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This study compares change-score and baseline adjustment analyses for repeated outcome measurements. Recommendations are provided based on understanding confounding mechanisms for robust causal inference.

Keywords:
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Area of Science:

  • Biostatistics
  • Epidemiology
  • Causal Inference

Background:

  • Repeated outcome measurements are common in statistical analyses.
  • Change-score and baseline adjustment are popular analytical approaches.
  • Debate exists on optimal methods for incorporating repeated measures.

Purpose of the Study:

  • To compare change-score and baseline adjustment analyses.
  • To frame this comparison using causal inference principles.
  • To provide practical guidance for statistical analysis of repeated measures.

Main Methods:

  • Comparison of change-score analysis and baseline adjustment.
  • Utilizing causal inference literature, including difference-in-differences.
  • Analysis based on assumptions about confounding mechanisms.

Main Results:

  • Change-score analysis is linked to difference-in-differences methods.
  • Baseline adjustment offers an alternative perspective.
  • The choice between methods depends on confounding assumptions.

Conclusions:

  • Understanding confounding mechanisms is crucial for selecting appropriate statistical analysis.
  • Causal inference provides a framework for evaluating methods for repeated measures.
  • Practical recommendations are offered for epidemiologists and social scientists.