Chao Ariel, Spiegelman Donna, Buchanan Ashley, Forastiere Laura
Department of Biostatistics, Yale School of Public Health, 60 College Street, New Haven, CT, 06510, United States.
Center for Methods in Implementation and Prevention Science, Yale School of Public Health, 135 College Street, New Haven, CT, 06520, United States.
Biostatistics. 2024 Dec 31;26(1). doi: 10.1093/biostatistics/kxaf009.
To leverage peer influence and increase population behavioral changes, behavioral interventions often rely on peer-based strategies. A common study design that assesses such strategies is the egocentric-network randomized trial (ENRT), where index participants receive a behavioral training and are encouraged to disseminate information to their peers. Under this design, a crucial estimand of interest is the Average Spillover Effect (ASpE), which measures the impact of the intervention on participants who do not receive it, but whose outcomes may be affected by others who do. The assessment of the ASpE relies on assumptions about, and correct measurement of, interference sets within which individuals may influence one another's outcomes. It can be challenging to properly specify interference sets, such as networks in ENRTs, and when mismeasured, intervention effects estimated by existing methods will be biased. In studies where social networks play an important role in disease transmission or behavior change, correcting ASpE estimates for bias due to network misclassification is critical for accurately evaluating the full impact of interventions. We combined measurement error and causal inference methods to bias-correct the ASpE estimate for network misclassification in ENRTs, when surrogate networks are recorded in place of true ones, and validation data that relate the misclassified to the true networks are available. We investigated finite sample properties of our methods in an extensive simulation study and illustrated our methods in the HIV Prevention Trials Network (HPTN) 037 study.
为了利用同伴影响并增加人群行为改变,行为干预通常依赖基于同伴的策略。评估此类策略的一种常见研究设计是以自我为中心的网络随机试验(ENRT),其中指标参与者接受行为训练,并被鼓励向其同伴传播信息。在这种设计下,一个关键的感兴趣估计量是平均溢出效应(ASpE),它衡量干预对未接受干预但结果可能受到接受干预的其他人影响的参与者的影响。对ASpE的评估依赖于关于个体可能相互影响结果的干扰集的假设以及对干扰集的正确测量。正确指定干扰集(如ENRT中的网络)可能具有挑战性,并且当测量错误时,现有方法估计的干预效果将产生偏差。在社交网络在疾病传播或行为改变中起重要作用的研究中,校正因网络错误分类导致的ASpE估计偏差对于准确评估干预的全面影响至关重要。当记录替代真实网络的替代网络且有将错误分类网络与真实网络相关联的验证数据时,我们结合测量误差和因果推断方法对ENRT中因网络错误分类导致的ASpE估计进行偏差校正。我们在广泛的模拟研究中研究了我们方法的有限样本性质,并在HIV预防试验网络(HPTN)037研究中展示了我们的方法。