International Research Network for Evidence Triangulation

Triangulating evidence across designs, data, and disciplines.

IRNET is a training and research network built around evidence triangulation — integrating qualitative and quantitative approaches to understand the determinants of health.

A collaboration between Bordeaux Boston Bristol Brown
About IRNET

A shared platform for rigorous, reproducible research

The mission of IRNET is to facilitate training and research under the broad umbrella of evidence triangulation — bringing together qualitative and quantitative approaches to integrate findings across study designs, data sources, and study modalities, so we can better understand the determinants of health.

Most questions in population health can't be settled by a single trial or a single dataset. IRNET connects researchers across four universities to combine designs whose weaknesses don't overlap — so that where independent approaches converge, we can be far more confident in the answer. The network pairs an annual cohort of trainees with mentors from each institution around real, applied triangulation projects.

The core idea

What evidence triangulation means

No observational method is bias-free. Triangulation is the discipline of combining approaches with different, largely unrelated sources of bias — then systematically comparing where they agree and interrogating where they don't.

Strengthening causal inference by integrating results from several different approaches, each with different and largely unrelated sources of potential bias.

— After Lawlor, Tilling & Davey Smith, Int. J. Epidemiology, 2016
Distribution of reported p-values by year, 1993 to 2024
Distribution of reported p-values in epidemiology journals, by year. The way evidence clusters and shifts across a literature over time is exactly why a single study rarely settles a question — and why IRNET emphasizes triangulation and reproducible methods.Source: Ackley SF, Andrews RM, Seaman C, Flanders M, Chen R, Wang J, Lopes G, Sims KD, Buto P, Ferguson E, Allen IE, Glymour MM. Trends in the distribution of P values in epidemiology journals: a statistical, P-curve, and simulation study. American Journal of Epidemiology. 2025;194(12):3630–3639. doi:10.1093/aje/kwaf184

Doubly-robust g-methods

Combine a model of the exposure (propensity score) with a model of the outcome — as in emulated target trials and structural nested models. Valid if either model is correct, and flexible for time-varying exposures.

Flexible over timeNeeds measured confounders

Genetic & policy instrumental variables

Use extraneous variation in an exposure — genetic variants or policy differences — that is otherwise unrelated to the outcome. Remains valid even when not all confounders are measured.

Handles unmeasured confoundingLocal effects, less power

Bias-detecting (reverse) Mendelian randomization

Use variants known to cause dementia to predict candidate risk factors, quantifying when reverse causation begins and how large a bias it introduces across adulthood — which in turn sharpens forward genetic-IV studies.

Detects reverse causationNeeds very large samples

Quantitative bias analysis

Use known associations with confounders, selection, and measurement error to place bounds on effect estimates and show how conclusions shift under alternative, explicitly stated assumptions.

Quantifies uncertaintyAssumptions may be contested
Trainees & Fellows

An annual cohort, working across institutions

Each year, fellows from every partner university take on applied evidence-triangulation projects together — sharing methods, data, and mentorship across IRNET.

Fellows span career stages, from Master's students to faculty. Each is paired with a mentor at their home institution and a second mentor or collaborator at a partner university — for example, Brown fellow Mike Flanders works with mentor Sarah Ackley. Together they learn to align estimands across studies, harmonize measures, and interpret discrepant findings: the day-to-day craft of triangulation.

Mentors

Faculty guiding the network

IRNET mentors are faculty from the four partner institutions who lead projects, mentor fellows, and steward the network's methods.

Resources

Talks and training materials

A growing collection of resources on evidence triangulation — from lectures to podcasts — gathered by the network.

Contact

For questions or information

Write to evidencetriangulation@googlegroups.com