arXiv subjects

Matthew Hickman

Publications and source records attributed to Matthew Hickman.

3 recordsLinked to original sources

arXiv2026

Multi-Parameter Estimation of Prevalence (MPEP): A Bayesian modelling approach to estimate the prevalence of opioid dependence

Estimating the number of the number of people from hidden and/or marginalised populations - such as people dependent on opioids or cocaine - is important to guide policy decisions and provision of harm reduction services. Methods such as capture-recapture are widely used, but rely on assumptions that are often violated and not feasible in specific applications. We describe a Bayesian modelling approach called Multi-Parameter Estimation of Prevalence (MPEP). The MPEP approach leverages routinely collected administrative data, starting from a large baseline cohort of individuals from the population of interest and linked events, to estimate the full size of the target population. When multiple event types are included, the approach enables checking of the consistency of evidence about prevalence from different event types. Additional evidence can be incorporated where inconsistencies are identified. In this article, we summarize the general framework of MPEP, with focus on the most recent version, with improved computational efficiency (implemented in STAN). We also explore several extensions to the model that help us understand the sensitivity of the results to modelling assumptions or identify potential sources of bias. We demonstrate the MPEP approach through a case study estimating the prevalence of opioid dependence in Scotland each year from 2014 to 2022.

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arXiv2020

Conceptualising Natural and Quasi Experiments in Public Health

Background: Natural or quasi experiments are appealing for public health research because they enable the evaluation of events or interventions that are difficult or impossible to manipulate experimentally, such as many policy and health system reforms. However, there remains ambiguity in the literature about their definition and how they differ from randomised controlled experiments and from other observational designs. Methods: We conceptualise natural experiments in in the context of public health evaluations, align the study design to the Target Trial Framework, and provide recommendation for improvement of their design and reporting. Results: Natural experiment studies combine features of experiments and non-experiments. They differ from RCTs in that exposure allocation is not controlled by researchers while they differ from other observational designs in that they evaluate the impact of event or exposure changes. As a result they are, in theory, less susceptible to bias than other observational study designs. Importantly, the strength of causal inferences relies on the plausibility that the exposure allocation can be considered "as-if randomised". The target trial framework provides a systematic basis for assessing the plausibility of such claims, and enables a structured method for assessing other design elements. Conclusions: Natural experiment studies should be considered a distinct study design rather than a set of tools for analyses of non-randomised interventions. Alignment of natural experiments to the Target Trial framework will clarify the strength of evidence underpinning claims about the effectiveness of public health interventions.

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arXiv2019

Assessing the causal effect of binary interventions from observational panel data with few treated units

Researchers are often challenged with assessing the impact of an intervention on an outcome of interest in situations where the intervention is non-randomised, the intervention is only applied to one or few units, the intervention is binary, and outcome measurements are available at multiple time points. In this paper, we review existing methods for causal inference in these situations. We detail the assumptions underlying each method, emphasize connections between the different approaches and provide guidelines regarding their practical implementation. Several open problems are identified thus highlighting the need for future research.

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