Evidence map›Paper›PMID 38754571›Full record

ArticleAnnals of epidemiology2024

Model-driven decision support: A community-based meta-implementation strategy to predict population impact.

Kimberly Johnson, Wouter Vermeer, Holly Hills, Lia Chin-Purcell, Joshua T Barnett, Timothy Burns, Marianne J Dean, C Hendricks Brown

Abstract read
In one paragraph

Article in Annals of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kimberly JohnsonDepartment of Mental Health Law and Policy, College of Community and Behavioral Sciences, University of South Florida, 13301 Bruce B Downs Blvd, Tampa, FL 33612, USA. Electronic address: kjohnson33@usf.edu.
Wouter VermeerCenter for Prevention Implementation Methodology for Drug Abuse and HIV (Ce-PIM), Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA; Center for Connected Learning and Computer-Based Modeling (CCL), School of Education and Social Policy, Northwestern University, Evanston, IL, USA; Northwestern Institute for Complex Systems (NICO), Northwestern University, Evanston, IL, USA.
Holly HillsDepartment of Mental Health Law and Policy, College of Community and Behavioral Sciences, University of South Florida, 13301 Bruce B Downs Blvd, Tampa, FL 33612, USA.
Lia Chin-PurcellCenter for Dissemination and Implementation At Stanford (C-DIAS), Stanford University, 1070 Arastradero Road, Palo Alto, CA 94304, USA.
Joshua T BarnettDepartment of Human Services, Pinellas County Government, 440 Court Street, 2nd Floor, Clearwater, FL 33756, USA.
Timothy BurnsDepartment of Human Services, Pinellas County Government, 440 Court Street, 2nd Floor, Clearwater, FL 33756, USA.
Marianne J DeanPinellas County Opioid Task Force, Pinellas County, FL, USA.
C Hendricks BrownDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA; Department of Preventive Medicine, Northwestern University, Chicago, IL, USA; Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA.

Funding

Transforming health equity rhetoric to rigor: Development and validation of a novel measure assessing health equity in implementation of health interventionsP50DA054072 · NIDA · STANFORD UNIVERSITY · PI Mark P McGovern · 2022 to 2026
$18.1M
Stagewise Implementation-To-Target- Medications for Addiction Treatment (SITT-MAT)R01DA052975 · NIDA · STANFORD UNIVERSITY · PI FORD, JAMES H, MCGOVERN, MARK P · 2021 to 2025
$3.3M
NIDA NIH HHS P50 DA054072NIDA NIH HHS R01 DA052975
6 · The paper itself

Abstract

purposeStandard tools for public health decision making such as data dashboards, trial repositories, and intervention briefs may be necessary but insufficient for guiding community leaders in optimizing local public health strategy. Predictive modeling decision support tools may be the missing link that allows community level decision makers to confidently direct funding and other resources to interventions and implementation strategies that will improve upon the status quo.

methodsWe describe a community-based model-driven decision support (MDDS) approach that requires community engagement, local data, and predictive modeling tools (agent-based modeling in our case studies) to improve decision-making on implementing strategies to address complex public health problems such as overdose deaths. We refer to our approach as a meta-implementation strategy as it provides guidance to a community on what intervention combinations and their required implementation strategies are needed to achieve desired outcomes. We use standard implementation measures including the Stages of Implementation Completion to assess adoption of this meta-implementation approach.

resultsUsing two case studies, we illustrate how MDDS can be used to support decision making related to HIV prevention and reductions in overdose deaths at the city and county level. Even when community acceptance seems high, data acquisition and diffuse responsibility for implementing specific strategies recommended by modeling are barriers to adoption.

conclusionsMDDS has the capacity to improve community decision makers use of scientific knowledge by providing projections of the impact of intervention strategies under various scenarios. Further research is necessary to assess its effectiveness and the best strategies to implement it.

Indexed as

Decision Support TechniquesCommunity ParticipationDecision MakingDrug OverdoseHumansPublic HealthAgent-based modelingCommunityDrug overdoseHIVModel-driven decision support

Identifiers

PMID38754571
PMCPMC11197148

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.