Overdispersion models for correlated multinomial data: Applications to blinding assessment.

ABSTRACT: Overdispersion models have been extensively studied for correlated normal and binomial data but much less so for correlated multinomial data. In this work, we describe a multinomial overdispersion model that leads to the specification of the first two moments of the outcome and allows the estimation of the global parameters using generalized estimating equations (GEE). We introduce a Global Blinding Index as a target parameter and illustrate the application of the GEE method to its estimation from (1) a clinical trial with clustering by practitioner and (2) a meta-analysis on psychiatric disorders. We examine the impact of a small number of clusters, high variability in cluster sizes, and the magnitude of the intraclass correlation on the performance of the GEE estimators of the Global Bli

SUBMITTER: Landsman V 

PROVIDER: S-EPMC6800782 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature