A Class of Multidimensional Latent Class IRT Models for Ordinal Polytomous Item Responses

We propose a class of multidimensional Item Response Theory models for polytomously-scored items with ordinal response categories. This class extends an existing class of multidimensional models for dichotomously-scored items in which the latent abilities are represented by a random vector assumed to have a discrete distribution, with support points corresponding to different latent classes in the population. In the proposed approach, we allow for different parameterizations for the conditional distribution of the response variables given the latent traits, which depend on the type of link function and the constraints imposed on the item parameters. Moreover, we suggest a strategy for model selection that is based on a series of steps consisting of selecting specific features, such as the dimension of the model (number of latent traits), the number of latent classes, and the specific parameterization. In order to illustrate the proposed approach, we analyze a dataset from a study on anxiety and depression on a sample of oncological patients.     

Bayesian inference and model selection in latent class logit models with parameter constraints: an application to market segmentation

Latent class models have recently drawn considerable attention among many researchers and practitioners as a class of useful tools for capturing heterogeneity across different segments in a target market or population. In this paper, we consider a latent class logit model with parameter constraints and deal with two important issues in the latent class models--parameter estimation and selection of an appropriate number of classes--within a Bayesian framework. A simple Gibbs sampling algorithm is proposed for sample generation from the posterior distribution of unknown parameters. Using the Gibbs output, we propose a method for determining an appropriate number of the latent classes. A real-world marketing example as an application for market segmentation is provided to illustrate the proposed method.     

A new threshold regression model for survival data with a cure fraction

Due to the fact that certain fraction of the population suffering a particular type of disease get cured because of advanced medical treatment and health care system, we develop a general class of models to incorporate a cure fraction by introducing the latent number N of metastatic-competent tumor cells or infected cells caused by bacteria or viral infection and the latent antibody level R of immune system. Various properties of the proposed models are carefully examined and a Markov chain Monte Carlo sampling algorithm is developed for carrying out Bayesian computation for model fitting and comparison. A real data set from a prostate cancer clinical trial is analyzed in detail to demonstrate the proposed methodology.     

Dynamic latent trait models with mixed hidden Markov structure for mixed longitudinal outcomes

We propose a general Bayesian joint modeling approach to model mixed longitudinal outcomes from the exponential family for taking into account any differential misclassification that may exist among categorical outcomes. Under this framework, outcomes observed without measurement error are related to latent trait variables through generalized linear mixed effect models. The misclassified outcomes are related to the latent class variables, which represent unobserved real states, using mixed hidden Markov models (MHMMs). In addition to enabling the estimation of parameters in prevalence, transition and misclassification probabilities, MHMMs capture cluster level heterogeneity. A transition modeling structure allows the latent trait and latent class variables to depend on observed predictors at the same time period and also on latent trait and latent class variables at previous time periods for each individual. Simulation studies are conducted to make comparisons with traditional models in order to illustrate the gains from the proposed approach. The new approach is applied to data from the Southern California Children Health Study to jointly model questionnaire-based asthma state and multiple lung function measurements in order to gain better insight about the underlying biological mechanism that governs the inter-relationship between asthma state and lung function development.     

Latent variable modeling of disability in people aged 65 or more

This paper aims at classifying, on the basis of their disability profile, the population of elderly and quantifying the number of those with a very low level of functioning in a central region of Italy. This is accomplished using a set of variables on the difficulty of accomplishing everyday tasks (Activities of Daily Living, ADL) and functions. This issue is very important for National and Local Health organizations in order to evaluate the need for care, planning services, elaborating policies and allocating resources. Latent class models are applied on data coming from the Italian National Survey on Health Conditions and Appeal to Medicare to extract the latent trait of disability and classify the elder population according to their disability profile. Model selection brings to a classification into four latent classes. Looking at posterior probabilities, classes may be interpreted as follows: elderly without disability, with difficulties in movements, with difficulties in movements and daily tasks, with very low functioning level. Estimates of the amount of population aged 65 or more falling in each class is also provided. Cross-validation shows evidence of the robustness of such classification. Item response theory models are also applied to the items considered to study how functions are lost with increasing levels of disability. In particular, the abilities of climbing stairs and stooping down are those lost first, while those of eating and getting washed are those lost last.     

