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PEOPLE@HES-SO – Directory and Skills inventory

PEOPLE@HES-SO
Directory and Skills inventory

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Kaufmann Anne-Laure

Kaufmann Anne-Laure

Intervenant-e externe

Main skills

Méthodologie de l'enquête

Méthodologie de recherche

Data Management Plan (DMP)

Research Data Management

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Main contract

Intervenant-e externe

Desktop: TP.L128

HES-SO Valais-Wallis - Haute Ecole de Gestion
Route de la Plaine 2, Case postale 80, 3960 Sierre, CH
HEG - VS
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2024

Test sur le terrain de la version préliminaire de l’instrument de littératie en santé numérique (Lisane) pour l’adulte vivant avec une maladie chronique
Scientific paper ArODES

Carole Délétroz, Christine Bienvenu, Anne-Laure Kaufmann, Maxime Sasseville, Samira Amil, Alexandra Rouquette, Patrick Bodenmann, Marie-Pierre Gagnon

Science infirmière et pratiques en santé / Science of Nursing and Health Practices,  2024, 7, 2, 67-87

Link to the publication

Summary:

Introduction: The use of digital health devices (e-health) would improve certain patient’s clinical outcomes. Proposing effective “online” interventions to improve patients’ adaptation to chronic conditions requires a validated measure of digital health literacy. The “Lisane” self-report measure was developed and validated by experts. Objectives: This article describes the field-testing of the preliminary version of the tool, more specifically the non-response rate, ceiling and floor effects, item redundancy and the preliminary assessment of its internal consistency. Method: The Lisane tool, consisting of 14 items divided into five domains (e-literacy, reliability of information on the Internet, relevance of information to personal health, protection of privacy, empowerment), was applied to a convenience sample (29 participants) recruited in Quebec (patient communities) and Switzerland (clinical setting). The non-response rate and the ceiling and floor effects were evaluated. Item redundancy was described for exploratory purposes. Internal consistency was assessed using Cronbach's alpha coefficient. Results: The rate of missing results > 15% and a redundancy (r = 0.94, p<0.05) on power to act’s items were noted. A floor effect was identified. Cronbach’s alpha was α= 0.90, 95% CI [0.78 – 1.03]. Discussion and Conclusion: The field test of the Lisane tool has limitations, such as a ceiling effect and the indication of redundancy in certain items, but good preliminary evidence of internal consistency. Continued analysis of its psychometric properties (validity, reliability) is necessary.

2023

A multicomponent complex intervention for supportive follow-up of persons with chronic heart failure :
Scientific paper ArODES
a randomized controlled pilot study (the UTILE project)

Petra Schäfer-Keller, Denis Graf, Kris Denhaerynck, Gabrielle Cécile Santos, Josepha Girard, Marie-Elise Verga, Kelly Tschann, Grégoire Menoud, Anne-Laure Kaufmann, Marcia Leventhal, David A. Richards, Anna Strömberg

Pilot and Feasibility Studies,  2023, vol. 9, no 106, pp. 1-25

Link to the publication

Summary:

A pilot RCT conducted at a secondary care hospital for people with HF hospitalized due to decompensated HF or with a history of HF decompensation over the past 6 months. Randomizing 1:1; usual care for the control (CG) and intervention group (IG) who received the intervention as well as usual care. Feasibility measures included patient recruitment rate, study nurse time, study attrition, the number and duration of consultations, intervention acceptability and intervention fidelity. Patient-reported outcomes included HF-specific self-care and HF-related health status (KCCQ-12) at 3 months follow-up. Clinical outcomes were all-cause mortality, hospitalization and days spent in hospital. The recruitment of 60 persons with HF (age mean = 75.7 years, ± 8.9) over a 62-week period, requiring 1011 h of study nurse time. Recruitment rate was 46.15%; study attrition rate was 31.7%. Follow-up included 2.14 (mean, ± 0.97) visits per patient lasting a total of 166.96 min (mean, ± 72.55), and 3.1 (mean, ± 1.7) additional telephone contacts. Intervention acceptability was high. Mean intervention fidelity was 0.71. A 20-point difference in mean self-care management change from baseline to 3 months in favour of the IG (Cohens’ d = 0.59). Small effect sizes for KCCQ-12 variables; less IG participants worsened in health status compared to CG participants. Five deaths occurred (IG = 3, CG = 2). There were 13 (IG) and 18 (CG) all-cause hospital admissions; participants spent 8.90 (median, IQR = 9.70, IG) and 15.38 (median, IQR = 18.41, CG) days in hospital. A subsequent full-scale effectiveness trial would require 304 (for a mono-centric trial) and 751 participants (for a ten-centre trial) for HF-related QoL (effect size = 0.3; power = 0.80, alpha = 0.05).

2019

Using a triple aim approach to implement “less-is-more together” and smarter medicine strategies in an interprofessional outpatient setting :
Scientific paper ArODES
protocol for an observational study

Monique Lehky Hagen, René Julen, Pierre-Alain Buchs, Anne-Laure Kaufmann, Jean-Michel Gaspoz, Henk Verloo

JMIR Research Protocols,  2019, vol. 8, no. 7, e13896

Link to the publication

Summary:

BACKGROUND: Increased awareness of the world’s problematic growing healthcare expenditure and healthcare shortages requires sustainable use of available resources. To promote cultural changes in medical mindsets, societies representing medical specialties have developed new Choosing Wisely strategies. The Valais Medical Society and the Valais Pharmacy Association have developed an interprofessional collaboration project entitled ‘Less-is-more together – PPI’ to analyze and optimize change management practices focusing on the prescription and deprescription of proton pump inhibitors (PPIs) OBJECTIVE: To enhance interprofessional collaboration between physicians, pharmacists, and patients to optimize PPI use, avoid unnecessary treatments, and improve therapeutic adherence to indicated therapies. Analyze hindrances and facilitators to implementing interprofessional Less-is-more Together strategies in the field. METHODS: Home-dwelling adults domiciled in Valais and prescribed PPIs in the last six months will be invited to participate in this observational study. The studied subpopulation will be constituted of consenting patients whose physicians and pharmacists also voluntarily agree to participate. The process of collecting, pooling, transmitting, evaluating and protecting data has been validated by the Human Research Ethics Committee of the Canton Vaud. RESULTS: The ‘Primary Triple Aim’ outcome measures will be: Population health: patient’s assessment of own health, functional status, and disease burden using a monthly questionnaire for six months. Behavioral/physiological factors will be investigated using a final questionnaire at six months. Experience of care: assessment using a final questionnaire for participating patients, pharmacists, and physicians, and an analysis of negative/positive experiences via six follow-up questionnaires. Per capita cost: participants’ fluctuating or decreasing PPI intake (number of pills/dosage) and an analysis of participants’ different categories following their medical prescription, in relation to possible bias effects on the overall drug intake of the population studied. Secondary outcomes will be participation rates, patient, physician, and pharmacist follow-up, and evaluations of participants' experiences and their perceived benefits, as well as whether the interprofessional process can be improved. CONCLUSIONS: This project seeks a deeper understanding of how Less-is-more Together and smarter-medicine strategies are perceived by patients and healthcare providers in their daily lives in a very specific context. It will reveal some of the hindrances to and facilitators for efficient cultural change towards a more sustainable healthcare system. The results will be useful to optimise and scale up further Choosing Wisely approaches.

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