arXiv subjects

Maria Josefsson

Publications and source records attributed to Maria Josefsson.

5 recordsLinked to original sources

arXiv2024

A Bayesian semi-parametric approach to causal mediation for longitudinal mediators and time-to-event outcomes with application to a cardiovascular disease cohort study

Causal mediation analysis of observational data is an important tool for investigating the potential causal effects of medications on disease-related risk factors, and on time-to-death (or disease progression) through these risk factors. However, when analyzing data from a cohort study, such analyses are complicated by the longitudinal structure of the risk factors and the presence of time-varying confounders. Leveraging data from the Atherosclerosis Risk in Communities (ARIC) cohort study, we develop a causal mediation approach, using (semi-parametric) Bayesian Additive Regression Tree (BART) models for the longitudinal and survival data. Our framework allows for time-varying exposures, confounders, and mediators, all of which can either be continuous or binary. We also identify and estimate direct and indirect causal effects in the presence of a competing event. We apply our methods to assess how medication, prescribed to target cardiovascular disease (CVD) risk factors, affects the time-to-CVD death.

stat.ME↗

arXiv2024

Introducing Flexible Monotone Multiple Choice Item Response Theory Models and Bit Scales

Item Response Theory (IRT) is a powerful statistical approach for evaluating test items and determining test taker abilities through response analysis. An IRT model that better fits the data leads to more accurate latent trait estimates. In this study, we present a new model for multiple choice data, the monotone multiple choice (MMC) model, which we fit using autoencoders. Using both simulated scenarios and real data from the Swedish Scholastic Aptitude Test, we demonstrate empirically that the MMC model outperforms the traditional nominal response IRT model in terms of fit. Furthermore, we illustrate how the latent trait scale from any fitted IRT model can be transformed into a ratio scale, aiding in score interpretation and making it easier to compare different types of IRT models. We refer to these new scales as bit scales. Bit scales are especially useful for models for which minimal or no assumptions are made for the latent trait scale distributions, such as for the autoencoder fitted models in this study.

stat.ML↗

arXiv2023

Long-term memory effects of an incremental blood pressure intervention in a mortal cohort

In the present study we investigate overall population effects on episodic memory of an intervention over 15 years that reduces systolic blood pressure in individuals with hypertension. A limitation with previous research on the potential risk reduction of such interventions is that they do not properly account for the reduction of mortality rates. Hence, one can only speculate whether the effect is due to changes in memory or changes in mortality. Therefore, we extend previous research by providing both an etiological and a prognostic effect estimate. To do this, we propose a Bayesian semi-parametric estimation approach for an incremental threshold intervention, using the extended G-formula. Additionally, we introduce a novel sparsity-inducing Dirichlet hyperprior for longitudinal data, that exploits the longitudinal structure of the data. We demonstrate the usefulness of our approach in simulations, and compare its performance to other Bayesian decision tree ensemble approaches. In our analysis of the data from the Betula cohort, we found no significant prognostic or etiological effects across all ages. This suggests that systolic blood pressure interventions likely do not strongly affect memory, whether at the overall population level or in the population that would survive under both the natural course and the intervention (the always survivor stratum).

stat.AP↗

arXiv2020

A Bayesian semi-parametric approach for inference on the population partly conditional mean from longitudinal data with dropout

Studies of memory trajectories using longitudinal data often result in highly non-representative samples due to selective study enrollment and attrition. An additional bias comes from practice effects that result in improved or maintained performance due to familiarity with test content or context. These challenges may bias study findings and severely distort the ability to generalize to the target population. In this study we propose an approach for estimating the finite population mean of a longitudinal outcome conditioning on being alive at a specific time point. We develop a flexible Bayesian semi-parametric predictive estimator for population inference when longitudinal auxiliary information is known for the target population. We evaluate sensitivity of the results to untestable assumptions and further compare our approach to other methods used for population inference in a simulation study. The proposed approach is motivated by 15-year longitudinal data from the Betula longitudinal cohort study. We apply our approach to estimate lifespan trajectories in episodic memory, with the aim to generalize findings to a target population.

stat.ME↗

arXiv2019

Bayesian semi-parametric G-computation for causal inference in a cohort study with MNAR dropout and death

Causal inference with observational longitudinal data and time-varying exposures is often complicated by time-dependent confounding and attrition. The G-computation formula is one approach for estimating a causal effect in this setting. The parametric modeling approach typically used in practice relies on strong modeling assumptions for valid inference, and moreover depends on an assumption of missing at random, which is not appropriate when the missingness is missing not at random (MNAR) or due to death. In this work we develop a flexible Bayesian semi-parametric G-computation approach for assessing the causal effect on the subpopulation that would survive irrespective of exposure, in a setting with MNAR dropout. The approach is to specify models for the observed data using Bayesian additive regression trees, and then use assumptions with embedded sensitivity parameters to identify and estimate the causal effect. The proposed approach is motivated by a longitudinal cohort study on cognition, health, and aging, and we apply our approach to study the effect of becoming a widow on memory. We also compare our approach to several standard methods.

stat.AP↗