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Carrard Sophie

Adjoint-e scientifique HES B

Compétences principales

Évaluations économiques de la santé

Adjoint-e scientifique HES B

Bureau: LEU

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

Domaine
Santé

Filière principale
Physiothérapie

MSc HES-SO/UNIL en Sciences de la santé - HES-SO Master

Évaluations économiques & Accès direct

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

Statistiques
Méthodes de recherche
Travaux de Bachelor

Terminés

Good Life with Osteoarthritis

AGP

Rôle: Collaborateur/trice

Requérant(e)s: VS - Institut Santé

Financement: HES-SO Rectorat

Description du projet : Die Prävalenz von HKA sowie die Anzahl Gelenksersatz-Operationen und die damit verbundenen Kosten nehmen stark zu. Die Schweiz steht mit der Anzahl an Hüft- und Knie-Gelenksersatz-Operationen weltweit an 1. Stelle (2003-2014 Knie-Gelenksersatz Operationen +115%; BfS 2014). Demgegenüber empfehlen internationale Leitlinien Übungen, Edukation und wenn nötig Gewichtskontrolle als erste Wahl für die Behandlung. Es fehlt in der Schweiz ein systematisches und strukturiertes Management von HKA Betroffenen basierend auf der bestehenden, starken Evidenz und internationalen Leitlinien, um Funktion und Selbstmanagement, und damit Lebensqualität und Autonomie ab Diagnose bis Operation zu fördern. Eine Befragung von HausärztInnen, RheumatologInnen und OrthopädInnen belegte diesen Evidence-Performance Gap und die Unterversorgung mit Übungen und Edukation als erster Wahl (Ettlin L. 2019). Es gibt darum grossen Bedarf, die vorhandene Fehlversorgung (Abwarten bis zur Operation, Übungen nicht als Standard) zu überwinden. Mit dem Programm "Good Life with osteoArthritis in Denmark"-Schweiz (GLAD-CH) soll ein Leitlinien-basiertes und qualitätskontrolliertes Management von HKA, das auch die Prävention von inaktivitäts-assoziierten NCDs in der Gesundheitsversorgung beinhaltet, als Standard-Angebot für HKA Betroffene implementiert werden. GLAD verbessert nachweislich Funktion und Lebensqualität und reduziert Schmerzen und Krankheitstage (Skou T. 2017). GLAD gibt es auch in Kanada, Australien und China. Um den Evidence-Performance-Gap im Management von HKA-Betroffenen zu schliessen, werden schweizweit PhysiotherapeutInnen (PTs) GLAD-CH zertifiziert. Das GLAD-CH Netzwerk wird durch neue Partner wie ärztliche Fachgesellschaften und Vertreter der Community (Schweiz. Vereinigung Morbus Bechterew-SVMB) erweitert. Synergien zwischen den Partnern werden genutzt: z.B. stellt die SVMB ihre online-Plattform (Rheumafit.ch) für das GLAD-CH Übungsprogramm zur Verfügung.

Equipe de recherche au sein de la HES-SO: Vuignier Sonia , Carrard Sophie , Hilfiker Roger

Partenaires académiques: VS - Institut Santé

Durée du projet: 02.11.2020 - 04.02.2023

Montant global du projet: 5'500 CHF

Statut: Terminé

P2 The Swiss CHEF Trial : Comparison of Home-Based Exercise Programmes for Falls Prevention in Older People

AGP

Rôle: Collaborateur/trice

Financement: Fondation Leenaards; VS - Institut Santé

Description du projet : This project concerns quality of life in community-living elderlies. Our hypothesis is that a home-based exercises program, built on the concepts of Empowerment and Self-efficacy, can improve their quality of live as result of the increase of selfconfidence and of the decrease of falls incidence. We will conduct a randomized controlled multisite trial in Switzerland with 440 subjects and compare the effects of the T&E and the OTAGO programs on falls, quality of life and adherence.

