Search

Iglesias Katia

Professeure HES ordinaire

Main contract

Professeure HES ordinaire

Phone: +41 26 429 61 22

Desktop: 5.52

Haute école de santé - Fribourg
Route des Arsenaux 16a, 1700 Fribourg, CH

BSc HES-SO en Ostéopathie - Haute école de santé - Fribourg

Culture de la recherche et sens critique

2023

The contribution of discursive and cognitive factors in referential choices made by elderly people during a narrative task

Scientific paper ArODES

Mélanie Sandoz, Katia Iglesias, Amélie M. Achim, Marion Fossard

Aging, Neuropsychology, and Cognition, 2023, vol. 30, no. 1, pp. 1-22

Link to the publication

Summary:

The present study focuses on referential choices made by healthy aged adults during narrative discourse, and their relationship with cognitive and socio-cognitive abilities. Previously, some studies have shown that, compared to young adults, older adults produce more pronouns when referring to various entities during discourse, regardless of the accessibility level of the referent for the addressee. This referential behavior has been interpreted in relation to the decrease of cognitive abilities, such as working memory abilities. There is, as of yet, little empirical evidence highlighting which cognitive competences preferentially support referential choices during discourse production. Here, we focus on three categories of referential markers (indefinite, definite markers and pronouns) produced by 78 participants from 60 to 91 years old. We used a storytelling task enabling us to examine the referential choices made at three discourse stages (introduction, maintaining or shift of the referent in focus) and in increasing levels of referential complexity (one vs two characters, and different vs same gender). In addition to specifically assessing how increasing age influences referential choices, we also examine the contribution of various cognitive and socio-cognitive skills that are presumed to play a specific role in referential choices. We found that both age and specific cognitive abilities (planification, inhibition, and verbal episodic memory) had an effect on referential choices, but that these effects depended on when (at which discourse stage) the referential markers were produced. Overall, our study highlights the complex interplay between discursive and cognitive factors in referential choices made by healthy older speakers.

2022

Validation of self-report measures of narcissism against a diagnostic interview

Scientific paper ArODES

Stéphanie Baggio, Katia Iglesias, Miguel Duarte, Rosetta Nicastro, Roland Hasler, Sebastian Euler, Martin Debbané, Vladan Starcevic, Nader Perroud

PLoS ONE, 2022, vol. 17, no. 4, pp. 1-9

Link to the publication

Summary:

The Pathological Narcissism Inventory (PNI) and the Narcissistic Personality Inventory (NPI) are often used to screen for pathological narcissism but have rarely been validated against a clinician-administered diagnostic interview. Our study evaluated the convergent validity of the PNI and NPI against a diagnostic interview for narcissistic personality disorder (NPD) in a clinical population. We used data from a psychiatric outpatient center located in Switzerland (n = 123). Correlations between PNI/NPI and NPD ranged between .299 and .498 (common variance 9.0–24.8%). The PNI and NPI should be used carefully to screen for NPD. We highlight a need to increase the compatibility between the conceptual under-pinnings of the PNI, NPI and NPD

Psychometric evaluation of the patient assessment of chronic illness care instrument using Item analysis according to the Rasch model

Scientific paper ArODES

Maren Boecker, Katia Iglesias, Isabelle Peytremann-Bridevaux

Journal of Evaluation in Clinical Practice, 2022, Feb 23, pp. 1-10

Link to the publication

Summary:

Rationale, aims and objectives : The Patient Assessment of Chronic Illness Care (PACIC) instrument assesses patient care in alignment with the chronic care model. The aim of the study was to comprehensively validate the PACIC using the Rasch model. A special focus was placed on the investigation of local dependence (LD), differential item functioning (DIF) and targeting. Method : This secondary analysis utilized data of 760 patients with a diagnosis of diabetes who had participated in the Swiss CoDiab‐VD cohort study. The psycho-metric properties of the French PACIC‐version were evaluated using the Rasch model. DIF was investigated in relation to age, gender, education, year of recruitment into the CoDiab‐VD cohort study, type of diabetes and whether patients got an injectable antidiabetic drug or not. Results : The initial analysis of the PACIC revealed poor fit to the Rasch model(χ2‐p< 0.001) with response dependency being the most prominent problem. After combining the items into two testlets (testlet 1: Items 1–11; testlet 2: Items 12–20),good overall model fit was found (χ2‐p= 0.77) as well as good reliability (Person Separation Index = 0.85) and targeting. DIF with regard to whether patients got an injectable antidiabetic drug or not was found for testlet 2. However, the size of this DIF was regarded as not being substantial. Conclusion : The PACIC is a well‐targeted, reliable unidimensional instrument to assess patient care in alignment with the chronic care model in patients with diabetes. It is free of substantial DIF. The PACIC‐20 sum score can hence be used in clinical practice for individual diagnostic. For evaluation purposes like assessment of change or group evaluations, the usage of the interval‐scale level person parameters is recommended as it permits using parametric statistical analyses and provides a more accurate picture about the actual amount of change.

