Evidence map›Paper›PMID 36905172›Full record

ArticleBiometrics2023

Efficient and flexible estimation of natural direct and indirect effects under intermediate confounding and monotonicity constraints.

Kara E Rudolph, Nicholas Williams, Iván Díaz

Abstract read
In one paragraph

Article in Biometrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

3 authors.

Kara E RudolphDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.ORCID 0000-0002-9417-7960
Nicholas WilliamsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Iván DíazDivision of Biostatistics, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0001-9056-2047

Funding

Compact Chemical Sensor for Measurement of Internal Dose of Environmental AgentsR44ES018001 · NIEHS · AGILTRON, INC. · PI WEIMER, WAYNE · 2012 to 2013
$986k
Mechanisms linking neighborhood poverty to problematic adolescent drug useR00DA042127 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI RUDOLPH, KARA ELIZABETH · 2018 to 2021
$889k
Compact Chemical Sensor for Measurement of Internal Dose of Environmental AgentsR43ES018001 · NIEHS · AGILTRON, INC. · PI CLARKE, RICHARD H · 2010 to 2010
$100k
NIDA NIH HHS R00 DA042127NIDA NIH HHS R00DA042127NIEHS NIH HHS R43 ES018001NIEHS NIH HHS R44 ES018001Patient-Centered Outcomes Research Institute ME-2021C2-23636-IC
6 · The paper itself

Abstract

Natural direct and indirect effects are mediational estimands that decompose the average treatment effect and describe how outcomes would be affected by contrasting levels of a treatment through changes induced in mediator values (in the case of the indirect effect) or not through induced changes in the mediator values (in the case of the direct effect). Natural direct and indirect effects are not generally point-identified in the presence of a treatment-induced confounder; however, they may be identified if one is willing to assume monotonicity between the treatment and the treatment-induced confounder. We argue that this assumption may be reasonable in the relatively common encouragement-design trial setting, where the intervention is randomized treatment assignment and the treatment-induced confounder is whether or not treatment was actually taken/adhered to. We develop efficiency theory for the natural direct and indirect effects under this monotonicity assumption, and use it to propose a nonparametric, multiply robust estimator. We demonstrate the finite sample properties of this estimator using a simulation study, and apply it to data from the Moving to Opportunity Study to estimate the natural direct and indirect effects of being randomly assigned to receive a Section 8 housing voucher-the most common form of federal housing assistance-on risk developing any mood or externalizing disorder among adolescent boys, possibly operating through various school and community characteristics.

Indexed as

Models, StatisticalSchoolsAdolescentComputer SimulationHumansMaleefficient influence functionmediationmonotonicitynatural indirect effects

Identifiers

PMID36905172
PMCPMC11037503

What OpenQuestion holds

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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.