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1.
Eval Rev ; 48(2): 274-311, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37306100

RESUMEN

In 2003, Bloom, Hill, and Riccio (BHR) published an influential paper introducing novel methods for explaining the variation in local impacts observed in multi-site randomized control trials of socio-economic interventions in terms of site-level mediators. This paper seeks to improve upon this previous work by using student-level data to measure site-level mediators and confounders. Development of asymptotic behavior backed up with simulations and an empirical example. Students and training providers. Two simulations and an empirical application to data from an evaluation of the Health Professions Opportunity Grants (HPOG) Program. This empirical analysis involved roughly 6600 participants across 37 local sites. We examine bias and mean square error of estimates of mediation coefficients as well as the true coverage of nominal 95-percent confidence intervals on the mediation coefficients. Simulations suggest that the new methods generally improve the quality of inferences even when there is no confounding. Applying this methodology to the HPOG study shows that program-average FTE months of study by month six was a significant mediator of both career progress and long-term degree/credential receipt. Evaluators can robustify their BHR-style analyses by the use of the methods proposed here.


Asunto(s)
Empleos en Salud , Estudiantes , Humanos , Sesgo
2.
Stat Med ; 35(11): 1763-73, 2016 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-26694758

RESUMEN

There has been a series of occasional papers in this journal about semiparametric methods for robust covariate control in the analysis of clinical trials. These methods are fairly easy to apply on currently available computers, but standard software packages do not yet support these methods with easy option selections. Moreover, these methods can be difficult to explain to practitioners who have only a basic statistical education. There is also a somewhat neglected history demonstrating that ordinary least squares (OLS) is very robust to the types of outcome distribution features that have motivated the newer methods for robust covariate control. We review these two strands of literature and report on some new simulations that demonstrate the robustness of OLS to more extreme normality violations than previously explored. The new simulations involve two strongly leptokurtic outcomes: near-zero binary outcomes and zero-inflated gamma outcomes. Potential examples of such outcomes include, respectively, 5-year survival rates for stage IV cancer and healthcare claim amounts for rare conditions. We find that traditional OLS methods work very well down to very small sample sizes for such outcomes. Under some circumstances, OLS with robust standard errors work well with even smaller sample sizes. Given this literature review and our new simulations, we think that most researchers may comfortably continue using standard OLS software, preferably with the robust standard errors.


Asunto(s)
Análisis de los Mínimos Cuadrados , Ensayos Clínicos Controlados Aleatorios como Asunto , Simulación por Computador , Humanos , Formulario de Reclamación de Seguro/estadística & datos numéricos , Modelos Estadísticos , Estadificación de Neoplasias , Enfermedades Raras/terapia , Tamaño de la Muestra , Tasa de Supervivencia
3.
Zootaxa ; 3895(3): 301-45, 2014 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-25543573

RESUMEN

Ninety-one species of pelagic decapod shrimp were identified in 938 midwater-trawl collections taken between 1963 and 1974 from the North and South Atlantic. Distributional maps are provided for the most frequently occurring species. Nighttime abundance of most species was greatest within the upper 200 m. Degree of geographical overlap was estimated using the geometric mean of the proportion of joint occurrences with a value ≥ 0.5 deemed significant. Geographical distributions tended to be unique, and only 31 species had values ≥ 0.5 with one or more other species. Species within genera and within phylogenetic subgroups of Sergia were generally parapatric or partially overlapping in distribution. Five geographical groupings of co-occurring species across genera were identified: Subpolar-Temperate, Southern Hemisphere, Central, Tropical, Eastern Tropical and Western Tropical. The two species of the Southern Hemisphere group are circumpolar at temperate latitudes. The 12 species of the Central group occurred throughout the subtropical and tropical North and South Atlantic. The eight species of the Tropical group occurred broadly across the equatorial Atlantic and Caribbean with ranges usually extending into the Gulf of Mexico and northward in the Gulf Stream. The two species of the Western Tropical group occurred most often in the western tropics, but there were scattered occurrences at subtropical latitudes. The four species of the Eastern Tropical group were endemic to the Mauritanian Upwelling and the Angola-Benguela Frontal zones off western Africa. Two of the three species in the Subpolar-Temperate group had bipolar distributions, and all three occurred in the Mediterranean and in the Mauritanian Upwelling zone. Most Central, Tropical and Western Tropical species were present in the in the Gulf of Mexico. The 10 species from the Mediterranean were a mixture of Subpolar-Temperate, Central and benthopelagic species. Patterns of distribution in Atlantic pelagic decapods closely parallel those of other pelagic taxa, but myctophid fishes from the same collections appear to partition subtropical regions more finely.


