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Record W4409528504 · doi:10.1016/j.srhc.2025.101101

Pilot study for a preconception educational intervention for people with mobility disabilities

2025· article· en· W4409528504 on OpenAlexaff
Melina A McCabe, Amelia Gabor, Jennifer L. Stephens, Michael McKee, Hilary K. Brown, Kara Ayers, Anne Valentine, Willi Horner‐Johnson, Monika Mitra, John A. Harris

Bibliographic record

VenueSexual & Reproductive Healthcare · 2025
Typearticle
Languageen
FieldMedicine
TopicSpinal Cord Injury Research
Canadian institutionsThe Scarborough Hospital
FundersAdministration for Community LivingNational Institute on Disability, Independent Living, and Rehabilitation ResearchU.S. Department of Health and Human Services
KeywordsIntervention (counseling)MedicinePsychologyNursingFamily medicineMedical education

Abstract

fetched live from OpenAlex

OBJECTIVES: To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities. METHODS: A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests. RESULTS: 26 participants completed the study from November 2023 - July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9-2.6 points), p < 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area. CONCLUSIONS: This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.

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)0.006
metaresearch head score (Gemma)0.009
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Non-randomized trial · Consensus signal: Non-randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.006
Threshold uncertainty score0.034

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.009
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.000
Science and technology studies0.0020.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.002
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 head0.113
GPT teacher head0.480
Teacher spread0.367 · 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 designNon-randomized trial
Domainnot available
GenreEmpirical

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

Citations4
Published2025
Admission routes1
Has abstractyes

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