arXiv subjects

David W. Oslin

Publications and source records attributed to David W. Oslin.

4 recordsLinked to original sources

arXiv2025

Valid post-selection inference in Robust Q-learning

Q-learning facilitates the development of an optimal adaptive treatment strategy through stagewise regression on a pre-specified set of tailoring variables and confounders. Semiparametric robust Q-learning eliminates the residual confounding that can occur when parametric working models for confounding influences are misspecified. However, in the presence of many potential tailoring variables, constructing an optimal adaptive treatment strategy using either approach may lead to including extraneous variables that contribute little or no benefit while increasing implementation costs, thereby placing an undue burden on patients. Using data-driven selection processes to identify a smaller set of informative prognostic factors is straightforward; however, proper statistical inference must account for this selection process. In this paper, we adapt the Universal Post-Selection Inference (UPoSI) procedure to the semiparametric Robust Q-learning method. UPoSI, introduced for use with linear models, allows for very general variable selection mechanisms. Our approach addresses the unique challenges stemming from the use of UPoSI with semiparametric multistage decision methods. Theoretical and simulation results demonstrate the validity of the proposed confidence regions. We illustrate our proposed methods through an application to adaptive treatment strategy estimation for substance abuse.

stat.ME↗

arXiv2024

Protocol for an Observational Study on the Effects of Paternal Alcohol Use Disorder on Children's Later Life Outcomes

The harmful effects of growing up with a parent with an alcohol use disorder have been closely examined in children and adolescents, and are reported to include mental and physical health problems, interpersonal difficulties, and a worsened risk of future substance use disorders. However, few studies have investigated how these impacts evolve into later life adulthood, leaving the ensuing long-term effects of interest. In this article, we provide the protocol for our observational study of the long-term consequences of growing up with a father who had an alcohol use disorder. We will use data from the Wisconsin Longitudinal Study to examine impacts on long-term economic success, interpersonal relationships, physical, and mental health. To reinforce our findings, we will conduct this investigation on two discrete subpopulations of individuals in our study, allowing us to analyze the replicability of our conclusions. We introduce a novel statistical design, called data turnover, to carry out this analysis. Data turnover allows a single group of statisticians and domain experts to work together to assess the strength of evidence gathered across multiple data splits, while incorporating both qualitative and quantitative findings from data exploration. We delineate our analysis plan using this new method and conclude with a brief discussion of some additional considerations for our study.

stat.AP↗

arXiv2022

Continuous-Time Probabilistic Models for Longitudinal Electronic Health Records

Analysis of longitudinal Electronic Health Record (EHR) data is an important goal for precision medicine. Difficulty in applying Machine Learning (ML) methods, either predictive or unsupervised, stems in part from the heterogeneity and irregular sampling of EHR data. We present an unsupervised probabilistic model that captures nonlinear relationships between variables over continuous-time. This method works with arbitrary sampling patterns and captures the joint probability distribution between variable measurements and the time intervals between them. Inference algorithms are derived that can be used to evaluate the likelihood of future using under a trained model. As an example, we consider data from the United States Veterans Health Administration (VHA) in the areas of diabetes and depression. Likelihood ratio maps are produced showing the likelihood of risk for moderate-severe vs minimal depression as measured by the Patient Health Questionnaire-9 (PHQ-9).

q-bio.QM↗

arXiv2010

Hidden Markov models for alcoholism treatment trial data

In a clinical trial of a treatment for alcoholism, a common response variable of interest is the number of alcoholic drinks consumed by each subject each day, or an ordinal version of this response, with levels corresponding to abstinence, light drinking and heavy drinking. In these trials, within-subject drinking patterns are often characterized by alternating periods of heavy drinking and abstinence. For this reason, many statistical models for time series that assume steady behavior over time and white noise errors do not fit alcohol data well. In this paper we propose to describe subjects' drinking behavior using Markov models and hidden Markov models (HMMs), which are better suited to describe processes that make sudden, rather than gradual, changes over time. We incorporate random effects into these models using a hierarchical Bayes structure to account for correlated responses within subjects over time, and we estimate the effects of covariates, including a randomized treatment, on the outcome in a novel way. We illustrate the models by fitting them to a large data set from a clinical trial of the drug Naltrexone. The HMM, in particular, fits this data well and also contains unique features that allow for useful clinical interpretations of alcohol consumption behavior.

stat.AP↗