Trends In Pediatric-related Utilization Of A Telephone- And Internet-based Physical Activity Counselling Service
Bibliographic record
Abstract
The Physical Activity Line (PAL) is a free, telephone- and internet-based service available to all residents of British Columbia, Canada. Evidence-based physical activity (PA) counselling is provided by qualified exercise professionals (QEP) with specialized training and clinical experience. Within the PAL, a pediatric branch has been established to provide PA-related pediatric services. PURPOSE: To describe trends in volume and content of pediatric-related calls to the PAL. METHODS: Utilization of the pediatric PA services at the PAL was examined across 24 months. Call data were analyzed and coded for topic and referral source. RESULTS: There was a marked increase in overall pediatric call volume (from 1.2% to 15.4%) over 24 months. Of these, 86.9% of calls related to exercise prescription, 8.1% of calls were requests for PA resources, and 3.8% of calls were PAL service inquiries. Over one-third of callers (35.1%) contacted the PAL more than once. Of the calls requesting individualized exercise prescriptions, 74.8% related to healthy weights programming, 16.5% involved exercise prescriptions for inclusive PA, and 3.6% were general health promotion. In addition, 5.0% of calls involved exercise prescriptions to mothers during pregnancy (and for post-natal exercise). Pediatric referrals were from: provincial pediatric obesity treatment programs (44%), allied health care professionals (25%), self-referrals (20%), and physician referrals (14%). CONCLUSIONS: Increased utilization of a telehealth pediatric PA counselling service represents an increased awareness of the PAL. Further, the high prevalence of exercise prescription calls indicates that parents and healthcare providers are recognizing the importance of PA, as well as the feasibility of using a telephone- and internet-based QEP service for pediatric PA counselling.
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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 | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 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".