Understanding the Current and Future States of Behavioural Supports Ontario: Protocol for a Mixed Methods Pilot Study (Preprint)
Notice bibliographique
Résumé
BACKGROUND Behavioural Supports Ontario (BSO) was created in 2010 as a provincially defined and regionally implemented program in Ontario, Canada, to support older adults living with responsive behaviors in long-term care homes, hospitals, and at home, and to also support their family care partners. There are 14 different BSO regions in Ontario, each with its own service delivery model to provide (1) system coordination and management, (2) integrated service delivery, and (3) knowledgeable care teams and capacity building. In 2023, BSO teams across Ontario supported approximately 33,300 older adults with expressions of responsive behaviors, the majority of whom had dementia, and 20,100 family care partners. OBJECTIVE This study aimed to understand how BSO is currently affecting service providers and family care partners across all BSO care settings (ie long-term care, community, and acute care), and how BSO service delivery models can be modified to best meet the current needs of these target populations. This pilot study will be conducted in the western Ontario region, which comprises 4 different BSO regions; this will enable comparison between different BSO service delivery models to identify which service model elements may be best used to support BSO care providers, care recipients, and family care partners in the future. METHODS Following a 2-phase mixed methods sequential explanatory design, this study will invite BSO staff and leaders to complete an anonymous web-based survey, followed by focus groups and interviews to share their perspectives on BSO’s current functioning, areas of weakness, and opportunities for growth. Family care partners will also be invited to complete one-on-one interviews to share information about their experiences with BSO, areas of weakness, and opportunities for growth. RESULTS This study began in January 2024; data collection was completed in December 2024. Overall, 360 participants completed the anonymous survey; 51 staff and leaders and 11 family caregivers completed an interview or focus group. Data analysis is anticipated to be completed by September 2025 with results published by December 2025. Quantitative data will be analyzed using descriptive and inferential statistical techniques to identify similarities and differences in the perspectives of BSO staff and leaders across the 4 BSO regions. Qualitative data will be managed and analyzed through descriptive coding and thematic analysis to provide meaningful explanations of BSO staff, leaders, and family care partners’ experiences with the program. This study was approved by the Western University Health Sciences Research Ethics Board (124599). CONCLUSIONS The study findings will support improvements in BSO services across the western region of Ontario. The findings will also be leveraged to support the modernization of the program to better meet the needs of patients and family care partners who depend on the service each year, while also supporting the needs of service providers within the program. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/69067
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,040 | 0,034 |
| Méta-épidémiologie (sens strict) | 0,003 | 0,004 |
| Méta-épidémiologie (sens large) | 0,003 | 0,004 |
| Bibliométrie | 0,004 | 0,004 |
| Études des sciences et des technologies | 0,008 | 0,002 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,004 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,006 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,089 | 0,016 |
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 source (Gemma direct ou Codex distillé), 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 ».