title: Translating Genetic Research into Preventive Intervention: The Baseline Target Moderated Mediator Design.
abstract: In this paper we present and discuss a novel research approach, the baseline target moderated mediation (BTMM) design, that holds substantial promise for advancing our understanding of how genetic research can inform prevention research. We first discuss how genetically informed research on developmental psychopathology can be used to identify potential intervention targets. We then describe the BTMM design, which employs moderated mediation within a longitudinal study to test whether baseline levels of intervention targets moderate the impact of the intervention on change in that target, and whether change in those targets mediates causal impact of preventive or treatment interventions on distal health outcomes. We next discuss how genetically informed BTMM designs can be applied to both microtrials and full-scale prevention trials. We use simulated data to illustrate a BTMM, and end with a discussion of some of the advantages and limitations of this approach.
authors.affiliation: Department of Psychology, George Washington University Washington, DC, USA.
authors.forename: George W
authors.initials: GW
authors.lastname: Howe
authors.affiliation: Center for Family Research, University of Georgia Athens, GA, USA.
authors.forename: Steven R H
authors.initials: SR
authors.lastname: Beach
authors.affiliation: Center for Family Research, University of Georgia Athens, GA, USA.
authors.forename: Gene H
authors.initials: GH
authors.lastname: Brody
authors.affiliation: Department of Psychiatry, University of Rochester Medical Center Rochester Rochester, NY, USA.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Wyman
keywords: gene-environment interaction; genes; mediation; moderation; prevention research; research design