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class: center, middle, inverse, title-slide



# A Visual Introduction to Propensity Score Analysis with R
## New York Open Statistical Programming Meetup
### Jason Bryer, Ph.D.
### Last updated: November 14, 2023


---
# Agenda

* Overview of causal inference
	* Counterfactuals
	* Randomized control trials
	* Rubin's Causal Model
* Propensity Score Analysis in Three Phases
	* Phase I: Estimate propensity scores and check balance
	* Phase II: Estimate causal effects
		* Matching
		* Stratification
		* Weighting
	* Phase III: Check sensitivity to unobserved confounders
		* Sensitivity analysis
		* Bootstrapping PSA
* Advanced topics in PSA
	* Matching for Non-Binary Treatments
	* Multilevel PSA

---
# Getting Started in R

Installing the `psa` package from Github with `dependencies = 'Enhances'` should install all the packages we will use in this workshop.


```r
install.packages('devtools')
remotes::install_github('jbryer/psa', build_vignettes = TRUE, dependencies = 'Enhances')
```

You can download an R script to work through the commands in this slide deck at:

https://github.com/jbryer/psa/blob/master/Slides/Intro_PSA.R

Other resources are available on Github here: https://github.com/jbryer/psa

---
class: inverse, middle, center
# Overview of Causal Inference


---
# Popularity of Propensity Score Analysis

&lt;img src="Intro_PSA_files/figure-html/popularity-1.png" style="display: block; margin: auto;" /&gt;

---
# Counterfactuals

&lt;img src="images/Causality.png" width="3099" style="display: block; margin: auto;" /&gt;

---
# The Randomized Experiment

Considered to be the *gold standard* for estimating causal effects.

* Effects can be estimated using simple means between groups, or blocks in randomized block design.

* Randomization presumes unbiasedness and balance between groups.

However, randomization is often not feasible for many reasons, especially in educational contexts.

The **strong ignorability assumption** states that:

`$$({ Y }_{ i }(1),{ Y }_{ i }(0)) \; \unicode{x2AEB} \; { T }_{ i }|{ X }_{ i }=x$$`

for all `\({X}_{i}\)`.


---
class: font80
# RCT Example



```r
set.seed(2112)
pop.mean &lt;- 100
pop.sd &lt;- 15
pop.es &lt;- .3
n &lt;- 30
thedata &lt;- data.frame(
	id = 1:30,
	center = rnorm(n, mean = pop.mean, sd = pop.sd),
	stringsAsFactors = FALSE
)
val &lt;- pop.sd * pop.es / 2
thedata$placebo &lt;- thedata$center - val
thedata$treatment &lt;- thedata$center + val
thedata$diff &lt;- thedata$treatment - thedata$placebo
thedata$RCT_Assignment &lt;- sample(c('placebo', 'treatment'), n, replace = TRUE)
thedata$RCT_Value &lt;- as.numeric(apply(thedata, 1, 
					FUN = function(x) { return(x[x['RCT_Assignment']]) }))
head(thedata, n = 3)
```

```
##   id    center   placebo treatment diff RCT_Assignment RCT_Value
## 1  1 113.86506 111.61506 116.11506  4.5      treatment 116.11506
## 2  2  95.38746  93.13746  97.63746  4.5      treatment  97.63746
## 3  3  90.60380  88.35380  92.85380  4.5      treatment  92.85380
```

```r
tab.out &lt;- describeBy(thedata$RCT_Value, group = thedata$RCT_Assignment, mat = TRUE, skew = FALSE)
```

---
# True Counterfactual



.pull-left[
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-3-1.png" style="display: block; margin: auto;" /&gt;
]

---
# True Counterfactual (left) vs. One RCT (right)

.pull-left[
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-4-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-5-1.png" style="display: block; margin: auto;" /&gt;
]


---
# True Counterfactual (left) vs. One RCT (right)

.pull-left[
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-6-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-7-1.png" style="display: block; margin: auto;" /&gt;
]

---
# Distribution of Differences from 1,000 RCTs


&lt;img src="Intro_PSA_files/figure-html/RCT_distribution-1.png" style="display: block; margin: auto;" /&gt;

---
# Rubin's Causal Model


* The causal effect of a treatment is the difference in an individual's outcome under the situation they were given the treatment and not (referred to as a counterfactual).

`$${\delta}_{i} ={ Y }_{ i1 }-{ Y }_{ i0 }$$`

* However, it is impossible to directly observe `\({\delta}_{i}\)` (referred to as *The Fundamental Problem of Causal Inference*, Holland 1986).

* Rubin frames this problem as a "missing data problem" .font70[(see Rubin, 1974, 1977, 1978, 1980, and Holland, 1986)].

&lt;center&gt;&lt;img src='images/Causality2.png' width='500' alt="Causality - Missing Values" /&gt;&lt;/center&gt;

---
# Propensity Score Analysis

The propensity score is the "conditional probability of assignment to a particular treatment given a vector of observed covariates" (Rosenbaum &amp; Rubin, 1983, p. 41). The probability of being in the treatment:
`$$\pi ({ X }_{ i }) \; \equiv \; Pr({ T }_{ i }=1|{ X }_{ i })$$`

The balancing property under exogeneity:

`$${ T }_{ i } \; \unicode{x2AEB} { X }_{ i } \;| \; \pi ({ X }_{ i })$$`

We can then restate the **ignorability assumption** with the propensity score: 

`$$({ Y }_{ i }(1),{ Y }_{ i }(0)) \; \unicode{x2AEB} \; { T }_{ i } \; | \; \pi({ X }_{ i })$$`

---
# Treatment Effects

The average treatment effect (ATE) is defined as:

`$$E({ r }_{ 1 })-E({ r }_{ 0 })$$`

where `\(E(.)\)` is the expectation in the population. For a set of covariates, `\(X\)`, and outcomes `\(Y\)` where 0 denotes control and 1 treatment, we define ATE as:

`$$ATE=E(Y_{1}-Y_{0}|X)=E(Y_{1}|X)-E(Y_{0}|X)$$`

As we will see later there are alternative treatment effects (estimands) we can estimate instead of ATE.

What Rosenbaum and Rubin (1983) proved in their seminal paper is that the propensity score is a univariate representation of the multivariate matrix. As we will see later, two observations with very similar propensity scores will look similar across all the observed covariates.

---
class: inverse, middle, center
# Propensity Score Analysis in Three Phases

---
class: font90
# Simulated Example

We will simulate a dataset with three covariates, `x1` and `x2` which are continuous and `x3` which is categorical. The assumed treatment effect is 1.5.



