SCHOOL OF NURSING
| Researcher : Chan CH |
| List of Research Outputs |
| Chan C.H., Tiwari A.F.Y., Fong D.Y.T. and Ho P.C., Post-traumatic stress disorder among Chinese women survivors of intimate partner violence: A review of the literature, International Journal of Nursing Studies. 2010, 47: 918-925. |
| Researcher : Chan RYP |
| List of Research Outputs |
| Tiwari A.F.Y., Salili F., Chan R.Y.P., Chan E.K.L. and Tang D., Effectiveness of an empowerment intervention in abused Chinese women, Hong Kong, Hong Kong Medical Journal, 2010, 16(3): 33-7. |
| Researcher : Chan SL |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Li W.H.C., Chung O.K., Chui M.L. and Chan S.L., Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. , Journal of Clinical Nursing. 2009, 18(23): 3253-3261. |
| Li W.H.C., Chan S.L., Chung O.K. and Chui M.L., Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study, Journal of Health Psychology. 2010, 15(1): 96-106. |
| Researcher : Chan SSC |
| Project Title: | A one year surveillance study of nurses' preventive measures and health status in relation to the Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong |
| Investigator(s): | Chan SSC, Tiwari AFY, Leung GM, Leung SSK, Lam TH, Salili F |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 11/2003 |
| Abstract: |
| To prevent the spread of the infectious agent from its reservoir to susceptible host, breaking the chain of infection. |
| Project Title: | Implementing clinical problem based learning (PBL) in undergraduate nursing students: the assessment of needs, difficulties, and learning resources |
| Investigator(s): | Chan SSC, Tiwari AFY |
| Department: | School of Nursing |
| Source(s) of Funding: | Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 02/2005 |
| Abstract: |
| To (1) enhance the clinical instructors' knowledge, skills and competency to implement clinical problem based learning (PBL); (2) evaluate the effectiveness of clinical PBL in promoting students' critical thinking and a deeper approach to learning; and (3) develop and evaluate a set of manuals and learning resources (website) to promote effective implementation of clinical PBL. |
| Project Title: | Evaluating the impact of the new anti-smoking legislation on the community and health care professionals in Hong Kong: A longitudinal qualitative study |
| Investigator(s): | Chan SSC, Lam TH, Leung GM, Leung YP |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 01/2008 |
| Completion Date: | 03/2010 |
| Abstract: |
| Objectives Cigarette smoking is the most preventable cause of death and diseases; it caused about 6000 deaths annually in Hong Kong1, and accounted for 4.83 millions deaths globally2. There is increasing supportive evidence from the international experience of smoke-free legislation from a public health and societal perspective. Smoke-free policies are effective in reducing SHS exposure and improving air quality in the workplaces and other indoor public places (California, New York, Ireland, Norway, New Zealand and Scotland)5. There is global support for smoke-free legislation, and such support increases during the initial stage and increases further after the policy is implemented (California, Connecticut, New York City, Ireland and New Zealand)5. Evidence from The Republic of Ireland, the first country to go smoke-free in all public places and workplaces, is the most striking when the smoke-free legislation went into effect on March 2004. The public support level of the comprehensive smoke-free legislation increased from 67% before to over 93% (including 80% of smokers) one year after implementation; the compliance rate was 97% and there was a 33% reduction in smoking prevalence rate6. In New Zealand, a comprehensive smoke-free law enjoys high public support for the legislation (over 90%) and reductions in SHS exposure in workplace, in the home and public places after its implementation in December 20045. There was also an increased demand for smoking cessation service as reflected by a 45% increase in callers to the national Quitline and an 85% increase in nicotine replacement therapy vouchers to callers7. In Hong Kong from 1 January 2007, according to the amendments to the anti-smoking legislation passed in October 2006, smoking is completely banned in all indoor places in workplaces, restaurants, karaokes, schools and universities (both indoor and outdoor), beaches and some parks, and it will be an offence to smoke in no-smoking premises. While the public support the legislation for its expected health gains associated with reduction in both toxic exposures in SHS and personal tobacco consumption4-7, opponents