Asunto(s)
Distribución Animal , Decápodos/clasificación , África Occidental , Angola , Animales , Océano Atlántico , Región del Caribe , Decápodos/fisiología , Ecosistema , México
4.
6.
Am J Public Health ; 100(4): 638-45, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19608963

RESUMEN

OBJECTIVES: We evaluated physical activity outcomes for children exposed to VERB, a campaign to encourage physical activity in children, across campaign years 2002 to 2006. METHODS: We examined the associations between exposure to VERB and (1) physical activity sessions (free time and organized) and (2) psychosocial outcomes (outcome expectations, self-efficacy, and social influences) for 3 nationally representative cohorts of children. Outcomes among adolescents aged 13 to 17 years (cohort 1, baseline) and children aged 9 to 13 years from cohorts 2 and 3 were analyzed for dose-response effects. Propensity scoring was used to control for confounding influences. RESULTS: Awareness of VERB remained high across campaign years. In 2006, reports of children aged 10 to 13 years being active on the day before the survey increased significantly as exposure to the campaign increased. Psychosocial outcomes showed dose-response associations. Effects lessened as children aged out of the campaign target age range (cohort 1, baseline), but dose-response associations persisted in 2006 for outcome expectations and free-time physical activity. CONCLUSIONS: VERB positively influenced children's physical activity outcomes. Campaign effects persisted as children grew into their adolescent years.


Asunto(s)
Ejercicio Físico , Promoción de la Salud , Adolescente , Actitud , Niño , Promoción de la Salud/estadística & datos numéricos , Humanos , Modelos Logísticos , Estudios Longitudinales , Evaluación de Resultado en la Atención de Salud , Padres , Aptitud Física , Evaluación de Programas y Proyectos de Salud , Psicología , Instituciones Académicas , Factores de Tiempo , Estados Unidos
7.
Am J Prev Med ; 34(6 Suppl): S230-40, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18471603

RESUMEN

This article summarizes the methods used in the outcome evaluation of the VERB campaign. The outcome evaluation was designed to measure the awareness and understanding of VERB among the target audience of children aged 9-13 years (tweens) and to determine the effect of VERB awareness on psychosocial and behavioral outcomes. Cohorts of tweens and parents were interviewed annually via a telephone survey (Youth Media Campaign Longitudinal Survey). The first cohort (baseline) was surveyed in 2002 prior to VERB advertising and was repeated annually through 2006. A second cohort was surveyed in 2004-2006. A third, cross-sectional sample was surveyed in 2006. Each cohort consisted of a nationally representative sample of tweens to enable generalizability to the nation as a whole. Propensity scoring was used to control for confounding influences. The outcomes were analyzed for dose-response effects (i.e., whether higher levels of awareness led to stronger effects) and overall awareness effects (i.e., the difference between tweens unaware of VERB and all tweens in the U.S.). Secular trends in tweens' physical activity during the life of the campaign were also examined. This article also discusses weighting and imputation, alternative analyses used to assess the adequacy of the propensity methods, and the challenges involved in media campaign evaluations.


Asunto(s)
Participación de la Comunidad/métodos , Promoción de la Salud/métodos , Evaluación de Programas y Proyectos de Salud/métodos , Mercadeo Social , Adolescente , Concienciación , Niño , Estudios de Cohortes , Estudios Transversales , Femenino , Humanos , Masculino , Medios de Comunicación de Masas , Actividad Motora , Estados Unidos
8.
Am J Prev Med ; 32(1): 38-43, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17218189

RESUMEN

BACKGROUND: Amid concern for the consequences of physical inactivity among children, the Centers for Disease Control and Prevention started a campaign using commercial marketing methods to promote physical activity to children. DESIGN: Longitudinal study using a telephone survey to assess physical activity behaviors and attitudes at baseline and for 2 years of follow-up. Relationships of campaign awareness to behavioral and psychosocial effects were analyzed with use of propensity scoring. PARTICIPANTS: Nationally representative cohort of 2257 parent-child dyads. INTERVENTION: Marketing campaign (VERB) directed to all U.S. children aged 9 to 13 years. Components included general market and ethnic-specific advertisements on television and radio, in print, and through promotions in communities, schools, and on the Internet. Advertising ran nationally at consistent levels from June 2002 through June 2004. MAIN OUTCOME MEASURES: Psychosocial measures and self-reports of free-time and organized physical activity during nonschool hours in the week before the interview and on the day before the interview. RESULTS: After 2 years, a dose-response effect was detected in the study population. The more children who reported seeing VERB messages, the more physical activity they reported and the more positive their attitudes were about the benefits of being physically active. Children aware of VERB reported engaging in significantly more physical activity than children unaware of VERB. These results were considerably stronger than the effects after Year 1, which were only for physical activity among subpopulations. CONCLUSIONS: The VERB campaign continued to positively influence children's attitudes about physical activity and their physical activity behaviors and expanded the effects to more children. With adequate and sustained investment, health marketing shows promise to affect the attitudes and behavior of children.


Asunto(s)
Ejercicio Físico , Promoción de la Salud/organización & administración , Evaluación de Programas y Proyectos de Salud , Adolescente , Niño , Estudios de Cohortes , Promoción de la Salud/métodos , Humanos , Estudios Longitudinales , Estados Unidos
9.
Stat Med ; 26(5): 1022-33, 2007 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-16708347

RESUMEN

This paper discusses some practical issues in applying propensity scoring in the context of endpoint analysis in a pre-/posttest longitudinal design with an ordinal measure of treatment intensity and a high-dimensional potential covariate space: how many covariates to include in propensity models; how to evaluate the adequacy of tentative propensity models; and how to tailor models to provide hypercontrol on a limited subset of covariates. These issues arose in the evaluation of a health communication program.


Asunto(s)
Promoción de la Salud/estadística & datos numéricos , Estudios Longitudinales , Modelos Estadísticos , Publicidad , Funciones de Verosimilitud , Estados Unidos
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