Community outreach with families of children 0 to 5 years of age: Perceived practices and impacts in Eastern Townships, Quebec, Canada
Bibliographic record
Abstract
Abstract Backgound: Community outreach workers support individuals accessing healthcare and other services useful to respond to their needs. Even though community outreach workers have been working in the province of Quebec (Canada) for the past 40 years, their practice is poorly documented (especially for families having children aged 0 to 5 years). Methods: To document community outreach practice and its perceived impacts for children and families, a content analysis was performed on 55 scientific and grey literature documents, 24 individual interviews, and 3 focus groups including parents, community outreach workers, healthcare employees, and inter-sectoral partners. Results: Three main themes were highlighted: 1) characteristics of the population served, 2) concrete actions performed by community outreach workers, and 3) perceived impacts of community outreach on families and children. Community outreach workers were perceived to be essential for reaching out families with vulnerable circumstances and children with special needs. With respect to actions, community outreach workers were reported to tailor their interventions to respond in different but complementary ways to the healthcare system. Perceived impacts included increased access for children and families to services, decreased social isolation, increased parental abilities, increased social capital of families, and confidence towards the healthcare system. Conclusions: Results also showed that community outreach workers helped to reduce social inequalities in health. This social practice helped to augment the capacity of the healthcare system to fulfill its legal mandate to protect citizen and increase health and well-being. It is crucial that community outreach practices and proximity approaches be encouraged and sustained.
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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 | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.008 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 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 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".