2021

Evidence of joint commitment in great apes' natural joint actions

Scientific paper ArODES

Raphaela Heesen, Klaus Zuberbühler, Adrian Bangerter, Katia Iglesias, Federico Rossano, Aude Pajot, Jean-Pascal Guéry, Emilie Genty

Royal Society Open Science, 2021, vol.8, 211121

Link to the publication

Summary:

Human joint action seems special, as it is grounded in joint commitment—a sense of mutual obligation participants feel towards each other. Comparative research with humans and non-human great apes has typically investigated joint commitment by experimentally interrupting joint actions to study subjects’ resumption strategies. However, such experimental interruptions are human-induced, and thus the question remains of how great apes naturally handle interruptions. Here, we focus on naturally occurring interruptions of joint actions, grooming and play, in bonobos and chimpanzees. Similar to humans, both species frequently resumed interrupted joint actions (and the previous behaviours, like grooming the same body part region or playing the same play type) with their previous partners and at the previous location. Yet, the probability of resumption attempts was unaffected by social bonds or rank. Our data suggest that great apes experience something akin to joint commitment, for which we discuss possible evolutionary origins.

Assessing joint commitment as a process in great apes

Scientific paper ArODES

Raphaela Heesen, Adrian Bangerter, Klaus Zuberbühler, Katia Iglesias, Christof Neumann, Aude Pajot, Laura Perrenoud, Jean-Pascal Guéry, Federico Rossano, Emilie Genty

iScience, 2021, vol. 24, no 8, 102872

Link to the publication

Summary:

Many social animals interact jointly, but only humans experience a specific sense of obligation toward their co-participants, a joint commitment. However, joint commitment is not only a mental state but also a process that reveals itself in the coordination efforts deployed during entry and exit phases of joint action. Here, we investigated the presence and duration of such phases in N = 1,242 natural play and grooming interactions of captive chimpanzees and bonobos. The apes frequently exchanged mutual gaze and communicative signals prior to and after engaging in joint activities with conspecifics, demonstrating entry and exit phases comparable to those of human joint activities. Although rank effects were less clear, phases in bonobos were more moderated by friendship compared to phases in chimpanzees, suggesting bonobos were more likely to reflect patterns analogous to human “face management”. This suggests that joint commitment as process was already present in our last common ancestor with Pan.

2020

Performance of self-reported measures of alcohol use and of harmful drinking patterns against ethyl glucuronide hair testing among young Swiss men

Scientific paper ArODES

Katia Iglesias, Séverine Lannoy, Frank Sporkert, Jean-Bernard Daeppen, Gerhard Gmel, Stéphanie Baggio

PLoS ONE, 2020, vol. 15, no. 12, e0244336

Link to the publication

Summary:

Background There is a need for empirical studies assessing the psychometric properties of self-reported alcohol use as measures of excessive chronic drinking (ECD) compared to those of objective measures, such as ethyl glucuronide (EtG). Objectives To test the quality of self-reported measures of alcohol use and of risky single-occasion drinking (RSOD) to detect ECD assessed by EtG. Methods A total of 227 samples of hair from young Swiss men were used for the determination of EtG. Self-reported measures of alcohol use (previous twelve-month and previous-week alcohol use) and RSOD were assessed. Using EtG (<30 pg/mg) as the gold standard of ECD assessment, the sensitivity and specificity were computed, and the AUROC were compared for alcohol use measures and RSOD. Logistic regressions were used to test the contribution of RSOD to the understanding of ECD after controlling for alcohol use. Results A total of 23.3% of participants presented with ECD. Previous twelve-month alcohol use with a cut-off of>15 drinks per week (sensitivity = 75.5%, specificity = 78.7%) and weekly RSOD (sensitivity = 75.5%, specificity = 70.1%) yielded acceptable psychometric properties. No cut-off for previous-week alcohol use gave acceptable results. In the multivariate logistic regression, after controlling for the previous twelve months of alcohol use, RSOD was still significantly associated with EtG (p = .016). Conclusion Self-reported measures of the previous twelve months of alcohol use and RSOD were acceptable measures of ECD for population-based screening. Self-reported RSOD appeared to be an interesting screening measure, in addition to the previous twelve months of alcohol use, to understand ECD among young people.

