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Record W2900148371 · doi:10.1093/geroni/igy023.1092

TOO MUCH INFORMATION? EXPLORING THE ROLE OF ‘INFORMATION BURDEN’ IN THE EXPERIENCES OF CAREGIVERS FOR OLDER ADULTS

2018· article· en· W2900148371 on OpenAlexaff
Reza Mirza, Christopher Klinger

Bibliographic record

VenueInnovation in Aging · 2018
Typearticle
Languageen
FieldMedicine
TopicPatient Dignity and Privacy
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsCompassionFamily caregiversHealth careInformation sharingNursingPsychologyQualitative researchMedicine

Abstract

fetched live from OpenAlex

With the onus of care for the elderly shifting onto informal caregivers, older adults may often be accompanied by family caregivers to medical visits. In order to optimize care and to participate in healthcare decision-making for the older patient, caregivers are often privy to significant health information. This may include personal details about the patient previously unknown to the caregiver, information about advance care and end-of-life planning, and a ‘bad news’ diagnosis. However, a commonly overlooked issue in geriatric practice is the amount of information that caregivers must acquire and manage as patients get older and more dependent on them. Caregivers, often deemed the ‘invisible second patient’, may feel inundated with the health information shared and feel unprepared, vulnerable and in need of healthcare support themselves. Using a qualitative research design, 49 in-depth interviews with 23 caregivers of older adults were conducted over a year. Our results illustrate how caregivers often provide care and conceal information from loved ones at the detriment to their own health and social well-being. Interview data highlights the complexity of managing health information with some gender differences in caregiving experiences. Results suggest that caregivers sometimes felt emotionally compromised when making objective healthcare decisions, and that ‘too much information’ resulted in information burden, conflict and a desire to override patient wishes out of compassion and fear. These findings may impact care by illustrating that caregiver involvement should trigger further dialogue between doctors, elderly patients and their caregivers, especially with respect to information sharing boundaries.

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 distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.052
Threshold uncertainty score0.127

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.036
GPT teacher head0.293
Teacher spread0.257 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

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".

Quick stats

Citations1
Published2018
Admission routes1
Has abstractyes

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