A105 TRANSITION TO ADULTHOOD THROUGH COACHING AND EMPOWERMENT (TRACE): A FEASIBILITY RCT
Bibliographic record
Abstract
Abstract Background Pediatric patients with chronic disease face challenges during the transition to adult care, including psychosocial and emotional stressors, as well as worsening disease. Aims Transition to Adulthood through Coaching and Empowerment (TRACE) assessed the feasibility of conducting a virtual transition coaching randomized controlled trial for adolescent patients and collected preliminary clinical outcomes. Methods Individuals aged 16-17 diagnosed with inflammatory bowel disease or juvenile idiopathic arthritis from the pediatric gastroenterology (GI) or rheumatology clinics at McMaster Children’s Hospital were recruited. Participants were randomized into control or Transition Coach Intervention (TCI) groups. TCI participants received 8 virtual coaching sessions; 6 with a child life specialist and 2 with a clinical psychologist. Electronic questionnaires were completed at baseline, 8 months, and 11 months. Feasibility outcomes, patient demographics, transition readiness, and quality of life were recorded. Descriptive statistics summarized feasibility outcomes and outcomes by group. Results Of all participants (n=27), 67% were male, and the mean (SD) age was 16.8 (0.5) years. The recruitment rate was 58% and 38% for the GI and rheumatology clinics, respectively. The overall dropout rate was 7%. All TCI participants attended at least 6/8 sessions, and 63% of participants had a complete data set (Table I). Figure 1 shows baseline and 8-month follow-up data for preliminary clinical outcomes, such as transition readiness and quality of life, which will inform the design of a future randomized controlled trial. Conclusions The TRACE study aims to show that a virtual TCI trial is feasible. Based on preliminary responses to this transition intervention, we plan to conduct a large-scale, randomized controlled trial. Table I: Feasibility outcomes. (n=14 control group, n=13 TCI group, n=27 total). JIA = juvenile idiopathic arthritis, IBD = inflammatory bowel disease, TCI = transition coach intervention Figure 1. Transition-Q and Peds-QL scores at baseline and 8-month follow-up. (n=13 for the control group, n=8 for the baseline TCI group; n=8 for the 8-month follow-up control group, and n=6 for the 8-month follow-up TCI group). F/U = follow-up, TCI = transition coach intervention Funding Agencies: HAHSO
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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 | 0.012 | 0.012 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
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.
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".