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Record W3111173416 · doi:10.1002/alz.047675

Connecting patients and families by a tablet on wheels during the time of COVID‐19 pandemic

2020· article· en· W3111173416 on OpenAlexaff
Lillian Hung

Bibliographic record

VenueAlzheimer s & Dementia · 2020
Typearticle
Languageen
FieldHealth Professions
TopicFamily and Patient Care in Intensive Care Units
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsFocus groupVisitor patternQualitative researchPsychologyNursingDementiaAnxietyPandemicMedical educationCoronavirus disease 2019 (COVID-19)MedicinePsychiatryComputer science

Abstract

fetched live from OpenAlex

Abstract Background People staying in hospitals need more support to cope with the lock down and visitor restriction during the COVID‐19 pandemic, especially for older people with cognitive or physical impairment. Everyday technology such as a touchscreen tablet has great potential to support person‐centred care. Aims: We aimed to support the adoption of tablets for hospitalized people with dementia to connect with families and friends. Methods A patient‐oriented research approach was employed to co‐produce the toolkit. We are a transdisciplinary team, including a medical student, physicians, nurses, patients, and family partners. We facilitated staff focus groups (n = 3), and conducted stakeholders' interviews (n = 4) to gain a more comprehensive understanding of users' needs. The sample included ten patients, ten family members, 40 staff members, nurses, care workers, physicians, and unit clerks (n = 40). The Consolidated Framework for Implementation Research (CFIR) guided the research design and qualitative analysis. Results A toolkit was developed based on participants’ perspectives on what needs to be in place to support successful adoption. We developed a mobile tablet with one mechanical arm and one leg on wheels. Participants reported impacts: (a) it puts a smile on the patient’s face, (b) it alleviates anxiety and worries on both sides, and (c) it reduces responsive behaviours. Conclusions The conceptual framework CFIR provides helpful guidance in identifying barriers to implementation. Working with users including patient and family partners to explore possible solutions was key to our success. Future research should engage patient and family partners to seek proactive strategies to address obstacles to advance the science of technology implementation.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.026
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.010
Threshold uncertainty score0.050

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0100.026
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0060.003
Scholarly communication0.0030.003
Open science0.0020.007
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0060.001

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.

Opus teacher head0.079
GPT teacher head0.336
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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
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
Published2020
Admission routes1
Has abstractyes

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