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Giacomino Katia

Adjoint-e scientifique HES B

Hauptvertrag

Adjoint-e scientifique HES B

Telefon-Nummer: +41 58 606 97 23

Büro: LEU

HES-SO Valais-Wallis - Haute Ecole de Santé
Chemin de l'Agasse 5, 1950 Sion, CH

Bereich
Santé

Hauptstudiengang
Physiothérapie

BSc HES-SO en Physiothérapie - HES-SO Valais-Wallis - Haute Ecole de Santé

Neuro-réhabilitation
Gériatrie

2023

Assessment tools and incidence of hospital-associated disability in older adults: a rapid systematic review

Wissenschaftlicher Artikel ArODES

Katia Giacomino, Roger Hilfiker, David Beckwée, Jan Taeymans, Karl Martin Sattelmayer

PeerJ, 11, e16036

Link zur Publikation

Zusammenfassung:

Background : During hospitalization older adults have a high risk of developing functional impairments unrelated to the reasons for their admission. This is termed hospital-associated disability (HAD). This systematic review aimed to assess the incidence of HAD in older adults admitted to acute care with two outcomes: firstly in at least one activity of daily living from a set of functional tasks (e.g., Katz Index) and secondly the incidence of functional decline in an individual functional task (e.g., bathing), and to identify any tools or functional tasks used to assess activities of daily living (ADL) in hospitalized older patients. Methods : A rapid systematic review was performed according to the recommendations of the Cochrane Rapid Reviews Methods Group and reported the data according the PRISMA statement. A literature search was performed in Medline (via Ovid), EMBASE, and Cochrane Central Register of Controlled Trials databases on 26 August 2021. Inclusion criteria: older adults (65+ years), assessment of individual items of activities of daily living at baseline and discharge. Exclusion criterion: studies investigating a specific condition that could affect functional decline and studies that primarily examined a population with cognitive impairment. The protocol was registered on OSF registries (https://osf.io/9jez4/) identifier: DOI 10.17605/OSF.IO/9JEZ4. Results: Ten studies were included in the final review. Incidence of HAD (overall score) was 37%(95% CI 0.300.43). Insufficient data prevented meta-analysis of the individual items. One study provided sufficient data to calculate incidence, with the following values for patients' self-reported dependencies: 32% for bathing, 27% for dressing, 27% for toileting, 30% for eating and 27% for transferring. The proxy reported the following values for patients' dependencies: 70% for bathing, 66% for dressing, 70% for toileting, 61% for eating and 59% for transferring. The review identified four assessment tools, two sets of tasks, and individual items assessing activities of daily living in such patients. Conclusions : Incidence of hospital-associated disability in older patients might be overestimated, due to the combination of disease-related disability and hospitalassociated disability. The tools used to assess these patients presented some limitations. These results should be interpreted with caution as only one study reported adequate information to assess the HAD incidence. At the item level, the latter was higher when disability was reported by the proxies than when it was reported by patients. This review highlights the lack of systematic reporting of data used to calculate HAD incidence. The methodological quality and the risk of bias in the included studies raised some concerns.

2022

Effectiveness of educational interventions to increase skills inevidence-based practice among nurses :

Wissenschaftlicher Artikel ArODES

the EDITcare systematic review

Omar Portela Dos Santos, Pauline Melly, Roger Hilfiker, Katia Giacomino, Elodie Perruchoud, Henk Verloo, Filipa Pereira

Healthcare, 2022, vol. 10, no. 11, article no. 2204

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Zusammenfassung:

Background: Using evidence-based practice (EBP) improves the implementation of safe, high-quality healthcare for patients, reduces avoidable costs, and plays a crucial role in bridging knowledge–action gaps and reducing health inequities. EBP combines the best available evidence in the relevant literature with patient preferences and values and healthcare professionals’ (HCPs) expertise. Methods: Systematic searches of ten bibliographic databases, unpublished works, and the Grey Literature Report sought studies published up to 30 September 2022. Results: The 15 studies retained involved 2712 nurses. Three types of effective educational interventions were identified: (1) multifaceted educational strategies incorporating mentoring and tutoring; (2) single educational strategies, often delivered online; and (3) multifaceted educational strategies using the five steps of EBP. Eleven primary outcomes (EBP beliefs, EBP self-efficacy, perceived EBP implementation, EBP competencies, EBP knowledge, EBP skills, EBP attitudes, EBP behaviors, EBP desire, EBP practice, and perceptions of organizational culture and readiness) were assessed using 13 qualitative and quantitative instruments. Conclusions: Ensuring the successful implementation of EBP requires effective educational strategies. Computer-based learning seems the most cost-effective and efficient strategy, when considering caregivers’ characteristics, the clinical field, and educational interventions across the pre-, peri-, and post-implementation processes.

