Evidence map›Paper›PMID 39395958›Full record

ArticleBMC public health2024

The PHEM-B toolbox of methods for incorporating the influences on Behaviour into Public Health Economic Models.

Hazel Squires, Michael P Kelly, Nigel Gilbert, Falko Sniehotta, Robin C Purshouse, Leandro Garcia, Penny Breeze, Alan Brennan, Benjamin Gardner, Sophie Bright and 13 more

Abstract readConsensus Statement
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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  3. Article
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

23 authors.

Hazel SquiresUniversity of Sheffield, Sheffield, UK. h.squires@sheffield.ac.uk.
Michael P KellyUniversity of Cambridge, Cambridge, UK.
Nigel GilbertUniversity of Surrey, Surrey, UK.
Falko SniehottaHeidelberg University, Heidelberg, Germany.
Robin C PurshouseUniversity of Sheffield, Sheffield, UK.
Leandro GarciaQueen's University Belfast, Belfast, UK.
Penny BreezeUniversity of Sheffield, Sheffield, UK.
Alan BrennanUniversity of Sheffield, Sheffield, UK.
Benjamin GardnerUniversity of Surrey, Surrey, UK.
Sophie BrightUniversity of Sheffield, Sheffield, UK.
Alastair FischerLondon School of Hygiene and Tropical Medicine, London, UK.
Alison HeppenstallUniversity of Glasgow, Glasgow, UK.
Joanna Davan WettonUniversity College London, London, UK.
Monica Hernandez-AlavaUniversity of Sheffield, Sheffield, UK.
Jennifer BoydUniversity of Stirling, Stirling, UK.
Charlotte BuckleyUniversity of Sheffield, Sheffield, UK.
Ivo VlaevUniversity of Warwick, Warwick, UK.
Robert SmithUniversity of Sheffield, Sheffield, UK.
Ali AbbasUniversity of Cambridge, Cambridge, UK.
Roger Gibb, Cambridge, UK.
Madeleine HenneyUniversity of Sheffield, Sheffield, UK.
Esther MooreUniversity of Sheffield, Sheffield, UK.
Angel M ChaterUniversity College London, London, UK.

Funding

Calibrated Agent Simulations for Combined Analysis of Drinking Etiologies (CASCADE)R01AA024443 · NIAAA · UNIVERSITY OF SHEFFIELD · PI PURSHOUSE, ROBIN · 2016 to 2020
$2.3M
Cancer Research UK PRCRPG-Nov21\100002Economic and Social Research Council ES/L011921/1Economic and Social Research Council ES/Y001907/1Medical Research Council MC_UU_00022/1Medical Research Council MC\_UU\_00022/5Medical Research Council MC_UU_00022/5Medical Research Council MR/S037578/2National Institute for Health and Care Research NIHR301406NIAAA NIH HHS R01 AA024443NIAAA NIH HHS R01AA024443Wellcome TrustWellcome Trust 218462/Z/19/Z
6 · The paper itself

Abstract

backgroundIt is challenging to predict long-term outcomes of interventions without understanding how they work. Health economic models of public health interventions often do not incorporate the many determinants of individual and population behaviours that influence long term effectiveness. The aim of this paper is to draw on psychology, sociology, behavioural economics, complexity science and health economics to: (a) develop a toolbox of methods for incorporating the influences on behaviour into public health economic models (PHEM-B); and (b) set out a research agenda for health economic modellers and behavioural/ social scientists to further advance methods to better inform public health policy decisions.

methodsA core multidisciplinary group developed a preliminary toolbox from a published review of the literature and tested this conceptually using a case study of a diabetes prevention simulation. The core group was augmented by a much wider group that covered a broader range of multidisciplinary expertise. We used a consensus method to gain agreement of the PHEM-B toolbox. This included a one-day workshop and subsequent reviews of the toolbox.

resultsThe PHEM-B toolbox sets out 12 methods which can be used in different combinations to incorporate influences on behaviours into public health economic models: collaborations between modellers and behavioural scientists, literature reviewing, application of the Behaviour Change Intervention Ontology, systems mapping, agent-based modelling, differential equation modelling, social network analysis, geographical information systems, discrete event simulation, theory-informed statistical and econometric analyses, expert elicitation, and qualitative research/process tracing. For each method, we provide a description with key references, an expert consensus on the circumstances when they could be used, and the resources required.

conclusionsThis is the first attempt to rigorously and coherently propose methods to incorporate the influences on behaviour into health economic models of public health interventions. It may not always be feasible or necessary to model the influences on behaviour explicitly, but it is essential to develop an understanding of the key influences. Changing behaviour and maintaining that behaviour change could have different influences; thus, there could be benefits in modelling these separately. Future research is needed to develop, collaboratively with behavioural scientists, a suite of more robust health economic models of health-related behaviours, reported transparently, including coding, which would allow model reuse and adaptation.

Indexed as

Health BehaviorModels, EconomicPublic HealthDiabetes MellitusHealth PolicyHumansBehaviourComplexityEconomicMaintenanceMethodsPsychologyPublic healthSimulationSociologyTheory

Identifiers

PMID39395958
PMCPMC11475213

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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.