feat(motivation): add page on 2016 stroke reuse context (#6)

Author: amyheather

_quarto.yml

@@ -19,6 +19,7 @@ website:
       title: "Research"
       contents:
         - pages/research.qmd
+        - pages/research/motivation.qmd
         - section: "Reproducible"
           contents:
             - pages/research/computational_reproducibility.qmd

pages/research.qmd

@@ -12,6 +12,19 @@ Our research has been focused on helping improving the reproducibility, reusabil
 
 <br>
 
+## Context
+
+```{=html}
+<br>
+<a href="research/motivation.qmd" class="value-box pale small-title">
+  <div class="icon"><i class="bi bi-arrow-clockwise"></i></div>
+  <div class="text">
+    <div class="title">Motivation: a failed attempt at reuse</div>
+    <div class="details">STARS grew out of an unsuccessful attempt to share a stroke simulation model with the NHS in England. That experience showed how important it is for simulation research to be open, reproducible, and reusable by others.</div>
+  </div>
+</a>
+```
+
 ## Reproducible
 
 ```{=html}

pages/research/motivation.qmd

@@ -0,0 +1,63 @@
+---
+title: "Motivation: a failed attempt at reuse"
+---
+
+## Background
+
+Tom Monks is the Principal Investigator on STARS. His interest in open and reproducible simulation research began with an unsuccessful attempt to share a model with the NHS in England.
+
+## The original model
+
+A few years ago, Tom was part of a team that developed a discrete-event simulation model of stroke care in England using **Simul8**, a commercial simulation platform.
+
+To support replication, the team published full details of the model design, parameters, assumptions, and system flow in the following paper:
+
+> Monks T, Worthington D, Allen M, Pitt M, Stein K, James MA. A modelling tool for capacity planning in acute and community stroke services. BMC Health Serv Res. 2016 Sep 29;16(1):530. doi: [10.1186/s12913-016-1789-4](https://doi.org/10.1186/s12913-016-1789-4). PMID: 27688152; PMCID: PMC5043535.
+
+![](motivation_resources/stroke_flow.png){width=80%}
+
+## A request for reuse
+
+After publication, an NHS organisation covering two large cities in England asked to reuse the model to help redesign and evaluate their stroke service.
+
+The research team was happy to share the Simul8 model, Excel interface, and usage instructions. However, several barriers soon became clear:
+
+::: {.callout-important title="Problem 1"}
+
+The NHS organisation did not have budget for the commercial simulation software.
+
+:::
+
+::: {.callout-important title="Problem 2"}
+
+The Simul8 licence held by the research team did not allow sharing the model via the cloud.
+
+:::
+
+::: {.callout-important title="Problem 3"}
+
+The NHS could have commissioned the research team to carry out the work, but that would have cost even more.
+
+:::
+
+## Lessons learned
+
+In the end, the model could not be reused. This experience raised an important question:
+
+> **Can others actually use the models and materials we publish?**
+
+It showed that even detailed reporting is not enough if reuse depends on restricted tools or resources.
+
+## What came next?
+
+This experience helped shape later research into reproducibility and reuse in simulation.  
+
+The team has since developed **open-source versions** of the stroke model in **Python** and **R**, freely available for others to use and adapt.
+
+<a class="research-btn" href="https://github.com/pythonhealthdatascience/pydesrap_stroke">
+  ➤ &nbsp;&nbsp; View Python version of the stroke model
+</a>
+
+<a class="research-btn" href="https://github.com/pythonhealthdatascience/rdesrap_stroke">
+  ➤ &nbsp;&nbsp; View R version of the stroke model
+</a>