Person: Bays Moneo, Ana Beatriz
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Bays Moneo
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Ana Beatriz
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Ciencias de la Salud
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0000-0002-8341-0405
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Publication Open Access Cost-effectiveness of an exercise programme that provided group or individual training to reduce the fall risk in healthy community-dwelling people aged 65-80: a secondary data analysis(MDPI, 2021) Aranda Reneo, Isaac; Albornos Muñoz, Laura; Rich Ruiz, Manuel; Cidoncha Moreno, María Ángeles; Pastor López, Ángeles; Moreno Casbas, María Teresa; Otago Project Working Group; Bays Moneo, Ana Beatriz; Ciencias de la Salud; Osasun ZientziakResearch has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.Publication Open Access The relation between functional performance, falls and previous falls among participants in the Otago programme: a secondary data analysis(MDPI, 2021) Company Sancho, María Consuelo; Alonso Poncelas, Emma; Rich Ruiz, Manuel; Cidoncha Moreno, María Ángeles; Gonzalez Pisano, Ana; Abad Corpa, Eva; Otago Project Working Group; Bays Moneo, Ana Beatriz; Ciencias de la Salud; Osasun ZientziakFall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls; functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes.Publication Open Access La inteligencia emocional en el Grado de Enfermería(Fundación Index, 2024) Jiménez Marcos, María Anunciación; Insausti Serrano, Ana María; Zubeldia Etxeberria, Josune; Bays Moneo, Ana Beatriz; Trandafir, Paula Camelia; Ciencias de la Salud; Osasun ZientziakObjetivo: Describir una intervención para abordar la Inteligencia Emocional en el Grado de Enfermería. Metodología: relato de una experiencia en la asignatura Enfermería Clínica del Grado de Enfermería, en la que 32 alumnos recibieron una intervención teórica y práctica de Inteligencia Emocional con el modelo de Mayer y Saloy. Al finalizar se realizó una evaluación sobre la intervención. Resultados: en comparación a cursos previos se observó una mejoría considerable en valoraciones como la comunicación, la actitud reflexiva y la motivación; en las preguntas abiertas más de la mitad respondieron que aprendieron a relajarse, a conocerse mejor y; más de la cuarta parte, les pareció muy útil para su vida personal y profesional. Conclusiones: la Inteligencia Emocional demostró ser beneficiosa para la salud de alumnado y su propio aprendizaje. Por ello sería interesante la inclusión del manejo de las emociones, durante la formación universitaria en el Grado de Enfermería.Publication Open Access Physiotherapists' evidence-based practice profiles by HS-EBP questionnaire in Spain: a cross-sectional normative study(Public Library of Science, 2022) Fernández-Domínguez, Juan Carlos; Pedro-Gómez, Joan de; Jiménez López, Rafael; Romero-Franco, Natalia; Bays Moneo, Ana Beatriz; Oliva Pascual-Vaca, Ángel; Sesé Abad, Albert; Ciencias de la Salud; Osasun ZientziakEvidence-Based Practice (EBP) is a cost-effective approach for improving the quality of clinical care and implementing only well-tested evidence. Health professions, especially physiotherapy, must embrace EBP principles. This paper presents normative data from the Spanish physiotherapist population using the Health-Sciences Evidence-Based Practice questionnaire and explores EBP clusters/profiles of professionals in practice. An intentional sample of 419 practicing physiotherapists was recruited from the Spanish Professional Council of Physiotherapy. Participants completed a cross-sectional online survey with 60 Likert items (scale 1¿10) measuring 5 dimensions: 1) Beliefs and attitudes, 2) Results from literature, 3) Professional practice, 4) Assessment of results, and 5) Barriers and Facilitators. The protocol also included sociodemographic, training, and practice-related contrast variables. Normative data were estimated and tabulated for each dimension and then a K-means clustering procedure was implemented using the contrast variables. Results for normative data showed, in descending order, the following 50th percentile values for the five EBP factors: Beliefs and attitudes (8.25), Professional practice (8.00), Assessment of results (7.42), Results from literature (6.71), and EBP Barriers and Facilitators (5.17); all expressed on a scale of 1 to 10. Academic degree, EBP training level, and work time shared in healthcare activity, research, or teaching activity were all statistically significant for discriminating EBP dimension scores. Finally, six different clusters showed that when EBP level is low, the scores in all dimensions are equally low, and vice-versa. The EBP dimensions "Beliefs and attitudes", "Professional practice", and "Evaluation of