Prediction of Social Engagement in Long-Term Care Homes by Sex: A Population-Based Analysis Using Machine Learning.

The objective of this study was to use population-based clinical assessment data to build and evaluate machine-learning models for predicting social engagement among female and male residents of long-term care (LTC) homes. Routine clinical assessments from 203,970 unique residents in 647 LTC homes i...

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Published in:Journal of Applied Gerontology Vol. 44; no. 6; pp. 902 - 916
Main Authors: Abedi, Ali, Khan, Shehroz S., Iaboni, Andrea, Bronskill, Susan E., Bethell, Jennifer
Format: Article
Published: Sage Publications Inc. Jun2025
Subjects:
Online Access:View this record in EBSCOhost
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        07334648
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      dt: Jun2025
      vid: 44
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      pub: Sage Publications Inc.
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        10.1177/07334648241290589
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        atl: Prediction of Social Engagement in Long-Term Care Homes by Sex: A Population-Based Analysis Using Machine Learning.
      aug:
        au:
          Abedi, Ali
          Khan, Shehroz S.
          Iaboni, Andrea
          Bronskill, Susan E.
          Bethell, Jennifer
        affil:
          KITE Research Institute, Toronto Rehabilitation Institute, 7989 University Health Network, Toronto, ON, Canada
          ICES, Toronto, ON, Canada
          Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
          Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
          Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
      su:
        Ontario
        Cross-sectional method
        Health status indicators
        Sex distribution
        Nursing care facilities
        Social participation
        Psychosocial factors
        Cognition
        Old age
        Nursing home residents
        Random forest algorithms
        Secondary analysis
        Prediction models
        T-test (Statistics)
        Research funding
        Functional status
        Descriptive statistics
        Machine learning
        Physical activity
      sug:
        subj:
          Cross-sectional method
          Health status indicators
          Sex distribution
          Nursing care facilities
          Social participation
          Psychosocial factors
          Cognition
          Old age
          Ontario
          Nursing Care Facilities (Skilled Nursing Facilities)
          Community care facilities for the elderly
          Nursing home residents
          Random forest algorithms
          Secondary analysis
          Prediction models
          T-test (Statistics)
          Research funding
          Functional status
          Descriptive statistics
          Machine learning
          Physical activity
      keyword:
        female
        machine learning
        male
        nursing homes
        social participation
        female
        machine learning
        male
        nursing homes
        social participation
      ab: The objective of this study was to use population-based clinical assessment data to build and evaluate machine-learning models for predicting social engagement among female and male residents of long-term care (LTC) homes. Routine clinical assessments from 203,970 unique residents in 647 LTC homes in Ontario, Canada, collected between April 1, 2010, and March 31, 2020, were used to build predictive models for the Index of Social Engagement (ISE) using a data-driven machine-learning approach. General and sex-specific models were built to predict the ISE. The models showed a moderate prediction ability, with random forest emerging as the optimal model. Mean absolute errors were 0.71 and 0.73 in females and males, respectively, using general models and 0.69 and 0.73 using sex-specific models. Variables most highly correlated with the ISE, including activity pursuits, cognition, and physical health and functioning, differed little by sex. Factors associated with social engagement were similar in female and male residents.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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