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Record W2430285408 · doi:10.1177/0706743716645307

Evidence-Based Practice in Use of CTOs

2016· article· en· W2430285408 on OpenAlexaffvenueabout
John Dawson, Steve Kisely, Jorun Rugkåsa

Bibliographic record

VenueThe Canadian Journal of Psychiatry · 2016
Typearticle
Languageen
FieldPsychology
TopicHealthcare Decision-Making and Restraints
Canadian institutionsDalhousie University
Fundersnot available
KeywordsEvidence-based medicineMEDLINEMedicineRandomized controlled trialQuality of evidenceAlternative medicinePsychologySurgeryPolitical sciencePathology

Abstract

fetched live from OpenAlex

Drs Karagianis, Hastings, and Gray disagree with our assessment of the evidence on the effectiveness of community treatment orders (CTOs). In our reviews of studies from Canada and abroad, we apply recognised principles of evidence-based medicine (EBM) to assess the quality of the research. We found some studies show therapeutic benefits for CTOs. These include studies commissioned by governments, often conducted by nonacademic consultancies and not subject to peer review, and a number of small-scale, uncontrolled studies. These are the kinds of studies conducted in Canada. They do not provide robust evidence for efficacy of CTOs, especially when few high-quality studies report positive outcomes, and all the randomized studies and the best nonrandomized ones find no evidence of therapeutic benefit.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.267
metaresearch head score (Gemma)0.661
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.267
Threshold uncertainty score0.903

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2670.661
Meta-epidemiology (narrow)0.0010.003
Meta-epidemiology (broad)0.0050.006
Bibliometrics0.0130.009
Science and technology studies0.0030.013
Scholarly communication0.0100.012
Open science0.0130.010
Research integrity0.0130.021
Insufficient payload (model declined to judge)0.0060.002

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.

Opus teacher head0.099
GPT teacher head0.382
Teacher spread0.284 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2016
Admission routes3
Has abstractyes

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