{"id":"W2802761848","doi":"10.1136/medethics-2017-104282","title":"Thinking clearly about the FIRST trial: addressing ethical challenges in cluster randomised trials of policy interventions involving health providers","year":2018,"lang":"en","type":"article","venue":"Journal of Medical Ethics","topic":"Hospital Admissions and Outcomes","field":"Medicine","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ottawa Hospital; University of Ottawa; Western University","funders":"","keywords":"Research ethics; Psychological intervention; Harm; Health care; Beneficence; Informed consent; Cluster randomised controlled trial; Medicine; Clinical equipoise; Clinical trial; Engineering ethics; Public relations; Nursing; Psychology; Alternative medicine; Political science; Law; Psychiatry; Autonomy","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","research_integrity"],"consensus_categories":["metaresearch"],"category_scores_codex":[0.08919272,0.0001650675,0.001432054,0.0003953907,0.000266604,0.00005849641,0.0004827134,0.001178585,0.0002117757],"category_scores_gemma":[0.2322336,0.00008577792,0.000832835,0.0003047753,0.0006519136,0.0001178998,0.0001595103,0.006931028,0.000002109955],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001686096,"about_ca_system_score_gemma":0.005968813,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002344785,"about_ca_topic_score_gemma":0.0009604054,"domain_scores_codex":[0.9903244,0.002642329,0.00323054,0.0001683059,0.003296032,0.0003383592],"domain_scores_gemma":[0.9743989,0.02024798,0.002990904,0.0004294134,0.001089134,0.0008436799],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.194307,0.004121725,0.002020404,0.01475168,0.001917704,0.0004183419,0.3843535,0.00002357285,0.00008015958,0.06933233,0.02628305,0.3023905],"study_design_scores_gemma":[0.6986172,0.01623925,0.01704194,0.1499859,0.0007748149,0.0007218579,0.03745551,0.001145498,0.0001804918,0.02397853,0.05327383,0.0005851676],"study_design_candidate":"randomized_trial","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.03956294,0.01074112,0.000752922,0.9467439,0.0009448472,0.0008506451,0.000001598086,0.00001411773,0.0003878895],"genre_scores_gemma":[0.9476869,0.01830151,0.001159282,0.02978339,0.002979114,0.00001004471,0.000001115006,0.00002934572,0.00004935589],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.9169605,"threshold_uncertainty_score":0.9996664,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3379150175679387,"score_gpt":0.510305597031566,"score_spread":0.1723905794636272,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}