Exploring Connections Between Moderators and Mediators: Commentary on Subgroup Analyses in Intervention Research
Abstract
Although subgroup analyses, and moderator analyses more generally, in intervention research are fraught with analytic and conceptual challenges, they provide invaluable insights into the effectiveness of intervention strategies and the theoretical models upon which they rest. The papers in this Special Issue engage these challenges and offer investigators a set of strategies that will enhance how they think about, measure, test, and report evidence of moderated intervention effects. In this commentary, I echo the call for more thoughtful work on moderated intervention effects and, in particular, urge investigators to pursue opportunities to integrate questions regarding mediation as they work to specify how intervention strategies operate across populations, settings, and behavioral domains.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Individual and contextual differences can moderate when a behavioral intervention will produce its targeted effect.
“As implied by behavioral ecological models (e.g., [8]), individual and contextual differences (e.g., when, where, for whom, in what state of the person) can moderate when a behavioral intervention will produce its targeted effect [9].”
From Agile science: creating useful products for behavior change in the real world (2016) · cites this paper as [9]
The four-phase model ignores variations of units, treatments, outcomes, and settings until the end of the process, but it is highly feasible that when, where, for whom, and in what state of the individual can all moderate when an intervention will produce an effect.
“As such, the four-phase model ignores variations of units, treatments, outcomes, and settings until the end of the process but it is highly feasible that when, where, for whom, and in what state of the individual can all moderate when an intervention will produce an effect [9].”
From Agile science: creating useful products for behavior change in the real world (2016) · cites this paper as [9]
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions
Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007) · Multivariate Behavioral Research · doi:10.1080/00273170701341316 · Cited by 9,973 · see citing works
Introduction to Statistical Mediation Analysis
MacKinnon, D. P. (2012) · doi:10.4324/9780203809556 · Cited by 5,618 · see citing works
Social psychology: handbook of basic principles
Higgins, E., & Kruglanski, A. (2008) · Choice Reviews Online · doi:10.5860/choice.45-3496 · Cited by 5,534 · see citing works
When moderation is mediated and mediation is moderated.
Müller, D., Judd, C. M., & Yzerbyt, V. Y. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.89.6.852 · Cited by 3,332 · see citing works
Strategy of outcome research in psychotherapy.
Paul, G. L. (1967) · Journal of Consulting Psychology · doi:10.1037/h0024436 · Cited by 1,043 · see citing works
Latent Class Analysis: An Alternative Perspective on Subgroup Analysis in Prevention and Treatment
Lanza, S. T., & Rhoades, B. L. (2013) · Prevention Science · doi:10.1007/s11121-011-0201-1 · Cited by 1,031 · see citing works
A General Model for Testing Mediation and Moderation Effects
Fairchild, A. J., & MacKinnon, D. P. (2009) · Prevention Science · doi:10.1007/s11121-008-0109-6 · Cited by 918 · see citing works
Borenstein, M., & Higgins, J. P. T. (2013) · Prevention Science · doi:10.1007/s11121-013-0377-7 · Cited by 767 · see citing works
Some myths of psychotherapy research and the search for a paradigm.
Kiesler, D. J. (1966) · Psychological Bulletin · doi:10.1037/h0022911 · Cited by 735 · see citing works
Chmura Kraemer, H., Kiernan, M., Essex, M., & Kupfer, D. J. (2008) · Health Psychology · doi:10.1037/0278-6133.27.2(suppl.).s101 · Cited by 600 · see citing works
Rothman, A. J. (2004) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-1-11 · Cited by 322 · see citing works
Self-citation(1989) · Cambridge University Press eBooks · doi:10.1017/cbo9781139173667 · Cited by 166 · see citing works
Detecting moderator effects using subgroup analyses
Wang, R., & Ware, J. H. (2013) · Prevention Science · doi:10.1007/s11121-011-0221-x · Cited by 165 · see citing works
Bloom, H. S., & Michalopoulos, C. (2013) · Prevention Science · doi:10.1007/s11121-010-0198-x · Cited by 83 · see citing works
Farrell, A. D., Henry, D. B., & Bettencourt, A. F. (2011) · Prevention Science · doi:10.1007/s11121-011-0200-2 · Cited by 75 · see citing works
Methods 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
A perspectivist approach to the strategic planning of programmatic scientific research
McGuire, W. J. (1989) · Cambridge University Press eBooks · doi:10.1017/cbo9781139173667.012 · Cited by 66 · see citing works
Exploring Refinements in Targeted Behavioral Medicine Intervention to Advance Public Health
King, A. C., Ahn, D. K., Atienza, A. A., & KRAEMER, H. C. (2008) · Annals of Behavioral Medicine · doi:10.1007/s12160-008-9032-0 · Cited by 51 · see citing works
36. The Reciprocal relation between principles and practice: social psychology and health behavior
Rothman, A. J., & Salovey, P. (2007) · Dialnet (Universidad de la Rioja) · Cited by 28 · see citing works
Self-citationSubgroups Analysis when Treatment and Moderators are Time-varying
Almirall, D., McCaffrey, D. F., Ramchand, R., & Murphy, S. A. (2011) · Prevention Science · doi:10.1007/s11121-011-0208-7 · Cited by 14 · see citing works
A Person x Intervention Strategy Approach to Understanding Health Behavior
Rothman, A. J., & Baldwin, A. S. (2012) · doi:10.1093/oxfordhb/9780195398991.013.0029 · Cited by 9 · see citing works
Self-citationErratum to: Subgroups Analysis when Treatment and Moderators are Time-varying
Almirall, D., McCaffrey, D. F., Ramchand, R. N., et al. (2012) · Prevention Science · doi:10.1007/s11121-012-0336-8 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Therapeutic alliance as a mediator of change: A systematic review and evaluation of research
Baier, A. L., Kline, A. C., & Feeny, N. C. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101921 · Cited by 441 · see citing works
Agile science: creating useful products for behavior change in the real world
Hekler, E. B., Klasnja, P., Riley, W. T., Buman, M. P., Huberty, J., Rivera, D. E., & Martin, C. A. (2016) · Translational Behavioral Medicine · doi:10.1007/s13142-016-0395-7 · Cited by 208 · see citing works
Advancing Models and Theories for Digital Behavior Change Interventions
Hekler, E. B., Michie, S., Pavel, M., Rivera, D. E., Collins, L. M., Jimison, H. B., Garnett, C., Parral, S., & Spruijt-Metz, D. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.06.013 · Cited by 174 · see citing works
Stevenson, J., Buitelaar, J., Cortese, S., Ferrin, M., Konofal, E., Lecendreux, M., Simonoff, E., Wong, I. C. K., & Sonuga‐Barke, E. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12215 · Cited by 106 · see citing works
Advancing innovations in social/personality psychology and health: Opportunities and challenges
Rothman, A. J., Klein, W. M. P., & Cameron, L. D. (2013) · Health Psychology · doi:10.1037/a0032116 · Cited by 19 · see citing works
Self-citation
- Authors
- Rothman, A. J.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Rothman, Alexander J.
- Venue
- Prevention Science
- Published
- 2012-09-25
- Volume
- 14
- Issue
- 2
- Pages
- 189-192
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- OpenAlex
- W2102143491
- Cited by
- 30
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 1
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Keywords
- subgroup analysis, moderator analysis, mediation analysis, intervention effectiveness, mediators and moderators, intervention strategies
- MeSH terms
- Humans, Health Behavior, Observer Variation
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