P3‐297: Rural Dementia Action Research (RaDAR) team: Report on a community‐based primary health care team grant planning session
Bibliographic record
Abstract
Rural and remote areas of Saskatchewan have a higher proportion of seniors compared to urban areas, but offer fewer primary health care, specialist, and support services. The purpose of the Rural Dementia Action Research (RaDAR) team is to improve primary healthcare delivery to people with mild cognitive impairment and dementia and their caregivers in rural and remote communities. Fifty-three stakeholders attended a one-day planning session in October 2011. The majority of participants were health region directors, family doctors, nurse practitioners, and family caregivers. Data collection involved five focus groups and a self-administered survey. Discussion topics provided to focus group facilitators focused on: gaps in primary healthcare for people with dementia and their caregivers in rural and remote communities, the reasons for these gaps, possible ways to resolve these gaps, the objectives of designing primary healthcare delivery models, and suggestions for specific primary healthcare interventions. At the end of the planning session, stakeholders completed a brief self-administered survey. Participants indicated that symptoms of dementia are often not recognized early in the disease by families and healthcare professionals, or may be attributed to normal aging. Families typically seek help when they have reached a crisis point, and diagnosis tends to be made later than it might possibly be made. Post-diagnostic care is not consistent across the province and can be difficult to access, such as primary care and home care services. Patients and caregivers do not receive the services they need in order to stay in their own home for as long as possible. As a result, caregivers experience distress and long-term care admission for individuals with dementia may be crisis-driven rather than the result of careful decision-making. Based on the Planning Session results and additional research, the RaDAR team has engaged further with stakeholders to develop interventions aimed at addressing some of the gaps that are evident in rural primary health care for people with dementia and their caregivers.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.015 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.008 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.004 | 0.007 |
| Research integrity | 0.007 | 0.006 |
| Insufficient payload (model declined to judge) | 0.068 | 0.019 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".