Health Research and Policy

Abstract

DATE: December 1, 2011
TIME: 1:15 - 3:00 pm
LOCATION: Center for Clinical Sciences Research (CCSR), Rm 4205
TITLE: Longitudinal Causal Model in the Principal Stratification Framework
SPEAKER: Julia Lin, Mathematicial Statistician
Cooperative Studies Program, Coordinating Center, VA

In this workshop we discuss nested latent compliance class models in the Imbens and Rubin (1997) principal stratification framework for analyzing longitudinal randomized trials when subjects do not always adhere to the treatment to which they are randomized, and treatment adherence may vary over time. Traditional “intention-to-treat” and “as-treated” analyses may produce biased causal effect estimates in the presence of subject noncompliance. Utilizing nested latent compliance class models that use subject-specific and time-invariant “superclasses” allow us to summarize longitudinal trends of compliance patterns, and estimate the effect of the intervention using “intent-to-treat” contrasts within principal strata (PS) corresponding to longitudinal compliance behavior patterns. First we discuss a conditional independence model where the time-varying compliance classes within a subject are assumed to be independent given compliance superclass and covariates. Then we propose a Markov model where time-varying compliance classes are assumed to relate to history of compliance, compliance superclass, and covariates. We illustrate these models with analyses of the Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT), a randomized intervention study of elderly patients in primary care clinics with depression.

*Co-sponsored with the San Francisco Bay Area Chapter of the American Statistical Association

Suggested reading:
Imbens, G.W., Rubin, D.B. (1997). Bayesian inference for causal effects in randomized experiments with noncompliance. The Annals of Statistics, 25(1), 305-327.

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