HIVPiecewiseByYearandSexDiagnostic#

The HIVPiecewiseByYearAndSexDiagnostic intervention class builds on HIVSimpleDiagnostic to configure the roll-out of an intervention over time. Unlike HIVSigmoidByYearAndSexDiagnostic, which requires the time trend to have a sigmoid shape, this intervention allows for any trend of time to be configured using piecewise or linear interpolation. The trends over time can be configured differently for males and females. Note that the term “diagnosis” is used because this builds on the diagnostic classes in EMOD. However, this intervention is typically used not like a clinical diagnostic, but more like a trend in behavior or coverage over time.

Note

Parameters are case-sensitive. For Boolean parameters, set to 1 for true or 0 for false. Minimum, maximum, or default values of “NA” indicate that those values are not applicable for that parameter.

EMOD does not use true defaults; that is, if the dependency relationships indicate that a parameter is required, you must supply a value for it. However, many of the tools used to work with EMOD will use the default values provided below.

JSON format does not permit comments, but you can add “dummy” parameters to add contextual information to your files. Any keys that are not EMOD parameter names will be ignored by the model.

The table below describes all possible parameters with which this class can be configured. The JSON example that follows shows one potential configuration.

Parameter

Data type

Minimum

Maximum

Default

Description

Example

Cost_To_Consumer

float

0

3.40282e+38

1

The unit ‘cost’ assigned to the diagnostic. Setting Cost_To_Consumer to zero for all other interventions, and to a non-zero amount for one intervention, provides a convenient way to track the number of times the intervention has been applied in a simulation.

{
  "Cost_To_Consumer": 0.333
}

Default_Value

float

0

1

0

The probability of positive diagnosis if the intervention is used before the earliest specified time in the Time_Value_Map.

{
  "Default_Value": 0
}

Disqualifying_Properties

array of strings

NA

NA

[]

A list of IndividualProperty key:value pairs that cause an intervention to be aborted (persistent interventions will stop being distributed to individuals with these values). See NodeProperties and IndividualProperties parameters for more information. Generally used to control the flow of health care access. For example, to prevent the same individual from accessing health care via two different routes at the same time.

{
  "Disqualifying_Properties": [
    "InterventionStatus:LostForever"
  ]
}

Dont_Allow_Duplicates

boolean

0

1

0

If an individual’s container has an intervention, set to true (1) to prevent them from receiving another copy of the intervention. Supported by all intervention classes.

{
  "Dont_Allow_Duplicates": 0
}

Female_Multiplier

float

0

3.40282e+38

1

Allows for the probabilities in the Time_Value_Map to be different for males and females, by multiplying the female probabilities by a constant value.

{
  "Female_Multiplier": 1.3
}

Interpolation_Order

integer

0

1

0

When set to zero, interpolation between values in the Time_Value_Map is zero-order (‘staircase’). When set to 1, interpolation between values in the Time_Value_Map is linear. The final value is held constant for all times after the last time specified in the Time_Value_Map.

{
  "Interpolation_Order": 0
}

Intervention_Name

string

NA

NA

HIVPiecewiseByYearAndSexDiagnostic

The optional name used to refer to this intervention as a means to differentiate it from others that use the same class.

{
  "Intervention_Config": {
    "class": "HIVPiecewiseByYearAndSexDiagnostic",
    "Intervention_Name": "Change in health-seeking behavior"
  }
}

Negative_Diagnosis_Event

enum

NA

NA

“”

If an individual tests negative, this specifies an event that may trigger another intervention when the event occurs. See Event list for possible values.

{
  "Negative_Diagnosis_Event": "PreDebut"
}

New_Property_Value

string

NA

NA

“”

An optional IndividualProperty key:value pair that will be assigned when the intervention is applied. See NodeProperties and IndividualProperties parameters for more information. Generally used to indicate the broad category of health care cascade to which an intervention belongs to prevent individuals from accessing care through multiple pathways. For example, if an individual must already be taking a particular medication to be prescribed a new one.

{
  "New_Property_Value": "InterventionStatus:None"
}

Positive_Diagnosis_Event

enum

NA

NA

“”

If the test is positive, this specifies an event that can trigger another intervention when the event occurs. See Event list for possible values.

{
  "Intervention_Config": {
    "Positive_Diagnosis_Event": "OnART0",
    "class": "HIVPiecewiseByYearAndSexDiagnostic"
  }
}

Time_Value_Map

json object

NA

NA

NA

The years (times) and matching probabilities for test results. This parameter uses InterpolatedValueMap to define Times (by year) and Values for the history and expected treatment guidelines for future years. This creates a JSON structure containing one array of Times and one for Values, which allows for a time-variable probability that can take on any shape over time. When queried at a simulation year corresponding to one of the listed Times, it returns the corresponding Value. When queried earlier than the first listed Time, it returns the default Value. When queried in between listed Times, it either returns the Value for the most recent past time (when Interpolation_Order is 0) or linearly interpolates Values between Times (when Interpolation_Order is 1). When queried after the last Time in the list, it returns the last Value. The Times and Values must be of equal length, and can consist of a single value. Times must monotonically increase.

{
  "Time_Value_Map": {
    "Times": [
      1998,
      2000,
      2003,
      2006,
      2009
    ],
    "Values": [
      0,
      0.26,
      0.08,
      0.14,
      0.54
    ]
  }
}
{
    "Campaign_Name": "4b_ImprovedRetention_To_BloodDraw",
    "Default_Campaign_Path": "defaults/hiv_default_campaign.json",
    "Use_Defaults": 1,
    "Events": [
        {
            "class": "CampaignEventByYear",
            "Event_Name": "ARTStaging: state 5 (random choice: Return for CD4 or LTFU)",
            "Start_Year": 1990,
            "Nodeset_Config": {
                "class": "NodeSetAll"
            },
            "Event_Coordinator_Config": {
                "class": "StandardInterventionDistributionEventCoordinator",
                "Intervention_Config": {
                    "class": "NodeLevelHealthTriggeredIV",
                    "Trigger_Condition_List": [
                        "ARTStaging5"
                    ],
                    "Actual_IndividualIntervention_Config": {
                        "class": "HIVPiecewiseByYearAndSexDiagnostic",
                        "Disqualifying_Properties": [
                            "InterventionStatus:LostForever",
                            "InterventionStatus:OnART",
                            "InterventionStatus:LinkingToART",
                            "InterventionStatus:OnPreART",
                            "InterventionStatus:LinkingToPreART"
                        ],
                        "New_Property_Value": "InterventionStatus:ARTStaging",
                        "Days_To_Diagnosis": 0,
                        "Default_Value": 0,
                        "Time_Value_Map": {
                            "Times": [
                                1990,
                                2020
                            ],
                            "Values": [
                                0.85,
                                0.9
                            ]
                        },
                        "Interpolation_Order": 0,
                        "Event_Or_Config": "Event",
                        "Positive_Diagnosis_Event": "ARTStaging6",
                        "Negative_Diagnosis_Event": "HCTUptakePostDebut9"
                    }
                }
            }
        }
    ]
}