Guy Harling

@harlingg.bsky.social

Epidemiologist @uclglobalhealth.bsky.social & @ahri-news.bsky.social. Focus on data collection, social networks & health (HIV, mental health, caregiving, vaccines). Mostly in southern Africa.

A review of how family support kin with dementia in Africa. This review only found 15 qual studies over 15 years - maybe linked to very low diagnosis rates for dementia continentally? But a nice overview of challenges & coping strategies. Again shows the role of family in providing joined-up care

Challenges and coping strategies of family caregivers of older adults with dementia in Africa: a systematic review and meta-synthesis - BMC Nursing

Background Family caregivers are central to the care of older adults living with dementia, particularly in African contexts where formal care services are scarce. Dementia caregiving is complex and un...

link.springer.com

More adolescent & social network stuff, from the UCNets dataset by Jiaqi Qin & Jingbo Meng, showing how support network foci (family/friends/partner/peers) predict adolescent wellbeing. Their broad findings: family > peers. This feels quite exploratory but a prompt for thought

Support Network Typology and Psychological Well-Being Among Young Adults

The psychological well-being of young adults is a growing concern in the United States. Social networks, comprising relationships that provide various types of support, are crucial predictors of th...

tandfonline.com

Not my substantive field, but I really liked this anit-loneliness/isolation RCT that used personal social mapping to help people identify social needs and link them to community resources. Sadly not effective in this iteration, but hopefully something to learn from/build on?

Frontiers | Assessing a facilitated social network intervention for health outcomes in lonely and socially isolated people: the pragmatic, cluster-randomized PALS trial

IntroductionLoneliness has received attention in recent years as an important public health issue due to its associations with poorer mental and physical hea...

frontiersin.org

A nice paper by Cassie McMillan & colleagues showing exactly how networked behaviour threatens individual RCT inference - here differential co-eating in workplace canteens by study arm appears to downward bias effect estimates & potentially generalizability

Network threats to causal inference: Variations in network position by participation in randomized controlled trials

Researchers and practitioners rely on randomized controlled trials (RCTs) to make causal inferences. However, most people who participate in RCTs are …

sciencedirect.com

Another way to use networks: unpacking health system actor connectivity in Ghana. Dominic Gadeka & @lucygilson.bsky.social show that while CHOs collaborate across districts, CHCs & volunteers are relatively isolated, likely limiting implementation of innovative policies, esp community-based ones

Multi-actor collaborations in primary health care implementation: a Social Network Analysis of the primary health care strategy in Ghana

Abstract. Bottom-up theory demonstrates that networks of actors play important roles in policy implementation, yet limited attention has so far been paid t

academic.oup.com

Two great social network papers from Alison Comfort & @drdrtsai.bsky.social highlighting the social spread of contraceptive use & infant HIV testing in rural Uganda I'm really enjoying the continuing flourishing of network studies in Africa to unpick behaviour & plan interventions!

We have a UK-funded PhD opportunity to study how men in rural England can improve healthcare access for their social connections. Tight deadline, truly mixed-methods supervisory team at University of Lincoln. Ask me or Paul Mee for details

Leveraging Men’s Social Networks to Improve Health Engagement in Rural and Coastal Communities at University of Lincoln on FindAPhD.com

PhD Project - Leveraging Men’s Social Networks to Improve Health Engagement in Rural and Coastal Communities at University of Lincoln, listed on FindAPhD.com

findaphd.com

I was lucky to chat with Laura Forastiere @yalesph.bsky.social recently - a v nerdy discussion of networks & interventions - and stats that are well above my paygrade Which sent me off to read her latest methods paper on how to estimate causal effects in cRCTs using egonet contacts as controls

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

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How do people negotiate discussions around vaccines with close contacts, as reported by 100 US residents around Covid Respondents suggest ways of handling complex conversations: - Reframing diffs of opinion as caring - Focusing on personal experince not science - Build from shared moral viewpoints

Difficult Health Conversations: Dilemmas That Vaccinated People in the United States Experienced When Discussing COVID-19 Vaccination with Hesitant Family Members

During the rollout of COVID-19 vaccines, public health officials in the United States called upon vaccinated individuals to encourage reluctant family members to get vaccinated. Due in part to the ...

tandfonline.com

🚨 New methods papers 🚨 I'm delighted to report we have two papers out this week that try and improve how we collect and analyse survey data Colleagues are probably bored of me saying it, but an interview is a dyadic process & we should always consider the effect of both parties & their interaction