Andrea J. Apter | Searcharxiv

arXiv2025

SensIAT: An R Package for Conducting Sensitivity Analysis of Randomized Trials with Irregular Assessment Times

This paper introduces an R package SensIAT that implements a sensitivity analysis methodology, based on augmented inverse intensity weighting, for randomized trials with irregular and potentially informative assessment times. Targets of inference involve the population mean outcome in each treatment arm as well as the difference in these means (i.e., treatment effect) at specified times after randomization. This methodology is useful in settings where there is concern that study participants are either more, or less, likely to have assessments at times when their outcomes are worse. In such settings, unadjusted estimates can be biased. The methodology allows researchers to see how inferences are impacted by a range of assumptions about the strength and direction of informative timing in each arm, while incorporating flexible semi-parametric modeling. We describe the functions implemented in SensIAT and illustrate them through an analysis of a synthetic dataset motivated by the HAP2 asthma randomized clinical trial.

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arXiv2024

Semi-Parametric Sensitivity Analysis for Trials with Irregular and Informative Assessment Times

Many trials are designed to collect outcomes at or around pre-specified times after randomization. If there is variability in the times when participants are actually assessed, this can pose a challenge to learning the effect of treatment, since not all participants have outcome assessments at the times of interest. Furthermore, observed outcome values may not be representative of all participants' outcomes at a given time. Methods have been developed that account for some types of such irregular and informative assessment times; however, since these methods rely on untestable assumptions, sensitivity analyses are needed. We develop a methodology that is benchmarked at the explainable assessmen (EA) assumption, under which assessment and outcomes at each time are related only through data collected prior to that time. Our method uses an exponential tilting assumption, governed by a sensitivity analysis parameter, that posits deviations from the EA assumption. Our inferential strategy is based on a new influence function-based, augmented inverse intensity-weighted estimator. Our approach allows for flexible semiparametric modeling of the observed data, which is separated from specification of the sensitivity parameter. We apply our method to a randomized trial of low-income individuals with uncontrolled asthma, and we illustrate implementation of our estimation procedure in detail.

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