评估时间变化因果影响适度在存在集群级别治疗时的影响异质性和干扰性
Jieru Shi1, Zhenke Wu1, Walter Dempsey1
1Department of Biostatistics, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA.
Biometrika
|September 15, 2023
概括
微随机试验 (MRT) 评估移动健康 (mHealth) 干预措施. 这项研究重新审视了因果远程效应,解决了集群级别的治疗异质性和干扰,以便在移动健康研究中得出更强大的因果推断.
科学领域:
- 生物统计学 生物统计学
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- 微随机试验 (MRT) 是评估移动健康 (mHealth) 干预组件的顺序设计.
- 对于MRT,现有的因果推理方法通常假定独立性和无干扰性,这在实践中可能不成立.
研究的目的:
- 在集群级治疗效应异质性和干扰的背景下,重新审视因果远程效应.
- 开发和展示MRT中因果推理的方法,以解释这些偏离标准假设的偏差.
主要方法:
- 这项研究重新审视了因果远程效应的半参数推理,使用加权,中心最小平方标准.
- 拟议的方法扩展,以适应集群级别的调节者,影响治疗效果和集群内的受试者之间的潜在干扰.
主要成果:
- 分析表明,在复杂的数据结构下,提出的方法对于因果外游效应的实用性.
- 这些方法为使用集群数据的mHealth研究中更准确的因果效应估计提供了一个框架.
结论:
- 拟议的因果推断框架通过解决治疗效应异质性和干扰来增强微随机试验的分析.
- 这些进展对于在现实环境中对移动健康干预措施进行强有力的评估至关重要,例如多机构队列.
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