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arXiv · 2610.34165

Population-average trajectories and slopes in smooth random changepoint mixed models

Abstract

Two-slope mixed-effects models with subject-specific changepoints are widely used to describe biphasic longitudinal trajectories. Treatment-arm summaries are often reported using a single "typical subject" curve obtained by plugging mean parameter values into the subject-specific model. This can be misleading when changepoint timing varies across individuals, because averaging subject-specific curves is not the same as evaluating one curve at average parameter values. A related issue is that individual trajectories may bend gradually rather than change slope through a literal kink, with transition sharpness varying between subjects. We propose population-average estimands for two-slope mixed models with random changepoints and smooth subject-level transitions. These estimands target the treatment-arm mean trajectory and instantaneous slope by averaging over fitted heterogeneity in changepoint timing and transition sharpness. We use a baseline-anchored normal-convolution soft hinge, which preserves the broken stick interpretation, includes the abrupt changepoint model as a limiting case, and allows analytic evaluation of the changepoint-marginalized kernels under a truncated normal changepoint distribution for fixed transition sharpness. Averaging over the fitted transition sharpness distribution is then performed by deterministic one-dimensional quadrature. In an application to HIV-1 RNA data from ACTG Protocol 315, with censoring and heavy-tailed residuals, the marginal summaries reveal a more gradual population-level transition than conventional plug-in summaries. The marginal slope remains more negative for longer, and the marginal mean continues to decline after the plug-in curve has begun to flatten. These results illustrate the main reporting implication: in random changepoint models, representative subject curves should not be treated as population-average trajectories or slopes.

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BibTeXRIS

Divan A. Burger, Sean van der Merwe, Emmanuel Lesaffre. 2026-10-25. Population-average trajectories and slopes in smooth random changepoint mixed models. https://arxiv.org/abs/2610.34165

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