Hi all,

I have a longitudinal study design of Parkinson's patients (about 8 years follow-up data) and I want to run a model that will examine how clinical variables (ex. motor function) influence functional ability. For this I wanted to run a generalized linear mixed model (GENLINMIXED) in SPSS and I am having some trouble setting it up.

My dependent (outcome) variable is the Schwab and england score, which has a skewed distribution therefore the need for a generalized model. As fixed effects I have months of follow-up, age, education, motor severity (etc. etc.). Random effects are the intercept.

Now my main problem is that in SPSS I can include a repeated measure - however it is difficult to find information on 1) whether I should include one and 2) what to put in. For example, I have seen a study including time as the repeated measure, and another which used age because age was repeated each visit?

Could anyone guide me on the use of the repeated measures in GLMM? Running the models with and without the 'repeated_measures' part gives very different results unfortunately.

I have pasted my syntax below, the bolded part is what I am confused about. EVENT_months is the visit date (0, 12 months, 24 months, etc) and FU_months is the actual months elapsed (which will be different for each participant).

GENLINMIXED

/DATA_STRUCTURE SUBJECTS=PATNO REPEATED_MEASURES=EVENT_months

COVARIANCE_TYPE=DIAGONAL

/FIELDS TARGET=MSEADLG TRIALS=NONE OFFSET=NONE

/TARGET_OPTIONS DISTRIBUTION=GAMMA LINK=LOG

/FIXED EFFECTS= FU_months AGE_AT_VISIT gender EDUCYRS race (other predictors here)USE_INTERCEPT=TRUE

/RANDOM USE_INTERCEPT=TRUE COVARIANCE_TYPE=VARIANCE_COMPONENTS SOLUTION=FALSE

/BUILD_OPTIONS TARGET_CATEGORY_ORDER=ASCENDING INPUTS_CATEGORY_ORDER=ASCENDING MAX_ITERATIONS=100

CONFIDENCE_LEVEL=95 DF_METHOD=RESIDUAL COVB=MODEL PCONVERGE=0.000001(ABSOLUTE) SCORING=0 SINGULAR=0.000000000001

/EMMEANS_OPTIONS SCALE=ORIGINAL PADJUST=LSD

/SAVE PREDICTED_VALUES(DemoPredict2).

Thanks.

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