A150 IBD PATIENTS TRANSITIONING FROM PEDIATRIC TO ADULT CARE LACK THE NECESSARY TRANSITION SKILLS
Bibliographic record
Abstract
With the rise of inflammatory bowel disease (IBD) in pediatric patients, transition is a process that occurs more every day. In a prior study, we identified that an interactive IBD transition website was needed to assist pediatric patients with IBD make the transition from pediatric to adult gastroenterology care. This interactive website can be used to assess the transition skills of patients around the time of transfer of care. To assess the transition skills of young adults with IBD around the time of transfer of care, before and after using the newly developed IBD Transition Website. Participants between the ages of 16–18 years were recruited in the pediatric and adult IBD clinics at the Stollery and University of Alberta Hospitals. Written consent was obtained and participants were directed to the transition.ibdclinic.ca website and instructed to complete a short website assessment. After the participants complete the assessment, they are prompted to re-take the assessment after 30 days to assess if there is any change in these transition skills. Transition skills assessed include: 1) knowledge (IBD-Kid), 2) medication adherence, and 3) transition readiness (TRAQ). To date, 21 patients recruited and 8 have completed the initial assessment. Demographic data of those completing the initial assessment: 75% female; 75% have Crohn’s Disease; median age of 17.5. Results of the baseline transition skills assessments are shown in Table 1; scores are compared to results to literature values. 30-day post-website access scores are not yet available. In IBD patients transitioning from pediatric to adult care in Edmonton appear to have good knowledge and medication adherence, however show significant deficits in transition readiness skills. It is not yet known, if an IBD website intervention is able to improve these deficits. Table 1. Participant assessment scores compared to previous study values. * Median (IQR); measured by ¥Morisky Medication Adherence Scale-8 CEGIIR
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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 | 0.000 | 0.002 |
| 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 | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.012 | 0.001 |
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".