Evidence map›Paper›PMID 32282407›Full record

ArticleEpidemiology (Cambridge, Mass.)2020

Using Transportability to Understand Differences in Mediation Mechanisms Across Trial Sites of a Housing Voucher Experiment.

Kara E Rudolph, Jonathan Levy, Nicole M Schmidt, Elizabeth A Stuart, Jennifer Ahern

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kara E RudolphFrom the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
Jonathan LevyDivision of Epidemiology and Biostatistics, School of Public Health, University of California, Berkeley, CA.
Nicole M SchmidtDepartment of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.
Elizabeth A StuartDepartment of Mental Health, Johns Hopkins School of Public Health, Baltimore, MD.
Jennifer AhernDivision of Epidemiology and Biostatistics, School of Public Health, University of California, Berkeley, CA.

Funding

Causal mediation methods for studying mechanisms in mental healthR01MH115487 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STUART, ELIZABETH A. · 2018 to 2021
$1.3M
Mechanisms linking neighborhood poverty to problematic adolescent drug useR00DA042127 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI RUDOLPH, KARA ELIZABETH · 2018 to 2021
$889k
NIDA NIH HHS R00 DA042127NIMH NIH HHS R01 MH115487
6 · The paper itself

Abstract

backgroundRandomized trials may have different effects in different settings. Moving to Opportunity (MTO), a housing experiment, is one such example. Previously, we examined the extent to which MTO's overall effects on adolescent substance use and mental health outcomes were transportable across the sites to disentangle the contributions of differences in population composition versus differences in contextual factors to site differences. However, to further understand reasons for different site effects, it may be beneficial to examine mediation mechanisms and the degree to which they too are transportable across sites.

methodsWe used longitudinal data from MTO youth. We examined mediators summarizing aspects of the school environment over the 10-15 year follow-up. Outcomes of past-year substance use, mental health, and risk behavior were assessed at the final timepoint when participants were 10-20 years old. We used doubly robust and efficient substitution estimators to estimate (1) indirect effects by MTO site and (2) transported indirect effects from one site to another.

resultsDifferences in indirect effect estimates were most pronounced between Chicago and Los Angeles. Using transport estimators to account for differences in baseline covariates, likelihood of using the voucher to move, and mediator distributions partially to fully accounted for site differences in indirect effect estimates in 10 of the 12 pathways examined.

conclusionsUsing transport estimators can provide an evidence-based approach for understanding the extent to which differences in compositional factors contribute to differences in indirect effect estimates across sites, and ultimately, to understanding why interventions may have different effects when applied to new populations.

Indexed as

Mental DisordersPublic HousingResidence CharacteristicsSubstance-Related DisordersAdolescentChildFemaleHumansLongitudinal StudiesMaleRandomized Controlled Trials as TopicUnited StatesYoung Adult

Identifiers

PMID32282407
PMCPMC7269870

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.