Hierarchical Models for Independence Structures of Networks

We introduce a new family of network models, called hierarchical network models, that allow us to represent in an explicit manner the stochastic dependence among the dyads (random ties) of the network. In particular, each member of this family can be associated with a graphical model defining conditional independence clauses among the dyads of the network, called the dependency graph. Every network model with dyadic independence assumption can be generalized to construct members of this new family. Using this new framework, we generalize the Erd\"os-R\'enyi and beta-models to create hierarchical Erd\"os-R\'enyi and beta-models. We describe various methods for parameter estimation as well as simulation studies for models with sparse dependency graphs.Comment: 19 pages, 7 figure

Causal inference in paired two-arm experimental studies under non-compliance with application to prognosis of myocardial infarction

Motivated by a study about prompt coronary angiography in myocardial infarction, we propose a method to estimate the causal effect of a treatment in two-arm experimental studies with possible non-compliance in both treatment and control arms. The method is based on a causal model for repeated binary outcomes (before and after the treatment), which includes individual covariates and latent variables for the unobserved heterogeneity between subjects. Moreover, given the type of non-compliance, the model assumes the existence of three subpopulations of subjects: compliers, never-takers, and always-takers. The model is estimated by a two-step estimator: at the first step the probability that a subject belongs to one of the three subpopulations is estimated on the basis of the available covariates; at the second step the causal effects are estimated through a conditional logistic method, the implementation of which depends on the results from the first step. Standard errors for this estimator are computed on the basis of a sandwich formula. The application shows that prompt coronary angiography in patients with myocardial infarction may significantly decrease the risk of other events within the next two years, with a log-odds of about -2. Given that non-compliance is significant for patients being given the treatment because of high risk conditions, classical estimators fail to detect, or at least underestimate, this effect

Identification and Sensitivity Analysis for Multiple Causal Mechanisms: Revisiting Evidence from Framing Experiments

Social scientists are often interested in testing multiple causal mechanisms through which a treatment affects outcomes. A predominant approach has been to use linear structural equation models and examine the statistical significance of the corresponding path coefficients. However, this approach implicitly assumes that the multiple mechanisms are causally independent of one another. In this article, we consider a set of alternative assumptions that are sufficient to identify the average causal mediation effects when multiple, causally related mediators exist. We develop a new sensitivity analysis for examining the robustness of empirical findings to the potential violation of a key identification assumption. We apply the proposed methods to three political psychology experiments, which examine alternative causal pathways between media framing and public opinion. Our analysis reveals that the validity of original conclusions is highly reliant on the assumed independence of alternative causal mechanisms, highlighting the importance of proposed sensitivity analysis. All of the proposed methods can be implemented via an open source R package, mediation.National Science Foundation (U.S.) (SES-0918968

Community/Public Health Nursing Practice Leaders\u27 Views of the Doctorate of Nursing Practice

ABSTRACT Objectives: This paper presents thoughts of practice leaders in the community/public health nursing (C/PHN) specialty on advanced nursing practice (ANP) and the necessary educational preparation for such practice. Design and Sample: Practice leaders were engaged in conversations specifically focused on the Doctor of Nursing Practice (DNP) as preparation for ANP in their specialties, and asked to consider the benefits of, and challenges to, this educational program. Measures and Results: The resulting remarks were then assessed for themes by the interviewers and these are presented along with thoughts on the future of education for ANP. Conclusion: Overall, there was much agreement among the practice leaders interviewed about the importance of a broad skill set for ANP in the specialty. However, the practice leaders interviewed here also identified the practical challenges involved in educating nurses at the DNP level in the C/PHN specialty, as well as some concerns about the definitions of ANP for the future

Reducing bias through directed acyclic graphs

<p>Abstract</p> <p>Background</p> <p>The objective of most biomedical research is to determine an unbiased estimate of effect for an exposure on an outcome, i.e. to make causal inferences about the exposure. Recent developments in epidemiology have shown that traditional methods of identifying confounding and adjusting for confounding may be inadequate.</p> <p>Discussion</p> <p>The traditional methods of adjusting for "potential confounders" may introduce conditional associations and bias rather than minimize it. Although previous published articles have discussed the role of the causal directed acyclic graph approach (DAGs) with respect to confounding, many clinical problems require complicated DAGs and therefore investigators may continue to use traditional practices because they do not have the tools necessary to properly use the DAG approach. The purpose of this manuscript is to demonstrate a simple 6-step approach to the use of DAGs, and also to explain why the method works from a conceptual point of view.</p> <p>Summary</p> <p>Using the simple 6-step DAG approach to confounding and selection bias discussed is likely to reduce the degree of bias for the effect estimate in the chosen statistical model.</p