.pull-left[

```r
n &lt;- 500
treatment_effect &lt;- 1.5
X &lt;- mvtnorm::rmvnorm(
	n,
	mean = c(0.5, 1, 0),
	sigma = matrix(c(2, 1, 1,
					 1, 1, 1,
					 1, 1, 1), 
					 ncol = 3) )
dat &lt;- tibble(
	x1 = X[, 1],
	x2 = X[, 2],
	x3 = X[, 3] &gt; 0,
	treatment = as.numeric(- 0.5 +
						   	0.25 * x1 + 
						   	0.75 * x2 + 
						   	0.05 * x3 + 
						   	rnorm(n, 0, 1) &gt; 0),
	outcome = treatment_effect * treatment + 
		rnorm(n, 0, 1)
)
```
]
.pull-right[

```r
head(dat, n = 6)
```

```
## # A tibble: 6 × 5
##       x1    x2 x3    treatment outcome
##    &lt;dbl&gt; &lt;dbl&gt; &lt;lgl&gt;     &lt;dbl&gt;   &lt;dbl&gt;
## 1  1.35  0.744 FALSE         0  1.46  
## 2  0.149 1.55  TRUE          0 -0.924 
## 3  2.47  2.39  TRUE          1 -0.0527
## 4  2.29  1.66  TRUE          1  1.05  
## 5  2.93  2.85  TRUE          1  0.721 
## 6 -0.867 0.125 FALSE         0  0.723
```
]

---
# Scatterplot


```r
ggplot(dat, aes(x = x1, y = x2, shape = x3, color = factor(treatment))) + 
	geom_point() + scale_color_manual('Treatment', values = cols)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-10-1.png" style="display: block; margin: auto;" /&gt;


---
# Steps for Implementing Propensity Score Analysis

&lt;img src="images/PSA_Flow.png" width="90%" style="display: block; margin: auto;" /&gt;

---
# Propensity score methods

There are three major approaches for conducting PSA:

* **Stratification** Treatment and comparison units are divided into strata (or subclasses) so that treated and comparison units are similar within each strata. Cochran (1968) observed that creating five subclassifications (stratum) removes at least 90% of the bias in the estimated treatment effect.

* **Matching** - Each treatment unit is paired with a comparison unit based upon the pre-treatment covariates.

* **Weighting** Each observation is weighted by the inverse of the probability of being in that group.



---
# Stratification

Stratification involves dividing (or stratifying) the observations into subgroups based upon the propensity score. Here, we used quintiles on the propensity scores where were estimated using logistic regression. For classification trees the stratum is determined by the leaf nodes.



&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-13-1.png" style="display: block; margin: auto;" /&gt;


---
# Stratification (cont.)

Independent sample tests (e.g. *t*-tests) are conducted within each stratum and pooled to provide an overall estimate.

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-14-1.png" style="display: block; margin: auto;" /&gt;


---
# Matching

Dependent sample tests (e.g. *t*-tests) are conducted using match pairs to provide a treatment.

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-15-1.png" style="display: block; margin: auto;" /&gt;

---
# Matching Methods

There are many choices and approaches to matching, including:

* Propensity score matching.
* Limited exact matching.
* Full matching.
* Nearest neighbor matching.
* Optimal/Genetic matching.
* Mahalanobis distance matching (for quantitative covariates only).
* Matching with and without replacement.
* One-to-one or one-to-many matching.

**Which method should you use?**

*Whichever one gives the best balance!*

---
# Weighting

Propensity score weights can be used as regression weights, the specific weights depend on the desired estimand and will be provided in later slides.


&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-16-1.png" style="display: block; margin: auto;" /&gt;

---
# Shiny Application

We can explore how these three plots change as the treatment effects change using the `psa::psa_simulation_shiny()` application.



```r
psa::psa_simulation_shiny()
```

&lt;img src="images/psa_simulation_screenshot.png" width="50%" style="display: block; margin: auto;" /&gt;



---
# Phase I: Estimate Propensity Scores

.pull-left[
In this example we will use logistic regression to estimate the propensity scores.


```r
lr.out &lt;- glm(
	treatment ~ x1 + x2 + x3, 
	data = dat,	
	family = binomial(link='logit'))
dat$ps &lt;- fitted(lr.out) # Propensity scores
```

For stratification we will use quintiles to split the observations into five equal groups.


```r
breaks5 &lt;- psa::get_strata_breaks(dat$ps)
dat$strata5 &lt;- cut(
	x = dat$ps, 
	breaks = breaks5$breaks, 
	include.lowest = TRUE, 
	labels = breaks5$labels$strata)
```

]
.pull-right[.font70[

```r
summary(lr.out)
```

```
## 
## Call:
## glm(formula = treatment ~ x1 + x2 + x3, family = binomial(link = "logit"), 
##     data = dat)
## 
## Coefficients:
##             Estimate Std. Error z value Pr(&gt;|z|)    
## (Intercept)  -1.1006     0.2069  -5.319 1.04e-07 ***
## x1            0.4399     0.1266   3.476  0.00051 ***
## x2            1.9818     0.3404   5.823 5.79e-09 ***
## x3TRUE       -0.7166     0.4087  -1.753  0.07955 .  
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 658.96  on 499  degrees of freedom
## Residual deviance: 432.95  on 496  degrees of freedom
## AIC: 440.95
## 
## Number of Fisher Scoring iterations: 5
```
]]

---
# Distribution of Propensity Scores


```r
ggplot(dat) +
	geom_histogram(data = dat[dat$treatment == 1,], aes(x = ps, y = after_stat(count)), bins = 50, fill = cols[2]) +
	geom_histogram(data = dat[dat$treatment == 0,], aes(x = ps, y = -after_stat(count)), bins = 50, fill = cols[1]) +
	geom_hline(yintercept = 0, lwd = 0.5) +	scale_y_continuous(label = abs) 
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-22-1.png" style="display: block; margin: auto;" /&gt;


---
# Check Balance: Multiple Covariates


```r
PSAgraphics::cv.bal.psa(dat[,1:3], dat$treatment, dat$ps, strata = 5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-23-1.png" style="display: block; margin: auto;" /&gt;

---
# Check Balance: Single Covariate

.pull-left[

```r
PSAgraphics::box.psa(dat$x1, 
					 dat$treatment, 
					 dat$strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-24-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[

```r
PSAgraphics::cat.psa(dat$x3,
					 dat$treatment,
					 dat$strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-25-1.png" style="display: block; margin: auto;" /&gt;
]

---
# PS Weights for Understanding Treatment Effects

Given that the distribution of treatment and control observations across the propensity score range are not the same, there are a number of alternative estimates of treatment effect. We will explore three additional esimates in addition to the classic average treatment effect.