to the legislation have argued that smokers will change their habit to smoke at home resulting in increase in SHS exposure at homes and there will be an adverse economic impact on the hospitality industry, particularly bars and restaurants. We examined our existing smoking cessation projects shortly after the implementation of the legislation, and found that there was a 30% increase in the number of telephone calls to our cessation hotline for youth smokers per month, and we successfully recruited 12% more youth smokers to receive our telephone peer counseling per month, after the implementation of the legislation. Moreover, about two-third of participants recruited to our five current smoking cessation intervention studies had indicated increases in their intention to quit and perceived importance in quitting, and about half had increased confidence in quitting, after the ban. Given our encouraging preliminary findings, it is important to systematically evaluate the impact of the new anti-smoking legislation after its first implementation on smokers, non-smokers and health care professionals about their attitudes and behaviour regarding smoking, smoking cessation, and the new legislation. Results from the current study will provide the first evidence on the impact of a comprehensive smoke-free policy on smoking and cessation related behaviours from a highly modernized Chinese-speaking society. Aims & Outcomes This study aims to examine the impact of the anti-smoking legislation on the (i) attitudes, (ii) behaviours and (iii) experiences towards smoking and smoking cessation in smokers and non-smokers; and to determine any changes in knowledge, attitudes, and practice of providing smoking cessation services to smokers among various groups of health care professionals. The outcomes are (1) the changes in the smoking and cessation related behaviours and attitudes in smokers, (2) the changes in the attitude towards smoking among non-smokers, (3) perceived demand and support of smoking cessation in the community by health care professionals, and (4) the social norm of smoking as perceived by smokers, non-smokers and health care professionals. References: 1. Lam TH, Ho SY, Hedley AJ, Mak KH, Peto R. Mortality and smoking in Hong Kong: case-control study of all adult deaths in 1998. British Medical Journal, 2001; 323: 1-6. 2. Ezzati M, Lopez AD. Estimates of global mortality attributable to smoking in 2000. Lamcet, 2003; 362(9387): 847-852. 3. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004. 4. U.S. Department of Health and Human Services. The Health Consequence of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006. 5. Edwards R, Bullen C, O’Dea D, Gifford H et al. After the smoke has cleared: Evaluation of the impact of a new smokefree law: A report commissioned and funded by the New Zealand Ministry of Health. Available at http://www.moh.govt.nz. 6. Office of Tobacco Control. Smoke-free workplaces in Ireland: a one-year review. Clare: Office of Tobacco Control, 2005. 7. Wilson N, Thomson G, Grigg M, & Afzal R. New smoke-free environments legislation stimulates calls to a national Quitline. Tobacco Control, 2005; 14: 287-288. |
| Project Title: | A proactive family smoking cessation intervention for parents of children 0-18 months: a randomized controlled trial |
| Investigator(s): | Chan SSC, Lam TH, Leung GM, Leung AYM, Fong DYT, Leung YP |
| Department: | School of Nursing |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 02/2008 |
| Abstract: |
| To evaluate the effectiveness of a proactive multi-step family smoking cessation intervention |
| Project Title: | Smoking cessation and advocacy training among health professionals in Beijing and Guangzhou |
| Investigator(s): | Chan SSC, Lam TH |
| Department: | School of Nursing |
| Source(s) of Funding: | Cancer Research United Kingdom (CRUK) - General Award |
| Start Date: | 06/2008 |
| Abstract: |
| To develop training programmes to educate and empower about 100 smoking cessation counsellors and tobacco control advocates in two cities in China; to develop a network for tobacco control advocacy and policy development; to set up two model centres for smoking cessation and advocacy; to provide cessation support to health professionals and officials who smoke. |
| Project Title: | Two-year follow up of youth smokers receiving personalized smoking cessation counseling via a telephone hotline in Hong Kong |
| Investigator(s): | Chan SSC, Leung YP, Mak YW, Leung AYM, Lam DOB, Fong DYT, Lam TH |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 09/2008 |
| Abstract: |
