A consistent estimator for logistic mixed effect models.

We propose a consistent and locally efficient estimator to estimate the model parameters for a logistic mixed effect model with random slopes. Our approach relaxes two typical assumptions: the random effects being normally distributed, and the covariates and random effects being independent of each other. Adhering to these assumptions is particularly difficult in health studies where in many cases we have limited resources to design experiments and gather data in long-term studies, while new findings from other fields might emerge, suggesting the violation of such assumptions. So it is crucial if we could have an estimator robust to such violations and then we could make better use of current data harvested using various valuable resources. Our method generalizes the framework presented in Garcia & Ma (2016) which also deals with a logistic mixed effect model but only considers a random intercept. A simulation study reveals that our proposed estimator remains consistent even when the independence and normality assumptions are violated. This contrasts from the traditional maximum likelihood estimator which is likely to be inconsistent when there is dependence between the covariates and random effects. Application of this work to a Huntington disease study reveals that disease diagnosis can be further improved using assessments of cognitive performance.