{"id":"W2972221446","doi":"10.1080/01942638.2019.1660447","title":"Why Do Clinical Practice Guidelines Get Stuck during Implementation and What Can Be Done: A Case Study in Pediatric Rehabilitation","year":2019,"lang":"en","type":"article","venue":"Physical & Occupational Therapy In Pediatrics","topic":"Occupational Therapy Practice and Research","field":"Health Professions","cited_by":26,"is_retracted":false,"has_abstract":true,"ca_institutions":"Winnipeg Regional Health Authority; University of Manitoba","funders":"","keywords":"Rehabilitation; Consistency (knowledge bases); Context (archaeology); Occupational therapy; Relevance (law); Guideline; Knowledge translation; Qualitative research; Intervention (counseling); Medicine; Focus group; Psychology; Nursing; Medical education; Applied psychology; Physical therapy; Knowledge management; Computer science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.00480551,0.000291053,0.0004685186,0.0006063309,0.0003706516,0.000123953,0.0001957887,0.0001933762,0.0001393517],"category_scores_gemma":[0.002534188,0.0002589132,0.0001003979,0.00137469,0.00004406763,0.00236118,0.0001442457,0.001231377,0.00004105988],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002971898,"about_ca_system_score_gemma":0.0007483077,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002250045,"about_ca_topic_score_gemma":0.001630772,"domain_scores_codex":[0.992997,0.002886134,0.001648112,0.000746621,0.001175386,0.0005467377],"domain_scores_gemma":[0.9844825,0.01296491,0.000629325,0.0003803609,0.001375021,0.0001678424],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00166539,0.002047038,0.9758143,0.0001177217,0.00003044685,0.00009992757,0.01111303,0.0001510197,0.0000233933,0.0002266706,0.001004393,0.007706716],"study_design_scores_gemma":[0.008360753,0.001391511,0.8942175,0.00002559162,0.00004559019,0.0000177516,0.09279308,0.0002687521,0.000001683546,0.0008335945,0.001711529,0.0003326614],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9879218,0.0006885445,0.00001203915,0.007224409,0.0005759814,0.003461022,0.00003682689,0.00003692329,0.00004248888],"genre_scores_gemma":[0.9845883,0.008318443,0.001293189,0.003047685,0.002106526,0.0004899448,0.00007749519,0.00004591814,0.00003246154],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.08168006,"threshold_uncertainty_score":0.9999863,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1801280696221335,"score_gpt":0.5873618302758186,"score_spread":0.4072337606536851,"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."}}