SELF-CARE: A CLARIFICATION OF MEANING AND EXAMINATION OF SUPPORTIVE STRATEGIES
Bibliographic record
Abstract
BackgroundConsidering ~9 million Canadians have one or more chronic health conditions, and >3.3 million report some level of disability, the burden of care is substantive for individuals and health system.With such conditions, self-care is essential but may pose challenges to both individuals and providers of care.As a concept, self-care is poorly understood.Further, evidence for effective self-care support is diffuse and typically studied relative to specific conditions. ObjectivesTo investigate the concept of self-care three objectives were undertaken: 1) explore and describe the construct of self-care as understood by individuals/families, health care professionals, researchers, policy-makers; and industry; 2) produce new knowledge for health care professionals about interventions for self-care across a range of population groups; 3) develop a provisional framework to inform practice and research. MethodA multi-phase enquiry was undertaken.Phase 1 Concept clarification including: 1) synthesis of qualitative evidence on the experience of self-care reported by individuals/families; 2) content analysis and definitional study of the meaning of selfiii care; 3) concept analysis of self-care; 4) creation of a conceptual schema encompassing these perspectives.Phase 2 Self-care Interventions: Integrative study of systematic reviews, synthesizing evidence for self-care interventions from multiple disease/impairment groupings. ResultsThree modes of self-care were revealed : 'Care of self' self-care performed on one's own behalf; 'care by other' acknowledging individuals with disabilities who guide and direct care provided by another person; and 'care of other'-care of families and others at a community level.Analysis of 30 self-care interventions across 16 conditions demonstrated that educational sessions and self-care management plans are emerging as effective strategies to support and guide self-care. ConclusionSelf-care is a complex care concept that is becoming an expected element in today's health care environment.A full understanding of how it is viewed, including the individual's perspective, is vital for enactment and beneficial support.This comprehensive understanding of the concept along with evidence for effective interventions drawn from multiple groups will assist health care professionals to improve their assessments and provide them with strategies to support self-care needs iv -ultimately, contributing to enabling individuals to maintain their highest level of functioning.
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How this classification was reachedexpand
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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".