Testing mediation models is critical for identifying potential variables that need to be targeted to effectively change one or more outcome variables. In addition, it is now common practice for clinicians to use multiple informant (MI) data in studies of statistical mediation. By coupling the use of MI data with statistical mediation analysis, clinical researchers can combine the benefits of both techniques. Integrating the information from MIs into a statistical mediation model creates various methodological and practical challenges. The authors review prior methodological approaches to MI mediation analysis in clinical research and propose a new latent variable approach that overcomes some limitations of prior approaches. An application of the new approach to mother, father, and child reports of impulsivity, frustration tolerance, and externalizing problems (N = 454) is presented. The results showed that frustration tolerance mediated the relationship between impulsivity and externalizing problems. The new approach allows for a more comprehensive and effective use of MI data when testing mediation models.

The purpose of this study was to examine in which way adding more indicators or a covariate influences the performance of latent class analysis (LCA). We varied the sample size (100 ≤ N ≤ 2000), number, and quality of binary indicators (between 4 and 12 indicators with conditional response probabilities of [0.3, 0.7], [0.2, 0.8], or [0.1, 0.9]), and the strength of covariate effects (zero, small, medium, large) in a Monte Carlo simulation study of 2- and 3-class models. The results suggested that in general, a larger sample size, more indicators, a higher quality of indicators, and a larger covariate effect lead to more converged and proper replications, as well as fewer boundary parameter estimates and less parameter bias. Furthermore, interactions among these study factors demonstrated how using more or higher quality indicators, as well as larger covariate effect size, could sometimes compensate for small sample size. Including a covariate appeared to be generally beneficial, although the covariate parameters themselves showed relatively large bias. Our results provide useful information for practitioners designing an LCA study in terms of highlighting the factors that lead to better or worse performance of LCA.