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Copyright 2012 Aileen M. Echiverri-Cohen - University of Washington

Copyright 2012 Aileen M. Echiverri-Cohen - University of Washington

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Likelihood index as it corrects the -2 Restricted Log Liklihood for small sample sizes like in the<br />

present study (Fields, 2001). A random intercept, fixed slopes model specified a covariance<br />

structure <strong>of</strong> variable components, as is <strong>of</strong>ten the result <strong>of</strong> small sample size and small number <strong>of</strong><br />

repeated measures per participant or small levels <strong>of</strong> variance (Gallop & Tasca, 2009). Restricted<br />

maximum likelihood (REML) was used as it yields unbiased estimates <strong>of</strong> the random effects<br />

variances (Twisk, 2006).<br />

The best-fitting model for treatment modality, time, and AB was a random intercept<br />

model. This was evaluated by fitting nested structures <strong>of</strong> the most complex covariance structure<br />

for multilevel models, where the specified random effect, (i.e., random intercept and random<br />

slope) using an unstructured covariance design with random intercept and random slope terms,<br />

were allowed to be correlated. The correlated random terms accounts for a possible relationship<br />

between where an individual starts and their rate <strong>of</strong> change. If the correlation is not significantly<br />

different from zero, under parsimony, then the next less complex structure using a variance<br />

components structure was fitted to the model where the correlation <strong>of</strong> the random intercept and<br />

random slope term was set to 0. This structure allows for subject-to-subject variability in their<br />

group average intercept and group average slope but assumes where a person starts is<br />

independent <strong>of</strong> how they change. If there is not sufficient subject-to-subject variability in rate <strong>of</strong><br />

change, the parsimonious structure is the least complex structure corresponding to a random<br />

intercept model. Under the random intercept model, the covariance structure between the<br />

repeated measures is modeled as a compound symmetry structure which is analogous to the<br />

simplistic repeated measures ANOVA model for clustered data. Guidelines in assessing the<br />

parsimonious covariance structure for the random effects terms was based on Gallop and Tasca<br />

(2009).<br />

32

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