Poster Presentations at the 9th Canadian Conference on Dementia (CCD) Toronto, November 2017
Bibliographic record
Abstract
Background/Objectives: Comprehensive mapping of evidence-based interventions for the health and supportive service needs of individuals with dementia is an important first step in capacity planning.A scoping review was undertaken to generate potential candidates for simulation and scenario modelling.We achieved these aims by identifying the most promising interventions for improving outcomes for persons living with dementia, care partners and the health system. Methods:We investigated interventions representing eleven topics relating to the care and management of communitydwelling persons living with dementia.Primary outcomes of interest were: timing and rate of long-term care transition, hospitalization, economic evaluation, and quality of life and patient-centred measures.Scholarly articles were identified using electronic databases (e.g.MEDLINE and PsycINFO) and grey literature from relevant websites and expert consultation.Two reviewers independently screened results and abstracted data; a third adjudicated final inclusion.GRADE and Oxford Levels of Evidence were applied to assess strength of the evidence and evaluate recommendations for use. Results:We screened 468 titles and abstracts and 152 full-text articles.Sixty-one studies published between 1985 and 2016, ranging from meta-analyses, systematic reviews, randomized clinical trials and cohort studies were included for synthesis.Four effective interventions were assigned a strong recommendation for use based on evidence of high-moderate quality and favourable effects in at least two or more outcomes relevant to our scoping review questions.Interventions achieved between 4.5 to 10 months of delayed time to admission to long-term care and approximately 20-40% reduced rate of transition.Positive benefits of interventions were consistently reported for mental health and quality of life of persons living with dementia and care partners, though their economic benefit and impact on hospitalization or emergency room department use were often mixed or unreported.Conclusion: Our review identified that among the eleven community-based intervention types, only four: adult day programs; caregiver or care partner education programs; comprehensive community-based care; and, dementia case management or care coordination reported sufficient evidence to consider including in scenario modelling for dementia capacity planning. Peripheral Oxidative Stress Markers Are Related To Vascular Risk Factors And Subcortical Small Vessel Disease
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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 | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.345 | 0.058 |
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".