Pre-frail older adults show improved cognition with StayFitLonger computerized home–based training :

Wissenschaftlicher Artikel ArODES

a randomized controlled trial

Sylvie Belleville, Marc Cuesta, Mélanie Bieler-Aeschlimann, Katia Giacomino, Antoine Widmer, Anne-Gabrielle Mittaz Hager, Daniel Perez- Marcos, Sylvain Cardin, Benjamin Boller, Nathalie Bier, Mylène Aubertin-Leheudre, L. Bherer, Nicolas Berryman, Stefan Agrigoroaei, Jean-François Demonet

GeroScience, 2023, vol. 45, no. 2, pp. 811-822

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Zusammenfassung:

Multidomain interventions have shown tremendous potential for improving cognition in older adults. It is unclear if multidomain interventions can be delivered remotely and whether remote intervention is beneficial for older adults who are vulnerable or at risk of cognitive decline. In a 26-week multi-site, home-based, double-blind, randomized controlled trial, 120 cognitively healthy older adults (75 robust, 45 pre-frail; age range = 60–94) recruited from Switzerland, Canada, and Belgium were randomized to receive either the StayFitLonger (SFL) computerized multidomain training program or an active control intervention. Delivered on tablets, the SFL intervention combined adapted physical exercises (strength, balance, and mobility), cognitive training (divided attention, problem solving, and memory), opportunities for social and contributive interactions, and psychoeducation. The active control intervention provided basic mobilization exercises and access to video games. Cognitive outcomes were global cognition (Z-scores of attention, verbal fluency, and episodic memory for nondemented older adults; ZAVEN), memory, executive function, and processing speed. Linear mixed model analyses indicated improved performance on the ZAVEN global cognition score in the SFL group but not in the active control group. Stratified analyses by frailty status revealed improved ZAVEN global cognition and processing speed scores following SFL in the pre-frail group but not in the robust group. Overall, the study indicates that a computerized program providing a multidomain intervention at home can improve cognition in older adults. Importantly, pre-frail individuals, who are at higher risk of cognitive decline, seem to benefit more from the intervention. Trial registration: ClinicalTrials.gov, NCT037519 Registered on January 22, 2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04237519

2021

Development of an exercise programme for balance abilities in people with multiple sclerosis :

Wissenschaftlicher Artikel ArODES

a development of concept study using Rasch analysis

Karl Martin Sattelmayer, Odile Chevalley, Jan Kool, Evelyne Wiskerke, Lina Nilsson Denkinger, Katia Giacomino, Emmanuelle Opsommer, Roger Hilfiker

Archives of physiotherapy, 2021, vol. 11, art. 29

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Zusammenfassung:

Background : People with multiple sclerosis (PwMS) frequently have impaired balance from an early stage of the disease. Balance difficulties can be divided into categories; although, to date, these lack scientific foundation. Impaired balance in PwMS can be addressed using specific and challenging exercises. Such exercises should provide an optimal challenge point; however, the difficulty of balance exercises is often unknown, making it difficult to target the exercises to an individual’s abilities. The aims of this study were: to develop an exercise programme for PwMS relating the exercises to the balance problem categories; to establish the order of difficulty of exercises in each category and; to evaluate the content and structural validity of the exercise programme. Methods : A “construct map” approach was used to design and develop an exercise programme for PwMS. Potentially relevant balance exercises were identified, then a framework was set up, comprising four dimensions (subsequently reduced to three dimensions) of balance exercises. The relevance, comprehensibility, and comprehensiveness of the exercise programme were rated by 13 physiotherapists, who also linked 19 key exercises to balance categories. A total of 65 PwMS performed the 19 balance exercises, rated their difficulty and commented on the relevance and comprehensibility of each exercise. A Rasch model was used to evaluate the relative difficulty of the exercises. To assess fit of the data to the Rasch model a rating scale model was used, which is a unidimensional latent trait model for polytomous item responses. Results : Evaluation by the physiotherapists and PwMS indicated that the content validity of the exercise programme was adequate. Rasch analysis showed that the latent trait “balance exercises in PwMS” comprised three subdimensions (“stable BOS”, “sway” and “step and walk”). The 19 balance exercises showed adequate fit to the respective dimensions. The difficulties of the balance exercises were adequate to cover the ability spectrum of the PwMS. Conclusion : A balance exercise programme for PwMS comprising three dimensions of balance exercises was developed. Difficulty estimates have been established for each of the exercises, which can be used for targeted balance training. Content and structural validity of the programme was adequate.