| Previous studies indicated that adolescent smoking is common and presented a significant public health problem worldwide.1-3 While youth smokers have a high risk to be addicted to tobacco and continue to smoke into adulthood4, quitting at an early age can largely reduce the mortality due to smoking5. However, little is known about effective strategies to assist youth smokers to quit and studies on cessation programs targetting adolescents were limited6. Indeed, there is a call for more teen smoking cessation research in the 2008 updates of clinical guideline for treating tobacco and dependence7. Numerous adolescent smoking cessation programmes were adapted from effective adult programmes developed in the West8, but limited evidence is available in the Chinese context. Sussman has conducted two comprehensive meta-analyses of 66 adolescent smoking cessation studies in 20029 and among 48 teen smoking cessation trials in 200610, only one study reported the Project EX with data collected in Wuhan, China11. It is also unclear whether there is any gender and age differecnes in youth smoking cessation as some studies reported siginficant differences12,13 while others reported no difference14-16. Regarding the modality of adolescent smoking cessation programmes, many were classroom- or clinic-based, using brief intervention6,17,18, with few making use of internet19,20 and mobile phone text messaging21. Adolescents are often hard to recruit and retain in smoking cessation programmes10. Quitline was reported to be an effective way in helping adult smokers to quit, but it was rarely used for smoking cessation among adolescents. Only one study reported the use of telephone counseling among youth smokers in schools22 and 1 out of the 10 quitlines was tailored for pregnant women using quitlines23. Quitlines for the general population are available in many countries, however, its effectivenss among youth smokers is mixed. While some studies reported a high utilization of the Scottish quitline among youth callers24, other qualitative studies found that youth smokers were not aware of the service and quitline was not preferred25-27. Many reviews suggest that telephone quitline counseling with adolescent-specific components should be of potential use for its convenience and privacy.29-31 In August 2005, we obtained funding from the Health Care Promotion Fund to establish the first quitline targetting youth smokers, the Youth Quitline, in Hong Kong.32 The Youth Quitline adapted the protocol from the Califorina Quitline using the 5A model and motivational interviewing techniques. We trained secondary school students and undergraduates to be peer counselors and they delivered smoking cessation counseling tailored to youth smokers. Up to now, 551 youth smokers had received our peer counseling in the 36-month period (i.e. 15.3 subjects per month) which has doubled the recruitment of a smoking cessation clinic in Hong Kong (129 youth smokers in 18 months, or 7.2 subjects per month)14. Four hundred and ninty-one of them were eligible for 6-month follow up and we successfully contacted 334 (68.0%) with 123 reported stopping smoking at least in the past 7 days resulting in a quit rate of 22.3% (123/551) by intention-to-treat analysis, which is much higher than what has been reported elsewhere (control 6.24% and intervention 9.14%)9,10. However, it is unclear whether the impact of the counseling can be sustained in the long term (2 years), and the contributing factors to achieve such a high quit rate. Results from the current study will provide evidence on the impact of a peer-delivered smoking cessation counseling via telephone for Chinese youth smokers in Hong Kong. Aims: This study aims to examine the long term (2-year) impact of a peer-delivered telephone smoking cessation counseling on changing the smoking behaviour in youth smokers. In addition, the gender differences, the factors affecting the quit rate, the preferences of cessation interventions, and methods of recruitment and retention, will also be examined. Outcomes: The outcomes of the study include: (1) The 2-year self-reported quit rate among youth smokers who had received the peer-delivered individualized smoking cessation counseling via telephone; (2) The gender difference, if any, in the 2-year self-reported quit rate among the youth smokers; (3) The contributing factors at baseline to the 2-year quit rate among the youth smokers; (4) Preferences for cessation interventions, aids, and methods of recruitment/retention; (5) The relapse rate among the youth smokers at 2-year follow up. References are given in Appendix I. |
