“…In addition, each univariate submodel in the proposed joint random-effects transition models can be flexible enough to accommodate various types of measurements (e.g., Gaussian, multi-categorical, count, etc.). Relative to the existing literature, the benefits of the joint random-effects transition models are multifold: (i) comparing with the modeling of single process in [5], [6], [7], they allow flexible correlation among multiple measurements for a disease; (ii) comparing with the marginal models in [8], [10], [11], they offer insights on patient-specific transitional patterns of disease measurements over time; (iii) comparing with the models for binary data in [10], [11], they offer flexible submodels for fitting the data with various types; and (iv) they can identify common and uncommon covariates that govern the transitional probabilities of each disease outcome. The joint random-effects transition models can help clinicians predict a patient's Alzheimer disease status over time, based on the patient's current status and other genetic or sociodemographic factors.…”