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Building bridges from research outcomes to clinical practice decisions

2024· article· en· W4405781461 on OpenAlexaff
Carlos Flores‐Mir

Bibliographic record

VenueThe Angle Orthodontist · 2024
Typearticle
Languageen
FieldDecision Sciences
TopicMeta-analysis and systematic reviews
Canadian institutionsUniversity of Alberta
Fundersnot available
KeywordsGeneralizability theoryVariance (accounting)Knowledge translationValue (mathematics)Interpretation (philosophy)Clinical PracticePsychologyComputer scienceMedical educationMedicineNursingKnowledge managementBusiness

Abstract

fetched live from OpenAlex

Practitioners may face difficulties implementing research results into practice. Seven examples of common knowledge translation barriers for clinicians are presented, and suggestions are offered for building effective communication bridges. Changes in how research results are reported and interpreted across different practice contexts can improve orthodontic care. These include (a) attention to the expected benefit that includes estimates of both likely clinical value and probability of occurrence, (b) cost considerations, (c) generalizability across contexts that require interpretation adjustments, (d) measures of effect size in addition to measures of statistical significance, (e) determination of the largest relative sources of variance in the reported results, (f) estimating probabilities that lead to practice actions, and (g) conversion of research descriptions to values that impact practice decisions. Examples of improved communication relevant to clinicians are provided that can be used to build stronger bridges between orthodontic research and practice. Although advances in orthodontic research rigor have been noted, journal articles would benefit from more clinician-friendly descriptions of results and their impact.

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)0.710
metaresearch head score (Gemma)0.837
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: Methods
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.290
Threshold uncertainty score0.358

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.7100.837
Meta-epidemiology (narrow)0.0030.006
Meta-epidemiology (broad)0.0070.006
Bibliometrics0.0190.010
Science and technology studies0.0110.030
Scholarly communication0.0510.088
Open science0.0140.057
Research integrity0.0250.043
Insufficient payload (model declined to judge)0.0160.005

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 head0.922
GPT teacher head0.704
Teacher spread0.217 · 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; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designNot applicable
DomainMethods
GenreCommentary

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

Citations0
Published2024
Admission routes1
Has abstractyes

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