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Record W4414838806 · doi:10.1101/2025.10.02.25337191

Navigating transition: A mixed methods study protocol for understanding chronic pain, resilience, and well-being among Canadian Armed Forces Veterans, families, and service providers

2025· preprint· en· W4414838806 on OpenAlexaffabout
Jenny J. W. Liu, Erin Collins, Natalie Ein, Julia Gervasio, J. Don Richardson

Bibliographic record

VenuemedRxiv · 2025
Typepreprint
Languageen
FieldMedicine
TopicMusculoskeletal pain and rehabilitation
Canadian institutionsToronto Metropolitan UniversityWestern University
FundersU.S. Department of Veterans Affairs
KeywordsThematic analysisService providerChronic painQualitative researchPsychological resilienceGrounded theoryResilience (materials science)Service (business)

Abstract

fetched live from OpenAlex

Abstract Introduction Transitioning from military to civilian life is often challenging for Canadian Armed Forces (CAF) Veterans, and chronic pain further complicates reintegration and wellbeing. Family members and service providers play critical but understudied roles in this process. Methods This mixed-methods study combines secondary analysis of the previous dataset with new qualitative interviews. Quantitative analyses will describe characteristics of Veterans with chronic pain and assess associations between pain severity and transition outcomes using regression models. Qualitative interviews with Veterans (n=10), family members (n=10), and service providers (n=10) will explore pain management, barriers and facilitators to care, and resilience strategies, analyzed using both deductive (framework-guided) and inductive thematic approaches. Results Findings will identify correlates of chronic pain and transition outcomes, as well as systemic gaps and resilience-enabling supports across the transition continuum. Discussion This study is the first in Canada to examine chronic pain in Veterans’ transition through a multi-system lens inclusive of family and provider perspectives. Grounded in resilience frameworks, the design addresses individual, relational, and structural influences on post-service adjustment. Anticipated findings will inform targeted interventions, caregiver supports, and provider education to strengthen resilience and improve care coordination for Veterans with chronic pain.

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)0.089
metaresearch head score (Gemma)0.049
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Protocol · Consensus signal: Protocol
Teacher disagreement score0.865
Threshold uncertainty score0.469

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0890.049
Meta-epidemiology (narrow)0.0030.003
Meta-epidemiology (broad)0.0030.003
Bibliometrics0.0050.007
Science and technology studies0.0120.003
Scholarly communication0.0050.002
Open science0.0050.004
Research integrity0.0030.005
Insufficient payload (model declined to judge)0.0510.006

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 head0.026
GPT teacher head0.371
Teacher spread0.345 · 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 designQualitative
Domainnot available
GenreProtocol

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
Published2025
Admission routes2
Has abstractyes

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Same venuemedRxiv→Same topicMusculoskeletal pain and rehabilitation→French-language works237,207→