A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials

Missing data in longitudinal randomized clinical trials, even if assumed to be missing at random (MAR), can result in biased parameter estimates and incorrect treatment conclusions. If missing data are suspected to be missing not at random (MNAR, i.e., missing data due to the unobserved values thems...

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Main Authors: Peugh, James L., Toland, Michael D., Harrison, Heather
Format: Article
Language:English
Published: Université d'Ottawa 2023-12-01
Series:Tutorials in Quantitative Methods for Psychology
Subjects:
Online Access:https://www.tqmp.org/RegularArticles/vol19-4/p347/p347.pdf
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author Peugh, James L.
Toland, Michael D.
Harrison, Heather
author_facet Peugh, James L.
Toland, Michael D.
Harrison, Heather
author_sort Peugh, James L.
collection DOAJ
description Missing data in longitudinal randomized clinical trials, even if assumed to be missing at random (MAR), can result in biased parameter estimates and incorrect treatment conclusions. If missing data are suspected to be missing not at random (MNAR, i.e., missing data due to the unobserved values themselves), accepted missing data handling techniques are inadequate and the problem is compounded due to the introduction of additional bias. The goal of this paper is to provide trialists the analytic tools and methodological steps needed to assess treatment effect veracity if MNAR is suspected, enabling researchers to reach reasonable and defensible treatment effect conclusions. The explanations, steps, and conclusions are demonstrated using trial data involving binge drinking behavior among college students. All analysis model diagrams are presented, and both linear model equations and Mplus syntax scripts for all analyses are included in a supplemental Appendix to further provide trialists the methodological tools needed to further test treatment effect estimates when MNAR is suspected.
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spelling doaj.art-6bc5fe858b3147519795c9a664ead8d52023-12-03T11:55:23ZengUniversité d'OttawaTutorials in Quantitative Methods for Psychology1913-41262023-12-0119434736710.20982/tqmp.19.4.p347A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical TrialsPeugh, James L.Toland, Michael D.Harrison, HeatherMissing data in longitudinal randomized clinical trials, even if assumed to be missing at random (MAR), can result in biased parameter estimates and incorrect treatment conclusions. If missing data are suspected to be missing not at random (MNAR, i.e., missing data due to the unobserved values themselves), accepted missing data handling techniques are inadequate and the problem is compounded due to the introduction of additional bias. The goal of this paper is to provide trialists the analytic tools and methodological steps needed to assess treatment effect veracity if MNAR is suspected, enabling researchers to reach reasonable and defensible treatment effect conclusions. The explanations, steps, and conclusions are demonstrated using trial data involving binge drinking behavior among college students. All analysis model diagrams are presented, and both linear model equations and Mplus syntax scripts for all analyses are included in a supplemental Appendix to further provide trialists the methodological tools needed to further test treatment effect estimates when MNAR is suspected.https://www.tqmp.org/RegularArticles/vol19-4/p347/p347.pdfmnarmissing datapattern mixtureselectionmplus
spellingShingle Peugh, James L.
Toland, Michael D.
Harrison, Heather
A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
Tutorials in Quantitative Methods for Psychology
mnar
missing data
pattern mixture
selection
mplus
title A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
title_full A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
title_fullStr A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
title_full_unstemmed A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
title_short A Tutorial for Handling Suspected Missing Not at Random Data in Longitudinal Clinical Trials
title_sort tutorial for handling suspected missing not at random data in longitudinal clinical trials
topic mnar
missing data
pattern mixture
selection
mplus
url https://www.tqmp.org/RegularArticles/vol19-4/p347/p347.pdf
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