Example
The figure below illustrates a hypothetical dynamic treatment regime for Attention Deficit Hyperactivity Disorder (ADHD). There are two decision points in this DTR. The initial treatment decision depends on the patient's baseline disease severity. The second treatment decision is a "responder/non-responder" decision: At some time after receiving the first treatment, the patient is assessed for response, i.e. whether or not the initial treatment has been effective. If so, that treatment is continued. If not, the patient receives a different treatment. In this example, for those who did not respond to initial medication, the second "treatment" is a package of treatments—it is the initial treatment plus behavior modification therapy. "Treatments" can be defined as whatever interventions are appropriate, whether they take the form of medications or other therapies.
Read more about this topic: Dynamic Treatment Regime
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