Bonobos engage in joint commitment

Scientific paper ArODES

Raphaela Heesen, Adrian Bangerter, Klaus Zuberbühler, Federico Rossano, Katia Iglesias, Jean-Pascal Guéry, Emilie Genty

Science Advances, 2020, vol. 6, no. 51, eabd1306

Link to the publication

Summary:

Joint action is central to human nature, enabling collectives to achieve goals otherwise unreachable by individuals. It is enabled by humans’ capacity to understand and engage in joint commitments. Joint commitments are evidenced when partners in interrupted joint actions reengage one another. To date, there is no clear evidence whether nonhuman animals understand joint commitment, suggesting that only humans experience it. Here, we revisit this claim by interrupting bonobos engaged in social activities. Bonobos reliably resumed the activity, and the likelihood of resumption was higher for social compared to solitary activities. Furthermore, communicative efforts deployed to suspend and resume social activities varied depending on partners’ social relationships and interactive roles. Our results suggest that bonobos, like humans, engage in joint commitment and have some awareness of the social consequences of breaking it.

Development of alcohol use disorder in Young Swiss men :

Scientific paper ArODES

the influence of retrospectively perceived parenting profiles

Sophie Baudat, Katia Iglesias, Joseph Studer, Gerhard Gmel, Stéphanie Baggio

Drugs : Education, Prevention and Policy, 2020

Link to the publication

Summary:

This four-wave longitudinal study aimed to examine the associations between retrospectively perceived parenting profiles in adolescence and the development of alcohol use disorder (AUD) throughout emerging adulthood. The cohort consisted of 190 young Swiss men who completed retrospective reports of parenting at baseline and a short AUD self-report screening tool at four measurement times (mean age at baseline ¼ 20.18; Time 1: 21.52; Time 2: 25.61; Time 3: 26.99). Latent profile analysis revealed three parenting profiles in adolescence based on retrospective measures of parenting styles and practices: Optimal (the highest levels of involvement, structure and knowledge; 69%), Uninformed (high levels of involvement, moderate levels of structure and the lowest levels of knowledge; 17%), Low Support (the lowest levels of involvement, moderate levels of structure and knowledge; 14%). Using latent growth curve analysis, we found that young men in the Low Support profile experienced a greater increase in AUD severity compared with those in the Uninformed and Optimal profiles. Young men in the Uninformed profile reported higher levels of AUD severity at baseline than those in the Optimal profile. These findings highlight the associations between retrospectively perceived parenting profiles during adolescence and the development of AUD during emerging adulthood.

Nurse-led patient-centred intervention to increase written advance directives for outpatients in early-stage palliative care :

Scientific paper ArODES

study protocol for a randomised controlled trial with an embedded explanatory qualitative study

Katia Iglesias, Catherine Busnel, Florian Dufour, Sophie Pautex, Laurence Séchaud

BMJ open, 2020, vol. 10, article e037144, pp. 1-14

Link to the publication

Summary:

Discussing the evolution of life-threatening diseases and end-of-life issues remains difficult for patients, relatives and professionals. Helping people discuss and formalise their preferences in end-of- life care, as planned in the Go Wish intervention, could reduce health-related anxiety in the advance care planning (ACP) and advance directive (AD) process. The aims of this study are (1) to test the effectiveness of the Go Wish intervention among outpatients in early-stage palliative care and (2) to understand the role of defence mechanisms in end-of- life discussions among nurses, patients and relatives.

