{"id":"W4408147689","doi":"10.2196/49507","title":"Implementation of a Web-Based Program for Advance Care Planning and Evaluation of its Complexity With the Nonadoption, Abandonment, Scale-Up, Spread, And Sustainability (NASSS) Framework: Qualitative Evaluation Study","year":2025,"lang":"en","type":"article","venue":"JMIR Aging","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"ZonMw","keywords":"Abandonment (legal); Sustainability; Scale (ratio); Qualitative research; Process management; Computer science; Management science; Knowledge management; Sociology; Engineering management; Psychology; Business; Engineering; Political science; Social science; Geography","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.06774103,0.0004024589,0.0007084848,0.001860123,0.002913309,0.002864145,0.001649664,0.001251942,0.003167096],"category_scores_gemma":[0.07596142,0.0005092567,0.0007826508,0.002283385,0.003927005,0.003216157,0.004582154,0.00170464,0.0002797452],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01021681,"about_ca_system_score_gemma":0.0149899,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004141214,"about_ca_topic_score_gemma":0.006792553,"domain_scores_codex":[0.9332659,0.05672691,0.002021883,0.001090679,0.004834254,0.002060435],"domain_scores_gemma":[0.8778009,0.09863345,0.005668967,0.003084501,0.01056207,0.004250053],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.001295239,0.008126957,0.0462778,0.009108155,0.0002174707,0.001400079,0.5688493,0.002297114,0.003485767,0.009833844,0.006278993,0.3428293],"study_design_scores_gemma":[0.001110609,0.01259352,0.06925674,0.008218122,0.0003589709,0.0007622634,0.8360853,0.006335954,0.009212255,0.004759451,0.05103966,0.0002671561],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9661475,0.0004945964,0.01167298,0.001889103,0.00005376876,0.009699788,0.0005432903,0.00006351534,0.009435399],"genre_scores_gemma":[0.9636138,0.0005691269,0.02352741,0.0005092997,0.00002088596,0.01020075,0.0001943989,0.00003334596,0.001330901],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.06774103,"threshold_uncertainty_score":0.3582531,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1548859623896011,"score_gpt":0.5688628653103273,"score_spread":0.4139769029207261,"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."}}