The instrumental variable graph is
with no arrow and no common cause of with or .
In potential outcome notation, a valid instrument requires:
Instrumental-variable monotonicity is
It excludes defiers who would quit without the incentive but continue smoking when offered it. The possible principal strata are then never-takers , compliers , and always-takers .
By random assignment, consistency, and exclusion,
The second identity follows by checking the two possible binary exposure values. Under monotonicity, is the indicator of being a complier. Therefore the numerator is
while
Their ratio is the complier average treatment effect, also called the local average treatment effect.
Let
and
Because contains all exposure-outcome confounding and is independent of , the exclusion restriction and the law of total expectation give
Likewise,
The no confounder-instrument interaction assumption says is constant. Relevance gives , so the Wald ratio is
the overall average treatment effect.

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