Degree of explanation

Partial explanations are everywhere. That is, explanations citing causes that explain some but not all of an effect are ubiquitous across science, and these in turn rely on the notion of degree of explanation. I argue that current accounts are seriously deficient. In particular, they do not incorporate adequately the way in which a cause’s explanatory importance varies with choice of explanandum. Using influential recent contrastive theories, I develop quantitative definitions that remedy this lacuna, and relate it to existing measures of degree of causation. Among other things, this reveals the precise role here of chance, as well as bearing on the relation between causal explanation and causation itself

Fidelity to a motivational interviewing intervention for those with post-stroke aphasia: A small scale feasibility study

Objective: Depression after stroke is common, and talk-based psychological therapies can be a useful intervention. Whilst a third of stroke survivors will experience communication difficulties impeding participation in talk-based therapies, little guidance exists to guide delivery for those with aphasia. We need to understand how to adapt talk-based therapies in the presence of aphasia. This study aimed to explore the feasibility of motivational interviewing (MI) in people with post-stroke aphasia. Methods: In a small-scale feasibility study, consecutive patients admitted to an acute stroke ward were screened for eligibility. People with moderate to severe aphasia were eligible. Those consenting received an intervention consisting of up to eight MI sessions delivered twice per week over four weeks. Sessions were modified using aids and adaptations for aphasia. Session quality was measured using the Motivational Interviewing Skills Code (MISC) to assess MI fidelity. Results: Three consenting patients identified early post-stroke took part; one male and two females ages ranging between 40s to 80s. Participants attended between five to eight MI sessions over four weeks. Aids and adaptations included visual cues, rating scales and modified reflections incorporating verbal and non-verbal behaviours. Sessions were tailored to individual participant need. Threshold MISC ratings could be achieved for all participants however, ratings were reduced when aids and adaptations were not used. Discussion: This small-scale feasibility study suggests that it is feasible to adapt MI for people with moderate to severe post-stroke aphasia. These findings merit further exploration of adapted MI as an intervention for this patient group. Key words: Stroke; Stroke survivors; Aphasia; Motivational interviewing; Feasibility studies

Network Psychometrics

This chapter provides a general introduction of network modeling in psychometrics. The chapter starts with an introduction to the statistical model formulation of pairwise Markov random fields (PMRF), followed by an introduction of the PMRF suitable for binary data: the Ising model. The Ising model is a model used in ferromagnetism to explain phase transitions in a field of particles. Following the description of the Ising model in statistical physics, the chapter continues to show that the Ising model is closely related to models used in psychometrics. The Ising model can be shown to be equivalent to certain kinds of logistic regression models, loglinear models and multi-dimensional item response theory (MIRT) models. The equivalence between the Ising model and the MIRT model puts standard psychometrics in a new light and leads to a strikingly different interpretation of well-known latent variable models. The chapter gives an overview of methods that can be used to estimate the Ising model, and concludes with a discussion on the interpretation of latent variables given the equivalence between the Ising model and MIRT.Comment: In Irwing, P., Hughes, D., and Booth, T. (2018). The Wiley Handbook of Psychometric Testing, 2 Volume Set: A Multidisciplinary Reference on Survey, Scale and Test Development. New York: Wile

Causal inference based on counterfactuals

BACKGROUND: The counterfactual or potential outcome model has become increasingly standard for causal inference in epidemiological and medical studies. DISCUSSION: This paper provides an overview on the counterfactual and related approaches. A variety of conceptual as well as practical issues when estimating causal effects are reviewed. These include causal interactions, imperfect experiments, adjustment for confounding, time-varying exposures, competing risks and the probability of causation. It is argued that the counterfactual model of causal effects captures the main aspects of causality in health sciences and relates to many statistical procedures. SUMMARY: Counterfactuals are the basis of causal inference in medicine and epidemiology. Nevertheless, the estimation of counterfactual differences pose several difficulties, primarily in observational studies. These problems, however, reflect fundamental barriers only when learning from observations, and this does not invalidate the counterfactual concept