Past exam of the mathematics course of the University of Cambridge / 2003 / iii / Paper 38 / 5 / i / Solution

The independence analysis is not justified without further assumptions. Three binary responses from the same subject generally remain correlated after conditioning on baseline covariates and treatment. The fitted independent-Bernoulli likelihood discards that correlation and gives incorrect model-based standard errors and tests if it is present. Positive within-subject correlation commonly makes those errors too small.

There is an important distinction between estimating the mean and estimating uncertainty. If the stated marginal logistic regression is correct and responses are fully observed, the independence score ${\sum }_{i,j}{w}_{ij}(Y_{ij}-m_{ij})$ still has zero expectation. With independent subjects and regularity, its root can consistently estimate marginal coefficients despite within-subject dependence; a subject-level sandwich covariance matrix is then needed. True independence is a special case in which the original standard errors would be appropriate.

Dropout creates a separate issue. Restricting that score to observed responses need not preserve its zero expectation if observation depends on the response history or unseen depression outcomes. Therefore both point estimates and uncertainty may be wrong. Neither random treatment assignment nor baseline adjustment alone establishes an ignorable missingness mechanism. We need a model matched to the scientific estimand and explicit assumptions about missing data.