A statistical method for synthesizing mediation analyses using the product of coefficient approach across multiple trials
Open accessAbstract
Mediation analysis often requires larger sample sizes than main effect analysis to achieve the same statistical power. Combining results across similar trials may be the only practical option for increasing statistical power for mediation analysis in some situations. In this paper, we propose a method to estimate: 1) marginal means for mediation path a, the relation of the independent variable to the mediator; 2) marginal means for path b, the relation of the mediator to the outcome, across multiple trials; and 3) the between-trial level variance-covariance matrix based on a bivariate normal distribution. We present the statistical theory and an R computer program to combine regression coefficients from multiple trials to estimate a combined mediated effect and confidence interval under a random effects model. Values of coefficients a and b, along with their standard errors from each trial are the input for the method. This marginal likelihood based approach with Monte Carlo confidence intervals provides more accurate inference than the standard meta-analytic approach. We discuss computational issues, apply the method to two real-data examples and make recommendations for the use of the method in different settings.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Familias Unidas has been shown to have its strongest effect with Hispanic families with poor parent-child communication.
“Familias Unidas has been shown to have its strongest effect with Hispanic families with poor parent-child communication [24, 25]”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [25]
Recent methodologic developments have addressed challenging issues in causality for single and multiple randomized trials, evolving interventions, natural experiments, and multilevel as well as multidimensional situations.
“Recent methodologic developments have addressed challenging issues in causality for single [77] and multiple randomized trials [25], evolving interventions [12], natural experiments [78, 79], and multilevel [78] as well as multidimensional situations [80].”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [25]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Preacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · see citing works
Confidence Limits for the Indirect Effect: Distribution of the Product and Resampling Methods
MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr3901_4 · Cited by 7,806 · see citing works
Self-citationA Limited Memory Algorithm for Bound Constrained Optimization
Byrd, R. H., Lu, P., Nocedal, J. M., & Zhu, C. (1995) · SIAM Journal on Scientific Computing · doi:10.1137/0916069 · Cited by 6,267 · see citing works
Introduction to Statistical Mediation Analysis
MacKinnon, D. P. (2012) · doi:10.4324/9780203809556 · Cited by 5,618 · see citing works
Self-citationRequired sample size to detect the mediated effect
Fritz, M. S., & MacKinnon, D. P. (2007) · Psychological Science · doi:10.1111/j.1467-9280.2007.01882.x · Cited by 4,810 · see citing works
Self-citationRMediation: An R package for mediation analysis confidence intervals
Tofighi, D., & MacKinnon, D. P. (2011) · Behavior Research Methods · doi:10.3758/s13428-011-0076-x · Cited by 1,419 · see citing works
Self-citationIntegrative data analysis: The simultaneous analysis of multiple data sets
Curran, P. J., & Hussong, A. M. (2009) · Psychological Methods · doi:10.1037/a0015914 · Cited by 867 · see citing works
The Algebra of Random Variables
Nelson, P. R., & Springer, M. D. (1981) · Technometrics · doi:10.2307/1268039 · Cited by 583 · see citing works
Mediation of interpersonal expectancy effects: 31 meta-analyses
Harris, M. J., & Rosenthal, R. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.97.3.363 · Cited by 542 · see citing works
Horowitz, J. L. (2001) · Handbook of econometrics · doi:10.1016/s1573-4412(01)05005-x · Cited by 407 · see citing works
National Institute of Mental Health Clinical Trials
Insel, T. R., & Gogtay, N. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.426 · Cited by 170 · see citing works
Shadish, W. R. (1996) · Psychological Methods · doi:10.1037/1082-989x.1.1.47 · Cited by 164 · see citing works
Prado, G. J., & Pantin, H. M. (2011) · Psychosocial Intervention · doi:10.5093/in2011v20n1a6 · Cited by 116 · see citing works
Brown, C. H., Chamberlain, P., Saldana, L., Padgett, C., Wang, W., & Cruden, G. (2014) · Implementation Science · doi:10.1186/s13012-014-0134-8 · Cited by 89 · see citing works
Self-citationMethods for Synthesizing Findings on Moderation Effects Across Multiple Randomized Trials
Prevention Science and Methodology Group, Brown, C. H., Sloboda, Z., Faggiano, F., Teasdale, B., Keller, F., Burkhart, G., Vigna‐Taglianti, F., Howe, G. W., Masyn, K. E., et al. (2011) · Prevention Science · doi:10.1007/s11121-011-0207-8 · Cited by 74 · see citing works
Self-citationPerrino, T., Pantin, H., Prado, G., Huang, S., Brincks, A., Howe, G., Beardslee, W., Sandler, I., & Brown, C. H. (2014) · Prevention Science · doi:10.1007/s11121-013-0448-9 · Cited by 66 · see citing works
Self-citationPerrino, T., Pantin, H. M., Huang, S., Brincks, A. M., Brown, C. H., & Prado, G. J. (2015) · Family Process · doi:10.1111/famp.12132 · Cited by 41 · see citing works
Self-citationBenchmark validation of statistical models: Application to mediation analysis of imagery and memory.
