, MetroHealth at Case Western Reserve University.
Adam T. Perzynski is a tenured Associate Professor of Medicine and Sociology in the Center for Health Care Research and Policy at MetroHealth and Case Western Reserve University. He is also the Founding Director of the Patient Centered Media Lab.
Adam C. Carle is a clinically and quantitatively trained investigator. He is nationally recognized as an expert in pediatric patient reported outcomes and measurement.

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