Mixture of latent trait analyzers for model-based clustering of categorical data

Model-based clustering methods for continuous data are well established and commonly used in a wide range of applications. However, model-based clustering methods for categorical data are less standard. Latent class analysis is a commonly used method for model-based clustering of binary data and/or categorical data, but due to an assumed local independence structure there may not be a correspondence between the estimated latent classes and groups in the population of interest. The mixture of latent trait analyzers model extends latent class analysis by assuming a model for the categorical response variables that depends on both a categorical latent class and a continuous latent trait variable; the discrete latent class accommodates group structure and the continuous latent trait accommodates dependence within these groups. Fitting the mixture of latent trait analyzers model is potentially difficult because the likelihood function involves an integral that cannot be evaluated analytically. We develop a variational approach for fitting the mixture of latent trait models and this provides an efficient model fitting strategy. The mixture of latent trait analyzers model is demonstrated on the analysis of data from the National Long Term Care Survey (NLTCS) and voting in the U.S. Congress. The model is shown to yield intuitive clustering results and it gives a much better fit than either latent class analysis or latent trait analysis alone.     

Starting Values for EM Estimation of Latent Class Joint Model

Latent class model is one of the important latent variable methods for joint modeling longitudinal and survival data. Latent class joint model can handle underlying heterogeneous population, discover subpopulation structure, and incorporate correlated non normally distributed outcomes. The maximum likelihood estimates of parameters in latent class joint model are generally obtained by the EM algorithm. Finding the starting values is one of the major issues to implement the EM algorithm successfully. In this article, initial value formulas are provided, a simulation study is conducted to show that the proposed starting values perform very well, and two illustrative examples are presented.     

Latent root regression: a biased regression methodology for use with collinear predictor variables

Many different biased regression techniques have been proposed for estimating parameters of a multiple linear regression model when the predictor variables are collinear. One particular alternative, latent root regression analysis, is a technique based on analyzing the latent roots and latent vectors of the correlation matrix of both the response and the predictor variables. It is the purpose of this paper to review the latent root regression estimator and to re-examine some of its properties and applications. It is shown that the latent root estimator is a member of a wider class of estimators for linear models     

Good item or bad—can latent class analysis tell?: the utility of latent class analysis for the evaluation of survey questions

Summary.  Latent class analysis has been used to model measurement error, to identify flawed survey questions and to estimate mode effects. Using data from a survey of University of Maryland alumni together with alumni records, we evaluate this technique to determine its usefulness for detecting bad questions in the survey context. Two sets of latent class analysis models are applied in this evaluation: latent class models with three indicators and latent class models with two indicators under different assumptions about prevalence and error rates. Our results indicated that the latent class analysis approach produced good qualitative results for the latent class models—the item that the model deemed the worst was the worst according to the true scores. However, the approach yielded weaker quantitative estimates of the error rates for a given item.     

Hierarchical likelihood approach to non-Gaussian factor analysis

Factor models, structural equation models (SEMs) and random-effect models share the common feature that they assume latent or unobserved random variables. Factor models and SEMs allow well developed procedures for a rich class of covariance models with many parameters, while random-effect models allow well developed procedures for non-normal models including heavy-tailed distributions for responses and random effects. In this paper, we show how these two developments can be combined to result in an extremely rich class of models, which can be beneficial to both areas. A new fitting procedures for binary factor models and a robust estimation approach for continuous factor models are proposed.     

Weighting for item non-response in attitude scales by using latent variable models with covariates

We discuss the use of latent variable models with observed covariates for computing response propensities for sample respondents. A response propensity score is often used to weight item and unit responders to account for item and unit non-response and to obtain adjusted means and proportions. In the context of attitude scaling, we discuss computing response propensity scores by using latent variable models for binary or nominal polytomous manifest items with covariates. Our models allow the response propensity scores to be found for several different items without refitting. They allow any pattern of missing responses for the items. If one prefers, it is possible to estimate population proportions directly from the latent variable models, so avoiding the use of propensity scores. Artificial data sets and a real data set extracted from the 1996 British Social Attitudes Survey are used to compare the various methods proposed.     

