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Note: This vignette is illustrated with fake data. The dataset explored in this example should not be used to inform decision-making.

Youthvars provides two ready4 framework modules - YouthvarsProfile and YouthvarsSeries that form part of the readyforwhatsnext economic model of youth mental health. The ready4 modules in youthvars extend the Ready4useDyad module and can be used to help describe key structural properties of youth mental health datasets.

Ingest data

To start we ingest X, a Ready4useDyad (dataset and data dictionary pair) that we can download from a remote repository.

X <- ready4use::Ready4useRepos(dv_nm_1L_chr = "fakes",
                               dv_ds_nm_1L_chr = "https://doi.org/10.7910/DVN/W95KED",
                               dv_server_1L_chr = "dataverse.harvard.edu") %>%
  ingest(fls_to_ingest_chr = "ymh_clinical_dyad_r4",
         metadata_1L_lgl = F)

Add metadata

If a dataset is cross-sectional or we wish to treat it as if it were (i.e., where data collection rounds are ignored) we can create Y, an instance of the YouthvarsProfile module, to add minimal metadata (the name of the unique identifier variable).

Y <- YouthvarsProfile(a_Ready4useDyad = X, id_var_nm_1L_chr = "fkClientID")

If the temporal dimension of the dataset is important, it may be therefore preferable to instead transform X into a YouthvarsSeries module instance. YouthvarsSeries objects contain all of the fields of YouthvarsProfile objects, but also include additional fields that are specific for longitudinal datasets (e.g. timepoint_var_nm_1L_chr and timepoint_vals_chr that respectively specify the data-collection timepoint variable name and values and participation_var_1L_chr that specifies the desired name of a yet to be created variable that will summarise the data-collection timepoints for which each unit record supplied data).

Z <- YouthvarsSeries(a_Ready4useDyad = X,
                     id_var_nm_1L_chr = "fkClientID",
                     participation_var_1L_chr = "participation",
                     timepoint_vals_chr = c("Baseline","Follow-up"),
                     timepoint_var_nm_1L_chr = "round")

YouthvarsProfile methods

Inspect data

We can now specify the variables that we would like to prepare descriptive statistics for by using the renew method. The variables to be profiled are specified in the profile_chr argument, the number of decimal digits (default = 3) of numeric values in the summary tables to be generated can be specified with nbr_of_digits_1L_int.

Y <- renew(Y, nbr_of_digits_1L_int = 2L, profile_chr = c("d_age","d_sexual_ori_s","d_studying_working"))

We can now view the descriptive statistics we created in the previous step.

Y %>%
  exhibit(profile_idx_int = 1L, scroll_box_args_ls = list(width = "100%"))
Descriptive summary
(N = 1711)
Age Mean (SD) 17.64 (3.09)
Median (Q1, Q3) 18.00 (15.00, 20.00)
Min - Max 12.00 25.00
Missing 0.00
Sexual orientation Heterosexual 1178.00 (71.74%)
Other 464.00 (28.26%)
Missing 69.00
Education and employment status Not studying or working 311.00 (18.75%)
Studying and working 451.00 (27.19%)
Studying only 572.00 (34.48%)
Working only 325.00 (19.59%)
Missing 52.00

We can also plot the distributions of selected variables in our dataset.

depict(Y, var_nms_chr = c("c_sofas"), labels_chr = c("SOFAS"))
SOFAS total scores

SOFAS total scores

YouthvarsSeries methods

Validate data

To explore longitudinal data we need to first use the ratify method to ensure that Z has been appropriately configured for methods examining datasets reporting measures at two timepoints.

Z <- ratify(Z,
            type_1L_chr = "two_timepoints")

Inspect data

We can now specify the variables that we would like to prepare descriptive statistics for using the renew method. The variables to be profiled are specified in arguments beginning with “compare_”. Use compare_ptcpn_chr to compare variables based on whether cases reported data at one or both timepoints and compare_by_time_chr to compare the summary statistics of variables by timepoints, e.g at baseline and follow-up. If you wish these comparisons to report p values, then use the compare_ptcpn_with_test_chr and compare_by_time_with_test_chr arguments.

Z <- renew(Z,
           compare_by_time_chr = c("d_age","d_sexual_ori_s","d_studying_working"),
           compare_by_time_with_test_chr = c("k6_total", "phq9_total", "bads_total"),
           compare_ptcpn_with_test_chr = c("k6_total", "phq9_total", "bads_total")) 

The tables generated in the preceding step can be inspected using the exhibit method.

