In experimental evaluations of health and social programs, the role of dosage is rarely explored because researchers cannot usually randomize individuals to experience varying dosage levels. Instead, such evaluations reveal the average effects of exposure to an intervention, although program exposure may vary widely.
Abt's Shawn Moulton and Laura Peck are co-authors on this article, which compares three analytic methods that are used to examine dosage effects: the Analysis of Symmetrically Predicted Endogenous Subgroups (ASPES) method developed by Peck, instrumental variables, and propensity score matching methods. The article provides an illustration using data from the Supporting Healthy Marriage (SHM) demonstration, which rigorously tested the effectiveness of a skills-based relationship education program that had high take-up (91 percent) but substantial variation in exposure thereafter.
For experimental evaluations of federal programs, the ASPES method shows promise as a way to investigate the relationship between treatment dosage and impact magnitude, a relationship crucial to designers and funders of public programs seeking to maximize program effectiveness. Access the full article.