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Micro-randomized Trials with Categorical Treatments and Binary Proximal Outcome: Causal Effect Estimation and Sample Size Calculation

分类处理与二元近端结局微随机试验的因果效应估计及样本量计算

Micro-randomized trials (MRTs) provide a framework for evaluating the marginal and moderated effects of mobile health (mHealth) interventions. In many applications, treatments take the form of categorical variables with multiple levels, such as different message contents or delivery strategies. Many scientifically meaningful longitudinal outcomes in mHealth studies are binary, such as whether a participant opens an app, engages with content, or completes a target behavior…

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Robust Estimation of Moderated Causal Excursion Odds Ratio in Micro-Randomized Trials

微随机试验中调节型因果游离优势比的稳健估计

Micro-randomized trials (MRTs) have become increasingly popular for developing and evaluating mobile health interventions that promote healthy behaviors and manage chronic conditions. The recently proposed causal excursion effects have become the standard measure for interventions' marginal and moderated effect in MRTs. Existing methods for MRTs with binary outcomes focus on causal excursion effects on the relative risk scale. However, a causal excursion effect on the odds…

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Distal Causal Excursion Effects: Modeling Long-Term Effects of Time-Varying Treatments in Micro-Randomized Trials

远期因果偏离效应:微随机试验中时变处理的长期效应建模

Micro-randomized trials (MRTs) play a crucial role in optimizing digital interventions. In an MRT, each participant is sequentially randomized among treatment options hundreds of times. While the interventions tested in MRTs target short-term behavioral responses (proximal outcomes), their ultimate goal is to drive long-term behavior change (distal outcomes). However, existing causal inference methods, such as the causal excursion effect, are limited to proximal outcomes,…

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Dynamic Causal Mediation Analysis for Intensive Longitudinal Data

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…

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Micro-randomized Trials with Categorical Treatments: Causal Effect Estimation and Sample Size Calculation

分类处理的微随机试验:因果效应估计与样本量计算

Micro-randomized trials (MRTs) are widely used to assess the marginal and moderated effect of mobile health (mHealth) treatments delivered via mobile devices. In many applications, the mHealth treatments are categorical with multiple levels such as different types of message contents, but existing analysis and sample size calculation methods for MRTs only focus on binary treatment options (i.e., prompt vs. no prompt). We extended the causal excursion effect definition and…

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Doubly Robust Estimation of Causal Excursion Effects in Micro-Randomized Trials with Missing Longitudinal Outcomes

纵向结果缺失的微随机试验中因果偏离效应的双重稳健估计

Micro-randomized trials (MRTs) are increasingly utilized for optimizing mobile health interventions, with the causal excursion effect (CEE) as a central quantity for evaluating interventions under policies that deviate from the experimental policy. However, MRT often contains missing data due to reasons such as missed self-reports or participants not wearing sensors, which can bias CEE estimation. In this paper, we propose a two-stage, doubly robust estimator for CEE in MRTs…

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Modeling Time-Varying Effects of Mobile Health Interventions Using Longitudinal Functional Data from HeartSteps Micro-Randomized Trial

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…

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Estimating Causal Effects for Binary Outcomes Using Per-Decision Inverse Probability Weighting

用逐决策逆概率加权估计二元结局因果效应

Micro-randomized trials are commonly conducted for optimizing mobile health interventions such as push notifications for behavior change. In analyzing such trials, causal excursion effects are often of primary interest, and their estimation typically involves inverse probability weighting (IPW). However, in a micro-randomized trial, additional treatments can often occur during the time window over which an outcome is defined, and this can greatly inflate the variance of the…

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Efficient and Globally Robust Causal Excursion Effect Estimation

高效且全局稳健的因果偏离效应估计

Causal excursion effect (CEE) characterizes the effect of an intervention under policies that deviate from the experimental policy. It is widely used to study the effect of time-varying interventions that have the potential to be frequently adaptive, such as those delivered through smartphones. We study the semiparametric efficient estimation of CEE and we derive a semiparametric efficiency bound for CEE with identity or log link functions under working assumptions, in the…

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Incorporating nonparametric methods for estimating causal excursion effects in mobile health with zero-inflated count outcomes

移动健康零膨胀计数结果的因果偏离效应:非参数估计方法

In mobile health, tailoring interventions for real-time delivery is of paramount importance. Micro-randomized trials have emerged as the "gold-standard" methodology for developing such interventions. Analyzing data from these trials provides insights into the efficacy of interventions and the potential moderation by specific covariates. The "causal excursion effect", a novel class of causal estimand, addresses these inquiries. Yet, existing research mainly focuses on…

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The Micro-Randomized Trial for Developing Digital Interventions: Experimental Design and Data Analysis Considerations

开发数字干预的微随机试验:实验设计与数据分析考量

Just-in-time adaptive interventions (JITAIs) are time-varying adaptive interventions that use frequent opportunities for the intervention to be adapted--weekly, daily, or even many times a day. The micro-randomized trial (MRT) has emerged for use in informing the construction of JITAIs. MRTs can be used to address research questions about whether and under what circumstances JITAI components are effective, with the ultimate objective of developing effective and efficient…

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