```r
dat &lt;- dat |&gt; mutate(
	ate_weight = psa::calculate_ps_weights(treatment, ps, estimand = 'ATE'),
	att_weight = psa::calculate_ps_weights(treatment, ps, estimand = 'ATT'),
	atc_weight = psa::calculate_ps_weights(treatment, ps, estimand = 'ATC'),
	atm_weight = psa::calculate_ps_weights(treatment, ps, estimand = 'ATM')
)
dat |&gt; head(n = 4)
```

```
## # A tibble: 4 × 11
##      x1    x2 x3    treatment outcome    ps strata5 ate_weight att_weight
##   &lt;dbl&gt; &lt;dbl&gt; &lt;lgl&gt;     &lt;dbl&gt;   &lt;dbl&gt; &lt;dbl&gt; &lt;fct&gt;        &lt;dbl&gt;      &lt;dbl&gt;
## 1 1.35  0.744 FALSE         0  1.46   0.725 C             3.63       2.63
## 2 0.149 1.55  TRUE          0 -0.924  0.790 D             4.76       3.76
## 3 2.47  2.39  TRUE          1 -0.0527 0.982 E             1.02       1   
## 4 2.29  1.66  TRUE          1  1.05   0.922 D             1.08       1   
## # ℹ 2 more variables: atc_weight &lt;dbl&gt;, atm_weight &lt;dbl&gt;
```


---
# Average Treatment Effect (ATE)

`$$ATE = E(Y_1 - Y_0 | X) = E(Y_1|X) - E(Y_0|X)$$`

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-27-1.png" style="display: block; margin: auto;" /&gt;

---
# Average Treatment Effect Among the Treated (ATT)

`$$ATT=E(Y_{1}-Y_{0}|X,C=1)=E(Y_{1}|X,C=1)-E(Y_{0}|X,C=1)$$`
&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-28-1.png" style="display: block; margin: auto;" /&gt;

---
# Average Treatment Effect Among the Control (ATC)

`$$ATC = E(Y_1 - Y_0 | X = 0) = E(Y_1 | X = 0) - E(Y_0 | X = 0)$$`

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-29-1.png" style="display: block; margin: auto;" /&gt;

---
# Average Treatment Effect Among the Evenly Matched

`$$ATM_d = E(Y_1 - Y_0 | M_d = 1)$$`

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-30-1.png" style="display: block; margin: auto;" /&gt;

---
# Treatment Effects for Weighting

`$$Treatment\ Effect = \frac{\sum Y_{i}Z_{i}w_{i}}{\sum Z_{i} w_{i}} - \frac{\sum Y_{i}(1 - Z_{i}) w_{i}}{\sum (1 - Z_{i}) w_{i} }$$`

Where `\(w\)` is the weight (as defined in the following sections), `\(Z_i\)` is the treatment assignment such that `\(Z = 1\)` is treatment and `\(Z = 0\)` is control, and `\(Y_i\)` is the outcome


.pull-left[
`$$w_{ATE} = \frac{Z_i}{\pi_i} + \frac{1 - Z_i}{1 - \pi_i}$$`
`$$w_{ATT} = \frac{\pi_i Z_i}{\pi_i} + \frac{\pi_i (1 - Z_i)}{1 - \pi_i}$$`
]
.pull-right[
`$$w_{ATC} = \frac{(1 - \pi_i) Z_i}{\pi_i} + \frac{(1 - e_i)(1 - Z_i)}{1 - \pi_i}$$`
`$$w_{ATM} = \frac{min\{\pi_i, 1 - \pi_i\}}{Z_i \pi_i (1 - Z_i)(1 - \pi_i)}$$`
]


---
class: font90
# Treatment Effects

.pull-left[
.font80[**Average Treatment Effect**]

```r
psa::treatment_effect(
	treatment = dat$treatment, 
	outcome = dat$outcome, 
	weights = dat$ate_weight)
```

```
## [1] 1.336979
```


```r
lm(outcome ~ treatment, 
   data = dat, 
   weights = dat$ate_weight)
```

```
## 
## Call:
## lm(formula = outcome ~ treatment, data = dat, weights = dat$ate_weight)
## 
## Coefficients:
## (Intercept)    treatment  
##      -0.044        1.337
```
]
.pull-right[
.font80[**Average Treatment Effect Among the Treated**]

```r
psa::treatment_effect(
	treatment = dat$treatment, 
	outcome = dat$outcome, 
	weights = dat$att_weight)
```

```
## [1] 1.447406
```


```r
lm(outcome ~ treatment, 
   data = dat, 
   weights = dat$att_weight)
```

```
## 
## Call:
## lm(formula = outcome ~ treatment, data = dat, weights = dat$att_weight)
## 
## Coefficients:
## (Intercept)    treatment  
##    -0.07002      1.44741
```

]

---
class: font90
# Treatment Effects (cont.)

.pull-left[
.font80[**Average Treatment Effect Among the Control**]

```r
psa::treatment_effect(
	treatment = dat$treatment, 
	outcome = dat$outcome, 
	weights = dat$atc_weight)
```

```
## [1] 1.157861
```


```r
lm(outcome ~ treatment, 
   data = dat, 
   weights = dat$atc_weight)
```

```
## 
## Call:
## lm(formula = outcome ~ treatment, data = dat, weights = dat$atc_weight)
## 
## Coefficients:
## (Intercept)    treatment  
##    0.002491     1.157861
```
]
.pull-right[
.font80[**Average Treatment Effect Among the Evenly Matched**]

```r
psa::treatment_effect(
	treatment = dat$treatment, 
	outcome = dat$outcome, 
	weights = dat$atm_weight)
```