| Project Title: | A three-year follow up of female smokers receiving gender specific smoking cessation counseling in Hong Kong |
| Investigator(s): | Chan SSC, Lam TH, Leung YP, Fu CY |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 12/2009 |
| Abstract: |
| Objectives Smoking is the biggest preventable cause of death in Hong Kong; it kills about 6,000 people per year, accounting for about one fifth of all deaths and about 9% among all women 1. Apparently, smoking links to various health problems such as cancers, heart disease, stroke, chronic lung disease. In addition, it causes particular hazards to female smokers including increased risk of cardiovascular disease, higher rate of infertility, premature labour, low birth weight infant, cervical cancer, irregular menstruation cycle, dysmenorrhoea, and early menopause2, 3. However, these do not draw much female smokers’ attention4. Statistics showed that the number of female daily cigarette smokers had risen from 102,600 (3.5%) in 2000 to 105,900 (3.6%) in 2008 and the marked increase had been seen in the younger age group. The prevalence of daily cigarette smokers among women aged 20-29 and 30-39 has increased from 4.7% in 2000 to 6.1% in 2008 and 3.4% in 2000 to 6.4% in 2008 respectively5. In fact, increased number of smokers among young urban women in China and India was also observed2. As the health effects of smoking only become fully evident 40-50 years after the uptake of smoking, the full impact of smoking on women’s health will not be seen in near decades. It is estimated that the number of tobacco-attributable deaths among women will be more than double over the next 30 years6. In Hong Kong, nearly all female smokers (98.4%) had not attended smoking cessation services provided by government and other organizations. Only 6.7% of those who did not attend the services revealed that they would like to try5. According to local experience which is consistent to previous studies, women perceived more difficulties, had lower confidence in quitting, and had a slightly lower quit rate (21.9%) than male smokers (28.4%) 7.Reasons for the distinction are not well understood but it is more likely due to a combination of biological, psychological and social factors8. In the light of the increased number of female smokers, the low utilization of smoking cessation services and the particular difficulties encountered by female quitters, the first gender specific smoking cessation counseling targeting female smokers in Hong Kong were established in 2006 with the support of the Health Care Promotion Fund, to publicize quitting among female smokers and encourage those who want to quit by providing a face-to-face and/or telephone counseling. Up to March 2009, 321 female smokers had received the gender-specific intervention and we successfully follow up 85.2% (n=231) at 6 month. . 25.8% (70/271) of the participants reported successful quitting in the past 7 days at 6-month follow up. Besides, our counseling significantly reduced daily cigarette consumption among participants who continued to smoke, improved self-efficacy to resist smoking and strengthened confidence in quitting and lessened the perceived difficulty in quitting. However, smokers often relapsed for various reasons, and the long term (3-year) impact of the intervention and the contributing factors to a higher quit rate are still uncertain. Hence we propose a longer term follow up to explore these issues and such results will supplement the evidences on the promoting the effectiveness of our gender specific smoking cessation counseling for female smokers in Hong Kong. Aims This study aims at (1) examining the long term (3-year) impact of a gender specific smoking cessation counseling on the smoking behavior of female smokers and (2) ascertaining the contributing factors in the rate of quitting, retention and relapse. Outcomes: The outcomes of the study include (1) The 3-year self-reported quit rate among female smokers who had received the gender specific smoking cessation counseling via face-to-face or/and telephone counseling. (2) The contributing factors at baseline to the 3-year quit rate among the female smokers. (3) Preferences for cessation interventions, aids, and methods of recruitment / retention. (4) The quitting process including time to quit, relapse rate, and its contributing factors among the female smokers at 3-year follow up. |
| Project Title: | 2010 Society for Research on Nicotine and Tobacco The impact of the smoke-free legislation on smokers' motivation and confidence to quit smoking: A comparison of two samples in Hong Kong Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Preceived social and environment influence |
