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On 30/05/2016 19:27, Dan Kolubinski wrote:
I am completing a meta-analysis on the effect of CBT on low self-esteem and
I could use some help regarding the regression feature in metafor.  Based
on the studies that I am using for the analysis, I identified 4 potential
moderators that I want to explore:
- Some of the studies that I am using used RCTs to compare an intervention
with a waitlist and others used the pre-score as the control in a
single-group design.
- Some of the groups took place in one day and others took several weeks.
- There are three discernible interventions being represented
- The initial level of self-esteem varies

Based on the above, I used this command to conduct a meta-analysis using
standarized mean differences:



MetaMod<-rma(m1i=m1, m2i=m2, sd1i=sd1, sd2i=sd2, n1i=n1, n2i=n2,
mods=cbind(dur, rct, int, level),measure = "SMD")


You could also say mods = ~ dur + rct + int + level



Would this be the best command to use for what I described?  Also, what
could I add to the command so that the forest plot shows a sub-group
analysis using the 'dur' variable as a between-groups distinction?


You have to adjust the forest plot by hand and then use add.polygon to add the summaries for each level of dur.


Also, with respect to the moderators, this is what was delivered:



Test of Moderators (coefficient(s) 2,3,4,5):
QM(df = 4) = 8.7815, p-val = 0.0668

Model Results:

         estimate      se     zval    pval    ci.lb   ci.ub
intrcpt    0.7005  0.6251   1.1207  0.2624  -0.5246  1.9256
dur        0.5364  0.2411   2.2249  0.0261   0.0639  1.0090  *
rct       -0.3714  0.1951  -1.9035  0.0570  -0.7537  0.0110  .
int        0.0730  0.1102   0.6628  0.5075  -0.1430  0.2890
level     -0.2819  0.2139  -1.3180  0.1875  -0.7010  0.1373

---
Signif. codes:  0 ‘***’ 0.001 ‘**’ 0.01 ‘*’ 0.05 ‘.’ 0.1 ‘ ’ 1



So the totality of moderators did not reach an arbitrary level of significance.


From this, can I interpret that the variable 'dur' (duration of
intervention) has a significant effect and the variable 'rct' (whether a
study was an RCT or used pre-post scores) was just shy of being
statistically significant?  I mainly ask, because the QM-score has a
p-value of 0.0668, which I thought would mean that none of the moderators
would be significant.  Would I be better off just listing one or two
moderators instead of four?


At the moment you get an overall test of the moderators which you had a scientific reason for using. If you start selecting based on the data you run the risk of ending up with confidence intervals and significance levels which do not have the meaning they are supposed to have.


Much appreciated,
Dan

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Michael
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