Differential recall bias in estimating treatment effects in observational studies

Observational studies are frequently used to estimate the effect of an exposure or treatment on an outcome. To obtain an unbiased estimate of the treatment effect, it is crucial to measure the exposure accurately. A common type of exposure misclassification is recall bias, which occurs in retrospective cohort studies when study subjects may inaccurately recall their past exposure. Specifically, differential recall bias can be problematic when examining the effect of a self-reported binary exposure since the magnitude of recall bias can differ between groups. In this paper, we provide the following contributions: 1) we derive bounds for the average treatment effect (ATE) in the presence of recall bias; 2) we develop several estimation approaches under different identification strategies; 3) we conduct simulation studies to evaluate their performance under several scenarios of model misspecification; 4) we propose a sensitivity analysis method that can examine the robustness of our results with respect to different assumptions; and 5) we apply the proposed framework to an observational study, estimating the effect of childhood physical abuse on adulthood mental health.