Equipe de recherche au sein de la HES-SO: Vuignier Sonia , Carrard Sophie , Mathieu Nicolas , Hilfiker Roger , Mittaz Hager Anne-Gabrielle , Plaschy Martin , Bonvin Mittaz Annick

Durée du projet: 01.01.2016 - 30.06.2022

Montant global du projet: 540'000 CHF

Statut: Terminé

2024

Exploring the integration and patient engagement of balance home exercises in the daily management of multiple sclerosis :

Article scientifique ArODES

a comprehensive qualitative analysis

Emmanuelle Opsommer, Carla Ribeiro, Sophie Carrard, Roger Hilfiker, Josiane Mbarga

Disability and rehabilitation, To be published

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Résumé:

Purpose : This study investigated the perceptions and experiences of patients with multiple sclerosis (MS) regarding a home-based balance exercises program, focusing on its practicality and perceived effects for daily management and the factors influencing its implementation. Materials and Methods : Employing a qualitative approach, semi-structured interviews were conducted with 18 patients with MS in Switzerland (13 women, 5 men; mean age 53 ± 11 years). The study used purposive sampling to ensure diverse representations. The exercise program included 19 tailored exercises, adapted by physiotherapists for each participant. Data analysis involved inductive thematic analysis to understand the practical implementation, challenges, and perceived benefits. Results : Key themes emerged, such as adaptability of exercises, implementation variability, approaches to integration, facilitators, obstacles, and perceived effects. Adaptability to fluctuating symptoms, individual lifestyle impacts, and variability in exercise practices were notable. Facilitators included personalized support from physiotherapists, while obstacles ranged from fatigue to complex exercise variants. Perceived effects varied, with some patients reporting physical and psychological benefits. Conclusions : The study highlights diverse patient experiences with the balance exercises program. Key challenges included physical exertion and adapting to MS symptoms. Physiotherapists played a pivotal role in personalization and guidance. Despite challenges, patients demonstrated adaptability and proactive integration of exercises into their MS management.

Adapted home-based exercises in dementia :

Article scientifique ArODES

an exploratory pre-post pilot and feasibility study

Sophie Carrard, Stephan Eyer, Roger Hilfiker, Anne-Gabrielle Mittaz Hager

American Journal of Alzheimer's Disease & Other Dementias®, 2024, 39, 1-13

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Résumé:

The goals of this exploratory pre-post pilot and feasibility study (NCT04916964) were to assess the feasibility and effectiveness of an adapted Test-and-Exercise home-based exercise program on basic functional mobility and executive functions in persons with prodromal or mild Alzheimer’s disease. Participants followed an 8 week exercise program at home, once per week with a physiotherapist and twice per week with their usual caregiver or independently. Functional mobility and executive functions were assessed before and after the intervention. Feasibility criteria were recruitment opportunity, participation agreement rate, cost adequacy, and drop-out rate. Twelve participants aged 80.83 ± 4.65 years took part in the study. All the basic functional mobility measures showed small effect sizes. Concerning executive functions, 5 measures showed small to moderate effect sizes. The 4 feasibility criteria were met. A larger scale study would, however, need adaptations and prior research on the ability of this population to use touch-screen technology.

Partially supervised exercise programmes for fall prevention improve physical performance of older people at risk of falling :

Article scientifique ArODES

a three-armed multi-centre randomised controlled trial

Anne-Gabrielle Mittaz-Hager, Nicolas Mathieu, Sophie Carrard, Alice Bridel, Christina Wapp, Roger Hilfiker

BMC geriatrics, 24, 1, 311

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Résumé:

