Mara Gkioka

Dr. Mara Gkioka

Network Aging Research, Heidelberg University
+1
orcid

Research Focus & Metrics

Academic Career Length

10Years (2017-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 November 2020 in Journal of Alzheimer’s Disease
Verified
Journal Article
Open access
PDF file
MGMara Gkioka
Mara Gkioka
JSJulia Schneider
Julia Schneider
AKAndreas Kruse
Andreas Kruse
MTMagda Tsolaki
Magda Tsolaki
DMDespina Moraitou
Despina Moraitou
BTBirgit Teichmann
Birgit Teichmann
Background: People with Dementia (PwD) are frequently admitted to hospital settings. The lack of proper dementia knowledge, poor communication skills, negative attitudes toward dementia, and lack of confidence affects the quality of care, thus development of dementia trainings has increased. Nevertheless, literature regarding the effectiveness of training implementation is limited. Objective: The aim of this narrative synthesis is to 1) identify the characteristics of training programs and 2) explore the effectiveness of these training programs in everyday clinical practice. Methods: A systematic search in PubMed, PsycINFO, CINAHL, and Cochrane was conducted, including qualitative and quantitative peer-reviewed studies. Holton’s evaluation model with its three outcome levels (learning, individual performance, and organizational results) was adopted. 14 studies were included. Results: The synthesis of the results was divided into two parts: 1) to describe the characteristics and content of trainings 2) to evaluate the effectiveness of training programs according to the three outcome levels of Holton’s model, taking into consideration its construct domains: ability, motivation, and environment. Learning outcomes were assessed in all selected studies: 13 studies observed changes in individual performance, four studies reported changes within the organizational level, and only five showed sustainable changes over time. Conclusion: Person-centered care (PCC) approaches, interactive and varied teaching methods, supporting conditions like champions, action plans, and setting care policies, are all characteristics of effective trainings. Successful programs should be sustainable over time, demonstrating positive outcomes across the organization. Based on current findings, there is a lack of adequate evaluation with regard to training programs on the organizational level.

3 July 2020 in Nursing Open
Verified
Journal Article
Open access
PDF file
MGMara Gkioka
Mara Gkioka
MTMagdalini Tsolaki
Magdalini Tsolaki
SPSotirios Papagianopoulos
Sotirios Papagianopoulos
BTBirgit Teichmann
Birgit Teichmann
DMDespina Moraitou
Despina Moraitou
Aim: Τo validate the Greek version of the Dementia Knowledge Assessment Tool 2, the Dementia Attitudes Scale and Confidence in Dementia Scale.Design: A quantitative cross‐sectional design was applied for translation and validation. The STROBE checklist for observational research has been followed to this survey.Method: Two hundred and twelve students from the School of Psychology (Aristotle University of Thessaloniki). Psychometric properties were assessed through construct validity (principal component analysis), internal consistency (Cronbach's alpha) and convergent validity.Results: High internal reliability was found for Confidence in Dementia Scale (α = 0.85), adequate reliability for Dementia Attitudes Scale (α = 0.74) and acceptable reliability for Dementia Knowledge Assessment Tool 2 (α = 0.68). Construct validity was satisfactory for Dementia Attitudes Scale (two factors: social comfort and knowledge). The convergent validity was supported to this survey. All three tools are reliable and valid to measure knowledge, confidence and attitudes towards dementia in Greek research context.

4 May 2017 in American Journal of Alzheimer's Disease and Other Dementias®
Verified
Journal Article
Closed access
Magda TsolakiMagda Tsolaki
Magda Tsolaki
MGMara Gkioka
Mara Gkioka
EVEleni Verykouki
Eleni Verykouki
NGNiki Galoutzi
Niki Galoutzi
EKEirini Kavalou
Eirini Kavalou
VPVassiliki Pattakou-Parasyri
Vassiliki Pattakou-Parasyri
The studies on the prevalence of dementia, depression, and mild cognitive impairment (MCI) in Greece are sparse and show major variations of prevalence depending on geographical areas, nutritional habits, and the way of living. The aim of this door-to-door study was to find the prevalence of dementia, depression, and MCI in a rural Greek population. Four hundred and forty-three individuals older than 61years following the application of specific criteria were diagnosed with: normal cognition, depression, MCI with and without depression, and dementia with and without depression. Four diagnostic methods were used, 2 of which included Mungas correction for age and education. After Mungas adjustment, the results were as follows—depression: 33.9%; MCI: 15.3%; MCI with depression: 8.6%; dementia: 2.0%; and dementia with depression: 7.2%. Dementia is less prevalent compared to global data and other Greek areas. Mild cognitive impairment is more prevalent than dementia. High percentages of depression may be related to low education.

