Evidence map›Paper›PMID 40552491›Full record

ArticleFamily practice2025

Causal mediation analysis: what is it and how can it be used to inform practice and policy?

Pamela Fernainy, Claire Godard-Sebillotte, Anais Lacasse, Géraldine Layani, Cristina Longo, Janusz Kaczorowski, Maria Alejandra Rodriguez, Marie-Eve Poitras, Mylaine Breton, Marie-Thérèse Lussier and 3 more

Abstract read
In one paragraph

Article in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

13 authors.

Pamela FernainyDepartment of Health Management Evaluation and Policy, School of Public Health, Université de Montréal, 7101 Park Avenue, Montreal, Quebec H3N 1X9, Canada.ORCID 0000-0003-3542-6944
Claire Godard-SebillotteFaculty of Medicine and Health Sciences, Division of Geriatrics, Department of Medicine, McGill University, Jewish General Hospital, Room E‑0012, 3755 Côte‑St‑Catherine Road, Montreal, Quebec H3T 1E2, Canada.
Anais LacasseDepartment of Health Sciences, University of Quebec in Abitibi-Témiscamingue, 445 boulevard de l'Université, Rouyn‑Noranda, Quebec J9X 5E4, Canada.ORCID 0000-0002-3992-5145
Géraldine LayaniResearch Centre of the Centre Hospitalier de l'Université de Montréal (CRCHUM), 900 rue Saint‑Denis, Montreal, Quebec H2X 0A9, Canada.
Cristina LongoFaculty of Pharmacy, Université de Montréal, Pavillon Jean-Coutu, 2940 chemin de Polytechnique, Montreal, Quebec H3T 1J4, Canada.
Janusz KaczorowskiResearch Centre of the Centre Hospitalier de l'Université de Montréal (CRCHUM), 900 rue Saint‑Denis, Montreal, Quebec H2X 0A9, Canada.
Maria Alejandra RodriguezDepartment of Family Medicine, McGill University, 5858 chemin de la Côte‑des‑Neiges,   Suite 300, Montreal, Quebec H3S 1Z1, Canada.
Marie-Eve PoitrasDepartment of Family Medicine, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Quebec, J1H 5N4, Canada.
Mylaine BretonFaculty of Medicine and Health Sciences, Department of Community Health Services, Université de Sherbrooke, 250, rue de la Faculté, Sherbrooke, Quebec J1K 2R1, Canada.ORCID 0000-0001-5713-9618
Marie-Thérèse LussierDepartment of Family and Emergency Medicine, Université de Montréal, 2900, boulevard Édouard-Montpetit, Montreal, Quebec H3T 1J4, Canada.
Yves CouturierDepartment of Social Work, Research Center on Aging, Université de Sherbrooke, 3001, Sherbrooke, Quebec J1H 5N4, Canada.
Catherine HudonDepartment of Family Medicine, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, Quebec, J1H 5N4, Canada.
Nadia SourialDepartment of Health Management Evaluation and Policy, School of Public Health, Université de Montréal, 7101 Park Avenue, Montreal, Quebec H3N 1X9, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundCausal mediation, a quantitative analysis method, has the potential to be a valuable addition to any primary care provider, researcher, or student's toolbox.

objectiveThis manuscript describes the theory behind causal mediation, provides a running example to help understand the application of this method in research, and explains how the results may be applied practically to help design appropriate interventions. METHODS AND APPLICATION: Causal mediation allows an exploration of the mechanism of action of a primary care intervention on an outcome that may pass through a third variable that is on the causal pathway, a mediator. Causal mediation analysis allows the decomposition of the total effect of an intervention on an outcome into both direct and indirect effects. Careful interpretation of generated results can guide decision-makers when devising or refining interventions or policies that affect patient health outcomes in primary care.

conclusionCausal mediation has been used in many disciplines and is well-positioned to answer varied research questions. However, the full extent of its potential has yet to be realized.

Indexed as

CausalityHealth PolicyMediation AnalysisPrimary Health CareHumansResearch Designcausal mediation analysisdecision-makingfamily physicianmediation analysispolicypolicy makersprimary careprimary care physician

Identifiers

PMID40552491
PMCPMC12206152

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.