对二进制结果的平均治疗效应与随机共变量
Christoph Kiefer1, Marcella L Woud2, Simon E Blackwell2
1Department of Psychological Methods and Evaluation, Bielefeld University, Bielefeld, Germany.
概括
在RCT中分析具有二元结果的心理治疗时,计算随机共变量可以提高标准错误的准确性. 标准方法可能会低估错误,特别是治疗效果异质性.
科学领域:
- 心理学研究方法论心理学研究方法论
- 生物统计学 生物统计学
- 临床心理学 临床心理学
背景情况:
- 随机对照试验 (RCT) 经常使用逻辑回归来实现二分法结果.
- 平均边际效应 (AME) 提供了比对共变量调整的RCT的赔率比率更清晰的解释.
- 标准AME计算可能会低估标准误差,因为共变量被视为固定的.
研究的目的:
- 在二进制结果模型中比较标准 (固定共变量) 和随机共变量方法来计算AME.
- 通过模拟在有限样本中评估这些方法的统计推理质量.
- 在心理学RCT中提供关于选择合适的共变量处理方法的指导.
主要方法:
- 进行了一项模拟研究,以比较固定共变量和随机共变量方法.
- 该研究的重点是统计推断,特别是对外汇交易员的标准误差估计.
- 用临床心理学的一个说明性例子来展示这些方法.
主要成果:
- 固定的共变量方法只有当治疗效果均时 (没有治疗-共变量相互作用) 才可靠.
- 当个体间治疗效果异质时,随机共变的方法是可取的.
- 在某些条件下,在固定共变量方法下,AME标准错误的低估发生.
结论:
- 随机-共变量方法在心理试验中提供了更准确的标准误差,用于 AME,具有二进制结果的心理试验,特别是治疗效应异质性.
- 仔细考虑共变量采样不确定性对于在RCT中可靠的统计推断至关重要.
- 这些发现对心理干预和临床试验设计的分析有影响.
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