KNOWLEDGE, ATTITUDES, AND BEHAVIORS RELATED TO ADVANCE DIRECTIVES AMONG CHINESE AMERICAN OLDER ADULTS
Bibliographic record
Abstract
The study purpose was to describe knowledge, attitudes and behaviors about advance directives in Chinese American older adults. Chinese American senior center members (n=150) were interviewed. One-quarter reported knowledge of a health care proxy (HCP) and 22% had heard of a living will (LW), but few gave correct definitions of either. Few had appointed a HCP (11%) or had a LW (4%). Most (83%) had negative attitudes toward having an HCP. Only 41% thought a LW was needed when in good health. Beliefs included: an HCP controls medical decisions even when the individual can make decisions (37%); putting wishes in writing is too binding (41%); once end-of-life preferences are documented, they cannot be changed (43%); they trust the doctor to make decisions about end-of-life care if they were unable to (86%) and make decisions about life-sustaining treatment (60%). Misconceptions and negative attitudes about advance directives were prevalent in this population.
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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 | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 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) | 0.001 | 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 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".