results" obtained better normative scores overall than "Search for bibliographic evidence and its inclusion in practice" and especially "Perception of EBP barriers", which had the worst score. Normative data are useful for comparing individual scores and the reference population, and information about clusters will enable appropriate global EBP intervention programs to be designed and implemented.Publication Embargo Efectos del ejercicio físico en ancianos frágiles institucionalizados(2024) Bays Moneo, Ana Beatriz; Izquierdo Redín, Mikel; Lusa Cadore, Eduardo; Ciencias de la Salud; Osasun ZientziakLos programas de ejercicio físico en adultos mayores han mostrado tener beneficios a nivel físico, cognitivo y funcional. El objetivo de la presente tesis era investigar el efecto de diferentes programas de ejercicio físico en ancianos institucionalizados. El primer estudio se realizó con el objetivo de investigar el coste de la doble tarea en varias poblaciones de ancianos (ancianos robustos, ancianos frágiles con deterioro cognitivo leve, ancianos frágiles sin deterioro cognitivo leve y ancianos frágiles con demencia). Para ello, se categorizaron sesenta y cuatro hombres y mujeres ancianos en; a) robustos (edad 88,2 ± 4,1 años, n =10), b) frágiles con deterioro cognitivo leve (edad 92,4 ± 4,2 años, n =13), frágiles sin deterioro cognitivo leve (DCL) (edad 93,4 ± 3,2 años, n =20), y ancianos con demencia (edad 88,1±5,1 años, n =21). Se midieron la capacidad de caminar en 5 metros (5m) y el test de Timed up an Go (TUG) en tarea única y doble tarea. El coste de la tarea dual, tanto en el test de caminar con en el test de TUG se calculó mediante la diferencia en la realización de uno y otro. La segunda intervención fue un estudio longitudinal con el objetivo de investigar los efectos de dos intervenciones de ejercicio diferentes sobre el coste de los cuidados habituales, la capacidad funcional, la incidencia de caídas, la fuerza muscular y la función ejecutiva en ancianos institucionalizadas. Para ello se diseñó un ensayo clínico aleatorizado que investigaba el efecto de dos programas de ejercicio de 12 meses de duración en comparación con un grupo de cuidados habituales en ancianos frágiles institucionalizados. Con base a los resultados, se puede concluir que una intervención de ejercicio multicomponente de un año redujo el costo de la atención, mejoró la capacidad funcional y la fuerza muscular, así como redujo las caídas en los ancianos institucionalizados.Publication Open Access The perception and management of emotions in nursing students under clinical training(Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, 2022) Jiménez Marcos, María Anunciación; Insausti Serrano, Ana María; Zubeldia Etxeberria, Josune; Uranga Iturrioz, María José; Bays Moneo, Ana Beatriz; Trandafir, Paula Camelia; Ciencias de la Salud; Osasun ZientziakBACKGROUND: Patient care must be understood holistically and to achieve this goal, nurses must be aware and familiar with the world of emotions. Poor handling of emotions by nursing professionals can affect their health, also leading to lower-quality care. Therefore, it is important to explore the management of their emotions before becoming a nurse. PURPOSE: To evaluate Perceived Emotional Intelligence in 3rd - year nursing students in an academic context and in clinical practicum. METHODOLOGY: Longitudinal and prospective design. The Trait Meta-Mood Scale-24 was used at three different moments, the first two corresponding to the academic context and the third to the clinical practice context, the age variable was also analyzed. RESULTS: 40 students of an average age (24.81±1.164 years old). Perception and Emotional Regulation were found to be different according to the learning context. Students over the age of 25 years old were also found to perceive their emotions better, but to understand them worse. CONCLUSIONS: Nursing students’ perception of their own emotions may vary in function of their learning context, with age being a factor that has an influence on the management of emotions. Implications: In the design of the nursing program it’s important to include managing emotions and to choose when to do so.Publication Open Access Prevalence of falls in noninstitutionalized people aged 65-80 and associations with sex and functional tests: a multicenter observational study(Wiley, 2022) Blanco Blanco, Joan; Albornos Muñoz, Laura; Costa Menen, María Àngels; García Martínez, Ester; Rubinat Arnaldo, Esther; Martínez Soldevila, Jordi; Moreno Casbas, María Teresa; Bays Moneo, Ana Beatriz; Gea Sánchez, Montserrat; Otago Project Working Group; Ciencias de la Salud; Osasun ZientziakFalls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to xamine the prevalence of falls in Spanish people aged 65-80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people.