Referential adjustment during discourse production in Alzheimer’s disease

Scientific paper ArODES

Mélanie Sandoz, Katia Iglesias, Amélie M. Achim, Jean-François Démonet

Journal of Clinical and Experimental Neuropsychology, 2020, vol. 42, no. 7, pp. 710-724

Link to the publication

Summary:

Several studies have shown that people with Alzheimer’s disease (AD) tend to use more pronouns than healthy aged adults when referring to entities during discourse. This referential behavior has been associated with the decrease of cognitive abilities, such as lexical retrieval difficulties or reduced abilities in working memory. However, the influence of certain important discourse factors on the referential choices made by people with AD has yet to be established. This study examines referential choices made at three discourse stages during narrative discourse (the introduction of a referent, the maintaining of the referent in focus, and the shift from one referent in focus to another). These referential choices are examined in increasingly complex referential contexts. In addition, this study investigates the relationships between referential choices and various cognitive abilities. To do so, the narrative discourses of 21 people with AD and 21 healthy adults were elicited using a newly developed storytelling in sequence task. The analyses focused on the production of three major referential expressions (indefinite expressions, definite expressions and pronouns) which are expected to vary according to discourse stage and the referential complexity of the stories. The results show that AD participants produce significantly fewer of the referential expressions expected at the introduction and shift stages than healthy aged adults produce. Nevertheless, the variation in the categories of referential expressions produced by the AD participants between the discourse stages is similar to that produced by the healthy aged adults, suggesting a preserved sensitivity to the factors manipulated in the task (i.e., discourse stages and referential complexity). This study also highlights the fact that different cognitive competences, especially executive abilities, are greatly involved in referential choices. The results add further evidence that referential choices rely on a variety of cognitive skills, depending on the discourse context in which they are made.

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders :

Scientific paper ArODES

diagnostic accuracy in a sample of young swiss men

Stéphanie Baggio, Sophie Baudat, Jean-Bernard Daeppen, Gerhard Gmel, Patrick Heller, Nader Perroud, Stéphane Rothen, Frank Sporkert, Joseph Studer, Hans Wolff, Katia Iglesias

Addictive Behaviors, 2020, vol. 106, 106354

Link to the publication

Summary:

Alcohol use disorder (AUD) is frequently comorbid with other psychiatric disorders. However, few studies investigated the psychometric properties of AUD screening tools in presence of co-occurring disorders. This study examined the diagnostic accuracy of a short AUD screening tool among young adults, in the presence of high vs. low or moderate symptomatology of other common psychiatric disorders. Data were collected among young Swiss men (n = 233) between 2016 and 2018. Measures included a diagnostic interview for AUD and screening tools for AUD and other psychiatric disorders (attention deficit hyperactivity disorder, antisocial personality disorder, bipolar disorder, borderline personality disorder, major depressive disorder, and social anxiety disorder). We computed receiver operating characteristic curves to test whether the AUD screening tool was an accurate indicator of AUD for groups with high vs. low or moderate symptomatology of each psychiatric disorder. The results showed that the optimal cut-off score was ≥3 (the original cut-off of the scale) for participants with a low or moderate symptomatology and ≥4 for participants with a high symptomatology. Our findings highlighted the urgent need for an integrated approach to screening. Psychiatric comorbidities should be included in the screen for AUD to obtain accurate results.

Validation of the patient assessment of chronic illness care (PACIC) short form scale in heart transplant recipients :

Scientific paper ArODES

the international corss-sectional bright study

Katia Iglesias, Sabrina De Geest, Lut Berben, Fabienne Dobbels, Kris Denhaerynk, Cynthia L. Russell, Remon Helmy, Isabelle Peytremann-Bridevaux

BMC Health Services Research, 2020, vol. 20, article 160

Link to the publication

Summary:

Background: Transplant recipients are chronically ill patients, who require lifelong follow-up to manage comorbidities and prevent graft loss. This necessitates a system of care that is congruent with the Chronic Care Model. The eleven-item self-report Patient Assessment of Chronic Illness Care (PACIC) scale assesses whether chronic care is congruent with the Chronic Care Model, yet its validity for heart transplant patients has not been tested. Methods: We tested the validity of the English version of the PACIC, and compared the similarity of the internal structure of the PACIC across English-speaking countries (USA, Canada, Australia and United Kingdom) and across six languages (French, German, Dutch, Spanish, Italian and Portuguese). This was done using data from the crosssectional international BRIGHT study that included 1378 heart transplant patients from eleven countries across 4 continents. To test the validity of the instrument, confirmatory factor analyses to check the expected unidimensional internal structure, and relations to other variables, were performed. Results: Main analyses confirmed the validity of the English PACIC version for heart transplant patients. Exploratory analyses across English-speaking countries and languages also confirmed the single factorial dimension, except in Italian and Spanish. Conclusion: This scale could help healthcare providers monitor level of chronic illness management and improve transplantation care.

