The AB of Random Effects Models

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The AB of Random Effects Models Rick Chappell, Ph.D. Professor, Department of Biostatistics and Medical Informatics University of Wisconsin Madison ADC Meetings, Baltimore, 10/2016

Outline A. Linear Models for longitudinal models B. Why can t we stick with Fixed Effects models? C. Salvation via Random Effects models D. Three useful answers 2

A. Linear Regression: Consider a collection of Avery s Cognitive Disability Index (CDI) over time (red dots). Time could be age, date, time since treatment, or other relevant scale. For observational studies time often means age. 3

CDI 4

Linear Regression: Consider a collection of Avery s CDI over time (red dots). The simplest model is a linear one, where at each time Avery s CDI is: CDI = constant + β time time + error 5

} error There are different errors (not shown) for the other 10 points. 6

Linear Regression: But what if you now have Brenda s CDI measures (green dots)? Even if they parallel Avery s changes over time, they still may be higher or lower than his on average: 7

} error CDI } error 8

Linear Regression with a simple Fixed Effect: Even if they parallel Avery s changes over time, they still may be higher or lower than his on average: CDI = constant + β B vs. A Ind(Brenda) + β time time + error, Where Ind(Brenda) = 1 for Brenda s data 0 for Avery s data 9

CDI 10

B. Why can t we stick with Fixed Effects models? We need to include a lot more than two subjects. We could have a fixed effects model with, say 500 parameters for 500 patients. Alas: 1) This induces severe statistical problems. 2) It also doesn t answer the questions we ask. 11

1) Severe statistical problems: Tabulating and interpreting 500 estimates? The usual good properties of regression estimates require a small number of parameters. 12

1) Severe statistical problems: Tabulating and interpreting 500 estimates? The usual good properties of regression estimates require a small number of parameters. We can assess these properties by performing computer simulations of artificial datasets. 13

1) Severe statistical problems: Tabulating and interpreting 500 estimates? The usual good properties of regression estimates require a small number of parameters. We can assess these properties by performing computer simulations of artificial datasets. Oh Joy. 14

2) [A fixed effects model] also doesn t answer the questions we ask. Do we want to be able to describe Avery, etc., or do we want to characterize humans in general? 15

C. Random Effects models: We now have two error terms: CDI = constant + β time time + within-subject error + between-subject error within-subject error is the same as plain error above 16

We now have two error terms: CDI = constant + β time time + within-subject error + between-subject error Between-subject error is new; It allows for subjects to express individual variation as well as the usual ups and downs over time. It is constant for each subject; Here, it has one value for Avery and another for Brenda. 17

} Betw.-subj error A CDI }Betw.-subj error B There are also 22 within-subject errors (not shown) 18

D. Three useful answers 1. The example above showed only the case where the subject s regressions lines shifted up or down - the Random Intercept model. Is there also a Random Slope model, analogous to fitting interaction terms for the fixed-effects model; where both the slope and intercept vary between subjects? 19

D. Three useful answers 1. The example above showed only the case where the subject s regressions lines shifted up or down - the Random Intercept model. Is there also a Random Slope model, analogous to fitting interaction terms for the fixed-effects model; where both the slope and intercept vary between subjects? YES. 20

2. What do you call a model with Random Effects for subjects and Fixed Effects for age, sex, markers etc.? 21

2. What do you call a model with Random Effects for subjects and Fixed Effects for age, sex, markers etc.? A Mixed Effects model. This is very common. 22

3. When can you use derived variables ; when can you estimate the slope and intercept (or other summaries) for each subject and then do simple analyses of these? E.g., can t we just do a t-test of the difference between the slopes of marker + vs. marker - subjects? 23

3. When can you use derived variables ; that is, suppose you estimate the slope and intercept for each subject and then do simple analyses of these. E.g., can t we just do a t-test of a difference between the slopes of marker + vs. marker - subjects? This is appropriate when the study is balanced; that is, when every subject has measurements at a common set of ages with no missing values. Much more often true in the lab than the clinic. 24