| Investigator(s): | Chan SSC |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 02/2010 |
| Completion Date: | 02/2010 |
| Abstract: |
| N/A |
| List of Research Outputs |
| Botelho R., Wassum K., Benzian H., Selby P. and Chan S.S.C., Address the gaps in tobacco cessation training and services: Developing professional organisational alliances to create social movements, Drug and Alcohol Review. Australia, 2009, September 2009, 28: 558-566. |
| Chan J.L.Y., Leung A.Y.M., Chiang V.C.L., Li W.H.C., Wong E.M.L., Liu A.N.C. and Chan S.S.C., A Pilot project to build e-health literacy among university students in Hong Kong, The 10th International Congress on Medical Librarianship (Brisbane, Australia). 2009. |
| Chan S.S.C., Leung Y.P., Leung G.M., Wong V. and Lam T.H., A 48-month follow-up of a randomized controlled trial on a stage-matched smoking cessation intervention among cardiac patients, 護士為心臟病患者提供階段相稱的戒煙治療隨機對照研究：四十八個月跟進, The 3rd Cross-Strait Conference on Tobacco Control, Hong Kong Council on Smoking and Health, 20 October. 第三屆兩岸四地煙害防制交流研討會, Hong Kong, 2009, 70. |
| Chan S.S.C., Leung Y.P., Lau C.P., Wong V. and Lam T.H., A stage-matched smoking cessation intervention for cardiac outpatients: A randomized controlled trial, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 46. |
| Chan S.S.C., An evidence-based approach to smoking cessation in health care settings: The Hong Kong experience, The Disease Management and Primary Care Forum, Singapore, 17 October. Singapore, 2009. |
| Chan S.S.C., Leung Y.P., Fu C.Y. and Lam T.H., Assessing the effectiveness of a gender-specific smoking cessation counseling intervention for female smokers: A Hong Kong experience, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 275. |
| Chan S.S.C., Assistant Editor, Addiction. 2010. |
| Chan S.S.C., Leung Y.P., Jiang C.Q., Yang L., Deng L.Z. and Lam T.H., Building capacity in smoking cessation counseling among health care professionals in China: An evaluation using a pre-post study, The First Asia-Pacific Conference on Health Promoton and Education, 18-20 July, Chiba, Japan. 2009, 278. |
| Chan S.S.C., Changing health behaviors: education tools, World Congress of Cardiology, Beijing, China, 16-19 June. 2010. |
| Chan S.S.C., Leung Y.P., Lau C.P., Wong V. and Lam T.H., Cost-effectiveness analysis of a low intensity nurse-led stage-matched smoking cessation intervention to cardiac patients in Hong Kong, Circulation. , American Heart Association, 2010, 122(2): e87. |
| Chan S.S.C., Editorial Board Member, Journal of Nursing Science. 2009. |
| Chan S.S.C., Editorial Board Member, Tobacco Control. 2009. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., Exploring mothers experiences in improving smoking hygiene at home: A qualitative study, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Jiang C.Q., Yang L., Cheng K.K. and Lam T.H., Helping Chinese smokers to quit: 6-month results of a smoking cessation clinic in Guangzhou, China, 4th Hong Kong International Nursing Forum, 4-5 June . Hong Kong, 2010, 76. |
| Chan S.S.C., Hong Kong Quitline, 2010 Asia Pacific Quitline Workship, Taipei, Taiwan, 14-16 April. 2010. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T. and Lam T.H., Impact of the smoking free legislation on youth quitting-related behaviors in Hong Kong via a smoking cessation hotline, Circulation. American Heart Association, 2010, 122(2): e87. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung S., Mak K.H., Koh D., Ng V. and Lam T.H., Measuring saliva cotinine in non-smoking mothers and infants living with smoking fathers, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 571. |
| Chan S.S.C., Leung Y.P., Mak Y.W., Leung G.M., Leung S., Mak K.H. and Lam T.H., Mother's action in protecting their children from secondhand smoke exposure at home after the enactment of the smoke free legislation in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Outstanding Teaching Award, The University of Hong Kong, The University of Hong Kong. 2009. |
| Chan S.S.C., Leung Y.P. and Lam T.H., Perceived facilitators and barriers in quitting smoking among female smokers with cardiac diseases in Hong Kong, International Network of Women Against Tobacco, March-August 2010. 2010, 8-9. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam C.L.K., Hung I., Yuen K.Y., Liang R.H.S., Johnston J.M., Chan C.K., Chu D., Liu S.H. and Lam T.H., Predictors of influenza vaccination in Chinese older patients with chronic disease in Hong Kong, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 186. |