```
## [1] 1.370067
```


```r
lm(outcome ~ treatment, 
   data = dat, 
   weights = dat$atm_weight)
```

```
## 
## Call:
## lm(formula = outcome ~ treatment, data = dat, weights = dat$atm_weight)
## 
## Coefficients:
## (Intercept)    treatment  
##    -0.02388      1.37007
```

]
---
class: inverse, middle, center
# Example: National Supported Work Demonstration


---
# National Supported Work

The National Supported Work (NSW) Demonstration was a federally and privately funded randomized experiment done in the 1970s to estimate the effects of a job training program for disadvantaged workers.


* Participants were randomly selected to participate in the training program.
* Both groups were followed up to determine the effect of the training on wages.
* Analysis of the mean differences (unbiased given randomization), was approximately $800.


Lalonde (1986) used data from the Panel Survey of Income Dynamics (PSID) and the Current Population Survey (CPS) to investigate whether non-experimental methods would result in similar results to the randomized experiment. He found results ranging from $700 to $16,000.


---
# National Supported Work (cont.)

Dehejia and Wahba (1999) later used propensity score matching to analyze the data. The found that,

* Comparison groups selected by Lalonde were very dissimilar to the treated group.
* By restricting the comparison group to those that were similar to the treated group, they could replicate the original NSW results.
* Using the CPS data, the range of treatment effect was between $1,559 to $1,681. The experimental results for the sample sample was approximately $1,800.

The covariates available include: age, education level, high school degree, marital status, race, ethnicity, and earning sin 1974 and 1975.

Outcome of interest is earnings in 1978.


```r
data(lalonde, package='Matching')
```


---
class: font90
# Estimating Propensity Scores

.pull-left[
Estimate propensity scores using logistic regression.


```r
lalonde.formu &lt;- treat ~ age + educ + black + hisp +
	married + nodegr + re74 + re75
glm1 &lt;- glm(lalonde.formu, 
			data = lalonde,
			family = binomial(link = 'logit'))
```

Get the propensity scores:


```r
lalonde$ps &lt;- fitted(glm1)
```

Define the stratification: 


```r
strata5 &lt;- cut(lalonde$ps, 
			   quantile(lalonde$ps, seq(0, 1, 1/5)), 
			   include.lowest = TRUE, 
			   labels = letters[1:5])
```
]
.pull-right[
.font70[

```r
summary(glm1)
```

```
## 
## Call:
## glm(formula = lalonde.formu, family = binomial(link = "logit"), 
##     data = lalonde)
## 
## Coefficients:
##               Estimate Std. Error z value Pr(&gt;|z|)   
## (Intercept)  1.178e+00  1.056e+00   1.115  0.26474   
## age          4.698e-03  1.433e-02   0.328  0.74297   
## educ        -7.124e-02  7.173e-02  -0.993  0.32061   
## black       -2.247e-01  3.655e-01  -0.615  0.53874   
## hisp        -8.528e-01  5.066e-01  -1.683  0.09228 . 
## married      1.636e-01  2.769e-01   0.591  0.55463   
## nodegr      -9.035e-01  3.135e-01  -2.882  0.00395 **
## re74        -3.161e-05  2.584e-05  -1.223  0.22122   
## re75         6.161e-05  4.358e-05   1.414  0.15744   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 604.20  on 444  degrees of freedom
## Residual deviance: 587.22  on 436  degrees of freedom
## AIC: 605.22
## 
## Number of Fisher Scoring iterations: 4
```
]
]

---
# Checking Balance: Covariate Balance Plot


```r
covars &lt;- all.vars(lalonde.formu)
covars &lt;- lalonde[,covars[2:length(covars)]]
cv.bal.psa(covars, lalonde$treat, lalonde$ps, strata = 5)
```

&lt;img src="Intro_PSA_files/figure-html/cvbalpsa-1.png" style="display: block; margin: auto;" /&gt;

---
# Checking Balance: Continuous Covariates

.pull-left[

```r
box.psa(lalonde$age, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-44-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[

```r
box.psa(lalonde$re74, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-45-1.png" style="display: block; margin: auto;" /&gt;
]


---
# Checking Balance: Continuous Covariates (cont.)

.pull-left[

```r
box.psa(lalonde$educ, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-46-1.png" style="display: block; margin: auto;" /&gt;

]
.pull-right[

```r
box.psa(lalonde$re75, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-47-1.png" style="display: block; margin: auto;" /&gt;
]

---
# Checking Balance: Categorical Covariates

.pull-left[

```r
cat.psa(lalonde$married, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-48-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[

```r
cat.psa(lalonde$hisp, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-49-1.png" style="display: block; margin: auto;" /&gt;
]

---
# Checking Balance: Categorical Covariates (cont.)

.pull-left[

```r
cat.psa(lalonde$black, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-50-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[

```r
cat.psa(lalonde$nodegr, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-51-1.png" style="display: block; margin: auto;" /&gt;
]

---
# Loess Regression

&lt;img src="Intro_PSA_files/figure-html/loessplot-1.png" style="display: block; margin: auto;" /&gt;

---
# Stratification

.pull-left[

```r
psa::stratification_plot(ps = psadf$ps,
						 treatment = psadf$Tr,
						 outcome = psadf$Y,
						 n_strata = 5)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-52-1.png" style="display: block; margin: auto;" /&gt;
]
.pull-right[

```r
psa::stratification_plot(ps = psadf$ps,
						 treatment = psadf$Tr,
						 outcome = psadf$Y,
						 n_strata = 10)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-53-1.png" style="display: block; margin: auto;" /&gt;
]

---
# Stratification (cont.)

.pull-left[

```r
strata5 &lt;- cut(lalonde$ps, 
			   quantile(lalonde$ps, seq(0, 1, 1/5)), 
			   include.lowest = TRUE, 
			   labels = letters[1:5])
circ.psa(lalonde$re78, lalonde$treat, strata5)
```

&lt;img src="Intro_PSA_files/figure-html/circpsa5-1.png" style="display: block; margin: auto;" /&gt;
]

.pull-right[

```r
strata10 &lt;- cut(lalonde$ps, 
				quantile(lalonde$ps, seq(0, 1, 1/10)), 
				include.lowest = TRUE,
				labels = letters[1:10])
circ.psa(lalonde$re78, lalonde$treat, strata10)
```

&lt;img src="Intro_PSA_files/figure-html/circpsa10-1.png" style="display: block; margin: auto;" /&gt;
]

---
class: font60
# Stratification (cont.)

.pull-left[

```
## $summary.strata
##   n.0 n.1  means.0  means.1
## a  62  27 5126.493 5178.073
## b  59  30 3855.200 6496.695
## c  56  33 4586.869 4495.076
## d  42  47 4814.028 6059.232
## e  41  48 4387.692 8474.201
## 
## $wtd.Mn.0
## [1] 4554.056
## 
## $wtd.Mn.1
## [1] 6140.655
## 
## $ATE
## [1] 1586.599
## 
## $se.wtd
## [1] 693.5067
## 
## $approx.t
## [1] 2.287792
## 
## $df
## [1] 435
## 
## $CI.95
## [1]  223.5584 2949.6395
```
]

.pull-right[

