Raquel Tecnológico García Flores

Dr. Raquel Tecnológico García Flores


Research Focus & Metrics

Academic Career Length

7Years (2020-Present)

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

Representative Publications

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22 September 2020 in The International Journal of Aging and Human Development
Verified
Journal Article
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CQChristian Oswaldo Acosta Quiroz
Christian Oswaldo Acosta Quiroz
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
SESonia Beatriz Echeverría-Castro
Sonia Beatriz Echeverría-Castro
The objective of this study was to evaluate the reliability and validity of the Geriatric Depression Scale in its 15-item version (GDS-15) in Mexican older adults. Participants included 1178 older adults between the ages of 60 and 94 (M = 69.16, SD = 7.69); 53.9% were women and 55.8% were married or with a partner. They completed the GDS-15, a subjective well-being scale, and a quality-of-life questionnaire. A Kuder–Richardson coefficient of .80 was obtained, which indicates an acceptable internal consistency of the GDS-15, as well as evidence of divergent validity with significant correlations of −.783 with subjective well-being and −.569 with quality of life, in addition to concurrent validity when discriminating between participants with low scores from those with high scores of depressive symptoms. The need for a simple screening tool such as the GDS-15 that helps in the identification of depressive symptoms in Mexican older adults is underlined.

23 June 2021 in Informatics for Health and Social Care
Verified
Journal Article
Closed access
CAChristian Oswaldo Acosta-Quiroz
Christian Oswaldo Acosta-Quiroz
RCRamón René Palacio Cinco
Ramón René Palacio Cinco
GBGilberto Borrego
Gilberto Borrego
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
MRMaría José Rodríguez-Fórtiz
María José Rodríguez-Fórtiz
To develop software to stimulate cognitive functions of attention, memory, reasoning, planning, language, and perception in Mexican older adults, and to evaluate the usability of software based on system utility, information quality, and interface quality. For the development of the cognitive stimulation software, an inductive-deductive methodology was used in three stages: Analysis (system requirements), design and coding (cognitive stimulation software), evaluation (usability results). The usability of the software was assessed in 89 older adults between the ages of 60 and 84 years, through a usability questionnaire with evidence of reliability and validity. Eight exercises about attention, seven on memory, three on reasoning, one about planning and language, and two on perception were developed. We evaluated the usability of the developed software using the Computer System Usability Questionnaire, obtaining medium-high usability in 76.2% of the participants regarding the system utility, in 77.7% concerning the information quality and, in 84.2% in the interface quality. The software was developed considering aspects of usability and based on changes and losses associated with aging, as well as on the stimulation of cognitive functions related to instrumental activities of daily living, including exercises based on traditional pencil-paper exercises.

9 August 2022 in BMC Psychiatry
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Journal Article
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ARANABEL DE LA ROSA-GOMEZ
ANABEL DE LA ROSA-GOMEZ
LFLorena A. Flores-Plata
Lorena A. Flores-Plata
EEEsteban E. Esquivel-Santoveña
Esteban E. Esquivel-Santoveña
CTCarolina Santillán Torres Torija
Carolina Santillán Torres Torija
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
MVMario F. Vázquez-Sánchez
Mario F. Vázquez-Sánchez
Background: Emotional and stress-related disorders show high incidence, prevalence, morbidity, and comorbidity rates in Mexico. In recent decades, research findings indicate that cognitive behavioral interventions, from a disorder-specific perspective, are the effective front-line treatment for anxiety and depression care. However, these treatments are not often used. Reasons include limited access and low availability to effective interventions and comorbidity between mental disorders. Emotional deregulation of negative affectivity has been found to be a mediating factor in addressing emotional disorders from a transdiagnostic perspective, aimed at two or more specific disorders. In addition, technological advancement has created alternatives for psychological assistance, highlighting the possibilities offered by technologies since Internet-supported intervention programs have been empirically tested for effectiveness, efficiency and efficacy and can be key to ensuring access to those who are inaccessible. The aim of the study is to evaluate the efficacy, moderators of clinical change and acceptability of a transdiagnostic guided Internet-delivered intervention versus a transdiagnostic self-guided Internet-delivered intervention for emotional, trauma and stress-related disorders, and waiting list in community sample. Methods: A three-armed, parallel group, superiority randomized controlled clinical trial with repeated measurements at four times: pretest, posttest, follow-up at 3, 6 and 12 months. Outcomes assessor, participant, care provider and investigator will be blinded. Participants aged 18 to 70 years will be randomly allocated 1:1:1 to one of three study arms: a) Transdiagnostic guided internet-delivered intervention with synchronous assistance, b) Transdiagnostic self-guided internet-delivered intervention, c) Waiting list group. Based on sample size estimation, a minimum of 207 participants (69 in each intervention group) will be included. Discussion: The study could contribute to improving the efficacy of transdiagnostic internet-delivered interventions to promote the dissemination of evidence-based treatments and eventually, to decrease the high prevalence of emotional and trauma-related disorders in the Mexican population. Trial registration: ClinicalTrial.gov: NCT05225701. Registered February 4, 2022.

