Commentary on “Clinical Decision Making Regarding Intervention Needs of Infants With Torticollis”
Notice bibliographique
Résumé
“How should I apply this information?” This study identified factors affecting pediatricians' and physical therapists' decision making for infants with torticollis. There was strong support for the need for intervention in infants with torticollis, but little knowledge about pediatricians' or physical therapists' decisions regarding appropriate interventions. Therapists must be mindful of factors influencing these decisions to assure objective assessment, program planning, and intervention revision. The factors were mapped using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY). Physical therapists identified 21 determinants of clinical decision making including parent's awareness and understanding of the problem, parent's ability to perform exercises, parental anxiety, parental motivation, parental coping strategies, parent-child interaction, parent's mental state, parental fear of moving their baby, parents' capacity to collaborate with physical therapy, and family network. Factors attributed to the infant included age, personality, response to exercises, birth complications, and associated health conditions. It seems important for physical therapists to gather information from parents regarding environmental factors when determining the plan of care. Finally, a subset of factors regarding health professionals' personal attitudes/preferences and availability of services was influential in determining intervention. Physical therapists' experience and role perception, as well as other health professionals' attitudes, were influential highlighting the importance of therapists being aware of individual biases brought to the clinical decision-making process. “What should I be mindful about in applying this information?” Physicians and physical therapists identified similar factors, but pediatricians' perspectives were restricted to fewer factors. Among ICF-CY domains, all identified activities and participation factors and many of the body structures and body functions factors had been previously reported. However, sensory integration, alertness, primitive reflexes, tone, and weak suck had not been previously identified but were influential in this study. To date, little attention has been given to environmental factors. In addition, therapists should note that differences in health care management and payment structure may have affected these Canadian clinicians' decisions differently than those made by physical therapists in the United States. Kimberly Harbst PT, PhD University of Wisconsin-LaCrosse LaCrosse, Wisconsin Tanya Grabinski, PT, MHS, PCS University of Wisconsin-LaCrosse LaCrosse, Wisconsin
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».