Barely Significant

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Annual Percent Change (APC) indicate the amount of increase or decrease in the percentage of change per year, which shows a decreasing trend if negative, an increasing trend if positive, and the Average Annual Percent Change (AAPC) is the average all these changes, which are calculated to describe linear trends based on each period.
In the second stage, the average efficiency value also presents an inverted “V” shaped trend, during 2011–2013, the average efficiency value shows an increasing trend, rising from 0.29 in 2011 to 0.43 in 2013, however, in just one year, the average efficiency value decreases from 0.43 in 2013 to 0.31 in 2014.
Even though the average score of the index was still in the normal range, we can ascribe such a negative trend to the attention paid by parents on their children’s behaviour during challenging cognitive activities, which could have caused a greater awareness of their children’s difficulties in terms of attentional, hyperactive and oppositional behaviour.