Two Ways to Describe Treatment Support
In a longitudinal study, treatment is assigned at several decision times. At each time, the available treatment choices may depend on what has happened so far. Positivity can therefore be described at two levels: the probability of a treatment choice conditional on the current observed history, or the probability of observing a complete treatment sequence. These statements concern related probabilities, but they do not make the same claim.
Write \(A_t\) for treatment at decision time \(t\), \(X\) for baseline covariates, and \(H_t\) for the observed information available immediately before \(A_t\) is assigned. Thus \(H_t\) includes \(X\), prior treatments, and relevant covariate history. For a finite number \(T\) of decision times, write \(\bar A=(A_1,\ldots,A_T)\) for the treatment sequence. The discussion below uses discrete variables so that histories and probabilities can be written as sums.
The qualification “in the relevant support” matters. A conditional probability at a history with zero probability is not estimated from the observed data, and it is not a meaningful empirical requirement there. When assessing a proposed treatment sequence, sequential positivity needs to hold at histories that can arise after its preceding treatments, not merely at histories that happen to be common overall.
How the Probabilities Relate
For two decision times, let \(L\) denote the covariate history observed between \(A_1\) and \(A_2\), and suppose it is included in \(H_2\). The chain rule gives
The sum over \(l\) is essential: a complete treatment sequence can occur through any intermediate covariate history that has positive probability after the first treatment. The sequence probability is not generally the product of two treatment probabilities evaluated at one fixed history. For more decision times, repeated use of the chain rule gives a sum over covariate-history paths, with the treatment probabilities conditioned on the history at each decision.
Proof. In the displayed chain-rule expression, the first factor is positive. The sum has at least one term with \(P(L=l\mid A_1=a_1,X=x)>0\), since these conditional probabilities sum to one. For every such term, the second probability in the product is positive by assumption. Thus at least one summand is positive, all summands are nonnegative, and the whole sum is positive. Multiplying by the positive first factor proves the result. \(\square\)
Worked Example: From Decision-Level Probabilities to Sequence Probability
Suppose \(X\) is fixed, \(P(A_1=1\mid X)=0.4\), and after \(A_1=1\), the intermediate covariate \(L\) is 0 with probability 0.75 and 1 with probability 0.25. At the second decision, suppose \(P(A_2=1\mid A_1=1,L=0)=0.2\) and \(P(A_2=1\mid A_1=1,L=1)=0.8\). Find the probability of the sequence \((A_1,A_2)=(1,1)\).
First average the second-decision treatment probability over the histories that can follow \(A_1=1\):
Then apply the chain rule:
Equivalently, the two history-specific contributions are \(0.4(0.75)(0.2)=0.06\) and \(0.4(0.25)(0.8)=0.08\); their sum is \(0.14\). Both second-decision probabilities are positive, and the complete sequence consequently has positive probability.
Sequential Positivity Is Stronger Than Sequence Positivity
For a fixed baseline value and specified treatment sequences, sequential positivity implies joint treatment-sequence positivity under a support condition: at each decision, the required treatment must have positive probability at every history that can arise after the preceding treatments. In finite discrete settings, this follows by induction over decision times.
Proof. The claim holds for the one-treatment prefix because \(P(A_1=a_1\mid X=x)>0\). Suppose the prefix through time \(t-1\) has positive probability conditional on \(X=x\). Conditional on that prefix and \(X=x\), the possible histories \(H_t\) have probabilities summing to one. There is at least one such history with positive conditional probability. By the assumption, the conditional probability of \(A_t=a_t\) is positive at every history with positive conditional probability. Therefore
Multiplying this positive conditional probability by the positive probability of the prefix shows that the prefix through time \(t\) has positive probability. Induction through \(T\) proves the result. \(\square\)
The converse does not hold. A treatment sequence may have positive probability because it occurs in one subset of histories, even though a required treatment is impossible in another history. The sequence-level probability averages over those histories and can conceal that gap.
Worked Example: Positive Sequences Despite a Conditional Zero
Fix \(X=x\). Let \(A_1\) be 0 or 1, each with probability 0.5. Let \(L\) be 0 or 1, each with probability 0.5 after either first treatment. At the second decision, set \(A_2=L\) with probability one: \(P(A_2=1\mid A_1,L=0)=0\) and \(P(A_2=1\mid A_1,L=1)=1\).