Background :Falls have a major impact on individual patients, their relatives, the healthcare system and related costs. Physical exercise programmes that include multiple categories of exercise effectively reduce the rate of falls and risk of falling among older adults. Methods: This 12-month, assessor-blinded, three-armed multicentre randomised clinical trial was conducted in adults aged ≥ 65 years identified as at risk of falling. Four hundred and five participants were randomly allocated into 3 groups: experimental group (n = 166) with the Test&Exercise partially supervised programme based on empowerment delivered with a tablet, illustrated manual and cards, reference group (n = 158) with the Otago partially supervised programme prescribed by a physiotherapist delivered with an illustrated manual and control group (n = 81) with the Helsana self-administrated programme delivered with cards. Experimental and reference groups received partially supervised programmes with 8 home sessions over 6 months. Control group received a self-administered program with a unique home session. The 3 groups were requested to train independently 3 times a week for 12 months. Primary outcome was the incidence rate ratio of self-reported falls over 12 months. Secondary outcomes were fear of falling, basic functional mobility and balance, quality of life, and exercise adherence. Results: A total of 141 falls occurred in the experimental group, 199 in the reference group, and 42 in the control group. Incidence rate ratios were 0.74 (95% CI 0.49 to 1.12) for the experimental group and 0.43 (95% CI 0.25 to 0.75) for the control group compared with the reference group. The Short Physical Performance Battery scores improved significantly in the experimental group (95% CI 0.05 to 0.86; P = 0.027) and in the reference group (95% CI 0.06 to 0.86; P = 0.024) compared with the control group. Conclusion: The self-administered home-based exercise programme showed the lowest fall incidence rate, but also the highest dropout rate of participants at high risk of falling. Both partially supervised programmes resulted in statistically significant improvements in physical performance compared with the self-administered programme.

Förderung der Gesundheit am Arbeitsplatz und der Pflegequalität in den Walliser Alters- und Pflegeheimen und sozialmedizinischen Zentren :

Rapport ArODES

Bewertung der Relevanz einer Reihe von Lösungsansätzen Zwischenbericht

Sophie Carrard, Audrey Genolet, Stéphanie Hannart, Rafaël Weissbrodt

2024, Sitten : Hochschule für Gesundheit, HES-SO Valais-Wallis

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Promouvoir la santé au travail et la qualité des soins dans les EMS et CMS valaisans :

Rapport ArODES

évaluation de la pertinence d’une série de pistes d’action : rapport intermédiaire

Sophie Carrard, Audrey Genolet, Stéphanie Hannart, Rafaël Weissbrodt

2024, Sion : Haute école de santé, HES-SO Valais-Wallis, 4 p.

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2023

Impact d’un logement labellisé « Sans Obstacles » sur la qualité de vie, le sentiment de sécurité et la peur de chuter des seniors

Article scientifique ArODES

Chloé Schorderet, Sophie Carrard, Claude Alexandre Fournier, Marion Bieri, Lara Allet

Kinésithérapie, la Revue, 2023, 23, 259, 34-41

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Résumé:

Introduction. – Le maintien à domicile des seniors représente une solution pertinente pour répondre à l’évolution démographique. Vieillir à domicile nécessite toutefois de pouvoir évoluer dans un environnement adapté à ses capacités. Le but de cette étude était d’évaluer les plusvalues et les limites de logements spécialement conçus pour répondre aux besoins des seniors. Méthode. – Un questionnaire développé par l’équipe de recherche a été distribué aux habitants des logements « Sans Obstacles » conçus par la Caisse de prévoyance du Canton du Valais (Suisse). Les données quantitatives ont été analysées de manière descriptive, les données qualitatives au moyen d’une analyse thématique. Résultats. – Les participants ont indiqué apprécier davantage leur nouveau logement et y avoir une meilleure qualité de vie. Ils ont également indiqué se sentir plus en sécurité dans l’ensemble des pièces et avoir moins peur de chuter dans la salle de bain, dans la cuisine et dans la chambre.Discussion. – Ces résultats mettent en évidence la pertinence de développer des endroits adaptés aux besoins des seniors qui leur permettent de maintenir leur qualité de vie et leur indépendance tout en restant à domicile. Niveau de preuve : 5.

