{"id":"W2995643282","doi":"10.1186/s13012-019-0959-2","title":"Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes","year":2019,"lang":"en","type":"article","venue":"Implementation Science","topic":"Health Policy Implementation Science","field":"Health Professions","cited_by":63,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia; Athabasca University; Mount Saint Vincent University; Centre for Advancing Health Outcomes; St. Paul's Hospital; University of Calgary; University of Manitoba; Manitoba Health; Alzheimer Society of Canada; University of Alberta; University of British Columbia, Okanagan Campus; York University; Public Health Ontario; University of Toronto","funders":"Canadian Institutes of Health Research","keywords":"Sustainability; Health administration; Medicine; Scope (computer science); Quality management; Nursing; Evidence-based practice; Nursing research; Health care; Process management; Environmental resource management; Public health; Business; Political science; Marketing; Computer science; Service (business)","routes":{"ca_aff":true,"ca_fund":true,"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","metaepi_narrow"],"consensus_categories":["metaresearch"],"category_scores_codex":[0.02909233,0.0003265697,0.0005993531,0.0008782988,0.001121526,0.0001551759,0.0007185018,0.00006858057,0.00007435054],"category_scores_gemma":[0.01259763,0.0002626376,0.00004153317,0.001892848,0.0004601318,0.002746862,0.0003789568,0.000268394,6.295835e-7],"about_ca_system_candidate":true,"about_ca_system_consensus":true,"about_ca_system_score_codex":0.005050044,"about_ca_system_score_gemma":0.005711205,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.4566734,"about_ca_topic_score_gemma":0.5147074,"domain_scores_codex":[0.9901836,0.00348817,0.001975881,0.001169387,0.001604188,0.001578758],"domain_scores_gemma":[0.9885932,0.005057222,0.001615342,0.0009447374,0.0032863,0.000503257],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"qualitative","study_design_scores_codex":[0.000542575,0.000750424,0.8109235,0.001123366,0.00001630356,7.552143e-7,0.1769911,0.0000471743,0.000474415,0.00132857,0.00005207697,0.007749765],"study_design_scores_gemma":[0.005261767,0.004930513,0.4044562,0.0001243509,0.00002725509,2.377105e-7,0.5827839,0.00007446481,0.0008886271,0.0004468749,0.000847501,0.0001583901],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7376745,0.000004060066,0.0006337413,0.02124895,0.0001177843,0.2401932,0.00009940135,0.00001657386,0.00001183117],"genre_scores_gemma":[0.9177372,0.000001873314,0.0002183413,0.001132202,0.00002820516,0.08083276,0.000008893182,0.00001865091,0.00002184906],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.4064673,"threshold_uncertainty_score":0.9999826,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.4064168369009449,"score_gpt":0.6845600853941207,"score_spread":0.2781432484931758,"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."}}