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Conditional power for assessing population interventions
Alexander M Walker1, Paul M Coplan2,3, Daniel C Beachler4
1World Health Information Science Consultants, Dedham, MA 02026, USA.
Aim:
To calculate conditional power in comparative two-period studies with previously observed baseline data.
Method:
Isolate the variability attributable to the yet-to-observed data and modify the standard power formulae.
Results:
For illustration, we examine rates of opioid overdose before and after a reformulation of one opioid product. The null hypothesis posited no impact of the reformulation, alternative hypotheses posited possible impacts, and ancillary hypotheses posited different secular pre-post changes directly observable in comparators. Conditional power varied with the size of the comparator population and with the assumed pre-post change for the comparator.
Conclusion:
Pre-post designs can be initiated after the baseline period is over. Power calculations that are conditioned on observed baseline data account differently for variability in the baseline and follow-up periods.
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