ACHRU—COMMUNITY PARTNERSHIP PROGRAM FOR OLDER ADULTS WITH DIABETES AND MULTIMORBIDITY
Bibliographic record
Abstract
In response to the complex needs of older adults with Type 2 Diabetes Mellitus and multimorbidity, an interprofessional community-based health promotion program was developed. A pragmatic randomized controlled trial study design was used to conduct the 6-month program comprised of in-home visits, monthly group sessions, and nurse-led coordination of care delivered by Registered Nurses, Dietitians, and fitness leaders from the YMCA or community centre. Compared with the usual care group (n=79), the intervention group (n=80) showed statistically significant and clinically important improvements in the mean SF-12 measured mental health (3.69, p=0.02, 95% CI: 0.60, 6.78), vitality (3.68, p=0.02, 95% CI: 0.57, 6.80) and general health scores (3.56, p=0.02, 95% CI: 0.65, 6.46). These benefits were achieved at no additional cost compared to usual primary care. The results support the effectiveness of the program in improving health related quality of life in older adults with Type 2 Diabetes in community settings.
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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 | 0.003 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 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".