```
## $summary.strata
##   n.0 n.1  means.0  means.1
## a  35  10 6339.437 7019.962
## b  27  17 3554.157 4094.609
## c  31  16 3430.148 4356.532
## d  28  14 4325.792 8942.596
## e  30  15 4932.648 4710.588
## f  26  18 4187.895 4315.483
## g  22  22 4755.015 6148.795
## h  20  25 4878.944 5980.416
## i  16  28 1375.014 9276.448
## j  25  20 6315.806 7351.056
## 
## $wtd.Mn.0
## [1] 4414.111
## 
## $wtd.Mn.1
## [1] 6195.262
## 
## $ATE
## [1] 1781.151
## 
## $se.wtd
## [1] 710.5964
## 
## $approx.t
## [1] 2.506559
## 
## $df
## [1] 425
## 
## $CI.95
## [1]  384.4306 3177.8724
```
]


---
# Matching


```r
rr &lt;- Match(Y = lalonde$re78, 
			Tr = lalonde$treat, 
			X = lalonde$ps, 
			M = 1,
			estimand = 'ATT',
			ties = FALSE)
summary(rr)
```

```
## 
## Estimate...  2579.8 
## SE.........  637.69 
## T-stat.....  4.0456 
## p.val......  5.2189e-05 
## 
## Original number of observations..............  445 
## Original number of treated obs...............  185 
## Matched number of observations...............  185 
## Matched number of observations  (unweighted).  185
```


---
# Visualizing Matching Results


```r
matches &lt;- data.frame(Treat = lalonde[rr$index.treated,'re78'],
					  Control = lalonde[rr$index.control,'re78'])
granovagg.ds(matches[,c('Control','Treat')], xlab = 'Treat', ylab = 'Control')
```

&lt;img src="Intro_PSA_files/figure-html/granovaggds-1.png" style="display: block; margin: auto;" /&gt;


---
# Balance for Matching



```r
psa::MatchBalance(df = lalonde, formu = lalonde.formu,
				  formu.Y = update.formula(lalonde.formu, re78 ~ .),
				  M = 1, estimand = 'ATT', ties = FALSE) |&gt; plot()
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-57-1.png" style="display: block; margin: auto;" /&gt;


---
# Balance for Matching (cont.)


```r
psa::MatchBalance(df = lalonde, formu = lalonde.formu,
				  formu.Y = update.formula(lalonde.formu, re78 ~ .),
*			  exact.covs = c('nodegr'),
				  M = 1, estimand = 'ATT', ties = FALSE) |&gt; plot()
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-58-1.png" style="display: block; margin: auto;" /&gt;


---
class: inverse, middle, center
# Sensitivity Analysis

&lt;!-- Some of this section is from http://sekhon.berkeley.edu/causalinf/fa2013/Section/Section11Slides.pdf --&gt;

---
# Sensitivity Analysis

* An observational study is free of hidden bias if the propensity scores for each subject depend only on the observed covariates.
* That is, the *p*-value is valid *if* there are no unobserved confounders.
* However, there are very likely covariates that would better model treatment. These introduce hidden bias.
* Hidden bias exists if two subjects have the same covariates, but different propensity scores.

`\(X_a = X_b\)` but `\({ \pi  }_{ a }\neq { \pi  }_{ b }\)` for some a and b.



---
# Sensitivity Analysis

Each person in the treatment is matched to exactly one person in the control. The odds of being in the treatment for persons a and b are:


`\(O_a = \frac{  \pi_a }{ 1 - \pi_a }\)` and `\(O_b = \frac{  \pi_b }{ 1 - \pi_b }\)`

The ratio of these odds, `\(\Gamma\)`, measures the bias after matching.

`$$\Gamma =\frac { { O }_{ a } }{ { O }_{ b } } =\frac { { { \pi  }_{ a } / ( }{ 1-{ \pi  }_{ a }) } }{ { { \pi  }_{ b } / (1-{ \pi  }_{ b }) } }$$`
   
This is the ratio of the odds the treated unit being in the treatment group to the matched control unit being in the treatment group.



---
# Sensitivity Analysis

Sensitivity analysis tests whether the results hold for various ranges of `\(\Gamma\)`. That is, we test how large the differences in `\(\pi\)` (i.e. propensity scores) would have to be to change our basic inference. Let `\(p_a\)` and `\(p_b\)` be the probability of each unit of the matched pair being treated, conditional on exactly one being treated. For example:

* If `\(\Gamma = 1\)`, the treatment and control unit within each pair has the same value of treatment assignment ( `\(p_a = 0.5\)` and `\(p_b = 0.5\)`).
* If `\(\frac{1}{2} \le \Gamma \le 2\)`, no unit can be more than twice as likely as its match to get treated ( `\(0.33 \le p_a\)`, `\(p_b \le 0.66\)`).
* If `\(\frac{1}{3} \le \Gamma \le 3\)`, no unit can be more than three times as likely as its match to get treated ( `\(0.25 \le p_a\)`, `\(p_b \le 0.75\)`)

To get the bounds:

$$ \frac{1}{\Gamma +1 } \le p_a, p_b \le \frac{\Gamma}{\Gamma +1} $$


---
# Wilcoxon Signed Rank Test

* Drop pairs where the matches have the same outcome.

* Calculate the difference in outcomes within each pair.

* Rank the pairs from smallest absolute difference to largest absolute difference (i.e. the smallest = 1).

* Take the sum of the ranks where the treated unit had the higher outcome.

`$$W=\left| \sum _{ 1 }^{ { N }_{ r } }{ sgn({ x }_{ T,i }-{ x }_{ C,i })\cdot { R }_{ i } }  \right|$$`
Where `\(N\)` is the number of ranked pairs; `\(R_i\)` is the rank for pair *r*; `\(x_{T,i}\)` and `\(x_{C,i}\)` are the outcomes for the `\(i^{th}\)` treated and control pair, respectively.



---
# Sensitivity Analysis

The process for sensitivity analysis:

* Select a series of values for `\(\Gamma\)`. For social science research, values between 1 and 2 is an appropriate start.

* For each `\(\Gamma\)`, estimate the *p*-values to see how the *p*-values increase for larger values of `\(\Gamma\)`.

* For binary outcomes, use McNemar's test, for all others use Wilcoxon sign rank test and the Hodges-Lehmann point estimate. See Keele (2010) for more information.



---
# Sensitivity Analysis

Children of parents who had worked in a factory where lead was used in making batteries were matched by age, exposure to traffic, and neighborhood with children whose parents did not work in lead-related industries. Whole blood was assessed for lead content yielding measurements in mg/dl