2022

Evaluation of the psychometric properties of the swiss french version of the older people’s quality of life questionnaire (OPQOL-35-SF)

Article scientifique ArODES

Sophie Carrard, Claudia Mooser, Roger Hilfiker, Anne-Gabrielle Mittaz Hager

Health and quality of life outcomes, 2022, vol. 20, art. 43

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Résumé:

Background : The proportion of the world population aged over 65 years is increasing in the world population. Quality of life is an important factor in the biopsychosocial management of older patients. The Older People’s Quality of Life-35 (OPQOL-35) questionnaire was developed specifically for assessment of the quality of life of older people. The aim of this study is to evaluate the psychometric properties of a Swiss French version of the OPQOL-35 questionnaire (OPQOL-35-SF). Methods : Forward–backward procedure was used to translate the original questionnaire from English into Swiss French. A sample of older people then completed the questionnaire. Construct validity of the OPQOL-35-SF was evaluated by comparing the results with those from three other questionnaires [World Health Organisation Quality of Life in older people questionnaire (WHOQOL-OLD), Control, Autonomy, Self-realization, Pleasure in 12 questions (CASP-12), and EuroQol-5-dimensions-5-levels (EQ-5D-5L)] and two visual analogue scales (health and quality of life). The structure of the OPQOL-35-SF questionnaire was assessed using exploratory and confirmatory factor analysis. To evaluate the reliability the OPQOL-35-SF questionnaire was completed a second time after 7–23 days. Results : A total of 264 older people completed all the questionnaires at the first session, and 262 completed the OPQOL-35-SF again at the second session. Mean age of participants was 76.8 (standard deviation (SD) = 7.1) years. The majority of participants were women (73.9%). The Kaiser–Meyer–Olkin Measure of Sampling Adequacy (KMO) was 0.86 and Bartlett’s test of sphericity was significant (p < 0.001). The result of Exploratory Factor Analysis (EFA) revealed 8 factors with eigenvalues greater than one, which explained 58% of the observed variance. All items had an acceptable loading (< 0.30) in at least one factor. The convergent validity presented low to moderate correlations (rho: 0.384–0.663). Internal consistency was good (Cronbach’s alpha 0.875 for test and 0.902 for retest). Test–retest reliability presented an intra-class correlation coefficient, two-way random effects, absolute agreement, single rater (ICC2.1) of 0.83 [95% confidence interval (CI) 0.78–0.87]. Conclusions : The Swiss French version of the OPQOL-35 questionnaire shows good psychometric properties, which permit its use in clinical practice or research. A supplementary sample would be necessary for a better distribution of the items in the different factors.

2021

Covid-19 und Physiotherapie?: Erkenntnisse aus der ersten Welle = Covid-19 et physiothérapie: enseignements de la première vague

Article professionnel ArODES

Chloé Schorderet, Sophie Carrard, Roger Hilfiker, Lara Allet

PhysioActive, 2021, no 2, pp. 29-32

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Résumé:

Une enquête menée entre mai et juin 2020 éclaire la manière dont les physiothérapeutes en Suisse ont vécu la première vague et montre où il convient d’intervenir.

2023

Towards semantic modeling of patient trajectories for rehabilitation of osteoarthritis

Conférence ArODES

Gaetano Manzo, Benjamin Pocklington, Yvan Pannatier, Cathy Gay, Anjani Dhrangadhariya, Sophie Carrard, Roger Hilfiker, Jean-Paul Calbimonte

Proceedings of the 14th International Conference on Semantic Web Applications and Tools for Health Care and Life Sciences (SWAT4HCLS 2023)

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Résumé:

This poster paper describes the challenges and opportunities of modeling patient trajectories for osteoarthritis rehabilitation using semantically rich abstractions.

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Carrard Sophie

Adjoint-e scientifique HES B

Compétences principales

Statistiques

Évaluations économiques de la santé

Recherche clinique

Recherche quantitative

Méthodologie de recherche

Analyse statistiques

Adjoint-e scientifique HES B

PEOPLE@HES-SO Annuaire et Répertoire des compétences

Carrard Sophie

Adjoint-e scientifique HES B

Compétences principales

Statistiques

Évaluations économiques de la santé

Recherche clinique

Recherche quantitative

Méthodologie de recherche

Analyse statistiques

Adjoint-e scientifique HES B

PEOPLE@HES-SO
Annuaire et Répertoire des compétences