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Record W7118127298 · doi:10.51819/jaltc.2025.1826908

COVID-19’s Non-visitor Policy and Its Impact on Social Isolation of Older Adults in Ontario Long-Term Care Homes: A Scoping Review

2025· article· W7118127298 on OpenAlexafffundabout
Angelina Falconi, Christina Saliba, Raza Mirza, Christopher Klinger

Bibliographic record

VenueJournal of Aging and Long-Term Care · 2025
Typearticle
Language
FieldHealth Professions
TopicGeriatric Care and Nursing Homes
Canadian institutionsUniversity of Toronto
FundersUniversity of Toronto
KeywordsSocial isolationVisitor patternSocial connectednessInclusion (mineral)PandemicIsolation (microbiology)Loneliness

Abstract

fetched live from OpenAlex

In the early months of the COVID-19 pandemic, governments worldwide implemented strict non-visitor policies in long-term care (LTC) homes. As a result, older adults were often confined to their rooms and only “essential visitors” were allowed. Following Arksey and O’Malley’s framework and PRISMA-ScR guidelines, the goal was to examine the impact visitor restrictions had on social isolation of older adults in LTC homes in Ontario (Canada) as well as to make recommendations for further research, policy, and practice. Twenty-five articles that met inclusion criteria were reviewed. Themes identified included the impact visitor restrictions had on older adults residing in LTC as well as their ethical and legal implications. Pandemic policies should be assessed at the individual level with family members essential to resident’s care. Information and communication technology (ICT) was seen as crucial to support social connectedness in later life. While written from a Canadian perspective, implications reach globally.

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)0.020
metaresearch head score (Gemma)0.068
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.251
Threshold uncertainty score0.504

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0200.068
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0130.021
Science and technology studies0.0030.003
Scholarly communication0.0060.003
Open science0.0020.003
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0030.000

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 head0.028
GPT teacher head0.420
Teacher spread0.392 · 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 designSystematic review
Domainnot available
GenreReview

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 routes3
Has abstractyes

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