12 December 2020 in Brain Sciences
Verified
Journal Article
Open access
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MGMara Gkioka
Mara Gkioka
BTBirgit Teichmann
Birgit Teichmann
Despina MoraitouDespina Moraitou
Despina Moraitou
SPSotirios Papagiannopoulos
Sotirios Papagiannopoulos
Magda TsolakiMagda Tsolaki
Magda Tsolaki
People with Dementia (PwD) are frequently admitted in general hospitals. However, health care professionals have lack of dementia knowledge, negative attitudes toward dementia, and lack of confidence in caring those patients. The aim of this study is to develop, implement and evaluate a dementia staff training program in Greek general hospitals. It was a repeated-measures research design. Fourteen (14) two-day workshops were conducted, consisting of six targeted and interactive modules. Staff members (N = 242) attended the program and were assessed according to (1) individual performance: questionnaires about attitudes towards dementia, confidence in care, knowledge about dementia and anxiety before, immediately after the training and three months later, (2) an overall training evaluation immediately after the training and (3) an evaluation of training implementation three months later. Positive attitudes towards dementia, improvement of confidence in care and decrease of feeling of anxiety as a trait, were sustained over time. Knowledge about dementia also increased after the training and sustained, with, however, a slight decrease over time. A well applied training program seems to provide the basis of a better care in PwD during hospitalization. However, changes in the organizational level and a transformation of care culture are necessary for training sustainability over time.

1 January 2024 in Behavioural Neurology
Verified
Journal Article
Open access
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MGMara Gkioka
Mara Gkioka
SASTAVROULA ALMPANIDOU
STAVROULA ALMPANIDOU
NLNiki Lioti
Niki Lioti
DADiamantis Almaliotis
Diamantis Almaliotis
VKVasileios Karampatakis
Vasileios Karampatakis
Background. Low vision (LV) has a significant negative impact on the activities of daily life as well as on the psychological health of patients. Objectives. The objective of this study is to investigate psychological, clinical, and demographic factors that may impact the daily functionality of patients with LV. Methods. A convenience sample of 53 patients, meeting the WHO criteria for LV, was recruited. Questionnaires on daily functionality, depression, and life orientation (in terms of optimism/pessimism) were administered along with a semistructured personal interview. Key Findings. The main results revealed a significant negative correlation between daily functionality and depression (r = −0.423, p < 0.001). Conversely, there is a positive correlation between daily functionality and visual acuity (r = 0.415, p < 0.001), while years since diagnosis were negatively correlated with depression (r = −0.345, p < 0.001). Depression seems to be a moderate predictor of a person’s daily functionality (β = −0.389, p < 0.002), followed by visual acuity (β = −0.344, p = 0.006), explaining the 31.1% of the total variance. Conclusions. The study supports a correlation between daily functionality and both depression and visual acuity. Optimism as a personality characteristic did not factor into the prediction model for daily functionality, but it showed a strong correlation with lower levels of depressive symptoms. This highlights the potential for developing coping strategies for chronic disease management. Recommendations. The study could serve as a useful guide and may urge clinicians to pay attention to the psychological evaluation of these patients, supporting their unique emotional needs. Mental health professionals can use patients’ positive resources to provide appropriate counseling and embrace the coping skills that encourage their engagement in activities of daily life.

13 November 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
SSSofia Segkouli
Sofia Segkouli
MGMara Gkioka
Mara Gkioka
SKStylianos Kokkas
Stylianos Kokkas
KVKonstantinos Votis
Konstantinos Votis
SVSergi Valero
Sergi Valero
GMGeorge Manias
George Manias
Background and Objectives: Population rapid growth and demographic shift is leading to a rise in neurodegenerative disorders such as dementia and mild cognitive impairment (MCI). Evidence indicates that MCI is not the earliest phase of prodromal AD. Subjective Memory Decline (SMD) refers to a self-perceived decline in cognitive abilities compared to previous functioning levels in individuals with normal cognition. Language impairment represents a critical marker of neurodegenerative disorders and early memory decline in healthy older adults. Methods: This review was conducted in accordance with PRISMA Statement guidelines. The inclusion criteria of the selection process were set as follows: (1) All studies analyzed spontaneous speech samples in individuals with SMD or individuals with +αβ amyloid. (2) Studies reported language performance indicators (e.g., lexical, syntactic, semantic, phonetic, or fluency measures) derived from spontaneous speech. (3) The study population included participants with SMD based on recognized diagnostic criteria or self-reported cognitive complaints without objective cognitive impairment. (4) Studies were written in English. (5) The time frame of studies was 5 years. Results: The present work is a review of speech features—particularly from spontaneous and narrative speech—and methods that can serve as sensitive indicators of early cognitive changes due to AD pathology. Conclusions: Spontaneous speech analysis, through acoustic and temporal parameters such as silence duration, phrasal segment length, and speech segment frequency, offers a rich window into the subtle cognitive and linguistic changes that reflect early memory decline in healthy older adults. Spontaneous speech performance could be a scalable, low-cost, and non-invasive diagnostic tool in proactive cognitive health.