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Biostatistics 3:459-475 (2002)
© 2002 Oxford University Press

General growth mixture modeling for randomized preventive interventions

Bengt Muthén{dagger}, C. Hendricks Brown, Katherine Masyn, Booil Jo, Siek-Toon Khoo, Chih-Chien Yang, Chen-Pin Wang, Sheppard G. Kellam, John B. Carlin and Jason Liao

Bengt Muthén. Graduate School of Education & Information Studies, University of California, Moore Hall, Box 951521, Los Angeles, CA 90095-1521, USA bmuthen{at}ucla.edu
C. Hendricks Brown. University of South Florida, FL, USA
Katherine Masyn, Booil Jo. University of California, Los Angeles, CA, USA
Siek-Toon Khoo. Arizona State University, AZ, USA
Chih-Chien Yang. National Taichung Teachers College, Taiwan
Chen-Pin Wang. University of South Florida FL, USA
Sheppard G. Kellam. Johns Hopkins University and American Institutes for Research, Baltimore, MD, USA
John B. Carlin. University of Melbourne, Australia
Jason Liao. Medical University of South Carolina, SC, USA

{dagger}To whom correspondence should be addressed

This paper proposes growth mixture modeling to assess intervention effects in longitudinal randomized trials. Growth mixture modeling represents unobserved heterogeneity among the subjects using a finite-mixture random effects model. The methodology allows one to examine the impact of an intervention on subgroups characterized by different types of growth trajectories. Such modeling is informative when examining effects on populations that contain individuals who have normative growth as well as non-normative growth. The analysis identifies subgroup membership and allows theory-based modeling of intervention effects in the different subgroups. An example is presented concerning a randomized intervention in Baltimore public schools aimed at reducing aggressive classroom behavior, where only students who were initially more aggressive showed benefits from the intervention.

Keywords: Growth modeling; Latent variables; Maximum likelihood; Randomized trials; Trajectory classes; Treatment-baseline interaction


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