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    Area of Science:

    • Computational epidemiology
    • Causal inference in public health
    • Simulation modeling

    Background:

    • Agent-based models (ABMs) are crucial for studying emergent properties in population health, like infectious disease spread.
    • Traditional causal inference methods, based on the potential outcomes framework, often assume no interference, which is violated in many health scenarios.
    • A gap exists in understanding how to interpret simulation-based models, such as ABMs, within a causal inference context.

    Purpose of the Study:

    • To propose the integration of the target trial framework into the design of agent-based models.
    • To clarify causal parameters of interest when estimating effects in the presence of interference or spillover.
    • To make explicit the assumptions required for valid causal effect estimation using simulation models.

    Main Methods:

    • The study describes a methodological approach for designing agent-based models.
    • It explicitly incorporates the target trial framework to guide model development.
    • Focuses on scenarios where the 'no interference' assumption is violated.

    Main Results:

    • The target trial framework provides a structured approach to causal effect estimation in agent-based models.
    • This integration clarifies the causal parameters being estimated.
    • It enhances transparency regarding the assumptions underlying causal inference from simulation models.

    Conclusions:

    • Integrating the target trial framework into agent-based model design is essential for robust causal inference in population health.
    • This approach addresses the challenge of interference in disease transmission and other health-related phenomena.
    • It bridges the gap between simulation-based modeling and causal inference, improving the real-world applicability of model results.