- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Monday, July 22, 2019

PRIMEtime CE: a multistate life table model for estimating the cost-effectiveness of interventions affecting diet and physical activity

When I saw Adam Brigg's tweet and thread the figure below stood out.

I have modelled some of the concepts using Hodges' model. I have added some additions, flagging gender* to highlight way this and other factors (often) need to be considered in a multicontextual manner.

There is a lot more of course, including the reference list; for example Squires, et al. which pose some interesting questions.

81. Squires H, Chilcott J, Akehurst R, Burr J, Kelly MP. A framework for developing the structure of public health economic models. Value Health. 2016;19:588–601.

Fig. 1 The PRIMEtime CE conceptual model



individual - self
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group- population
Interventions
over time

individual behaviours
motivation

model: outputs
AGE, GENDER*
Active People Survey

DIET - PHYSICAL ACTIVITY

cardio-vascular disease - heart disease,
 stroke, diabetes,
 liver disease, cancers, raised blood pressure, cholesterol, and body weight

TIME: chronological-pathological
PROCESS
 PRACTICE

behaviours - social
over time

social care


socio -

population health

POLICY
health economics
health care costs
social care costs
return on investment
- economics


My source (and do follow Adam's full-thread):