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UPenn Biostatistics Working Papers

2005

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Casual Mediation Analyses With Structural Mean Models, Thomas R. Tenhave, Marshall Joffe, Kevin Lynch, Greg Brown, Stephen Maisto Nov 2005

Casual Mediation Analyses With Structural Mean Models, Thomas R. Tenhave, Marshall Joffe, Kevin Lynch, Greg Brown, Stephen Maisto

UPenn Biostatistics Working Papers

We represent a linear structural mean model (SMM)approach for analyzing mediation of a randomized baseline intervention's effect on a univariate follow-up outcome. Unlike standard mediation analyses, our approach does not assume that the mediating factor is randomly assigned to individuals (i.e., sequential ignorability). Hence, a comparison of the results of the proposed and standard approaches in with respect to mediation offers a sensitivity analyses of the sequential ignorability assumption. The G-estimation procedure for the proposed SMM represents an extension of the work on direct effects of randomized treatment effects for survival outcomes by Robins and Greenland (1994) (Section 5.0 and …