Children and Teens in Charge of Their Health (CATCH): A Feasibility Randomized Controlled Trial of Solution-Focused Coaching to Foster Healthy Lifestyles in Children with Spina Bifida or Cerebral Palsy
Bibliographic record
Abstract
This feasibility randomized controlled trial (RCT) evaluated “Children and Teens in Charge of Their Health” (CATCH), a solution-focused coaching intervention promoting physical activity and healthy eating in children with spina bifida or cerebral palsy. All participants received standard care and printed materials; the intervention group also received up to eight coaching sessions over six months. Quantitative analyses examined whether a priori feasibility criteria were met and the responsiveness of measures assessing goal attainment, functional mobility, dietary intake and physical activity at four timepoints over 12 months. Nineteen participants were randomized. While stratification and fidelity criteria were met, recruitment and retention were not, likely impacted by Covid-19. CATCH participants showed significant improvements in two of three goal attainment scores, along with positive trends in functional mobility, active hours, and some dietary measures compared to controls. Most outcome measures were responsive, although protocol adaptations are needed for a full-scale RCT.
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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 | 0.003 | 0.005 |
| 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 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.006 | 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".