A composite class of estimators using scrambled response mechanism for sensitive population mean in successive sampling

This paper considers the problem of estimation of population mean of a sensitive characteristics using non-sensitive auxiliary variable at current move in two move successive sampling. The proposed estimator is studied under five different scrambled response models. Various estimators have been elaborated to be the member of the proposed class of estimators. The properties of the proposed estimators have been analysed. Many estimators belonging to the proposed class have been explored under five scrambled response models. In order to identify the scrambled model effect, the proposed composite class of estimators is compared to the direct methods. Respondents privacy protection have also been elaborated under different models. Theoretical results are supplemented with numerical demonstrations using real data. Simulation has been carried out to show the applicability of proposed estimators and hence suitable recommendations are forwarded.     

Joint analysis of nonlinear heterogeneous longitudinal data and binary outcome: an application to AIDS clinical studies

Finite mixture models are currently used to analyze heterogeneous longitudinal data. By releasing the homogeneity restriction of nonlinear mixed-effects (NLME) models, finite mixture models not only can estimate model parameters but also cluster individuals into one of the pre-specified classes with class membership probabilities. This clustering may have clinical significance, which might be associated with a clinically important binary outcome. This article develops a joint modeling of a finite mixture of NLME models for longitudinal data in the presence of covariate measurement errors and a logistic regression for a binary outcome, linked by individual latent class indicators, under a Bayesian framework. Simulation studies are conducted to assess the performance of the proposed joint model and a naive two-step model, in which finite mixture model and logistic regression are fitted separately, followed by an application to a real data set from an AIDS clinical trial, in which the viral dynamics and dichotomized time to the first decline of CD4/CD8 ratio are analyzed jointly.     

Latent class models for longitudinal studies of the elderly with data missing at random

The elderly population in the USA is expected to double in size by the year 2025, making longitudinal health studies of this population of increasing importance. The degree of loss to follow-up in studies of the elderly, which is often because elderly people cannot remain in the study, enter a nursing home or die, make longitudinal studies of this population problematic. We propose a latent class model for analysing multiple longitudinal binary health outcomes with multiple-cause non-response when the data are missing at random and a non-likelihood-based analysis is performed. We extend the estimating equations approach of Robins and co-workers to latent class models by reweighting the multiple binary longitudinal outcomes by the inverse probability of being observed. This results in consistent parameter estimates when the probability of non-response depends on observed outcomes and covariates (missing at random) assuming that the model for non-response is correctly specified. We extend the non-response model so that institutionalization, death and missingness due to failure to locate, refusal or incomplete data each have their own set of non-response probabilities. Robust variance estimates are derived which account for the use of a possibly misspecified covariance matrix, estimation of missing data weights and estimation of latent class measurement parameters. This approach is then applied to a study of lower body function among a subsample of the elderly participating in the 6-year Longitudinal Study of Aging.     

State-space models for multivariate longitudinal data of mixed types

We propose a class of state-space models for multivariate longitudinal data where the components of the response vector may have different distributions. The approach is based on the class of Tweedie exponential dispersion models, which accommodates a wide variety of discrete, continuous and mixed data. The latent process is assumed to be a Markov process, and the observations are conditionally independent given the latent process, over time as well as over the components of the response vector. This provides a fully parametric alternative to the quasilikelihood approach of Liang and Zeger. We estimate the regression parameters for time-varying covariates entering either via the observation model or via the latent process, based on an estimating equation derived from the Kalman smoother. We also consider analysis of residuals from both the observation model and the latent process.     

