Improving Adherence in Adolescent Chronic Kidney Disease: A Dialectical Behavior Therapy (DBT) Feasibility Trial
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Adolescents with chronic kidney disease often engage in nonadherent behaviors and have poorer outcomes. Dialectical behavior therapy (DBT) promotes quality-of-life improvement, with specific focus on “treatment-interfering behaviors” such as nonadherence. DBT has demonstrated effectiveness with patients who are otherwise difficult to reach, treat, and manage in outpatient settings. This study describes a DBT adaptation for improving adherence in adolescent patients with end-stage renal disease (ESRD). Seven adolescents with ESRD were enrolled in a 9-session DBT program. Process (illness acceptance) and outcome (quality of life, depression) measures were conducted pre- and posttreatment. Transplant team reports of adherence and health improvements were conducted at pre-, mid-, and posttreatment. Significant improvements were evident at posttreatment for depression and adherence. Findings suggest that DBT may promote adherence in difficult-to-treat youth with chronic illness.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.043 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.006 |
| Insufficient payload (model declined to judge) | 0.003 | 0.003 |
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 it