Estimating Optimal Infinite Horizon Dynamic Treatment Regimes via pT-Learning
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Abstract (arXiv)
Recent advances in mobile health (mHealth) technology provide an effective way to monitor individuals' health statuses and deliver just-in-time personalized interventions. However, the practical use of mHealth technology raises unique challenges to existing methodologies on learning an optimal dynamic treatment regime. Many mHealth applications involve decision-making with large numbers of intervention options and under an infinite time horizon setting where the number of decision stages diverges to infinity. In addition, temporary medication shortages may cause optimal treatments to be unavailable, while it is unclear what alternatives can be used. To address these challenges, we propose a Proximal Temporal consistency Learning (pT-Learning) framework to estimate an optimal regime that is adaptively adjusted between deterministic and stochastic sparse policy models. The resulting minimax estimator avoids the double sampling issue in the existing algorithms. It can be further simplified and can easily incorporate off-policy data without mismatched distribution corrections. We study theoretical properties of the sparse policy and establish finite-sample bounds on the excess risk and performance error. The proposed method is provided in our proximalDTR package and is evaluated through extensive simulation studies and the OhioT1DM mHealth dataset.
Key facts. Cited by 26 papers in the map (data through 14 Oct 2026). Builds on 22 of its 73 references that are in the map. First posted on arXiv 20 Oct 2021.
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22 of 73 references.
References · 22
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- 2015Trust Region Policy Optimizationcited by 2,580
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- 2015Doubly Robust Off-policy Value Evaluation for Reinforcement Learningcited by 339
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- 2016Estimating Dynamic Treatment Regimes in Mobile Health Using V-learningcited by 65
10 more
- 2020Statistical Inference of the Value Function for Reinforcement Learning in Infinite Horizon Settingscited by 65
- 2019Off-Policy Estimation of Long-Term Average Outcomes with Applications to Mobile Healthcited by 42
- 2017Sparse Markov Decision Processes with Causal Sparse Tsallis Entropy Regularization for Reinforcement Learningcited by 37
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- 2020Causal Effect Estimation and Optimal Dose Suggestions in Mobile Healthcited by 8
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Citing papers per year: 2022: 7; 2023: 9; 2024: 2; 2025: 5; 2026: 3.
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- 2022A Review of Off-Policy Evaluation in Reinforcement Learningcited by 95
- 2026Demystifying Group Relative Policy Optimization: Its Policy Gradient is a U-Statisticcited by 21
- 2022Offline Reinforcement Learning with Instrumental Variables in Confounded Markov Decision Processescited by 19
- 2022Testing Stationarity and Change Point Detection in Reinforcement Learningcited by 12
- 2022Statistically Efficient Advantage Learning for Offline Reinforcement Learning in Infinite Horizonscited by 10
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- 2023Distributional Shift-Aware Off-Policy Interval Estimation: A Unified Error Quantification Frameworkcited by 6
- 2023Bi-Level Offline Policy Optimization with Limited Explorationcited by 5
- 2022A Multi-Agent Reinforcement Learning Framework for Off-Policy Evaluation in Two-sided Marketscited by 4
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- 2025Statistical Inference in Reinforcement Learning: A Selective Surveycited by 2
- 2023Stackelberg Batch Policy Learningcited by 1
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- 2023Deep Spectral Q-learning with Application to Mobile Healthcited by 0
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- 2026Primal--Dual Alternating Neural Learning for Timely Classification with Performance Guarantees24 Aug 2026
- 2026Counterfactually Safe Reinforcement Learning24 May 2026
- 2026Demystifying Group Relative Policy Optimization: Its Policy Gradient is a U-Statistic1 Mar 2026
- 2025Generalized Fitted Q-Iteration with Clustered Data4 Oct 2025
- 2025Where to Intervene: Action Selection in Deep Reinforcement Learning5 Jul 2025
- 2025Reinforcement Learning for Individual Optimal Policy from Heterogeneous Data14 May 2025
- 2025Reinforcement Learning with Continuous Actions Under Unmeasured Confounding1 May 2025
- 2025Statistical Inference in Reinforcement Learning: A Selective Survey22 Feb 2025
- 2024Learning Robust Treatment Rules for Censored Data17 Aug 2024
- 2024Low-Rank Online Dynamic Assortment with Dual Contextual Information19 Apr 2024
- 2023AI in Pharma for Personalized Sequential Decision-Making: Methods, Applications and Opportunities30 Nov 2023
- 2023Stage-Aware Learning for Dynamic Treatments30 Oct 2023
14 more
- 2023Bi-Level Offline Policy Optimization with Limited Exploration10 Oct 2023
