What is the Evidence and Context for Implementing Family-Centered Care for Older Adults?
Bibliographic record
Abstract
Aims: This project used the Promoting Action on Research Implementation in Health Services (PARIHS) knowledge translation framework to better understand the evidence and context for implementing family-centered care for older adults in rural home-based rehabilitative practices. Methods: A case-study design with multiple data collection methods was used to examine rural home-based rehabilitative care for older adults and their caregivers within one provincial healthcare system. Results: The study findings indicated therapists questioned whether their scope of practice should include addressing caregiver needs outside of implementing the therapist's care plan for the client. Therapists also confirmed that multiple contextual levels influence the provision of family-centered care. Conclusions: The PARIHS framework made it easier for the academic and non-academic partners to collaborate; furthermore, the framework identified that the practitioner's clinical experience is an essential component to evaluating and implementing evidence into practice.
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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 | 0.143 | 0.349 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.005 | 0.004 |
| Science and technology studies | 0.004 | 0.008 |
| Scholarly communication | 0.014 | 0.011 |
| Open science | 0.004 | 0.007 |
| Research integrity | 0.005 | 0.006 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".