Propensity score estimates in multilevel models for causal inference

Nursing Research
Patricia Eckardt

Abstract

Teenage obesity is a national epidemic that requires school- and community-based initiatives to support healthy behaviors of students regarding exercise and nutrition to decrease the prevalence. The aim of this study was to demonstrate a methodology for an estimation of causal effects of the adoption of healthy behaviors with a potential outcomes approach within a multilevel treatment setting of school program adoption of a socially supportive environment. Propensity score estimates within a multilevel model provided causal estimates of the impact of the adoption of health habits by students within supportive school environments (SSEs) and non-SSEs. A potential outcomes approach to causal modeling was shown with a secondary analysis of the National Longitudinal Study of Adolescent Health study. The student participants consisted of 13,854 adolescent students, with an accompanying sample of 164 school administrators. The effect of healthy eating habits in an SSE was a statistically nonsignificant decrease in body mass index (BMI). The effect of healthy eating habits in a non-SSE was a statistically nonsignificant increase in BMI. The difference between the healthy habit practices for students in supportive and nonsupportive scho...Continue Reading

References

Feb 12, 1998·Annals of Internal Medicine·D B Rubin
Jul 29, 2006·American Journal of Public Health·Diana CassadyRichard Lincoln
Dec 15, 2010·The International Journal of Behavioral Nutrition and Physical Activity·David A DzewaltowskiGeorge A Milliken
Aug 20, 2011·American Journal of Public Health·Hendrik D de HeerOsvaldo Morera

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Citations

Nov 12, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Joanne G Samuels, Patricia Eckardt
Nov 19, 2015·Administration and Policy in Mental Health·Shannon Wiltsey StirmanPaul Crits-Christoph
Mar 31, 2017·Orthopaedic Nursing·Geraldine PagnottaRachele Burriesci
Feb 10, 2018·The American Journal of Nursing·Anne Shea-LewisDonna Stapleton
Dec 19, 2016·Health Services & Outcomes Research Methodology·Megan S SchulerDonna Coffman

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