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Record W7133052387

Investigating a Question Prompt List to Support Patient-Centred Care for Women with Hypertensive Disorders of Pregnancy at Risk for Cardiovascular Disease

2021· dissertation· W7133052387 on OpenAlexaff
Jessica Usha Ramlakhan

Bibliographic record

VenueTSpace · 2021
Typedissertation
Language
FieldHealth Professions
TopicPatient-Provider Communication in Healthcare
Canadian institutionsInstitute of Health Services and Policy Research
Fundersnot available
KeywordsDiseasePregnancyQualitative researchHealth careMEDLINE
DOInot available

Abstract

fetched live from OpenAlex

Introduction: Hypertensive disorders of pregnancy (HDP) lead to increased cardiovascular disease (CVD) risk. Clinicians, and consequently women, are unaware of this link. Question prompt lists (QPL) may improve patient-centred care (PCC) by supporting discussions about HDP and CVD risk.Methods: This thesis included a scoping review to identify the characteristics of effective QPLs; and qualitative interviews to understand how a QPL might support PCC for women with HDP. Results: The scoping review included 53 studies. QPLs were most commonly 1 page long and had 38 questions. Interviews included 22 women with HDP. All women said a QPL would improve PCC, by raising awareness about HDP and CVD risk, helping them avoid clinician dismissal, and helping them prepare for consultations. Conclusions: This thesis contributes to a greater understanding of QPLs, and PCC for women with HDP, which may ultimately lead to improved PCC and equality in the healthcare system.

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)0.052
metaresearch head score (Gemma)0.140
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: Empirical · Consensus signal: Empirical
Teacher disagreement score0.052
Threshold uncertainty score0.275

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0520.140
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0020.002
Science and technology studies0.0020.001
Scholarly communication0.0030.005
Open science0.0020.004
Research integrity0.0030.002
Insufficient payload (model declined to judge)0.0170.002

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 head0.083
GPT teacher head0.374
Teacher spread0.291 · 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
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

Citations0
Published2021
Admission routes1
Has abstractyes

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