在错误指定的随机效应结构下,维护从线性混合模型的推断有效性,在步骤集群随机试验中
Yongdong Ouyang1,2, Monica Taljaard1,2, Andrew B Forbes3
1Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Statistical methods in medical research
|May 29, 2024
概括
强大的差异估计器充分支持线性混合模型,用于阶梯集群随机试验,即使有错误指定的随机效应. 具有特定校正的CR3估计器为有效的统计推断提供了可靠的结果.
科学领域:
- 生物统计学 生物统计学
- 临床试验方法论 临床试验方法论
- 统计建模 统计建模
背景情况:
- 线性混合模型是分析步集群随机试验 (SW-CRTs) 的标准.
- 准确规范随机效应结构在SW-CRT中至关重要,但具有挑战性.
- 随机效应的错误指定可能会损害统计推理.
研究的目的:
- 实证地研究SW-CRT中可靠差异估计器的性能.
- 在随机效应错误规范下评估统计推断的有效性.
- 为了比较不同的可靠差异估计器和模型规格.
主要方法:
- 在R.中对线性混合模型的六个强大的方差估计器进行了审查.
- 使用SW-CRT的各种数据生成器进行了全面的模拟研究.
- 用连续结果,随机拦截和随机分期集群模型评估性能.
主要成果:
- 随机拦截和随机分期集群模型具有强大的方差估计器进行了充分的执行.
- 具有特定自由度校正的CR3强大的方差估计器 (近似刀) 提供了最好的覆盖范围.
- 该CR3估计器显示轻微保守的少于16个集群.
结论:
- 强大的差异估计器对于SW-CRT分析非常有价值,可以缓解随机效应错误规格的问题.
- 建议使用具有N-2自由度校正的CR3估计器进行可靠的推断.
- 为选择SW-CRT中的分析模型提供了实际建议.
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