9  Bayesian Adaptive Design

9.1 The Idea

In the realm of randomized trials, the concept of “adaptive design” introduces a dynamic element. Unlike traditional designs where the course of the experiment is fixed from the outset, adaptive designs allow for modifications during the trial based on the accumulating data. This flexibility can be harnessed to enhance the efficiency and effectiveness of the experiment.

One particularly powerful approach to adaptive design is the Bayesian adaptive design. This method leverages Bayesian statistics, which allows for incorporating prior knowledge and the continuous updating of beliefs as new data become available. In the context of randomized trials, this means that the allocation of participants to different treatment arms can be adjusted in real time based on the observed outcomes.

For instance, if early data suggest that a particular treatment arm is showing promising results, the Bayesian adaptive design might allocate more participants to that arm, increasing our ability to distinguish signal from noise. Conversely, if a treatment arm appears to be ineffective or even harmful, the design might reduce or even stop the allocation of participants to that arm, thus protecting them from unnecessary exposure.

Advantages:

  • Increased Efficiency: By focusing resources on the most promising treatment arms, Bayesian adaptive designs can potentially reduce the sample size needed to detect a significant effect, saving time and costs.

  • Ethical Considerations: The ability to adapt the trial based on emerging data can help protect participants from ineffective or harmful treatments.

  • Improved Decision-Making: The continuous updating of beliefs based on real-time data can lead to more informed decisions about the allocation of resources and the selection of the most effective interventions.

Challenges:

  • Complexity: Designing and implementing Bayesian adaptive designs can be more complex than traditional fixed designs, requiring expertise in Bayesian statistics and careful planning.

  • Statistical Considerations: The adaptive nature of these designs can introduce statistical challenges, such as the need to adjust for multiple comparisons and the potential for bias if the adaptation process is not carefully controlled.

Learn more

Finucane, Martinez, and Cody (2018) What works for whom? A Bayesian approach to channeling big data streams for public program evaluation.

Example with code

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