MacKinnon, D. P., Valente, M. J., & Wurpts, I. C. (2018) · Psychological Methods · doi:10.1037/met0000174 · Cited by 15 · see citing works
Self-citationImagery and Memory As Substantive Validation of Mediation Analysis
MacKinnon, D. P., Wurpts, I. C., & Valente, M. J. (2014) · PsycEXTRA Dataset · doi:10.1037/e552722014-001 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Becker BJ Schram CM Examining explanatory models through research synthesis 1994 Portions of this chapter were presented at the annual meeting of the American Educational Research Association Mar 27, 1989 San Francisco, CA Russell Sage Foundation
Cited by
Sorted by citations
“Scaling-out” evidence-based interventions to new populations or new health care delivery systems
Aarons, G. A., Sklar, M., Mustanski, B., Benbow, N., & Brown, C. H. (2017) · Implementation Science · doi:10.1186/s13012-017-0640-6 · Cited by 399 · see citing works
Self-citationSynthesizing Indirect Effects in Mediation Models With Meta-Analytic Methods
Cheung, M. W. ‐. (2021) · Alcohol and Alcoholism · doi:10.1093/alcalc/agab044 · Cited by 50 · see citing works
Mechanism of Action for Obtaining Job Offers With Virtual Reality Job Interview Training
Smith, M. J., Smith, J. D., Fleming, M. F., Jordan, N., Brown, C. H., Humm, L. B., Olsen, D. E., & Bell, M. D. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201600217 · Cited by 43 · see citing works
Self-citationHe, Y., Tian, Y., Han, H., Cui, J., Ge, X., Qin, Y., Luo, Y., Bai, W., & Yu, H. (2021) · Health and Quality of Life Outcomes · doi:10.1186/s12955-021-01740-w · Cited by 30 · see citing works
Challenges in Systematic Reviews and Meta-Analyses of Mediation Analyses
Vo, T., & Vansteelandt, S. (2022) · American Journal of Epidemiology · doi:10.1093/aje/kwac028 · Cited by 20 · see citing works
Benchmark validation of statistical models: Application to mediation analysis of imagery and memory.
MacKinnon, D. P., Valente, M. J., & Wurpts, I. C. (2018) · Psychological Methods · doi:10.1037/met0000174 · Cited by 15 · see citing works
Self-citationLin, J., Drain, A., Goharzad, A., & Mende‐Siedlecki, P. (2023) · Social and Personality Psychology Compass · doi:10.1111/spc3.12901 · Cited by 17 · see citing works
Awwad, M. S., Abuhommous, A. A., & Adaileh, A. M. (2025) · International Journal of Innovation Studies · doi:10.1016/j.ijis.2025.02.001 · Cited by 13 · see citing works
A comparison of meta‐methods for synthesizing indirect effects
van Zundert, C., & Miočević, M. (2020) · Research Synthesis Methods · doi:10.1002/jrsm.1445 · Cited by 12 · see citing works
Three Flavorings for a Soup to Cure what Ails Mental Health Services
Brown, C. H. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01060-z · Cited by 6 · see citing works
Self-citationLiu, Y., & Zainal, N. H. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121543 · Cited by 1 · see citing works
Life satisfaction mediates advanced maternal age at childbirth and frailty across cohorts
Zhao, Z., Tian, W., & Wang, X. (2026) · iScience · doi:10.1016/j.isci.2026.116023
- Authors
- Huang, S., MacKinnon, D. P., Perrino, T., Gallo, C., Cruden, G., & Brown, C. H.
- Affiliations
- Vanderbilt University (US)
- Arizona State University (US)
- University of Miami (US)
- Northwestern University (US)
- Corresponding author
- Brown, C. Hendricks
- Venue
- Statistical Methods & Applications
- Published
- 2016-02-25
- Volume
- 25
- Issue
- 4
- Pages
- 565-579
- ISSN
- 1121-9130 (ISSN-L)
- 1618-2510
- 1613-981X
- PMC
- PMC5321206
- OpenAlex
- W2308692667
- Cited by
- 12
- References
- 19
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2018: 1 · 2017: 2
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Statistical Methods & Applications (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH040859)
- National Institute on Drug Abuse (R01DA09757, P30DA027828, R37DA009757)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods and Bayesian Inference
- Keywords
- mediation analysis, random effects models, marginal means, statistical power
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review