On the limitations of the alcohol use disorders identification test (AUDIT)

Scientific paper ArODES

Stéphanie Baggio, Katia Iglesias

Drug and Alcohol Dependence, 2020, vol. 206

Link to the publication

Commentary on Campbell and Strickland (2019) :

Scientific paper ArODES

caution is needed when using self-reported alcohol use disorder screnning tools

Stéphanie Baggio, Katia Iglesias

Addictive Behaviors, 2020, vol. 100, 106115

Link to the publication

Development of alcohol use disorder in young Swiss men: The influence of retrospectively perceived parenting profiles

Scientific paper

Mantzouranis-Baudat Sophie, Iglesias Katia, Joseph Studer, Gerhard Gmel, Stéphanie Baggio

Drugs: Education, Prevention and Policy, 2020

Link to the publication

Summary:

This four-wave longitudinal study aimed to examine the associations between retrospectively perceived parenting profiles in adolescence and the development of alcohol use disorder (AUD) throughout emerging adulthood. The cohort consisted of 190 young Swiss men who completed retrospective reports of parenting at baseline and a short AUD self-report screening tool at four measurement times (mean age at baseline = 20.18; Time 1: 21.52; Time 2: 25.61; Time 3: 26.99). Latent profile analysis revealed three parenting profiles in adolescence based on retrospective measures of parenting styles and practices: Optimal (the highest levels of involvement, structure and knowledge; 69%), Uninformed (high levels of involvement, moderate levels of structure and the lowest levels of knowledge; 17%), Low Support (the lowest levels of involvement, moderate levels of structure and knowledge; 14%). Using latent growth curve analysis, we found that young men in the Low Support profile experienced a greater increase in AUD severity compared with those in the Uninformed and Optimal profiles. Young men in the Uninformed profile reported higher levels of AUD severity at baseline than those in the Optimal profile. These findings highlight the associations between retrospectively perceived parenting profiles during adolescence and the development of AUD during emerging adulthood.

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders: Diagnostic accuracy in a sample of young Swiss men

Scientific paper

Stéphanie Baggio, Mantzouranis-Baudat Sophie, Jean-Bernard Daeppen, Gerhard Gmel, Patrick Heller, Nader Perroud, Frank Sporkert, Stéphane Rothen, Joseph Studer, Hans Wolff, Iglesias Katia

Addictive Behaviors, 2020 , vol. 106

Link to the publication

Summary:

2018

Health care costs of case management for frequent users of the emergency department :

Scientific paper ArODES

hospital and insurance perspectives

Karine Moschetti, Katia Iglesias, Stéphanie Baggio, Venetia Velonaki, Olivier Hugli, Bernard Burnand, Jean-Bernard Daeppen, Jean-Blaise Wasserfallen, Patrick Bodenmann

PLoS ONE, 2018, vol. 13, no. 9

Link to the publication

Comparison of self-reported measures of alcohol-related dependence among young Swiss men :

Scientific paper ArODES

a study protocol for a cross-sectional controlled sample

Katia Iglesias, Frank Sporkert, Jean-Bernard Daeppen, Gerhard Gmel, Stephanie Baggio

BMJ Open, 2018, vol 8

Link to the publication

Summary:

Introduction Short screenings of alcohol-related dependence are needed for population-based assessments. A clinical interview constitutes a reliable diagnosis often seen as gold standard, but it is costly and time consuming and as such, not suitable for population-based assessments. Therefore, self-reported questionnaires are needed (eg, alcohol use disorder (AUD) as in the Diagnostic and Statistic Manual of Mental Disorders (DSM) 5), but their reliability is questionable. Recent studies called for more evidence-based measurements for population-based screening (eg, heavy alcohol use over time (HAU)). This study aims to test the reliability of different self-reported measures of alcohol use. Methods and analysis Based on stratified random selection, 280 participants will be recruited from the French-speaking subgroup of the Swiss National Science Foundation-supported Cohort Study on Substance Use and Risk Factors (C-SURF). This cohort is a population-based sample of young Swiss men in their mid-20s (n=2668). The sample size calculation is based on a proportion non-inferiority test (alpha=5%, power=80%, margin of equivalence=10%, difference in sensitivity between selfreported AUD and HAU=5%, correlation between AUD and HAU=0.35, and drop-outs=15%). Assessment will include a clinical interview as the gold standard of alcohol-related dependence, self-reported alcohol measures (HAU, AUD and drinking patterns), biomarkers as gold standards of chronic excessive drinking, and health outcomes. To assess the validity of the self-reported alcohol measures, sensitivity analyses will be run. The associations between alcohol-related measures and health outcomes will be tested. A non-response analysis will be run using the previous waves of the C-SURF study using logistic regressions. Ethics and dissemination The study protocol has been approved by the Human Research Ethics Committee of the Canton of Vaud, Switzerland (no. 2017–00776). The results will be submitted for publication in peer-reviewed journals and presented at national and international conferences.

