Initial classification of joint data in EM estimation of latent class joint model

The latent class mixture-of-experts joint model is one of the important methods for jointly modelling longitudinal and recurrent events data when the underlying population is heterogeneous and there are nonnormally distributed outcomes. The maximum likelihood estimates of parameters in latent class joint model are generally obtained by the EM algorithm. The joint distances between subjects and initial classification of subjects under study are essential to finding good starting values of the EM algorithm through formulas. In this article, separate distances and joint distances of longitudinal markers and recurrent events are proposed for classification purposes, and performance of the initial classifications based on the proposed distances and random classification are compared in a simulation study and demonstrated in an example.