| Type: | Package |
| Title: | Predictors of Resilience to a Stressor in a Single-Arm Study |
| Version: | 2025.1.0 |
| Date: | 2025-12-10 |
| Maintainer: | Ravi Varadhan <ravi.varadhan@jhu.edu> |
| Description: | Studies of resilience in older adults employ a single-arm design where everyone experiences the stressor. The simplistic approach of regressing change versus baseline yields biased estimates due to regression-to-the-mean. This package provides a method to correct the bias. It also allows covariates to be included. The method implemented in the package is described in Varadhan, R., Zhu, J., and Bandeen-Roche, K (2024), Biostatistics 25(4): 1094-1111. |
| Depends: | R(≥ 4.0.0), parallel, doParallel, foreach |
| Imports: | stats, mice, nptest |
| License: | GPL-2 | GPL-3 [expanded from: GPL (≥ 2)] |
| LazyLoad: | yes |
| NeedsCompilation: | no |
| Repository: | CRAN |
| Packaged: | 2025-12-11 21:35:10 UTC; raviv |
| Author: | Ravi Varadhan [aut, cre], Jiafeng Zhu [ctb] |
| RoxygenNote: | 7.3.3 |
| Encoding: | UTF-8 |
| LazyData: | true |
| Date/Publication: | 2025-12-11 22:40:02 UTC |
Plot Results from Multiply Imputed Resilience Analysis
Description
Plot method for visualizing imputation diagnostics
Usage
## S3 method for class 'prepost_resilience_mi_list'
plot(x, type = "coefficients", ...)
Arguments
x |
An object of class |
type |
Type of plot: |
... |
Additional arguments passed to plotting functions. |
Identifying Predictors of Resilience to Stressors in Single-Arm Studies of Pre-Post Change
Description
Studies of resilience in older adults are typically conducted with a single-arm where everyone experiences the stressor. The simplistic approach of regressing change versus baseline yields biased estimates due to mathematical coupling and regression-to-the-mean. This function provides a method to correct the bias.
Usage
prepost(
formula,
data,
change = TRUE,
k = c(1, 1.5, 2),
m = 1,
nboot = 1000,
ci.level = 0.95,
boot.method = c("perc", "norm", "basic", "bca"),
ncores = 2
)
Arguments
formula |
Formula object where LHS is Post response variable and RHS is pre-response variable plus the covariates. Note: the first variable of the RHS of the formula must be the pre-response variable. For example, 'y2 ~ y1 + x1 + x2'. |
data |
Data frame containing all the variables. Only complete cases are used in the analysis, i.e. rows of dataframe with missing values in any of the predictors are automatically deleted. |
change |
A logical variable. If 'TRUE' (default) the dependent variable of regression is the pre-post change. If 'FALSE', the post response is used as the dependent variable. |
k |
A sensitivity analysis parameter. Typically, it is greater than or equal to 1.0. It is recommended that the user provide at least two values to examine how the effects vary with 'k'. Default setting allows three values: k = 1.0, 1.5, and 2.0. For more details about this parameter refer to the manuscript. |
m |
Another sensitivity analysis parameter. It is set equal to 1.0. It is recommended that the user not change this unless there is information from an external study to justify a different value. |
nboot |
Number of bootstrap samples for calculating the confidence intervals of corrected regression coefficients. Default is 1000. |
ci.level |
Confidence coefficient for confidence interval. Default is 0.95 (95% confidence intervals). |
boot.method |
The bootstrap method for confidence interval. Four options are provided: "perc" (percentile), "norm" (normal approximation), "basic", and "bca" (bias-corrected accelerated bootstrap). Default is "perc". |
ncores |
Number of cores available for parallel computing. Default is set to 2 due to CRAN requirements. If more cores are available, the user can utilize all available cores with the command: 'ncores = parallel::detectCores()' |
Value
A list with the following components:
naive.betaUnadjusted, naive estimates of regression coefficients
corrected.betaThe corrected coefficients of the variables. A matrix with one column of parameter values for each value of sensitivity parameter
kCIA list of length equal to the number of sensitivity values. Each component of the list is a matrix with two columns of lower and upper confidence interval for each parameter
Missing Data
This function uses complete-case analysis only. If your data contains missing
values, the function will issue a warning and exclude cases with any missing
values. For more robust inference with missing data, consider using multiple
imputation followed by prepost_resilience_mi_list(), which pools
results across multiply imputed datasets using Rubin's rules.
Parallel Processing
The function uses the parallel and foreach packages to perform
parallel computations of bootstrap confidence intervals for different values
of the sensitivity parameter, k.
Author(s)
Ravi Varadhan
References
Varadhan, R., Zhu, J., and Bandeen-Roche, K (2024). Identifying Predictors of Resilience to Stressors in Single-Arm Studies of Pre-Post Change. Biostatistics. 25(4): 1094-1111.
See Also
prepost_resilience_mi_list for analysis with multiply imputed data.
