在微型随机试验中处理结果缺失的数据,这些数据取决于测量或未测量的背景因素:模拟和应用研究
Masahiro Kondo1,2, Koji Oba3,4
1Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan.
Digital health
|May 3, 2024
概括
在微随机试验 (MRT) 中处理缺失的数据至关重要. 无相互作用效应的随机效应模型是可取的,而在使用通用估计方程或预测相互作用时,建议使用多重归算.
科学领域:
- 生物统计学 生物统计学
- 临床试验 临床试验
- 数字健康数字健康
背景情况:
- 微随机试验 (MRT) 对于优化移动健康干预至关重要.
- 有效处理缺失数据至关重要,但在MRT中未得到充分探索.
- 这项研究解决了简单的MRT中受参与者背景因素影响的缺失结果数据.
研究的目的:
- 为简单的微型随机试验调查适当的缺失数据处理方法.
- 用多种归算技术比较可用的数据分析 (AD).
- 专注于具有和没有未测量的背景因素和相互作用效应的场景.
主要方法:
- 模拟微随机试验数据以评估可用数据分析 (AD),概括估计方程 (GEE) 和随机效应模型 (RE).
- 采用回归和倾向得分方法进行多重归算.
- 将这些方法应用于实际的微随机试验数据.
主要成果:
- 可用数据分析 (AD) 显示了在没有相互作用效应的GEE中以及在具有相互作用效应的GEE和RE中存在偏差.
- 使用回归方法的多重归算在正确的模型中是无偏的,但在随机效应中得到了改善.
- 倾向得分方法带来了偏差,即使有正确的缺失概率模型.
结论:
- 在没有相互作用效应的情况下,随机效应模型是可用的数据分析的首选.
- 多重归算,特别是结合随机效应的回归方法,建议用于概括估计方程或预计相互作用效应时.
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