Z %>%
  exhibit(profile_idx_int = 1L,
          scroll_box_args_ls = list(width = "100%"))
Outcomes by data completeness
Baseline only
Baseline and follow-up
(N = 1068) (N = 643) p
Kessler Psychological Distress Scale (6 Dimension) Mean (SD) 12.153 (5.409) 11.069 (5.778) 0.001
Median (Q1, Q3) 12.000 (8.000, 16.000) 11.000 (7.000, 15.000) 0.001
Min - Max 0.000 24.000 0.000 24.000 0.001
Missing 0.000 3.000 0.001
Patient Health Questionnaire Mean (SD) 12.632 (6.086) 11.194 (6.434) 0.000
Median (Q1, Q3) 13.000 (8.000, 17.000) 11.000 (6.000, 16.000) 0.000
Min - Max 0.000 27.000 0.000 27.000 0.000
Missing 1.000 5.000 0.000
Behavioural Activation for Depression Scale Mean (SD) 79.814 (26.478) 83.571 (25.809) 0.010
Median (Q1, Q3) 79.000 (62.000, 95.250) 84.000 (66.000, 101.000) 0.010
Min - Max 0.000 150.000 0.000 150.000 0.010
Missing 1.000 10.000 0.010
Z %>%
  exhibit(profile_idx_int = 2L,
          scroll_box_args_ls = list(width = "100%"))
Outcomes by data collection round
Baseline
Follow-up
(N = 1068) (N = 643)
Age Mean (SD) 17.555 (3.090) 17.770 (3.091)
Median (Q1, Q3) 17.000 (15.000, 20.000) 18.000 (16.000, 20.000)
Min - Max 12.000 25.000 12.000 25.000
Missing 0.000 0.000
Sexual orientation Heterosexual 738.000 (71.860%) 440.000 (71.545%)
Other 289.000 (28.140%) 175.000 (28.455%)
Missing 41.000 28.000
Education and employment status Not studying or working 159.000 (15.347%) 152.000 (24.398%)
Studying and working 305.000 (29.440%) 146.000 (23.435%)
Studying only 405.000 (39.093%) 167.000 (26.806%)
Working only 167.000 (16.120%) 158.000 (25.361%)
Missing 32.000 20.000
Z %>%
  exhibit(profile_idx_int = 3L,
          scroll_box_args_ls = list(width = "100%"))
Outcomes by data collection round (with p values)
Baseline
Follow-up
(N = 1068) (N = 643) p
Kessler Psychological Distress Scale (6 Dimension) Mean (SD) 12.082 (5.603) 10.100 (5.665) 0.000
Median (Q1, Q3) 12.000 (8.000, 16.000) 10.000 (6.000, 14.000) 0.000
Min - Max 0.000 24.000 0.000 24.000 0.000
Missing 1.000 2.000 0.000
Patient Health Questionnaire Mean (SD) 12.646 (6.230) 9.736 (6.210) 0.000
Median (Q1, Q3) 13.000 (8.000, 17.000) 10.000 (5.000, 14.000) 0.000
Min - Max 0.000 27.000 0.000 27.000 0.000
Missing 4.000 2.000 0.000
Behavioural Activation for Depression Scale Mean (SD) 78.429 (25.608) 89.615 (25.205) 0.000
Median (Q1, Q3) 78.000 (61.000, 95.000) 88.000 (73.000, 106.000) 0.000
Min - Max 0.000 150.000 0.000 150.000 0.000
Missing 7.000 4.000 0.000

The depict method can create plots, comparing numeric variables by timepoint.

depict(Z,
       type_1L_chr = "by_time",
       var_nms_chr = c("c_sofas"),
       label_fill_1L_chr = "Time",#
       labels_chr = c("SOFAS"),#
       y_label_1L_chr = "")
SOFAS total scores by data collection round

SOFAS total scores by data collection round

Share data

If and only if the dataset you are working with is appropriate for public dissemination (e.g. is synthetic data), you can use the following workflow for sharing it. We can share the dataset we created for this example using the share method, specifying the repository to which we wish to publish the dataset (and for which we have write permissions) in a (Ready4useRepos object).

A <- Ready4useRepos(gh_repo_1L_chr = "ready4-dev/youthvars", # Replace with your repository 
                          gh_tag_1L_chr = "Documentation_0.0"), # (need write permissions).
A <- share(A,
           obj_to_share_xx = Z,
           fl_nm_1L_chr = "ymh_YouthvarsSeries")

Z is now available for download as the file ymh_YouthvarsSeries.RDS from the “Documentation_0.0” release of the youthvars package.