Examples
## Not run:
data(tkr)
names(tkr.dat)
dim(tkr.dat)
# pre-post change regression
ans1 <- prepost(post.Y ~ pre.Y + I(age-mean(age)) + I((age - mean(age))^2) +
bmi + gender + as.factor(smoker), data=tkr.dat, k=c(1.2, 1.5), nboot=200)
print(ans1)
# Post regression
ans2 <- prepost(post.Y ~ pre.Y + I(age-mean(age)) + I((age - mean(age))^2) +
bmi + gender + as.factor(smoker), data=tkr.dat,
k=c(1.2, 1.5), change=FALSE, nboot=200, boot.method="norm")
print(ans2)
# without any covariates
ans3 <- prepost(post.Y ~ pre.Y, data=tkr.dat, k=c(1.2, 2.0), nboot=200)
print(ans3)
# Bootstrapping using "bca" - relatively slow
# Not run
# ans4 <- prepost(post.Y ~ pre.Y, data=tkr.dat, k=c(1.2, 2.0), change=FALSE,
# boot.method = "bca")
## End(Not run)
Prep-Resilience Analysis with Pre-Imputed Datasets
Description
This function takes a list of already imputed datasets and runs resilience analysis on each, then pools the results using Rubin's rules. Users are responsible for the imputation process, allowing maximum flexibility in imputation methods.
Usage
prepost_resilience_mi_list(
data_list,
formula,
k = 1,
nboot = 500,
pool_method = "detailed",
coef_labels = NULL,
verbose = TRUE,
...
)
Arguments
data_list |
List of imputed datasets (data frames) or a 'mids' object from 'mice' |
formula |
Formula for the prepost model (e.g., post_score ~ pre_score + age + bmi) |
k |
Resilience parameter (default = 1.2) |
nboot |
Number of bootstrap samples (default = 200) |
pool_method |
Pooling method: "detailed" (Barnard & Rubin) or "simple" (default = "detailed") |
coef_labels |
Optional named vector for renaming coefficients (e.g., c("age" = "Age (years)")) |
verbose |
Whether to print progress messages (default = TRUE) |
... |
Additional arguments passed to prepost() |
Value
A list containing: - pooled_results: The pooled estimates - results_table: Formatted results table - individual_results: List of results from each imputation - model_info: Information about the model specification - imputation_info: Summary of imputation characteristics
See Also
prepost for complete-case analysis without missing data
mice for multiple imputation
Examples
## Not run:
# Example 1: List of data frames from any imputation method
library(mice)
data <- data.frame(
post_score = rnorm(100),
pre_score = rnorm(100),
age = rnorm(100, 50, 10),
bmi = rnorm(100, 25, 5)
)
# Create some missing data
data$age[1:10] <- NA
data$bmi[5:15] <- NA
# User does their own imputation (could be from any package/method)
# Method 1: Using mice
imp_mice <- mice(data, m = 5, printFlag = FALSE)
imp_list <- list()
for (i in 1:5) {
imp_list[[i]] <- complete(imp_mice, i)
}
# Method 2: Using Amelia
if (requireNamespace("Amelia", quietly = TRUE)) {
imp_amelia <- Amelia::amelia(data, m = 5)
imp_list <- imp_amelia$imputations
}
# Method 3: Using aregImpute from Hmisc
if (requireNamespace("Hmisc", quietly = TRUE)) {
set.seed(123)
imp_areg <- Hmisc::aregImpute(~ post_score + pre_score + age + bmi, data = data, n.impute = 5)
imp_list <- list()
for (i in 1:5) {
imp_data <- data
imp_data$age[is.na(imp_data$age)] <- imp_areg$imputed$age[, i]
imp_data$bmi[is.na(imp_data$bmi)] <- imp_areg$imputed$bmi[, i]
imp_list[[i]] <- imp_data
}
}
# Run resilience analysis on the pre-imputed list
result <- prepost_resilience_mi_list(
data_list = imp_list,
formula = post_score ~ pre_score + age + bmi,
k = 1.2,
nboot = 200
)
# Example 2: Directly using a mice mids object
result2 <- prepost_resilience_mi_list(
data_list = imp_mice, # mids object
formula = post_score ~ pre_score + age + bmi
)
## End(Not run)
Print Results from Multiply Imputed Resilience Analysis
Description
S3 print method for prepost_resilience_mi_list
Usage
## S3 method for class 'prepost_resilience_mi_list'
print(x, ...)
Arguments
x |
An object of class |
... |
Additional arguments passed to plotting functions. |
Summary Results from Multiply Imputed Resilience Analysis
Description
S3 summary method for prepost_resilience_mi_list
Usage
## S3 method for class 'prepost_resilience_mi_list'
summary(object, ...)
Arguments
object |
An object of class |
... |
Additional arguments passed to plotting functions. |
Example dataset for pre-post resilience analysis
Description
A simulated dataset from a single-arm study with pre/post measurements.
Usage
tkr.dat
Format
A data frame with columns:
- post.Y
Post-stressor outcome
- pre.Y
Baseline outcome
- age
Age in years
- bmi
Body mass index
- gender
Gender (M/F)
- smoker
Smoking status
Source
Simulated for demonstration.