Evidence map›Paper›PMID 33752604›Full record

ArticleBMC medical research methodology2021

Interrupted time series analysis using autoregressive integrated moving average (ARIMA) models: a guide for evaluating large-scale health interventions.

Andrea L Schaffer, Timothy A Dobbins, Sallie-Anne Pearson

Abstract read
In one paragraph

Article in BMC medical research methodology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 337 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
337citing papers in PubMed, 1 pooled it
–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

337 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Epidemiology of Pediatric Invasive Group A Streptococcal Infections in 10 US States, 2004-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  8. Anxiety disorders in China and G20 countries: A comparative burden study.The Journal of international medical research · 2026
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  13. Bayesian age-period-cohort analysis and trend prediction of epilepsy disease burden in China, 1990-2021.Epileptic disorders : international epilepsy journal with videotape · 2026
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277 more citing papers are in PubMed but not listed here.

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

3 authors.

Andrea L SchafferCentre for Big Data Research in Health, UNSW Sydney, Level 2, AGSM Building, Sydney, Australia. andrea.schaffer@unsw.edu.au.ORCID 0000-0002-3701-4997
Timothy A DobbinsSchool of Public Health and Community Medicine, UNSW Sydney, Sydney, Australia.ORCID 0000-0003-1841-9056
Sallie-Anne PearsonCentre for Big Data Research in Health, UNSW Sydney, Level 2, AGSM Building, Sydney, Australia.ORCID 0000-0001-7137-6855

Funding

National Health and Medical Research Council 1158763National Health and Medical Research Council 1196900
6 · The paper itself

Abstract

backgroundInterrupted time series analysis is increasingly used to evaluate the impact of large-scale health interventions. While segmented regression is a common approach, it is not always adequate, especially in the presence of seasonality and autocorrelation. An Autoregressive Integrated Moving Average (ARIMA) model is an alternative method that can accommodate these issues.

methodsWe describe the underlying theory behind ARIMA models and how they can be used to evaluate population-level interventions, such as the introduction of health policies. We discuss how to select the shape of the impact, the model selection process, transfer functions, checking model fit, and interpretation of findings. We also provide R and SAS code to replicate our results.

resultsWe illustrate ARIMA modelling using the example of a policy intervention to reduce inappropriate prescribing. In January 2014, the Australian government eliminated prescription refills for the 25 mg tablet strength of quetiapine, an antipsychotic, to deter its prescribing for non-approved indications. We examine the impact of this policy intervention on dispensing of quetiapine using dispensing claims data.

conclusionsARIMA modelling is a useful tool to evaluate the impact of large-scale interventions when other approaches are not suitable, as it can account for underlying trends, autocorrelation and seasonality and allows for flexible modelling of different types of impacts.

Indexed as

Antipsychotic AgentsModels, StatisticalAustraliaForecastingHumansInterrupted Time Series AnalysisResearch DesignAntipsychotic AgentsAutoregressive integrated moving average modelsInterrupted time series analysisIntervention analysisPolicy evaluation

Identifiers

PMID33752604
PMCPMC7986567

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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.