{"id":"W4412672814","doi":"10.1016/j.socscimed.2025.118461","title":"The mechanisms by which a whole-school intervention might improve sexual health: qualitative realist research nested in a trial in English secondary schools","year":2025,"lang":"en","type":"article","venue":"Social Science & Medicine","topic":"Adolescent Sexual and Reproductive Health","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Linnaeus Plant Sciences (Canada)","funders":"National Institute for Health and Care Research; National Institute on Handicapped Research","keywords":"Intervention (counseling); Qualitative research; Psychology; Public health; Reproductive health; Medicine; Sociology; Population; Environmental health; Nursing; Social 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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.06751624,0.0009305638,0.001474346,0.001250907,0.002811197,0.002031123,0.001967681,0.002172046,0.01055935],"category_scores_gemma":[0.08225852,0.001013531,0.001835319,0.001674723,0.005187099,0.00283821,0.002530422,0.002233758,0.0006168205],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007899336,"about_ca_system_score_gemma":0.01191131,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.005194015,"about_ca_topic_score_gemma":0.007553412,"domain_scores_codex":[0.9383311,0.05207048,0.003077953,0.002449611,0.001322832,0.002747977],"domain_scores_gemma":[0.9112203,0.07431795,0.004990946,0.004781305,0.003229626,0.001459949],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.06950461,0.06167427,0.03213583,0.05460889,0.003635849,0.001485234,0.4282286,0.008805982,0.01326367,0.0266781,0.005758127,0.2942208],"study_design_scores_gemma":[0.124061,0.2279635,0.1013607,0.02660885,0.008077705,0.0006223213,0.3606343,0.01072614,0.03176168,0.04142116,0.06595182,0.0008108492],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8877771,0.002045602,0.01693911,0.001649089,0.0003356966,0.08304698,0.001012825,0.0001299643,0.007063595],"genre_scores_gemma":[0.8600589,0.0006155682,0.02103343,0.001046799,0.0000793117,0.1151446,0.0002445667,0.00003843912,0.001738295],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.06751624,"threshold_uncertainty_score":0.3570643,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.159519990142701,"score_gpt":0.5552897376589977,"score_spread":0.3957697475162967,"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."}}