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Assessing Mediation in HIV Intervention Studies Felicia Hardnett The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.
Mediator-Moderator Working Group ,[object Object],[object Object],[object Object]
What is Mediation?
What is Mediation? ,[object Object],[object Object]
Characteristics of Mediators ,[object Object],[object Object]
Single Mediator Model Indirect effect: αβ Direct Effect:  τ ’ Total Effect: αβ +  τ ’ τ ’  Intervention Mediator Outcome α β
Mediation vs Confounding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect Suppression ,[object Object],[object Object]
Characteristics of Suppressors ,[object Object],[object Object],[object Object],[object Object]
Two Components of  Mediation Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conceptual Components of an Effective Mediation Analysis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conceptual Components of an Effective Mediation Analysis (cont’) ,[object Object],[object Object]
Statistical Components of an Effective Mediation Analysis  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Statistical Components of an Effective Mediation Analysis (cont’) ,[object Object],[object Object],[object Object]
Mediation in HIV Intervention Studies
Purpose of Mediation Analysis in HIV Intervention Studies ,[object Object],[object Object],[object Object]
Common Mediators in Behavioral HIV Studies ,[object Object],[object Object],[object Object],[object Object],[object Object]
How is Mediation Measured?
Baron and Kenny (1986) τ ’  Intervention Mediator Outcome α β
Baron and Kenny (1986)  Intervention Mediator Outcome α β τ ’
Baron and Kenny (1986) τ ’  Intervention Mediator Outcome α β
Baron and Kenny (1986) τ ’  Intervention Mediator Outcome α β
Baron and Kenny (1986) τ ’  Intervention Mediator Outcome α β
Causal Steps- Most Common ,[object Object],[object Object],[object Object],[object Object]
Controversy: Does the Intervention Effect Have to be Significant? ,[object Object],[object Object],[object Object]
Difference in Coefficients ( τ -  τ ’) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Product of Coefficients ( αβ ) Indirect effect: αβ Direct Effect:  τ ’ Total Effect: αβ +  τ ’ τ ’  Intervention Mediator Outcome α β
Statistical Test of Mediation (I)  ,[object Object],[object Object],[object Object],[object Object]
Statistical Test of Mediation (II) ,[object Object],Values of  δ α   and  δ β   are compared with critical values in tables published by Meeker et al. UCL=  αβ  + M upper *  σ   αβ LCL=  αβ  + M lower  *  σ   αβ
Example- SUMIT Trial ,[object Object],[object Object],[object Object],[object Object],[object Object]
Original SUMIT Analysis ,[object Object],[object Object],[object Object]
SUMIT Re-analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions?

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Assessing Mediation in HIV Intervention Studies

  • 1. Assessing Mediation in HIV Intervention Studies Felicia Hardnett The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.
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  • 6. Single Mediator Model Indirect effect: αβ Direct Effect: τ ’ Total Effect: αβ + τ ’ τ ’ Intervention Mediator Outcome α β
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  • 15. Mediation in HIV Intervention Studies
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  • 18. How is Mediation Measured?
  • 19. Baron and Kenny (1986) τ ’ Intervention Mediator Outcome α β
  • 20. Baron and Kenny (1986) Intervention Mediator Outcome α β τ ’
  • 21. Baron and Kenny (1986) τ ’ Intervention Mediator Outcome α β
  • 22. Baron and Kenny (1986) τ ’ Intervention Mediator Outcome α β
  • 23. Baron and Kenny (1986) τ ’ Intervention Mediator Outcome α β
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  • 27. Product of Coefficients ( αβ ) Indirect effect: αβ Direct Effect: τ ’ Total Effect: αβ + τ ’ τ ’ Intervention Mediator Outcome α β
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