23 August 2025 in Brain Sciences
Verified
Journal Article
Open access
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CRChristian Daniel Navarro Ramos
Christian Daniel Navarro Ramos
JGJoselinn Murataya Gutierrez
Joselinn Murataya Gutierrez
CAChristian Oswaldo Acosta-Quiroz
Christian Oswaldo Acosta-Quiroz
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
SCSonia Beatriz Echeverria Castro
Sonia Beatriz Echeverria Castro
Background/Objective: The use of immersive virtual reality (VR) for cognitive training in older adults has shown promising results in recent years. However, the number of well-designed studies remains limited, and variability in methodologies makes it difficult to draw generalizable conclusions. This systematic review aims to examine the effects of VR-based cognitive training in older adults, describe the technological characteristics of these interventions, identify current gaps in the literature, and suggest future research directions. Methods: Following PRISMA guidelines, a search was conducted across major databases (PubMed, PsycINFO, Scopus, ProQuest, ACM, and Web of Science) from 2018 to 2025. The database search identified 156 studies, of which 12 met the inclusion criteria after screening and eligibility assessment. Across these studies, a total of 3202 older adult participants (aged 60 years or older) were included. Interventions varied in duration from 4 to 36 sessions, targeting domains such as memory, executive function, attention, and global cognition. Most interventions were based on cognitive training, with a few employing cognitive stimulation or cognitive rehabilitation approaches. Quality was assessed using the Effective Public Health Practice Project tool. Results: Most studies reported positive effects of VR interventions on cognitive domains such as attention, executive functions, and global cognition. Fewer studies showed improvements in memory. The majority used head-mounted displays connected to computers and custom-built software, often without public access. Sample sizes were generally small, and blinding procedures were often unclear. The average methodological quality was moderate. Conclusions: Immersive VR has potential as an effective tool for cognitive training in older adults. Future research should include larger randomized controlled trials, long-term follow-up, standardized intervention protocols, and the development of accessible software to enable replication and broader application in clinical and community settings.

23 June 2025 in Geriatrics
Verified
Journal Article
Open access
PDF file
JSJesús Enrique Sotelo-Ojeda
Jesús Enrique Sotelo-Ojeda
CAChristian Oswaldo Acosta-Quiroz
Christian Oswaldo Acosta-Quiroz
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
ARAna Luisa Mónica González-Celis Rangel
Ana Luisa Mónica González-Celis Rangel
EMErick Alberto Medina-Jiménez
Erick Alberto Medina-Jiménez
Background/Objectives: There is a high prevalence of anxiety and anxiety symptoms in older adults, which can have cognitive, emotional, and physical repercussions on older adults. It is important to understand the risk factors from psychological variables and sociodemographic variables that may be influencing anxiety symptoms to generate more effective interventions based on modifiable variables. In this context, the objective of this review was to identify psychological and sociodemographic variables as risk factors for anxiety and anxiety symptoms in older adults. Methods: The Scoping review followed the guidelines of the (PRISMA-ScR 2018). Five databases were used to reduce bias and identify relevant evidence: Medline via Ovid, PUBMED, CINAHL, PsycINFO, and Web of Science. Results: A total of 2150 articles were identified across the five databases; 16 articles were included for data synthesis and methodological quality assessment. Conclusions: The variables that maintain the strongest association as both risk and protective factors are age, female sex, physical activity, physical health or medical conditions, depression, perceived and family support, and social and family participation. However, methodological limitations—including inconsistent definitions, diverse and often inadequate measurement tools, and lack of causal inference—restrict the generalizability of findings. These results underscore the need for validated age-appropriate instruments and more rigorous research designs in geriatric anxiety studies.

4 November 2024
Verified
Journal Article
Open access
MBMoises Omar Ayala Burboa
Moises Omar Ayala Burboa
RFRaquel Tecnológico García Flores
Raquel Tecnológico García Flores
TQTeresa Iveth Sotelo Quiñonez
Teresa Iveth Sotelo Quiñonez
CAChristian Oswaldo Acosta-Quiroz
Christian Oswaldo Acosta-Quiroz
The environments in which doctors in training operate have been distinguished by being rigid, hostile and routine. There is scientific evidence that people who are victims of workplace violence are more likely to suffer from depression, a disorder that has been associated with suicidal ideation. To predict suicidal ideation as a function of depressive symptoms and workplace violence in undergraduate internal physicians. The quantitative method was used through a non-experimental, cross-sectional, explanatory design with non-probabilistic convenience sampling. 117 medical students who were doing their internship in health centers in Sonora, Mexico participated. Participants responded to the Workplace Violence Scale (Mobbing), the Beck Depression Inventory, and the Beck Suicidal Ideation Scale. A high perception of workplace violence, moderate levels of depression and low levels of suicidal ideation were identified; Workplace violence was positively and significantly associated with depression and suicidal behavior. Furthermore, it was found that violence provides more explanation for suicidal behavior compared to depression. The predictive role of workplace violence in the suicidal behavior of undergraduate internal physicians is confirmed. Highlights the importance of developing prevention and intervention programs to reduce workplace violence in medical training environments.