Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Biostatistics. 2024 Oct 1;25(4):978-996. doi: 10.1093/biostatistics/kxae011.
The study of treatment effects is often complicated by noncompliance and missing data. In the one-sided noncompliance setting where of interest are the complier and noncomplier average causal effects, we address outcome missingness of the latent missing at random type (LMAR, also known as latent ignorability). That is, conditional on covariates and treatment assigned, the missingness may depend on compliance type. Within the instrumental variable (IV) approach to noncompliance, methods have been proposed for handling LMAR outcome that additionally invoke an exclusion restriction-type assumption on missingness, but no solution has been proposed for when a non-IV approach is used. This article focuses on effect identification in the presence of LMAR outcomes, with a view to flexibly accommodate different principal identification approaches. We show that under treatment assignment ignorability and LMAR only, effect nonidentifiability boils down to a set of two connected mixture equations involving unidentified stratum-specific response probabilities and outcome means. This clarifies that (except for a special case) effect identification generally requires two additional assumptions: a specific missingness mechanism assumption and a principal identification assumption. This provides a template for identifying effects based on separate choices of these assumptions. We consider a range of specific missingness assumptions, including those that have appeared in the literature and some new ones. Incidentally, we find an issue in the existing assumptions, and propose a modification of the assumptions to avoid the issue. Results under different assumptions are illustrated using data from the Baltimore Experience Corps Trial.
治疗效果的研究往往受到不依从和数据缺失的影响。在单边不依从的情况下,我们感兴趣的是依从者和不依从者的平均因果效应。我们解决了潜在随机缺失(LMAR,也称为潜在不可忽略性)的缺失数据问题。也就是说,在协变量和分配的治疗条件下,缺失可能取决于依从类型。在不依从的工具变量(IV)方法中,已经提出了针对 LMAR 结果的处理方法,这些方法额外地对缺失提出了排除限制型假设,但对于非-IV 方法没有提出解决方案。本文重点关注存在 LMAR 结果时的效果识别,旨在灵活适应不同的主要识别方法。我们表明,仅在治疗分配不可忽略和 LMAR 的情况下,效果不可识别归结为一组涉及未识别的特定层特异性反应概率和结果均值的两个连接的混合方程。这清楚地表明(除了特殊情况),效果识别通常需要两个额外的假设:特定的缺失机制假设和主要识别假设。这为基于这些假设的单独选择来识别效果提供了模板。我们考虑了一系列特定的缺失假设,包括文献中出现的假设和一些新的假设。顺便说一句,我们发现现有假设中存在一个问题,并提出了对假设的修改以避免该问题。不同假设下的结果通过巴尔的摩体验团试验的数据进行说明。