Structured priors for multivariate time series

A class of prior distributions for multivariate autoregressive models is presented. This class of priors is built taking into account the latent component structure that characterizes a collection of autoregressive processes. In particular, the state-space representation of a vector autoregressive process leads to the decomposition of each time series in the multivariate process into simple underlying components. These components may have a common structure across the series. A key feature of the proposed priors is that they allow the modeling of such common structure. This approach also takes into account the uncertainty in the number of latent processes, consequently handling model order uncertainty in the multivariate autoregressive framework. Posterior inference is achieved via standard Markov chain Monte Carlo (MCMC) methods. Issues related to inference and exploration of the posterior distribution are discussed. We illustrate the methodology analyzing two data sets: a synthetic data set with quasi-periodic latent structure, and seasonally adjusted US monthly housing data consisting of housing starts and housing sales over the period 1965 to 1974.     

Joint model-based clustering of nonlinear longitudinal trajectories and associated time-to-event data analysis,linked by latent class membership: with application to AIDS clinical studies

Longitudinal and time-to-event data are often observed together. Finite mixture models are currently used to analyze nonlinear heterogeneous longitudinal data, which, by releasing the homogeneity restriction of nonlinear mixed-effects (NLME) models, can cluster individuals into one of the pre-specified classes with class membership probabilities. This clustering may have clinical significance, and be associated with clinically important time-to-event data. This article develops a joint modeling approach to a finite mixture of NLME models for longitudinal data and proportional hazard Cox model for time-to-event data, linked by individual latent class indicators, under a Bayesian framework. The proposed joint models and method are applied to a real AIDS clinical trial data set, followed by simulation studies to assess the performance of the proposed joint model and a naive two-step model, in which finite mixture model and Cox model are fitted separately.     

Parameter identifiability in a class of random graph mixture models

We prove identifiability of parameters for a broad class of random graph mixture models. These models are characterized by a partition of the set of graph nodes into latent (unobservable) groups. The connectivities between nodes are independent random variables when conditioned on the groups of the nodes being connected. In the binary random graph case, in which edges are either present or absent, these models are known as stochastic blockmodels and have been widely used in the social sciences and, more recently, in biology. Their generalizations to weighted random graphs, either in parametric or non-parametric form, are also of interest. Despite these many applications, the parameter identifiability issue for such models has only been touched upon in the literature. We give here a thorough investigation of this problem. Our work also has consequences for parameter estimation. In particular, the estimation procedure proposed by Frank and Harary for binary affiliation models is revisited in this article.     

Efficient MCMC sampling in dynamic mixture models

We show how to improve the efficiency of Markov Chain Monte Carlo (MCMC) simulations in dynamic mixture models by block-sampling the discrete latent variables. Two algorithms are proposed: the first is a multi-move extension of the single-move Gibbs sampler devised by Gerlach, Carter and Kohn (in J. Am. Stat. Assoc. 95, 819–828, 2000); the second is an adaptive Metropolis-Hastings scheme that performs well even when the number of discrete states is large. Three empirical examples illustrate the gain in efficiency achieved. We also show that visual inspection of sample partial autocorrelations of the discrete latent variables helps anticipating whether blocking can be effective.     

A Bayesian approach to mixture cure models with spatial frailties for population‐based cancer relative survival data

As the treatments of cancer progress, a certain number of cancers are curable if diagnosed early. In population‐based cancer survival studies, cure is said to occur when mortality rate of the cancer patients returns to the same level as that expected for the general cancer‐free population. The estimates of cure fraction are of interest to both cancer patients and health policy makers. Mixture cure models have been widely used because the model is easy to interpret by separating the patients into two distinct groups. Usually parametric models are assumed for the latent distribution for the uncured patients. The estimation of cure fraction from the mixture cure model may be sensitive to misspecification of latent distribution. We propose a Bayesian approach to mixture cure model for population‐based cancer survival data, which can be extended to county‐level cancer survival data. Instead of modeling the latent distribution by a fixed parametric distribution, we use a finite mixture of the union of the lognormal, loglogistic, and Weibull distributions. The parameters are estimated using the Markov chain Monte Carlo method. Simulation study shows that the Bayesian method using a finite mixture latent distribution provides robust inference of parameter estimates. The proposed Bayesian method is applied to relative survival data for colon cancer patients from the Surveillance, Epidemiology, and End Results (SEER) Program to estimate the cure fractions. The Canadian Journal of Statistics 40: 40–54; 2012 © 2012 Statistical Society of Canada