```r
require(rbounds)
psens(lalonde$re78[rr$index.treated], 
	  lalonde$re78[rr$index.control],
	  Gamma = 2, GammaInc = 0.1)
```

```
## 
##  Rosenbaum Sensitivity Test for Wilcoxon Signed Rank P-Value 
##  
## Unconfounded estimate ....  2e-04 
## 
##  Gamma Lower bound Upper bound
##    1.0       2e-04      0.0002
##    1.1       0e+00      0.0016
##    1.2       0e+00      0.0069
##    1.3       0e+00      0.0215
##    1.4       0e+00      0.0527
##    1.5       0e+00      0.1066
##    1.6       0e+00      0.1851
##    1.7       0e+00      0.2846
##    1.8       0e+00      0.3968
##    1.9       0e+00      0.5117
##    2.0       0e+00      0.6199
## 
##  Note: Gamma is Odds of Differential Assignment To
##  Treatment Due to Unobserved Factors 
## 
```


---
class: inverse, middle, center
# Bootstrapping Propensity Score Analysis


---
# Boostrapping

* Bootstrapping was first introduced by Efron (1979) in [*Bootstrap Methods: Another Look at the Jackknife*](https://projecteuclid.org/euclid.aos/1176344552).

* Estimates confidence of statistics by resampling *with* replacement.

* The *bootstrap sample* provides an estimate of the sampling distribution.

For PSA, sensitivity analysis is only well defined for matched samples.

Rosenbaum (2012) suggested that one way to test for sensitivity of model selection is to [test the null hypothesis twice](https://www.jstor.org/stable/41720732).

---
# Bootstrapping Propensity Score Analysis

The `PSAboot` implements bootstrapping for propensity score analysis.

1. A stratified bootstrap sample is drawn to ensure the ratio of treatment-to-control observations is the same (i.e. sampling with replacement is done for the treatment and control observations is done separately). Note that the `control.ratio` and `treat.ratio` parameters allow for under sampling in the case of imbalanced data.

2. For each bootstrap sample balance statistics and treatment effects are estimated using each method (five by default).

3. Overall treatment effect with confidence interval is estimated from the bootstrap samples.


---
# PSA Bootstrapping Example


```r
library(PSAboot)
psaboot &lt;- PSAboot(Tr = lalonde$treat,
				   Y = lalonde$re78,
				   X = lalonde,
				   formu = lalonde.formu)
```

```r
summary(psaboot)
```

```
## Stratification Results:
##    Complete estimate = 1587
##    Complete CI = [224, 2950]
##    Bootstrap pooled estimate = 1610
##    Bootstrap weighted pooled estimate = 1558
##    Bootstrap pooled CI = [234, 2985]
##    68% of bootstrap samples have confidence intervals that do not span zero.
##       68% positive.
##       0% negative.
## ctree Results:
##    Complete estimate = 1598
##    Complete CI = [-6.62, 3203]
##    Bootstrap pooled estimate = 1654
##    Bootstrap weighted pooled estimate = 1643
##    Bootstrap pooled CI = [228, 3080]
##    37.1% of bootstrap samples have confidence intervals that do not span zero.
##       37.1% positive.
##       0% negative.
## rpart Results:
##    Complete estimate = 1332
##    Complete CI = [-295, 2959]
##    Bootstrap pooled estimate = 1529
##    Bootstrap weighted pooled estimate = 1537
##    Bootstrap pooled CI = [24.7, 3034]
##    31% of bootstrap samples have confidence intervals that do not span zero.
##       31% positive.
##       0% negative.
## Matching Results:
##    Complete estimate = 1827
##    Complete CI = [1210, 2444]
##    Bootstrap pooled estimate = 1494
##    Bootstrap weighted pooled estimate = 1463
##    Bootstrap pooled CI = [-297, 3285]
##    84% of bootstrap samples have confidence intervals that do not span zero.
##       84% positive.
##       0% negative.
## MatchIt Results:
##    Complete estimate = 2031
##    Complete CI = [797, 3266]
##    Bootstrap pooled estimate = 1899
##    Bootstrap weighted pooled estimate = 1907
##    Bootstrap pooled CI = [410, 3389]
##    78% of bootstrap samples have confidence intervals that do not span zero.
##       78% positive.
##       0% negative.
## Weighting Results:
##    Complete estimate = 1641
##    Complete CI = [380, 2902]
##    Bootstrap pooled estimate = 1622
##    Bootstrap weighted pooled estimate = 1602
##    Bootstrap pooled CI = [227, 3016]
##    75% of bootstrap samples have confidence intervals that do not span zero.
##       75% positive.
##       0% negative.
```

---
# Checking Balance


```r
psaboot_bal &lt;- balance(psaboot)
plot(psaboot_bal)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-60-1.png" style="display: block; margin: auto;" /&gt;

---
# Plotting all Boostrap Samples


```r
plot(psaboot)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-61-1.png" style="display: block; margin: auto;" /&gt;

---
# Boxplot of Boostrapping PSA


```r
boxplot(psaboot)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-62-1.png" style="display: block; margin: auto;" /&gt;

---
# Comparing Across PSA Methods


```r
matrixplot(psaboot)
```

&lt;img src="Intro_PSA_files/figure-html/unnamed-chunk-63-1.png" style="display: block; margin: auto;" /&gt;

---
class: inverse, middle, center
# Matching of Non-Binary Treatments

---
# Matching of Non-Binary Treatments





* The `TriMatch` package provides functions for finding matched triplets.
* Estimates propensity scores for three separate logistic regression models (one for each pair of groups, that is, treat1-to-control, treat2-to-control, and treat1-to-treat2).
* Finds matched triplets that minimize the total distance (i.e. sum of the standardized distance between propensity scores within the three models). within a caliper.
* Provides multiple methods for determining which matched triplets are retained:
* Optimal which attempts to retain all treatment units.
* Full which retains all matched triplets within the specified caliper (.25 by default as suggested by Rosenbaum).
* Analog of the one-to-many for matched triplets. Specify how many times each treat1 and treat2 unit can be matched.
* Unique which allows each unit to be matched once, and only once.
* Functions for conducting repeated measures ANOVA and Freidman Ranksum Tests are provided.


