Evidence map›Paper›PMID 23873437›Full record

ArticleStatistics in medicine2014

Time-varying effect moderation using the structural nested mean model: estimation using inverse-weighted regression with residuals.

Daniel Almirall, Beth Ann Griffin, Daniel F McCaffrey, Rajeev Ramchand, Robert A Yuen, Susan A Murphy

Abstract read
In one paragraph

Article in Statistics in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Approaches to Statistical Efficiency When Comparing the Embedded Adaptive Interventions in a SMART.Journal of educational and behavioral statistics : a quarterly publication sponsored by the American Educational Research Association and the American Statistical Association · 2025
    Article
  2. Observational
  3. Article
  4. Propensity score weighting for a continuous exposure with multilevel data.Health services & outcomes research methodology · 2016
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel AlmirallInstitute for Social Research, University of Michigan, Ann Arbor, MI 48104, U.S.A.
Beth Ann Griffin
Daniel F McCaffrey
Rajeev Ramchand
Robert A Yuen
Susan A Murphy

Funding

THE REFINEMENT &APPLICATION OF MEDICAL DECISION MAKING IN PREVENTION SCIENCESP50DA010075 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LANZA, STEPHANIE T · 1996 to 2014
$24.5M
The Causal Effect of Community-Based Treatment for YouthsR01DA015697 · NIDA · RAND CORPORATION · PI GRIFFIN, BETH ANN · 2003 to 2018
$2.8M
Learning Adaptive Treatment Strategies in Mental HealthR01MH080015 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURPHY, SUSAN A · 2007 to 2011
$2.2M
Instrumental Variable Methods for Longitudinal Discrete DataRC4MH092722 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI JOFFE, MARSHALL M · 2010 to 2010
$1.5M
Discovering Tailoring Variables in Childhood Mental Health Treatment ResearchR03MH097954 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALMIRALL, DANIEL · 2012 to 2013
$166k
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6 · The paper itself

Abstract

This article considers the problem of examining time-varying causal effect moderation using observational, longitudinal data in which treatment, candidate moderators, and possible confounders are time varying. The structural nested mean model (SNMM) is used to specify the moderated time-varying causal effects of interest in a conditional mean model for a continuous response given time-varying treatments and moderators. We present an easy-to-use estimator of the SNMM that combines an existing regression-with-residuals (RR) approach with an inverse-probability-of-treatment weighting (IPTW) strategy. The RR approach has been shown to identify the moderated time-varying causal effects if the time-varying moderators are also the sole time-varying confounders. The proposed IPTW+RR approach provides estimators of the moderated time-varying causal effects in the SNMM in the presence of an additional, auxiliary set of known and measured time-varying confounders. We use a small simulation experiment to compare IPTW+RR versus the traditional regression approach and to compare small and large sample properties of asymptotic versus bootstrap estimators of the standard errors for the IPTW+RR approach. This article clarifies the distinction between time-varying moderators and time-varying confounders. We illustrate the methodology in a case study to assess if time-varying substance use moderates treatment effects on future substance use.

Indexed as

Confounding Factors, EpidemiologicEffect Modifier, EpidemiologicModels, StatisticalRegression AnalysisAdolescentCausalityComputer SimulationData Interpretation, StatisticalFemaleHumansLongitudinal StudiesMaleSubstance-Related DisordersTime FactorsTreatment Outcomeeffect modificationinverse-probability-of-treatment weightingtime-varying confoundingtime-varying covariatestime-varying exposuretime-varying treatment

Identifiers

PMID23873437
PMCPMC4008726

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.