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Record W7117781610 · doi:10.1177/13634593251407058

Living with hard-to-heal wounds: A global health challenge explored through analytic sketches

2025· article· en· W7117781610 on OpenAlexafffund
Elena Powell, Pilar Camargo Plazas, Idevania G. Costa

Bibliographic record

VenueHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicParticipatory Visual Research Methods
Canadian institutionsQueen's UniversityLakehead University
FundersSocial Sciences and Humanities Research Council of Canada
KeywordsPsychosocialHealth careDistressGrey literatureParticipant observationPhoto elicitationPublic healthVisual researchGlobal health

Abstract

fetched live from OpenAlex

Chronic, hard-to-heal wounds are a major public health concern, putting a strain on healthcare systems and causing significant psychosocial distress for patients. This article details a project that engaged 11 people with chronic wounds and their care partners as subject matter experts. We used a visual method called analytic sketching to analyze their experiences. Analytic sketches are a cognitive tool that helps researchers identify patterns, gain deeper insights, and uncover experiences that might not be obvious from text alone. This approach enhances the trustworthiness and rigor of the findings, especially when combined with verbal data and techniques like participant checking. The sketches visually revealed several key psychosocial themes. Color was used to depict the pain experienced by patients and their caregivers, the importance of support, and a sense of chaos. Ink lines and strokes highlighted the frustration and communication failures with healthcare professionals and the barriers to care. Finally, visual representations were presented to express a collective experience of navigating the complex political realities of wound care within a publicly funded system. By showcasing six representative sketches, this article demonstrates the effectiveness of using arts-based methods to analyze complex healthcare experiences. The findings have important implications for both clinical practice and policy development, offering a more holistic understanding of living with chronic wounds.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.022
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.435
Threshold uncertainty score0.992

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0220.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0240.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.480
GPT teacher head0.675
Teacher spread0.195 · 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 teacher head, not a consensus.

Study designQualitative
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

Citations1
Published2025
Admission routes2
Has abstractyes

Explore more

Same venueHealth An Interdisciplinary Journal for the Social Study of Health Illness and MedicineSame topicParticipatory Visual Research MethodsFrench-language works237,207