---
# Example: Tutoring

Students can opt to utilize tutoring services to supplement math courses. Of those who used tutoring services, approximately 58% of students used the tutoring service once, whereas the remaining 42% used it more than once. Outcome of interest is course grade.

* **Military** Active military status.
* **Income** Income level.
* **Employment** Employment level.
* **NativeEnglish** Is English their native language
* **EdLevelMother** Education level of their mother.
* **EdLevelFather** Education level of their father.
* **Ethnicity** American Indian or Alaska Native, Asian, Black or African American, Hispanic, Native Hawaiian or Other Pacific Islander, Two or more races, Unknown, White
* **Gender** Male, Female
* **Age** Age at course start.
* **GPA** Student GPA at the beginning of the course.





---
# New Student Outreach: Covariates

Newly enrolled students received outreach contacts until they registered for a course or six months have passed, whichever came first. Outreach was conducted by two academic advisors and a comparison group was drawn from students who enrolled prior to the start of the outreach program. Outcome of interest is number of credits attempted within the first seven months of enrollment.



---
# PSA for Non-Binary Treatments

The `TriMatch` algorithm works as follows:

1. Estimate three separate propensity score models for each pair of groups (i.e. Control-to-Treat1, Control-to-Treat2, Treat1-to-Treat2).
2. Determine the matching order. The default is to start with the largest of two treatments, then the other treatment, followed by the control.
3. For each unit in group 1, find all units from group 2 within a certain threshold (i.e. difference between PSs is within a specified caliper).
4. For each unit in group 2, find all units from group 3 within a certain threshold.
5. Calculate the distance (difference) between each unit 3 found and the original unit 1. Eliminate candidates that exceed the caliper.
6. Calculate a total distance (sum of the three distances) and retain the smallest unique *M* group 1 units (by default *M*=2)


---
# Matching Triplets

&lt;img src="Intro_PSA_files/figure-html/triangleplot-1.png" style="display: block; margin: auto;" /&gt;


---
# Checking Balance

&lt;img src="Intro_PSA_files/figure-html/balanceplot-1.png" style="display: block; margin: auto;" /&gt;


---
# Results

&lt;img src="Intro_PSA_files/figure-html/boxdiff-1.png" style="display: block; margin: auto;" /&gt;


---
class: inverse, middle, center
# Multilevel Propensity Score Analysis

---
# Multilevel PSA

The use of PSA for clustered, or multilevel data, has been limited (Thoemmes \&amp; Felix, 2011). Bryer and Pruzek (2012, 2013) have introduced an approach to analyzing multilevel or clustered data using stratification methods and implemented in the `multilevelPSA` R package.

* Exact and partially exact matching methods implicitly adjust for clustering. That is, the covariates chosen to exactly match are, in essence, clustering variables.
* Exact matching only applies to phase I of PSA. How are the clusters related to outcome of interest.
  
The `multilevelPSA` uses stratification methods (e.g. quintiles, classification trees) by:

* Estimate separate propensity scores for each cluster.
* Identify strata within each cluster (e.g. leaves of classification trees, quintiles).
* Estimate ATE (or ATT) within each cluster.
* Aggregate estimated ATE to provide an overall ATE estimate.
* Several functions to summarize and visualize results and check balance.




---
# The Programme of International Student Assessment

* International assessment conducted by the Organization for Economic Co-operation and Development (OECD).

* Assesses students towards the end of secondary school (approximately 15-year-old children) in math, reading, and science.

* Collects a robust set of background information from students, parents, teachers, and schools.

* Assess both private and public school students in many countries.

* We will use PISA to estimate the effects of private school attendance on PISA outcomes.


---
# Phase I of Multilevel PSA

The `multilevelPSA` provides two functions, `mlpsa.ctree` and `mlpsa.logistic`, that will estimate propensity scores using classification trees and logistic regression, respectively. Since logistic regression requires a complete dataset (i.e. no missing values), we will use classification trees in this example.

```r
data(pisana)
data(pisa.colnames)
data(pisa.psa.cols)
student = pisana
mlctree = mlpsa.ctree(student[,c('CNT','PUBPRIV',pisa.psa.cols)], 
					  formula=PUBPRIV ~ ., level2='CNT')
student.party = getStrata(mlctree, student, level2='CNT')
student.party$mathscore = apply(
student.party[,paste0('PV', 1:5, 'MATH')], 1, sum) / 5
```

To assess what covariates were used in each tree model, as well as the relative importance, we can create a heat map of covariate usage by level.



---
# Covariate Heat Map


```r
tree.plot(mlctree, level2Col=student$CNT, colLabels=pisa.colnames[,c('Variable','ShortDesc')])
```

&lt;img src="Intro_PSA_files/figure-html/mlpsatreeplot-1.png" style="display: block; margin: auto;" /&gt;


---
# Phase II of Multilevel PSA

The `mlpsa` function will compare the outcome of interest.


```r
results.psa.math = mlpsa(response=student.party$mathscore, 
						 treatment=student.party$PUBPRIV, strata=student.party$strata, 
						 level2=student.party$CNT, minN=5)
results.psa.math$overall.wtd
```

```
## [1] -28.02406
```

```r
results.psa.math$overall.ci
```

```
## [1] -31.30261 -24.74552
```

```r
results.psa.math$level2.summary[,c('level2','Private','Private.n',
'Public','Public.n','diffwtd','ci.min','ci.max')]
```

```
##   level2  Private Private.n   Public Public.n    diffwtd    ci.min     ci.max
## 1    CAN 578.6262      1625 512.7997    21093 -65.826528 -72.08031 -59.572751
## 2    MEX 429.5247      4044 422.9746    34090  -6.550102 -10.04346  -3.056743
## 3    USA 505.2189       345 484.8212     4888 -20.397746 -32.03916  -8.756334
```

---
# Multilevel PSA Assessment Plot
The multilevel PSA assessment plot is an extension of the `circ.psa` plot in `PSAgraphics` introduced by Helmreich and Pruzek (2009).


```r
plot(results.psa.math)
```

&lt;img src="Intro_PSA_files/figure-html/mlpsaplot-1.png" style="display: block; margin: auto;" /&gt;


---
# Multilevel PSA Difference Plot

&lt;img src="Intro_PSA_files/figure-html/mlpsadiffplot-1.png" style="display: block; margin: auto;" /&gt;

