DOI
https://doi.org/10.25772/T5JD-T220
Author ORCID Identifier
0000-0001-6849-0198
Defense Date
2019
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Biostatistics
First Advisor
Robert A. Perera
Second Advisor
Roy Sabo
Third Advisor
Le Kang
Fourth Advisor
Leroy Thacker
Fifth Advisor
Amy Pakyz
Abstract
Interest in mediation analysis has increased over time, with particular excitement in the social and behavioral sciences. A mediator is defined as an intermediate in the causal sequence between an independent and dependent variable. Previous research has demonstrated that the cross-sectional form of mediation analysis is inherently flawed, evidenced by the inability of the cross-sectional mediation model to account for temporal precedence and estimation of the indirect effect being biased in nearly all situations. For these reasons, a longitudinal model is recommended. However, a method for determining the exact time points to measure the variables used in mediation analysis has not been adequately examined. In this study, we examined methods for determining an appropriate time lag when designing a mediation study. The methods implemented include correlation analysis, the quadratic and exponential forms of the lag as a moderator approach, and knot estimation using basis splines. The data for the study was simulated for three distinct trends generated using a linear piecewise model, a sigmoid model, and a sigmoid piecewise model. Additionally, two sampling approaches, an intense sampling approach and a three-measure approach, were examined as well as six sample sizes and three effect sizes for the total effect on the outcome. The estimation methods were additionally compared by considering different types of error structures used in data generation as well as by examining equal and unequal time lag lengths between the predictor and mediator, and the mediator and outcome. The intent of the study is to provide methods so that researchers can estimate the best time to evaluate mediator and outcome measurements that will be used in mediation analysis. The results from this study showed that the best estimation method varied depending on the lag being estimated, the sampling approach, and the length of the lag. However, the knot estimation approach worked reasonably well in most scenarios considered even with small sample sizes of 5 or 10 per group. The findings from this study have the potential to improve study design for research implementing longitudinal mediation analysis by reducing bias in the estimate of the indirect effect when adequate time points are used.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
11-15-2019