All four complete treatment sequences have positive probability. For either \(a_1\in\{0,1\}\),
Yet sequential positivity for \(A_2\) fails: at history \(L=0\), treatment \(A_2=1\) has probability zero, and at \(L=1\), treatment \(A_2=0\) has probability zero. Each treatment sequence is represented, but neither second-decision choice is available at every intermediate history. Thus joint positivity of the treatment vector conditional on baseline \(X\) does not establish sequential positivity.
How Small Conditional Probabilities Accumulate
Even when every required conditional probability is positive, a long treatment sequence can be rare. This is not a contradiction: sequential positivity rules out zero probabilities at the specified histories, but it does not guarantee that a complete sequence is common enough for stable estimation.
Worked Example: Positive at Each Time, Rare as a Sequence
Suppose that for a specified treatment choice, the conditional probability is 0.2 at each of four decision times at every relevant history. If, for simplicity, these conditional probabilities are constant across histories, the chain rule gives the probability of four successive specified choices as
So each decision satisfies positivity, but only 0.16% of individuals receive the complete specified sequence. This illustrates why checking each conditional probability and checking how frequently complete sequences occur answer different diagnostic questions. The product calculation here is valid because each conditional treatment probability is fixed at 0.2; with varying probabilities and intermediate covariates, the sequence probability must instead average across history paths.
Diagnostics, Comparisons, and Limitations
A useful assessment reports both levels of support. For each decision, inspect treatment counts and estimated treatment probabilities across relevant histories. Separately, count or estimate the frequency of complete treatment sequences. Sparse histories, zero counts, and probabilities close to zero can indicate that conditional estimates are unreliable or that the treatment sequence is rare. A positive observed count alone does not establish adequate support in every history, and a fitted probability that is merely nonzero does not resolve a structural zero hidden by an overly coarse history definition.
| Support statement | What it asks | What it does not establish |
|---|---|---|
| Sequential positivity | Is each required choice available at each relevant observed history? | That a complete treatment sequence is frequent or precisely estimable. |
| Joint treatment-sequence positivity | Does each specified treatment vector occur with positive probability given baseline covariates? | That each choice is available within every intermediate history. |
| Full history-and-treatment support | Does a specified complete covariate-and-treatment path have positive probability? | Support for other paths or adequate sample size in this path. |
The phrase “joint positivity” is sometimes used for positivity of a complete observed-data history, rather than only the treatment vector conditional on baseline covariates. These are different events. For an exact full path, the chain rule factors its probability into conditional probabilities along that path; a zero conditional factor makes that path’s joint probability zero. Always state which variables are included in the joint event.
This distinction is important when applying longitudinal identification formulas: conditional support is required at the histories relevant to the treatment strategy, not merely a positive overall frequency of the treatment vector. The introductory material on positivity at each treatment decision motivates the conditional requirement; the key point here is how it relates to sequence-level support. Positivity is a support condition, not a guarantee of precise estimates, and observed data cannot by themselves verify support at histories that are absent or extremely sparse.
Check Your Understanding
Answer each question, then compare your reasoning with the solutions below.
- If every required conditional treatment probability is positive at every relevant history, must the corresponding complete treatment sequence have positive probability in a finite discrete setting? State the support qualification.
- In the two-time formula, why can a positive value of \(P(A_1=a_1,A_2=a_2\mid X=x)\) fail to show that \(P(A_2=a_2\mid A_1=a_1,L=l,X=x)>0\) for every relevant \(l\)?
- Suppose \(P(A_1=1\mid X)=0.5\), \(P(L=0\mid A_1=1,X)=0.6\), and the probabilities of \(A_2=1\) at \(L=0,1\) are 0.5 and 0.1, respectively. Find \(P(A_1=1,A_2=1\mid X)\), taking \(P(L=1\mid A_1=1,X)=0.4\).
- At two decision times, each required treatment choice has conditional probability 0.3 at every relevant history. Under this constant-probability condition, what is the probability of the specified two-treatment sequence?
Solutions. (1) Yes, provided the required conditional probabilities are positive on histories with positive probability after each preceding treatment prefix. The induction argument above then gives a positive probability for every prefix and hence the full sequence. (2) The joint sequence probability averages over intermediate histories. Some history-specific terms can be zero while another positive term makes the sum positive. (3) The conditional probability of \(A_2=1\) after \(A_1=1\) is \(0.6(0.5)+0.4(0.1)=0.30+0.04=0.34\). Multiplying by \(P(A_1=1\mid X)=0.5\) gives \(0.17\). (4) By the chain rule, \(0.3(0.3)=0.09\).