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hybrid2power: Statistical power analysis software for hybrid type 2 cluster randomized trials

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melodyaowen/crt2power

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Overview

crt2power is an R package that allows users to calculate the statistical power or sample size of their cluster randomized trials (CRTs) with two continuous co-primary outcomes, given a set of input parameters. The motivation for this package is to aid in the design of hybrid 2 studies. Hybrid 2 studies are studies where there are two co-primary outcomes, namely an implementation outcome (such as fidelity or reach) and a health outcome (such as infection rates, or change from baseline health scores). When powering these studies, cluster correlations and the inflation of the Type I error rate must be accounted for.

The five key study design approaches are included in this package that can be used to power hybrid 2 CRTs.

  1. P-Value Adjustments for Multiple Testing
  2. Combined Outcomes Approach
  3. Single 1-Degree of Freedom (DF) Combined Test for Two Outcomes
  4. Disjunctive 2-DF Test for Two Outcomes
  5. Conjunctive Intersection-Union Test for Two outcomes

For details on the methods listed above, please refer to the publication that discusses these methods by Owen et al., availablehere.

Installation

This package is available on CRAN, so it is recommended to run the following code:

install.packages("crt2power")require(crt2power)

If you wish to directly install it from the GitHub repository instead, you can run the following code:

install.packages("devtools")require(devtools)install_github("https://github.com/melodyaowen/crt2power")require(crt2power)

Required Input Parameters

Table of Key Required Input Parameters:

ParameterStatistical NotationVariable NameDescription
Statistical power$\pi$powerProbability of detecting a true effect under$H_A$
Number of clusters$K$KNumber of clusters in each treatment arm
Cluster size$m$mNumber of individuals in each cluster
Family-wise false positive rate$\alpha$alphaProbability of one or more Type I error(s)
Effect for$Y_1$$\beta_1^*$beta1Estimated intervention effect on the first outcome ($Y_1$)
Effect for$Y_2$$\beta_2^*$beta2Estimated intervention effect on the second outcome ($Y_2$)
Total variance of$Y_1$$\sigma_1^2$varY1Total variance of the first outcome,$Y_1$
Total variance of$Y_2$$\sigma_2^2$varY2Total variance of the second outcome,$Y_2$
Endpoint-specific ICC for$Y_1$$\rho_0^{(1)}$rho01Correlation for$Y_1$ for two different individuals in the same cluster
Endpoint-specific ICC for$Y_2$$\rho_0^{(2)}$rho02Correlation for$Y_2$ for two different individuals in the same cluster
Inter-subject between-endpoint ICC$\rho_1^{(1,2)}$rho1Correlation between$Y_1$ and$Y_2$ for two different individuals in the same cluster
Intra-subject between-endpoint ICC$\rho_2^{(1,2)}$rho2Correlation between$Y_1$ and$Y_2$ for the same individual
Treatment allocation ratio$r$rTreatment allocation ratio;$K_2 = rK_1$ where$K_1$ is number of clusters in experimental group
Statistical distribution--distSpecification of which distribution to base calculation on, either the$\chi^2$-distribution or$F$-distribution1
  1. When selecting the$\chi^2$-distribution, all methods will use this distribution with the exception of the conjunctive IU test, which will use the multivariate normal (MVN) distribution; when selecting the$F$-distribution, all methods will use this distribution with the exception of the conjunctive IU test, which will use the$t$-distribution.

Function Description

Each method has a set of functions for calculating the statistical power ($\pi$), required number of clusters per treatment group ($K$), or cluster size ($m$) given a set of input parameters. The names of all functions offered in this package are listed below, organized by study design method.

1. P-Value Adjustment Methods

  • calc_pwr_pval_adj() calculates power for this method
  • calc_K_pval_adj() calculates number of clusters per treatment group for this method
  • calc_m_pval_adj() calculates cluster size for this method

2. Combined Outcomes Approach

  • calc_pwr_comb_outcome() calculates power for this method
  • calc_K_comb_outcome() calculates number of clusters per treatment group for this method
  • calc_m_comb_outcome() calculates cluster size for this method

3. Single Weighted 1-DF Combined Test

  • calc_pwr_single_1dftest() calculates power for this method
  • calc_K_single_1dftest() calculates number of clusters per treatment group for this method
  • calc_m_single_1dftest() calculates cluster size for this method

4. Disjunctive 2-DF Test

  • calc_pwr_disj_2dftest() calculates power for this method
  • calc_K_disj_2dftest() calculates number of clusters per treatment group for this method
  • calc_m_disj_2dftest() calculates cluster size for this method

5. Conjunctive Intersection-Union Test

  • calc_pwr_conj_test() calculates power for this method
  • calc_K_conj_test() calculates number of clusters per treatment group for this method
  • calc_m_conj_test() calculates cluster size for this method

6. Calculations based on all 5 methods

  • run_crt2_design(output = "power", ...) calculates power for all 5 methods
  • run_crt2_design(output = "K", ...) calculates number of clusters per treatment group for all 5 methods
  • run_crt2_design(output = "m",...) calculates cluster size for all 5 methods

Usage

# Example of using the combined outcomes approach for calculating powercalc_pwr_comb_outcome(dist = "Chi2", K = 8, m = 50, alpha = 0.05,                      beta1 = 0.2, beta2 = 0.4, varY1 = 0.5, varY2 = 1,                      rho01 = 0.05, rho02 = 0.1, rho1 = 0.01, rho2 = 0.1,                       r = 1)# Example of using the single weighted 1-DF test for calculating Kcalc_K_single_1dftest(dist = "F", power = 0.9, m = 70, alpha = 0.05,                      beta1 = 0.4, beta2 = 0.3, varY1 = 1.5, varY2 = 0.5,                      rho01 = 0.1, rho02 = 0.07, rho1 = 0.05, rho2  = 0.3,                       r = 2)# Example of using conjunctive IU test for m calculationcalc_m_conj_test(dist = "MVN", power = 0.8, K = 10, alpha = 0.05,                  beta1 = 0.4, beta2 = 0.4, varY1 = 0.5, varY2 = 1,                  rho01 = 0.05, rho02 = 0.1, rho1 = 0.07, rho2  = 0.9,                  r = 1, two_sided = TRUE)# Example of calculating power based on all five methodsrun_crt2_design(output = "power", K = 6, m = 70, alpha = 0.05,                 beta1 = 0.4, beta2 = 0.4, varY1 = 0.5, varY2 = 0.5,                 rho01 = 0.1, rho02 = 0.1, rho1 = 0.07, rho2 = 0.9, r = 1)

Contact

For questions or comments, please email Melody Owen atmelody.owen@yale.edu, or submit an issue to this repository.

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