2020

The effectiveness of the Peyton’s 4-step teaching approach on skill acquisition of procedures in health professions education :

Wissenschaftlicher Artikel ArODES

a systematic review and meta-analysis with integrated meta-regression

Katia Giacomino, Rahel Caliesch, Karl Martin Sattelmayer

PeerJ, 2020, vol. 8, e10129, 1-26

Link zur Publikation

Zusammenfassung:

Background : Acquisition of procedures is an important element in health professions education. Traditionally procedures are taught using a “see one - do one” approach. That is a teacher demonstrates and describes a procedure and afterwards the students practice the procedure. A more recent teaching approach for the acquisition of procedural skills was presented by Walker and Peyton. Peyton’s teaching approach is a stepwise teaching approach and consists of the following four steps: demonstration, deconstruction, comprehension and performance. The aims of this study were (i) to systematically evaluate the effectiveness of Peyton’s 4–step teaching approach on the acquisition of procedural skills in health professions education and (ii) to evaluate whether studies with fewer students per teacher showed a larger between group difference than studies with more students per teacher. Methods : We searched in Medline, PsycInfo, Embase and ERIC for eligible studies. Records were screened by two independent reviewers. A random effects meta-analysis was performed to evaluate skill acquisition and time needed to perform the procedures at post-acquisition and retention tests. A meta-regression was used to explore the effect of the number of students per teacher on the estimated effect of the educational interventions. Results : An effect size of 0.45 SMD (95% CI [0.15; 0.75]) at post-acquisition and 0.7 SMD (95% CI [−0.09; 1.49]) at retention testing were in favour of Peyton’s teaching approach for skill acquisition. The groups using Peyton’s teaching approach needed considerably less time to perform the procedure at post-acquisition (SMD: −0.8; 95% [CI −2.13 to 1.62]) and retention (SMD: −2.65; 95% CI [−7.77 to 2.47]) testing. The effectiveness of Peyton’s teaching approach was less clear in subgroup analyses using peer teachers. Meta-regression showed that the number of students per teacher was an important moderator variable. Conclusion : Peyton’s teaching approach is an effective teaching approach for skill acquisition of procedural skills in health professions education. When peer students or student tutors are used as teachers the effectiveness of Peyton’s teaching approach is less clear. Peyton’s teaching approach is more effective when small groups with few students per teacher are used.

Rationale and protocol of the StayFitLonger study :

Wissenschaftlicher Artikel ArODES

a multicentre trial to measure efficacy and adherence of a home-based computerised multidomain intervention in healthy older adults

S. Belleville, M. Cuesta, M. Bieler-Aeschlimann, Katia Giacomino, Antoine Widmer, Anne-Gabrielle Mittaz Hager, D. Perez-Marcos, S. Cardin, B. Boller, N. Bier, M. Aubertin-Leheudre, L. Bherer, N. Berryman, S. Agrigoroaei, J. F. Demonet

BMC geriatrics, 2020, vol. 20, no. 315, pp. 1-17

Link zur Publikation

Zusammenfassung:

Background: In older adults, multidomain training that includes physical and cognitive activities has been associated with improvement of physical and cognitive health. The goal of the multisite StayFitLonger study is to assess a home-based computerised training programme, which combines physical exercises, stimulating cognitive activities and virtual coaching. Methods: One hundred twenty-eight cognitively healthy older adults will be recruited from the community in Switzerland, Canada and Belgium. The study will comprise (1) a 26-week double-blind randomized controlled efficacy trial and (2) a 22-week pragmatic adherence sub-study. In the efficacy trial, participants will be randomly assigned to an experimental or an active control intervention. In the experimental intervention, participants will use the StayFitLonger programme, which is computerised on a tablet and provides content that combines physical activities with a focus on strength and balance, as well as divided attention, problem solving and memory training. Outcomes will be measured before and after 26 weeks of training. The primary efficacy outcome will be performance on the "Timed-Up & Go" test. Secondary outcomes will include measures of frailty, cognition, mood, fear of falling, quality of life, and activities of daily living. Age, sex, education, baseline cognition, expectation, and adherence will be used as moderators of efficacy. Following the 26-week efficacy trial, all participants will use the experimental programme meaning that participants in the control group will 'cross over' to receive the StayFitLonger programme for 22 weeks. Adherence will be measured in both groups based on dose, volume and frequency of use. In addition, participants' perception of the programme and its functionalities will be characterised through usability, acceptability and user experience. Discussion: This study will determine the efficacy, adherence and participants' perception of a home-based multidomain intervention programme and its functionalities. This will allow for further development and possible commercialization of a scientifically validated training programme.

