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时变处理效应阶梯楔形设计应采用哪种小样本修正？AI 解读

Stepped-wedge cluster randomized trials (SW-CRTs) evaluate interventions rolled out across clusters over time. Standard analyses typically use immediate-treatment (IT) models, which assume effects begin at crossover and remain constant thereafter. When effects vary with exposure duration, IT models may misrepresent target effects. Exposure-time indicator (ETI) models address this by allowing treatment effects to differ by time since exposure and by targeting the…

处理效应随时间变化时阶梯楔形试验检验功效的影响因素AI 解读

Stepped wedge cluster randomized trials (SW-CRTs) have historically been analyzed using immediate treatment (IT) models, which assume the effect of the treatment is immediate after treatment initiation and subsequently remains constant over time. However, recent research has shown that this assumption can lead to severely misleading results if treatment effects vary with exposure time, i.e. time since the intervention started. Models that account for time-varying treatment…

随机试验中不完整基线协变量的调整：跨世界插补框架AI 解读

In randomized controlled trials, adjusting for baseline covariates is often applied to improve the precision of treatment effect estimation. However, missingness in covariates is common. Recently, Zhao & Ding (2022) studied two simple strategies, the single imputation method and missingness indicator method (MIM), to deal with missing covariates, and showed that both methods can provide efficiency gain. To better understand and compare these two strategies, we propose and…

处理效应随暴露时间变化时的阶梯楔形整群随机试验分析AI 解读

Stepped wedge cluster randomized controlled trials are typically analyzed using models that assume the full effect of the treatment is achieved instantaneously. We provide an analytical framework for scenarios in which the treatment effect varies as a function of exposure time (time since the start of treatment) and define the "effect curve" as the magnitude of the treatment effect on the linear predictor scale as a function of exposure time. The "time-averaged treatment…