The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care :

Scientific paper ArODES

a systematic review and meta-analysis

Chantal Arditi, Katia Iglesias, Isabelle Peytremann-Bridevaux

International Journal for Quality in Health Care, 2018, vol. 30, no. 10, pp. 743-750

Link to the publication

Summary:

Purpose The Patient Assessment of Chronic Illness Care (PACIC) was created to assess whether provided care is congruent with the Chronic Care Model, according to patients. We aimed to identify all studies using the PACIC in diabetic patients to explore (i) how overall PACIC scores varied across studies and (ii) whether scores varied according to healthcare delivery, patient and instrument characteristics. Data sources MEDLINE, Embase, PsycINFO, CINAHL and PubMed Central (PMC), from 2005 to 2016. Study selection Studies of any design using the PACIC in diabetic patients. Data extraction and synthesis We extracted data on healthcare delivery, patient, and instrument characteristics, and overall PACIC score and standard deviation. We performed random-effects meta-analyses and meta-regressions. Results We identified 34 studies including 25 942 patients from 13 countries, mostly in North America and Europe, using different versions of the PACIC in 11 languages. The overall PACIC score fluctuated between 1.7 and 4.2, with a pooled score of 3.0 (95% confidence interval 2.8–3.2, 95% predictive interval 1.9–4.2), with very high heterogeneity (I2 = 99%). The PACIC variance was not explained by healthcare delivery or patient characteristics, but by the number of points on the response scale (5 vs. 11) and the continent (Asia vs. others). Conclusion The PACIC is a widely used instrument, but the direct comparison of PACIC scores between studies should be performed with caution as studies may employ different versions and the influence of cultural norms and language on the PACIC score remains unknown.

Using case management in a universal health coverage system to improve quality of life of frequent emergency department users :

Scientific paper ArODES

a randomized controlled trial

Katia Iglesias, Stéphanie Baggio, Karine Moschetti, Jean-Blaise Wasserfallen, Olivier Hugli, Jean-Bernard Daeppen, Bernard Burnand, Patrick Bodenmann

Quality of Life Research, 2018, vol. 27, no. 2, pp. 503-513

Link to the publication

Summary:

Purpose Frequent Emergency Department users are likely to experience poor quality of life (QOL). Case management interventions are efficient in responding to the complex needs of this population, but their effects on QOL have not been tested yet. Therefore, the aim of our study was to examine to what extent a case management intervention improved frequent Emergency Department users’ QOL in a universal health coverage system. Methods Data were part of a randomized controlled trial designed to improve frequent Emergency Department users’ QOL at the Lausanne University Hospital, Switzerland. A total of 250 frequent Emergency Department users (≥ 5 attendances during the previous 12 months) were randomly assigned to the control (n = 125) or the intervention group (n = 125). The latter benefited from case management intervention. QOL was evaluated using the WHOQOL-BREF at baseline, two, five and a half, nine, and twelve months later. It included four dimensions: physical health, psychological health, social relationship, and environment. Linear mixed-effects models were used to analyze the change in the patients’ QOL over time. Results Patients’ QOL improved significantly (p < 0.001) in both groups for all dimensions after two months. However, environment QOL dimension improved significantly more in the intervention group after 12 months. Conclusions Environment QOL dimension was the most responsive dimension for short-term interventions. This may have been due to case management’s assistance in obtaining income entitlements, health insurance coverage, stable housing, or finding general health care practitioners. Case management in general should be developed to enhance frequent users’ QOL. Trial registration: http://www.clinicaltrials.gov, Unique identifier: NCT01934322

Between social structure inertia and changing biographies :

Book chapter ArODES

trajectories of material deprivation in Switzerland

Pascale Gazareth, Katia Iglesias, Eric Crettaz, Christian Suter

Dans Farago, Peter, Tillmann, Robin, Voorpostel, Marieke, Social Dynamics in Swiss Society : Empirical Studies Based on the Swiss Household Panel (pp. 113-128). 2018, Cham : Springer

Link to the publication

Achievements