---
class: inverse, middle, center
# Shiny Application

---
# Shiny Application


```r
psa::psa_shiny()
```

&lt;img src="images/shiny_screenshot.png" width="643" style="display: block; margin: auto;" /&gt;

---
class: inverse, right, middle, hide-logo

&lt;!--img src="images/hex/DATA606.png" width="150px"/--&gt;

# Thank You!

[&lt;svg viewBox="0 0 512 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"&gt;  &lt;path d="M440 6.5L24 246.4c-34.4 19.9-31.1 70.8 5.7 85.9L144 379.6V464c0 46.4 59.2 65.5 86.6 28.6l43.8-59.1 111.9 46.2c5.9 2.4 12.1 3.6 18.3 3.6 8.2 0 16.3-2.1 23.6-6.2 12.8-7.2 21.6-20 23.9-34.5l59.4-387.2c6.1-40.1-36.9-68.8-71.5-48.9zM192 464v-64.6l36.6 15.1L192 464zm212.6-28.7l-153.8-63.5L391 169.5c10.7-15.5-9.5-33.5-23.7-21.2L155.8 332.6 48 288 464 48l-59.4 387.3z"&gt;&lt;/path&gt;&lt;/svg&gt; jason.bryer@cuny.edu](mailto:jason.bryer@cuny.edu)  
[&lt;svg viewBox="0 0 496 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"&gt;  &lt;path d="M165.9 397.4c0 2-2.3 3.6-5.2 3.6-3.3.3-5.6-1.3-5.6-3.6 0-2 2.3-3.6 5.2-3.6 3-.3 5.6 1.3 5.6 3.6zm-31.1-4.5c-.7 2 1.3 4.3 4.3 4.9 2.6 1 5.6 0 6.2-2s-1.3-4.3-4.3-5.2c-2.6-.7-5.5.3-6.2 2.3zm44.2-1.7c-2.9.7-4.9 2.6-4.6 4.9.3 2 2.9 3.3 5.9 2.6 2.9-.7 4.9-2.6 4.6-4.6-.3-1.9-3-3.2-5.9-2.9zM244.8 8C106.1 8 0 113.3 0 252c0 110.9 69.8 205.8 169.5 239.2 12.8 2.3 17.3-5.6 17.3-12.1 0-6.2-.3-40.4-.3-61.4 0 0-70 15-84.7-29.8 0 0-11.4-29.1-27.8-36.6 0 0-22.9-15.7 1.6-15.4 0 0 24.9 2 38.6 25.8 21.9 38.6 58.6 27.5 72.9 20.9 2.3-16 8.8-27.1 16-33.7-55.9-6.2-112.3-14.3-112.3-110.5 0-27.5 7.6-41.3 23.6-58.9-2.6-6.5-11.1-33.3 2.6-67.9 20.9-6.5 69 27 69 27 20-5.6 41.5-8.5 62.8-8.5s42.8 2.9 62.8 8.5c0 0 48.1-33.6 69-27 13.7 34.7 5.2 61.4 2.6 67.9 16 17.7 25.8 31.5 25.8 58.9 0 96.5-58.9 104.2-114.8 110.5 9.2 7.9 17 22.9 17 46.4 0 33.7-.3 75.4-.3 83.6 0 6.5 4.6 14.4 17.3 12.1C428.2 457.8 496 362.9 496 252 496 113.3 383.5 8 244.8 8zM97.2 352.9c-1.3 1-1 3.3.7 5.2 1.6 1.6 3.9 2.3 5.2 1 1.3-1 1-3.3-.7-5.2-1.6-1.6-3.9-2.3-5.2-1zm-10.8-8.1c-.7 1.3.3 2.9 2.3 3.9 1.6 1 3.6.7 4.3-.7.7-1.3-.3-2.9-2.3-3.9-2-.6-3.6-.3-4.3.7zm32.4 35.6c-1.6 1.3-1 4.3 1.3 6.2 2.3 2.3 5.2 2.6 6.5 1 1.3-1.3.7-4.3-1.3-6.2-2.2-2.3-5.2-2.6-6.5-1zm-11.4-14.7c-1.6 1-1.6 3.6 0 5.9 1.6 2.3 4.3 3.3 5.6 2.3 1.6-1.3 1.6-3.9 0-6.2-1.4-2.3-4-3.3-5.6-2z"&gt;&lt;/path&gt;&lt;/svg&gt; @jbryer](https://github.com/jbryer)  
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[&lt;svg viewBox="0 0 512 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"&gt;  &lt;path d="M326.612 185.391c59.747 59.809 58.927 155.698.36 214.59-.11.12-.24.25-.36.37l-67.2 67.2c-59.27 59.27-155.699 59.262-214.96 0-59.27-59.26-59.27-155.7 0-214.96l37.106-37.106c9.84-9.84 26.786-3.3 27.294 10.606.648 17.722 3.826 35.527 9.69 52.721 1.986 5.822.567 12.262-3.783 16.612l-13.087 13.087c-28.026 28.026-28.905 73.66-1.155 101.96 28.024 28.579 74.086 28.749 102.325.51l67.2-67.19c28.191-28.191 28.073-73.757 0-101.83-3.701-3.694-7.429-6.564-10.341-8.569a16.037 16.037 0 0 1-6.947-12.606c-.396-10.567 3.348-21.456 11.698-29.806l21.054-21.055c5.521-5.521 14.182-6.199 20.584-1.731a152.482 152.482 0 0 1 20.522 17.197zM467.547 44.449c-59.261-59.262-155.69-59.27-214.96 0l-67.2 67.2c-.12.12-.25.25-.36.37-58.566 58.892-59.387 154.781.36 214.59a152.454 152.454 0 0 0 20.521 17.196c6.402 4.468 15.064 3.789 20.584-1.731l21.054-21.055c8.35-8.35 12.094-19.239 11.698-29.806a16.037 16.037 0 0 0-6.947-12.606c-2.912-2.005-6.64-4.875-10.341-8.569-28.073-28.073-28.191-73.639 0-101.83l67.2-67.19c28.239-28.239 74.3-28.069 102.325.51 27.75 28.3 26.872 73.934-1.155 101.96l-13.087 13.087c-4.35 4.35-5.769 10.79-3.783 16.612 5.864 17.194 9.042 34.999 9.69 52.721.509 13.906 17.454 20.446 27.294 10.606l37.106-37.106c59.271-59.259 59.271-155.699.001-214.959z"&gt;&lt;/path&gt;&lt;/svg&gt; github.com/jbryer/psa](https://github.com/jbryer/psa)   


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