Estimating Effects of Longitudinal Modified Treatment Policies (LMTPs) on Rates of Change in Health Outcomes
纵向修正治疗政策对健康结局变化率的效应估计AI 解读 ↓
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纵向修正治疗政策对健康结局变化率的效应估计AI 解读 ↓
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Longitudinal data often contains outcomes measured at multiple visits, and scientific interest may lie in quantifying the effect of an intervention on an outcome's rate of change. For example, one may wish to study the progression (or trajectory) of a disease over time under different hypothetical interventions. We extend the longitudinal modified treatment policy (LMTP) methodology to estimate effects of complex, exposure-dependent interventions on rates of change in an outcome over time. We exploit the theoretical properties of a nonparametric efficient influence function (EIF)-based estimator to introduce a novel inference framework that can be used to construct simultaneous confidence intervals for a variety of causal effects of interest and to formally test relevant global and local hypotheses about rates of change. We demonstrate the utility of our framework in investigating whether a longitudinal shift intervention affects an outcome's counterfactual trajectory, as compared with no intervention. We present results from a simulation study to illustrate the performance of our inference framework in a longitudinal setting with time-varying confounding and a continuous exposure. We also apply our inference framework to the Columbia Brain Health DataBank (CBDB) to examine the effect of shifting blood pressure on the progression of dementia.
翻转干预下的纵向加权与修剪处理效应
Weighting and trimming are popular methods for addressing positivity violations in causal inference. While well-studied with single-timepoint data, standard methods do not easily generalize to longitudinal data and remain vulnerable to time-varying positivity violations. We extend weighting and trimming to longitudinal settings via stochastic “flip” interventions, which maintain the treatment status of subjects who would have received the target treatment, and flip others’…
连续时变处理下边际结构模型的非参数有效估计
Summary Marginal structural models are a popular method for estimating causal effects in the presence of time-varying exposures. In spite of their popularity, no scalable nonparametric estimator exists for marginal structural models with multi-valued or continuous time-varying treatments. In this paper, we combine flexible, data-adaptive regression methods, including ensemble learning techniques, with recent developments in semiparametric efficiency theory for longitudinal…
通过张量补全推断序贯处理的因果效应
Marginal Structural Models (MSMs) are popular for causal inference of sequential treatments in longitudinal observational studies, which however are sensitive to model misspecification. To achieve flexible modeling, we envision the potential outcomes to form a three-dimensional tensor indexed by subject, time, and treatment regime and propose a tensorized history-restricted MSM (HRMSM). The semi-parametric tensor factor model allows us to leverage the underlying low-rank…
密集纵向数据的动态因果中介分析
Intensive longitudinal data, characterized by frequent measurements across numerous time points, are increasingly common due to advances in wearable devices and mobile health technologies. We consider evaluating causal mediation pathways between time-varying exposures, time-varying mediators, and a final, distal outcome using such data. Addressing mediation questions in these settings is challenging due to numerous potential exposures, complex mediation pathways, and…
具有选择性资格的纵向因果推断
Dropout poses a significant challenge to causal inference in longitudinal studies with time-varying treatments. However, existing research does not simultaneously address dropout and time-varying treatments. We examine selective eligibility, an important yet overlooked source of non-ignorable dropout in such settings. This problem arises when a unit's prior treatment history influences its eligibility for subsequent treatments, a common scenario in medical and other…
利用 HeartSteps 微随机试验的纵向函数数据建模移动健康干预的时变效应
To optimize mobile health interventions and advance domain knowledge on intervention design, it is critical to understand how the intervention effect varies over time and with contextual information. This study aims to assess how a push notification suggesting physical activity influences individuals' step counts using data from the HeartSteps micro-randomized trial (MRT). The statistical challenges include the time-varying treatments and longitudinal functional step count…