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Sample Size Planning for Cluster-Randomized Interventions Probing Multilevel Mediation

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Abstract

Multilevel mediation analyses play an essential role in helping researchers develop, probe, and refine theories of action underlying interventions and document how interventions impact outcomes. However, little is known about how to plan studies with sufficient power to detect such multilevel mediation effects. In this study, we describe how to prospectively estimate power and identify sufficient sample sizes for experiments intended to detect multilevel mediation effects. We outline a simple approach to estimate the power to detect mediation effects with individual- or cluster-level mediators using summary statistics easily obtained from empirical literature and the anticipated magnitude of the mediation effect. We draw on a running example to illustrate several different types of mediation and provide an accessible introduction to the design of multilevel mediation studies. The power formulas are implemented in the R package PowerUpR and the PowerUp software (causalevaluation.org).

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Notes

  1. Core assumptions include (a) stable unit treatment value assumption, (b) sequential ignorability, (c) consistency, (d) no downstream confounders, and (e) no treatment-by-mediator interaction.

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Funding

This study was supported by grants from the National Science Foundation (Award Nos. 1437679, 1552535, 1437745, and 1437692). The opinions expressed herein are those of the authors and not the funding agencies.

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Correspondence to Ben Kelcey.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The manuscript does not report any studies with human participants or animals; no study was conducted requiring informed consent.

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Kelcey, B., Spybrook, J. & Dong, N. Sample Size Planning for Cluster-Randomized Interventions Probing Multilevel Mediation. Prev Sci 20, 407–418 (2019). https://doi.org/10.1007/s11121-018-0921-6

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