Bibliographic record
Abstract
Home and community-based services (HCBS) offer a lower-cost option than institutional long-term care, while supporting older adults in their preferred setting. Nearly 70 percent of people with dementia live at home (Alzheimer’s Association, 2009) and almost one-quarter has Medicaid coverage (Kaiser Family Foundation, 2015). HCBS services vary from state to state and while many provide options for long-term services and supports (LTSS) such as personal care, case management, physical or occupational therapy, few of these services are designed to formally address the needs of family caregivers essential to successful community living for persons with dementia. The COPE intervention offers a unique constellation of supports to these families that can be integrated into existing LTSS care management models. This paper compares and contrasts “usual care” with the enhanced supports offered as part of the COPE intervention and identifies key points for successful implementation by care managers and HCBS policymakers.
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 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 | 0.005 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.005 |
| Scholarly communication | 0.012 | 0.005 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.005 | 0.005 |
| Insufficient payload (model declined to judge) | 0.036 | 0.002 |
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.
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".