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Record W4284971478 · doi:10.1136/bmjopen-2021-056799

Programmes to support transitions in community care for children with complex care needs: a scoping review

2022· review· en· W4284971478 on OpenAlexafffund
Sydney Breneol, Shelley Doucet, Jessie‐Lee D. McIsaac, Angela Riveroll, Christine Cassidy, Patricia Charlton, Holly McCulloch, Shelley McKibbon, Alison Luke, Jennifer Splane, Janet Curran

Bibliographic record

VenueBMJ Open · 2022
Typereview
Languageen
FieldHealth Professions
TopicAdolescent and Pediatric Healthcare
Canadian institutionsKellogg's (Canada)University of Prince Edward IslandMount Saint Vincent UniversityDalhousie UniversityUniversity of New BrunswickIzaak Walton Killam Health Centre
FundersMaritime SPOR SUPPORT UNITIWK Health CentreCanadian Institutes of Health ResearchDalhousie UniversityFondation de la recherche en santé du Nouveau-Brunswick
KeywordsMedicineHealth services researchPublic healthNursingFamily medicine

Abstract

fetched live from OpenAlex

OBJECTIVE: This scoping review aimed to map the range of programmes in the literature to support children and youth with complex care needs and their families during transitions in care in the community. DESIGN: A scoping review of the literature. CONTEXT: This review included programmes that supported the transition in care to home and between settings in the community. DATA SOURCES: We implemented our strategy to search five databases: (1) PubMed; (2) CINAHL; (3) ERIC; (4) PyscINFO and (5) Social Work Abstracts. The search was last implemented on 29 April 2021. STUDY SELECTION: Our search results were imported into Covidence Systematic Review Software. First, two reviewers assessed titles and abstracts against our eligibility criteria. Relevant articles were then retrieved in full and reviewed by two reviewers for inclusion. Disagreements were resolved by a third reviewer. DATA EXTRACTION: Relevant data were extracted related to population, concept, context, methods and key findings pertinent to our review objective. RESULTS: A total of 2482 records were identified. After our two-stage screening process, a total of 27 articles were included for analysis. Articles ranged in the type of transitions being supported and target population. The most common transition reported was the hospital-to-home transition. Intervention components primarily consisted of care coordination using a teams-based approach. The most reported barriers and enablers to implementing these transition care programmes were related to physical opportunities. LIMITATIONS: Included articles were limited to English and French. CONCLUSIONS: This review identified important gaps within the literature, as well as areas for future consideration to ensure the effective development and implementation of programmes to support children and youth with complex care needs during transitions in care.

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)0.033
metaresearch head score (Gemma)0.119
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.033
Threshold uncertainty score0.173

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0330.119
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0050.006
Bibliometrics0.0230.021
Science and technology studies0.0020.002
Scholarly communication0.0070.007
Open science0.0030.004
Research integrity0.0040.003
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 head0.508
GPT teacher head0.616
Teacher spread0.108 · 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 designSystematic review
Domainnot available
GenreReview

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

Citations6
Published2022
Admission routes2
Has abstractyes

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Same venueBMJ OpenSame topicAdolescent and Pediatric HealthcareFrench-language works237,207