- 2023Stackelberg Batch Policy Learning28 Sep 2023
- 2023Distributional Shift-Aware Off-Policy Interval Estimation: A Unified Error Quantification Framework23 Sep 2023
- 2023Off-policy Evaluation in Doubly Inhomogeneous Environments14 Jun 2023
- 2023Sequential Knockoffs for Variable Selection in Reinforcement Learning24 Mar 2023
- 2023Quasi-optimal Reinforcement Learning with Continuous Actions21 Jan 2023
- 2023Deep Spectral Q-learning with Application to Mobile Health3 Jan 2023
- 2022A Review of Off-Policy Evaluation in Reinforcement Learning13 Dec 2022
- 2022Doubly Inhomogeneous Reinforcement Learning8 Nov 2022
- 2022Offline Reinforcement Learning with Instrumental Variables in Confounded Markov Decision Processes18 Sep 2022
- 2022Reinforcement Learning in Modern Biostatistics: Constructing Optimal Adaptive Interventions4 Mar 2022
- 2022Testing Stationarity and Change Point Detection in Reinforcement Learning3 Mar 2022
- 2022Statistically Efficient Advantage Learning for Offline Reinforcement Learning in Infinite Horizons26 Feb 2022
- 2022A Multi-Agent Reinforcement Learning Framework for Off-Policy Evaluation in Two-sided Markets21 Feb 2022
- 2022Offline Reinforcement Learning with Instrumental Variables in Confounded Markov Decision Processescited by 19
- 2022Testing Stationarity and Change Point Detection in Reinforcement Learningcited by 12
- 2022Statistically Efficient Advantage Learning for Offline Reinforcement Learning in Infinite Horizonscited by 10
- 2023Bi-Level Offline Policy Optimization with Limited Explorationcited by 5
- 2025Reinforcement Learning for Individual Optimal Policy from Heterogeneous Datacited by 4
- 2023Stackelberg Batch Policy Learningcited by 1
- 2025Reinforcement Learning for Individual Optimal Policy from Heterogeneous Data14 May 2025
- 2023Bi-Level Offline Policy Optimization with Limited Exploration10 Oct 2023
- 2023Stackelberg Batch Policy Learning28 Sep 2023
- 2022Offline Reinforcement Learning with Instrumental Variables in Confounded Markov Decision Processes18 Sep 2022
- 2022Testing Stationarity and Change Point Detection in Reinforcement Learning3 Mar 2022
- 2022Statistically Efficient Advantage Learning for Offline Reinforcement Learning in Infinite Horizons26 Feb 2022
- 2025Reinforcement Learning with Continuous Actions Under Unmeasured Confoundingcited by 3
- 2025Statistical Inference in Reinforcement Learning: A Selective Surveycited by 2
- 2025Where to Intervene: Action Selection in Deep Reinforcement Learningcited by 0
- 2025Generalized Fitted Q-Iteration with Clustered Datacited by 0
- 2026Counterfactually Safe Reinforcement Learningcited by 0
- 2026Counterfactually Safe Reinforcement Learning24 May 2026
- 2025Generalized Fitted Q-Iteration with Clustered Data4 Oct 2025
- 2025Where to Intervene: Action Selection in Deep Reinforcement Learning5 Jul 2025
- 2025Reinforcement Learning with Continuous Actions Under Unmeasured Confounding1 May 2025
- 2025Statistical Inference in Reinforcement Learning: A Selective Survey22 Feb 2025
- 2022A Review of Off-Policy Evaluation in Reinforcement Learningcited by 95
- 2023Quasi-optimal Reinforcement Learning with Continuous Actionscited by 7
- 2023Sequential Knockoffs for Variable Selection in Reinforcement Learningcited by 7
- 2023Off-policy Evaluation in Doubly Inhomogeneous Environmentscited by 7
- 2022Reinforcement Learning in Modern Biostatistics: Constructing Optimal Adaptive Interventionscited by 6
- 2023Distributional Shift-Aware Off-Policy Interval Estimation: A Unified Error Quantification Frameworkcited by 6
- 2022A Multi-Agent Reinforcement Learning Framework for Off-Policy Evaluation in Two-sided Marketscited by 4
- 2022Doubly Inhomogeneous Reinforcement Learningcited by 3
- 2023Stage-Aware Learning for Dynamic Treatmentscited by 2
- 2024Low-Rank Online Dynamic Assortment with Dual Contextual Informationcited by 2
- 2024Learning Robust Treatment Rules for Censored Datacited by 1
- 2023Deep Spectral Q-learning with Application to Mobile Healthcited by 0
12 most cited of 14 All 14 (JSON)
- 2026Primal--Dual Alternating Neural Learning for Timely Classification with Performance Guarantees24 Aug 2026
- 2024Learning Robust Treatment Rules for Censored Data17 Aug 2024
- 2024Low-Rank Online Dynamic Assortment with Dual Contextual Information19 Apr 2024
- 2023AI in Pharma for Personalized Sequential Decision-Making: Methods, Applications and Opportunities30 Nov 2023
- 2023Stage-Aware Learning for Dynamic Treatments30 Oct 2023
- 2023Distributional Shift-Aware Off-Policy Interval Estimation: A Unified Error Quantification Framework23 Sep 2023
- 2023Off-policy Evaluation in Doubly Inhomogeneous Environments14 Jun 2023
- 2023Sequential Knockoffs for Variable Selection in Reinforcement Learning24 Mar 2023
- 2023Quasi-optimal Reinforcement Learning with Continuous Actions21 Jan 2023
- 2023Deep Spectral Q-learning with Application to Mobile Health3 Jan 2023
- 2022A Review of Off-Policy Evaluation in Reinforcement Learning13 Dec 2022
- 2022Doubly Inhomogeneous Reinforcement Learning8 Nov 2022
12 newest of 14 All 14 (JSON)