A Bayesian Multi-Factorial Design and Analysis for Estimating Combined Effects of Multiple Interventions in a Pragmatic Clinical Trial to Improve Dementia Care.

IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY
Keith S Goldfeld, Corita R Grudzen, Manish N Shah, Abraham A Brody, Joshua Chodosh, Rebecca Anthopolos
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引用次数: 0

Abstract

Factorial study designs can be important for understanding the effectiveness of interventions when multiple interventions are under investigation. In this design setting, a unit of randomization can be assigned to any combination of interventions. The rationale for taking this kind of approach can vary depending on the specific questions targeted by the research. These questions, in turn, have implications for the way in which the analyses will be conducted. The goal in this paper is to describe how we developed a factorial design along with a Bayesian analytic plan for a large cluster-randomized trial-the Emergency Departments LEading the transformation of Alzheimer's and Dementia care (ED-LEAD) study-focused on improving care for persons living with dementia.

贝叶斯多因子设计和分析评估多种干预措施在改善痴呆护理的实用临床试验中的联合效应。
在调查多种干预措施时,析因研究设计对于理解干预措施的有效性很重要。在这种设计设置中,随机化单位可以分配给任何干预措施的组合。采用这种方法的基本原理可以根据研究的具体问题而有所不同。这些问题反过来又对进行分析的方式产生影响。本文的目的是描述我们如何为一项大型集群随机试验——急诊科引领阿尔茨海默病和痴呆症护理转型(ED-LEAD)研究——开发一个因子设计和贝叶斯分析计划,重点是改善对痴呆症患者的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Statistics in Medicine
Statistics in Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.40
自引率
10.00%
发文量
334
审稿时长
2-4 weeks
期刊介绍: The journal aims to influence practice in medicine and its associated sciences through the publication of papers on statistical and other quantitative methods. Papers will explain new methods and demonstrate their application, preferably through a substantive, real, motivating example or a comprehensive evaluation based on an illustrative example. Alternatively, papers will report on case-studies where creative use or technical generalizations of established methodology is directed towards a substantive application. Reviews of, and tutorials on, general topics relevant to the application of statistics to medicine will also be published. The main criteria for publication are appropriateness of the statistical methods to a particular medical problem and clarity of exposition. Papers with primarily mathematical content will be excluded. The journal aims to enhance communication between statisticians, clinicians and medical researchers.
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