Computer-assisted screening for intimate partner violence in family practice
Notice bibliographique
Résumé
The RCT participants in the intervention arm completed a computer-based health risk assessment before seeing their physician. The computer survey included questions on IPV and other health risks. Computer-generated risk reports were attached to patients' medical charts for review by their physician. Participants in the control arm received standard medical care. Data were collected by audio taping the medical visits and an exit survey of patients. The results reveal that the overall prevalence of IPV in the family practice was high; 14.6% in the pencil and paper survey and 13.7% in the RCT study. The RCT demonstrated that, compared to standard medical care, the computer-assisted screening resulted in a 1.8-fold increase in the likelihood of physician and patients discussing IPV risk and the detection of women at risk of IPV increased by a factor of 2.5-fold. Further, RCT participant patients showed acceptance of the computer-assisted screening, after its use. The interviewed physicians perceived computer-assisted screening as most feasible for periodic health exams and follow-up visits, given the existing logistical limitations. Overall, physicians expressed general acceptance of the computer screening. The results provide impetus for improvements in clinical practice, medical training, policy and research to address the issue of IPV. The use of the screening tool may be enhanced by continued research into its generalizability by inclusion of multiple family practice clinics and various primary care settings. The overall aim of the dissertation research was to advance knowledge on the phenomenon of computer-assisted screening for intimate partner violence (IPV) within a Canadian family practice context. A series of inter-linked studies (quantitative and qualitative) was conducted to answer three research questions: (1) what is the effectiveness of computer-assisted screening for increasing physician-patient discussions on and detection of IPV risk? (2) what is the acceptance of computer-assisted screening among patients? and (3) what is the feasibility of computer-assisted screening from the perspectives of family physicians? To answer the first two questions, a randomized controlled trial (RCT) was conducted at an academically-affiliated family practice clinic in Toronto with adult female patients in a current or recent intimate relationship (n = 314). The RCT planning was facilitated by studies in the pre-trial phase (a pencil and paper survey of patients, and a psychometric scale validation). To answer the third question, in-depth qualitative interviews were conducted with the trial physicians (n = 10).
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 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 | 0,004 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 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 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 ».