Principal ignorability in mediation analysis: through and beyond sequential ignorability

Abstract

Author(s): Forastiere, L; Mattei, A; Ding, P | Abstract: In causal mediation analysis, the definitions of the natural direct and indirect effects involve potential outcomes that can never be observed, so-called a priori counterfactuals. This conceptual challenge translates into issues in identification, which requires strong and often unverifiable assumptions, including sequential ignorability. Alternatively, we can deal with post-treatment variables using the principal stratification framework, where causal effects are defined as comparisons of observable potential outcomes.We establish a novel bridge between mediation analysis and principal stratification, which helps to clarify and weaken the commonly used identifying assumptions for natural direct and indirect effects. Using principal stratification, we show how sequential ignorability extrapolates from observable potential outcomes to a priori counterfactuals, and propose alternative weaker principal ignorability-type assumptions. We illustrate the key concepts using a clinical trial.