230954 Title: Evaluation of repeated smoking cessation studies via propensity score matching approach

Monday, November 8, 2010 : 11:10 AM - 11:30 AM

Bo Lu, PhD , College of Public Health, The Ohio State University, Columbus, OH
A major goal of many empirical studies in the health sciences is to evaluate the effect of treatments or policy changes. The treatment effect estimation using standard statistical approach may be biased if random allocation to treatments of participants is not feasible, like in many smoking cessation studies. The motivating dataset is from an Italian smoking cessation program that enrolls smokers every year since 2001 and participants voluntarily choose one of the two intervention arms. In January 2005, an indoor smoking ban was enacted in Italy, so the post-ban intervention effect is likely to be intertwined with the ban effect. Separating the effect due to this policy change from the intervention effect is of great interest to the scientific community. Using a generalized potential outcome setup, we propose a propensity score matching based strategy to estimate the intervention effect, the ban effect and their potential interaction, which is unbiased, distribution-free, and adapt to unknown time effects. Sensitivity analysis to assess the impact due to unobserved time-dependent confounder will also be discussed.

Learning Areas:
Administer health education strategies, interventions and programs
Biostatistics, economics
Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe issues inherent in analysis and interpretation of smoking cessation studies. Discuss how propensity score matching provides a reasonable strategy to estimate the intervention effect, the ban effect and their potential interaction. Discuss how sensitivity analyses may be used to assess the impact due to unobserved time-dependent confounder.

Keywords: Smoking Cessation, Statistics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Of my years as a researcher, teacher, mentor and consultant on public health problems.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.