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Stat Med. 2014 Sep 28;33(22):3894-904. doi: 10.1002/sim.6193. Epub 2014 Apr 15.

Stochastic variation in network epidemic models: implications for the design of community level HIV prevention trials.

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1
Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, U.S.A.

Abstract

Important sources of variation in the spread of HIV in communities arise from overlapping sexual networks and heterogeneity in biological and behavioral risk factors in populations. These sources of variation are not routinely accounted for in the design of HIV prevention trials. In this paper, we use agent-based models to account for these sources of variation. We illustrate the approach with an agent-based model for the spread of HIV infection among men who have sex with men in South Africa. We find that traditional sample size approaches that rely on binomial (or Poisson) models are inadequate and can lead to underpowered studies. We develop sample size and power formulas for community randomized trials that incorporate estimates of variation determined from agent-based models. We conclude that agent-based models offer a useful tool in the design of HIV prevention trials.

KEYWORDS:

HIV; community randomized trials; epidemics; networks; sample size

PMID:
24737621
PMCID:
PMC4156573
DOI:
10.1002/sim.6193
[Indexed for MEDLINE]
Free PMC Article
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