Modeling clustered ordered categorical data: A survey

This article surveys various strategies for modeling ordered categorical (ordinal) response variables when the data have some type of clustering, extending a similar survey for binary data by Pendergast, Gange, Newton, Lindstrom, Palta & Fisher (1996). An important special case is when repeated measurement occurs at various occasions for each subject, such as in longitudinal studies. A much greater variety of models and fitting methods are available than when a similar survey for repeated ordinal response data was prepared a decade ago (Agresti, 1989). The primary emphasis of the review is on two classes of models, marginal models for which effects are averaged over all clusters at particular levels of predictors, and cluster-specific models for which effects apply at the cluster level. We present the two types of models in the ordinal context, review the literature for each, and discuss connections between them. Then, we summarize some alternative modeling approaches and ways of estimating parameters, including a Bayesian approach. We also discuss applications and areas likely to be popular for future research, such as ways of handling missing data and ways of modeling agreement and evaluating the accuracy of diagnostic tests. Finally, we review the current availability of software for using the methods discussed in this article.