Review

Causal mediation analysis is the study of mechanisms—variables measured between a treatment and an outcome that partially explain their causal relationship. The past decade has seen an explosion of research in causal mediation analysis, resulting in both conceptual and methodological advancements. However, many of these methods have been out of reach for applied quantitative researchers, due to their complexity and the difficulty of implementing them in standard statistical software distributions. The mediation package in R provides a set of simple commands that execute some of the newer causal mediation methods. This article will summarize some of the recent advances in mediation analysis, critically review the mediation package, and demonstrate, by example, some of its capabilities.