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Analysing change based on two measures taken under different conditions.
1Department of Epidemiology and Public Health, UCL, London, U.K. paul.clark@imperial.ac.uk
Statistics in Medicine
|October 21, 2005
Summary
This study addresses confounding bias in longitudinal data analysis when measurement conditions change. The Conditions-Effect Adjustment Model (CEAM) estimates change effects, acknowledging that assumptions are necessary and can be tested via sensitivity analysis.
Area of Science:
- Longitudinal data analysis
- Biostatistics
- Psychometrics
Background:
- Analyzing change over time in longitudinal studies is complex when measurement conditions differ between periods.
- Measurement condition differences can confound true change effects with 'conditions effects' (e.g., practice effects), leading to biased estimates.
- Similar to age-period-cohort identification problems, isolating conditions effects requires specific modeling assumptions.
Purpose of the Study:
- To develop a statistical model for estimating true change effects in longitudinal data despite confounding from differing measurement conditions.
- To demonstrate that conditions effects are identifiable under empirically unverifiable assumptions regarding confounding, age-related change, and conditions-effect factors.
- To introduce the Conditions-Effect Adjustment Model (CEAM) as a framework for change analysis.
Main Methods:
- Development of the Conditions-Effect Adjustment Model (CEAM).
- Identification of necessary assumptions for estimating conditions effects: sources of confounding bias, functional form of age-related change, and conditions-effect related factors.
- Utilizing sensitivity analysis to assess robustness to these assumptions.
Main Results:
- The study shows conditions effects are identifiable under specific, though unverifiable, assumptions.
- The CEAM provides a method to estimate change effects when measurement conditions vary across study periods.
- Sensitivity analysis allows for evaluating the impact of different assumptions on the results.
Conclusions:
- Estimating change in longitudinal studies with varying conditions requires explicit modeling assumptions.
- The CEAM offers a structured approach to address conditions effects and assess the robustness of findings.
- The model's utility is demonstrated using cognitive test data from the Whitehall II study.