Gaze, visual, myoelectric, and inertial data of grasps for intelligent prosthetics

Wissenschaftlicher Artikel ArODES

Matteo Cognolato, Arjan Gijsberts, Valentina Gregori, Gianluca Saetta, Katia Giacomino, Anne-Gabrielle Mittaz Hager, Andrea Gigli, Diego Faccio, Cesare Tiengo, Franco Bassetto, Barbara Caputo, Peter Brugger, Manfredo Atzori, Henning Müller

Scientific Data, 2020, vol. 7, no 43, pp. 1-15

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Zusammenfassung:

A hand amputation is a highly disabling event, having severe physical and psychological repercussions on a person’s life. Despite extensive efforts devoted to restoring the missing functionality via dexterous myoelectric hand prostheses, natural and robust control usable in everyday life is still challenging. Novel techniques have been proposed to overcome the current limitations, among them the fusion of surface electromyography with other sources of contextual information. We present a dataset to investigate the inclusion of eye tracking and first person video to provide more stable intent recognition for prosthetic control. This multimodal dataset contains surface electromyography and accelerometry of the forearm, and gaze, first person video, and inertial measurements of the head recorded from 15 transradial amputees and 30 able-bodied subjects performing grasping tasks. Besides the intended application for upper-limb prosthetics, we also foresee uses for this dataset to study eye-hand coordination in the context of psychophysics, neuroscience, and assistive robotics.

Gaze, behavioral, and clinical data for phantom limbs after hand amputation from 15 amputees and 29 controls

Wissenschaftlicher Artikel ArODES

Gianluca Saetta, Matteo Cognolato, Manfredo Atzori, Diego Faccio, Katia Giacomino, Anne-Gabrielle Mittaz Hager, Cesare Tiengo, Franco Bassetto, Henning Müller, Peter Bruger

Scientific Data, 2020, vol. 7, article 60, pp. 1-14

Link zur Publikation

Zusammenfassung:

Despite recent advances in prosthetics, many upper limb amputees still use prostheses with some reluctance. They often do not feel able to incorporate the artificial hand into their bodily self. Furthermore, prosthesis fitting is not usually tailored to accommodate the characteristics of an individual’s phantom limb sensations. These are experienced by almost all persons with an acquired amputation and comprise the motor and postural properties of the lost limb. This article presents and validates a multimodal dataset including an extensive qualitative and quantitative assessment of phantom limb sensations in 15 transradial amputees, surface electromyography and accelerometry data of the forearm, and measurements of gaze behavior during exercises requiring pointing or repositioning of the forearm and the phantom hand. The data also include acquisitions from 29 able-bodied participants, matched for gender and age. Special emphasis was given to tracking the visuo-motor coupling between eye-hand/eye-phantom during these exercises.

2023

First steps towards a risk of bias corpus of randomized controlled trials

Konferenz ArODES

Anjani Dhraangadhariya, Roger Hilfiker, Karl Martin Sattelmayer, Katia Giacomino, Rahel Caliesch, Simone Elsig, Nora Naderi, Hennig Müller

Caring is sharing : exploiting the value in data for health and innovation : proceedings of MIE 2023

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Zusammenfassung:

Risk of bias (RoB) assessment of randomized clinical trials (RCTs) is vital to conducting systematic reviews. Manual RoB assessment for hundreds of RCTs is a cognitively demanding, lengthy process and is prone to subjective judgment. Supervised machine learning (ML) can help to accelerate this process but requires a hand-labelled corpus. There are currently no RoB annotation guidelines for randomized clinical trials or annotated corpora. In this pilot project, we test the practicality of directly using the revised Cochrane RoB 2.0 guidelines for developing an RoB annotated corpus using a novel multi-level annotation scheme.We report interannotator agreement among four annotators who used Cochrane RoB 2.0 guidelines. The agreement ranges between 0% for some bias classes and 76% for others. Finally, we discuss the shortcomings of this direct translation ofannotation guidelines and scheme and suggest approaches to improve them to obtain an RoB annotated corpus suitable for ML.

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Giacomino Katia

Adjoint-e scientifique HES B

Adjoint-e scientifique HES B

PEOPLE@HES-SO
Verzeichnis der Mitarbeitenden und Kompetenzen