NATURE AND MEANING OF SOCIAL TIES AMONG ASSISTED LIVING RESIDENTS AT THE END OF LIFE
Bibliographic record
Abstract
Social network size and quality of perceived social support are associated with overall well-being in late life. Our research on end-of-life in assisted living (AL) shows that size of residents’ social support networks tends to decrease as cognitive impairment increases. Using Year 1 data from a 5-Year NIA-funded study (1R01AG047408-01A1) focusing on 55 residents with cognitive impairment from four diverse AL communities, we investigate the nature and meaning of these shrinking networks. Residents’ mean age is 87 (range=71–103); 47% are African American and 62% are female. The Montreal Cognitive Assessment shows that more than half (65%) have moderate-to-severe cognitive impairment. Thematic analysis shows that some residents draw strength through reminiscence and spiritual ties they maintain with deceased family and friends. As “comrades in illness,” others report feelings of isolation related to a lack of meaningful interaction with co-residents. Findings have implications for strengthening social support at end-of-life in AL.
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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 | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| 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".