Examinando por Autor "Pacheco-Barrios, Kevin"
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- PublicaciónSólo datosEffects of dog-assisted therapy in adults with dementia: a systematic review and meta-analysis(BioMed Central Ltd., 2019-01) Zafra-Tanaka, Jessica Hanae; Pacheco-Barrios, Kevin; Andree Tellez, Walter; Taype Rondán, ÁlvaroBackground: Dog-assisted therapy (DAT) is a non-pharmacological intervention based on the interaction between patients and dogs, which has been proposed to help adults with dementia. However, evidence to support it is lacking. Thus, we aim to evaluate the effects of DAT on this population and to assess the certainty of the evidence of the RCTs estimates. Methods: A systematic search was performed. We included randomized controlled trials (RCTs) and quasi-experimental (QE) controlled studies published up to March 2018, which evaluated the beneficial and deleterious effects of DAT in adults with dementia. Mean differences (MD) or standardized mean differences (SMD) and their 95% confidence intervals (95% CI) were calculated and random effects meta-analyses were performed. Certainty of evidence was assessed for RCTs estimates using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The study protocol has been registered in PROSPERO (CRD42018090434). Results: Ten studies (six RCTs and four QE controlled studies) were eligible for inclusion. Meta-analysis of RCTs showed no effect of DAT in daily life activities (SMD: 0.16; 95% CI: -0.80 to 1.12), depression (SMD: -0.45; 95% CI: -2.81 to 1.91), agitation (SDM: -1.12; 95% CI: -2.67 to 0.43), quality of life (SDM: 0.16; 95% CI: -0.41 to 0.73), and cognitive impairment (SDM: -0.52; 95% CI: -1.33 to 0.30), but it found a beneficial effect in apathy (1 study, n = 37, MD: 1.81; 95% CI: 1.26 to 2.36). All outcomes had a very low certainty of evidence according to GRADE methodology. Conclusions: RCTs evidence of very low certainty suggests that, in adults with dementia, DAT has no effect in daily life activities, depression, agitation, quality of life, and cognitive impairment, although one small study found an apparent beneficial effect in apathy. More well-designed and correctly reported studies are needed in order to provide a conclusion. Trial registration: CRD42018090434 (PROSPERO).
- PublicaciónSólo datosMonitoring of respiratory patterns and biosignals during speech from adults who stutter and do not stutter: A comparative analysis(IEEE Computer Society, 2019-05) Villegas, Bruno; Flores, Kevin M.; Pacheco-Barrios, Kevin; Elias, DanteStuttering is a common speech disorder that can impact in the quality of life of adults who stutter (AWS). In order to manage this condition, it is necessary to measure and assess the stuttering severity before, during and after any therapeutic process. To evaluate it, monitoring biosignals-included the respiratory patterns-could be an option; however is not clear the difference between speech conditions. Therefore, we compare the respiratory patterns and biosignals during speech of adults who stutter (AWS) and who not stutter (AWNS) to describe the differences and patterns of blocks and fluent speech. Sixty-six participants (AWS=33, AWNS=33) were asked to perform a reading task. We record the respiratory patterns and biosignals (pulse, saturation and galvanic response) using standardized system. We assess the differences among three conditions: fluent speech from ANWS, blocks from AWS and fluent speech from AWS. A higher number of expiratory volume peaks and amplitudes were found during the blocks segments compared to the fluent speech segments. These different patterns could be used to differentiate speech conditions using a recognition algorithm to automate evaluations in a real-Time environment for stuttering diagnosis or follow-up.