Structural Nested Mean Models for Modified Treatment Policies

Fuente: arXiv
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Main Author: Shahn, Zach
Format: Preprint
Published: 2025
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author Shahn, Zach
author_facet Shahn, Zach
contents There is a growing literature on estimating effects of treatment strategies based on the natural treatment that would have been received in the absence of intervention, often dubbed `modified treatment policies' (MTPs). MTPs are sometimes of interest because they are more realistic than interventions setting exposure to an ideal level for all members of a population. In the general time-varying setting, Richardson and Robins (2013) provided exchangeability conditions for nonparametric identification of MTP effects that could be deduced from Single World Intervention Graphs (SWIGs). Diaz (2023) provided multiply robust estimators under these identification assumptions that allow for machine learning nuisance regressions. In this paper, we fill a remaining gap by extending Structural Nested Mean Models (SNMMs) to MTP settings, which enables characterization of (time-varying) heterogeneity of MTP effects. We do this both under the exchangeability assumptions of Richardson and Robins (2013) and under parallel trends assumptions, which enables investigation of (time-varying heterogeneous) MTP effects in the presence of some unobserved confounding.
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id arxiv_https___arxiv_org_abs_2509_22916
institution arXiv
publishDate 2025
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spellingShingle Structural Nested Mean Models for Modified Treatment Policies
Shahn, Zach
Methodology
There is a growing literature on estimating effects of treatment strategies based on the natural treatment that would have been received in the absence of intervention, often dubbed `modified treatment policies' (MTPs). MTPs are sometimes of interest because they are more realistic than interventions setting exposure to an ideal level for all members of a population. In the general time-varying setting, Richardson and Robins (2013) provided exchangeability conditions for nonparametric identification of MTP effects that could be deduced from Single World Intervention Graphs (SWIGs). Diaz (2023) provided multiply robust estimators under these identification assumptions that allow for machine learning nuisance regressions. In this paper, we fill a remaining gap by extending Structural Nested Mean Models (SNMMs) to MTP settings, which enables characterization of (time-varying) heterogeneity of MTP effects. We do this both under the exchangeability assumptions of Richardson and Robins (2013) and under parallel trends assumptions, which enables investigation of (time-varying heterogeneous) MTP effects in the presence of some unobserved confounding.
title Structural Nested Mean Models for Modified Treatment Policies
topic Methodology
url https://arxiv.org/abs/2509.22916