Identification, Inference and Sensitivity Analysis for Causal Mediation Effects

Causal mediation analysis is routinely conducted by applied researchers in a variety of disciplines. The goal of such an analysis is to investigate alternative causal mechanisms by examining the roles of intermediate variables that lie in the causal paths between the treatment and outcome variables. In this paper we first prove that under a particular version of sequential ignorability assumption, the average causal mediation effect (ACME) is nonparametrically identified. We compare our identification assumption with those proposed in the literature. Some practical implications of our identification result are also discussed. In particular, the popular estimator based on the linear structural equation model (LSEM) can be interpreted as an ACME estimator once additional parametric assumptions are made. We show that these assumptions can easily be relaxed within and outside of the LSEM framework and propose simple nonparametric estimation strategies. Second, and perhaps most importantly, we propose a new sensitivity analysis that can be easily implemented by applied researchers within the LSEM framework. Like the existing identifying assumptions, the proposed sequential ignorability assumption may be too strong in many applied settings. Thus, sensitivity analysis is essential in order to examine the robustness of empirical findings to the possible existence of an unmeasured confounder. Finally, we apply the proposed methods to a randomized experiment from political psychology. We also make easy-to-use software available to implement the proposed methods.Comment: Published in at http://dx.doi.org/10.1214/10-STS321 the Statistical Science (http://www.imstat.org/sts/) by the Institute of Mathematical Statistics (http://www.imstat.org

Survivor-complier effects in the presence of selection on treatment, with application to a study of prompt ICU admission

Pre-treatment selection or censoring (`selection on treatment') can occur when two treatment levels are compared ignoring the third option of neither treatment, in `censoring by death' settings where treatment is only defined for those who survive long enough to receive it, or in general in studies where the treatment is only defined for a subset of the population. Unfortunately, the standard instrumental variable (IV) estimand is not defined in the presence of such selection, so we consider estimating a new survivor-complier causal effect. Although this effect is generally not identified under standard IV assumptions, it is possible to construct sharp bounds. We derive these bounds and give a corresponding data-driven sensitivity analysis, along with nonparametric yet efficient estimation methods. Importantly, our approach allows for high-dimensional confounding adjustment, and valid inference even after employing machine learning. Incorporating covariates can tighten bounds dramatically, especially when they are strong predictors of the selection process. We apply the methods in a UK cohort study of critical care patients to examine the mortality effects of prompt admission to the intensive care unit, using ICU bed availability as an instrument

Using Balancing Weights to Target the Treatment Effect on the Treated when Overlap is Poor

Inverse probability weights are commonly used in epidemiology to estimate causal effects in observational studies. Researchers can typically focus on either the average treatment effect or the average treatment effect on the treated with inverse probability weighting estimators. However, when overlap between the treated and control groups is poor, this can produce extreme weights that can result in biased estimates and large variances. One alternative to inverse probability weights are overlap weights, which target the population with the most overlap on observed characteristics. While estimates based on overlap weights produce less bias in such contexts, the causal estimand can be difficult to interpret. One alternative to inverse probability weights are balancing weights, which directly target imbalances during the estimation process. Here, we explore whether balancing weights allow analysts to target the average treatment effect on the treated in cases where inverse probability weights are biased due to poor overlap. We conduct three simulation studies and an empirical application. We find that in many cases, balancing weights allow the analyst to still target the average treatment effect on the treated even when overlap is poor. We show that while overlap weights remain a key tool for estimating causal effects, more familiar estimands can be targeted by using balancing weights instead of inverse probability weights