Person: Montemurro Garcia, Manuel Fernelly
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Montemurro Garcia
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Manuel Fernelly
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Publication Trajectories of parental daily stress: an ecological momentary assessment study during the COVID-19 lockdown(2023) Aldoney, Daniela; Coo, Soledad; Pérez Ewert, Janet Carola; Muñoz-Najar Pacheco, Andrés Omar; Montemurro Garcia, Manuel Fernelly; Tapia Aróstica, Leonel; Silva, Jaime; González-Mathiesen, Constanza; Silva, Luz María; Gana Gajardo, Sofia; Panesso, CarolinaThe COVID-19 pandemic was a source of significant stress due to health and safety concerns and measures to control the virus’ spread, such as mobility restrictions. This measure was especially demanding for parents with school aged children, who had to find new work–family balance as their children participate in online education while attempting to work remotely. To evaluate parents’ stress trajectories during the pandemic, we conducted Ecological Momentary Assessments (EMAs) during lockdown for 29 days in 68 families in Santiago, Chile. In addition, we evaluated the role of educational level and income, co-parenting, and number of children in parents’ stress trajectories. Our results showed that during the first weeks of lockdown expected protective factors (i.e., incomeand co-parental support) were not able to influence parents’ daily stress management. Moreover, parents with higher educational levels reported worse stress adaptation than less educated parents. On the other hand, co-parental conflict was significantly associated with parent’s stress. Our study captured an acute response to COVID-19 related challenges. This study contributes to understanding how parents adjust to stress during adverse circumstances such as the COVID-19 pandemic.Publication Peruvian validation and standardization of the TabCAT-brain health assessment(2025) Muñoz-Najar, Andrés; Montemurro Garcia, Manuel Fernelly; Tejada, María del Carmen; Rivera-Fernández, Claudia; Sánchez-Fernández, Miguel; Custodio, Nilton; Possin, Katherine L.; Tsoy, Elena; Lanata, Serggio; Soto-Añari, MarcioIntroduction: Detecting cognitive impairment in low-educated and marginalized populations may result in under- or over-estimation of diagnoses due to reliance on non-validated approaches and normative data. This study validates and standardizes TabCAT-BHA for older adults living in the Andean region of Peru using regression-based normalization. Methods: Two hundred fifty-eight participants were assessed with the MMSE, RUDAS, and TabCAT-BHA. Classified as either cognitively healthy or impaired based on Clinical Dementia Rating criteria. Results: By incorporating sex, place of residence, age, and years of education as covariates, the TabCAT-BHA demonstrated greater accuracy in detecting cognitive impairment (AUC = 75.3%) compared to the MMSE (AUC = 66.4%) and RUDAS (AUC = 71.4%). After incorporating only significant sociodemographic predictors, TabCAT-BHA obtained better AUC (77.4%) compared to MMSE (66.6%) and RUDAS (71.9%). Discussion: The TabCAT-BHA proves to be a valid tool for detecting cognitive impairment, and incorporating sociodemographic factors improves its accuracy in marginalized settings of Peru.