| Chan S.S.C., Preparing nurses to meet the health care needs of the 21st century: Opportunities and challenges of higher nursing education in Hong Kong, 1st International Seminar on Monitoring and Management of Emergency and Intensive Care, Shanghai, China. 30 August. 2009, 60-72. |
| Chan S.S.C., Preventing cancer deaths: Nursing initiatives in smoking cessation in Hong Kong, 16th Hong Kong International Cancer Congress and 6th Annual Meeting Centre for Cancer Research, 6 November. Hong Kong, 2009, 24. |
| Chan S.S.C., Leung Y.P. and Lam T.H., Promoting hospital nurses' practice in smoking cessation in Hong Kong: A cross-sectonal survey, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 47. |
| Chan S.S.C., Leung G.M., Leung Y.P. and Lam T.H., Promoting women's health: A gender-specific smoking cessation program for female smokers in Hong Kong, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 52. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Emmons K., Leung S. and Lam T.H., Randomized Controlled Trials (RCT) of Family Interventions to Reduce Secondhand Smoke (SHS) Exposure in Infants and Mothers, Flight Attendant Medical Research Institute (FAMRI) Ninth Scientific Symposium, Miami, Flordia, USA, 3-5 May. USA, 2010, 168-169. |
| Chan S.S.C., Reviewer, Journal of Interprofessional Care. 2010. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Koh D., Ng V. and Lam T.H., Saliva cotinine levels of mothers and infants exposed to household secondhand smoke, Circulation. American Heart Association, 2010, 122(2): e87-88. |
| Chan S.S.C. and Lam T.H., The HKU Smoking Cessation Counseling Training Centre: Building capacity in smoking cessation counseling health care professionals, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 53. |
| Chan S.S.C., Leung G.M., Leung Y.P. and Lam T.H., The first gender-specific smoking cessation hotline for women in Hong Kong, 香港成立首個專為女性戒煙的熱線, The 3rd Cross-Strait Conference on Tobacco Control, Hong Kong Council on Smoking and Health, 20 October. 第三屆兩岸四地煙害防制交流研討會, Hong Kong, 2009, 66. |
| Chan S.S.C., Leung Y.P., Wong C.N. and Lam T.H., The impact of the smoke-free legislation on smolers' motivation and confidence to quit smoking: A comparison of two sampels in Hong Kong, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA. 24-27 February. 2010, 56. |
| Chan S.S.C. and Chow A.W.M., The learning needs assessment of Chinese Nurse Managers: A qualitative study, 4th Hong Kong International Nursing Forum, 4-5 June. Hong Kong, 2010, 82. |
| Chan S.S.C., The nurse's role in smoking cessation: preventing heart disease in Hong Kong, World Congress of Cardiology, Beijing, China, 16-19 June. 2010. |
| Chan S.S.C., Tobacco intervention in China using the WHO framework convention, World Congress of Cardiology, Beijing, China, 16-19 June. 2010. |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Fu C.Y., Tiwari A.F.Y., Lam S.F., Yuen F.K.H. and Chan S.S.C., Enhancing the effectiveness of clinical problem-based learning: the role of tutor as a facilitator, 3rd International Nurse Education Conference. 2010. |
| Lam T.H., Chan S.S.C., Leung Y.P., Abdullah A.S.M., Lo S.T., Kok W.M., Yip W.C., Leung L.S., Leung G.M. and Ho D.S.Y., A randomized control trial (RCT) on smoking cessation intervention with nicotine replacement therapy (NRT) on patients with erectile dysfunction in Hong Kong (poster presentation), The Hong Kong Public Health Forum 2009, 20 September 2009, Hong Kong. Hong Kong, School of Public Health/HKU, 2009, 50. |
| Lam T.H., Chan S.S.C., Leung Y.P., Abdullah A.S.M., Wong V.T. and Hedley A.J., A randomized controlled trial of a smoking reduction intervention in promoting cessation among Chinese smokers with no intention to quit (poster presentation), The Hong Kong Public Health Forum 2009, 20 September 2009, Hong Kong. Hong Kong, School of Public Health/HKU, 2009, 48. |
| Lam T.H., Jiang C.Q. and Chan S.S.C., Best Poster Presentation Award: "中港合作成立廣州公共醫院戒煙門診", The 3rd Cross-Strait Conference on Tobacco Control, 20-21 October 2009, Hong Kong. Hong Kong, Hong Kong Council on Smoking and Health, 2009. |
| Lam T.H., Chan S.S.C., Tam W.W.S. and Wong P.T.K., Developing e-health platforms to promote family health, happiness and harmony: The Hong Kong experience (poster presentation), Microsoft Research Asia eHealth Workshop 2010, 4-5 February 2010, Beijing. Beijing, Microsoft Research, 2010. |
| Lam T.H., Jiang C.Q. and Chan S.S.C., 中港合作成立廣州公共醫院戒煙門診 (poster), The 3rd Cross-Strait Conference on Tobacco Control, 20-21 October 2009, Hong Kong. Hong Kong, Hong Kong Council on Smoking and Health, 2009. |
| Lam T.H. and Chan S.S.C., Tobacco Kills, Quitting Saves Lives: How Can We Stop the Killers?, 煙草殺人，戒煙救命：我們如何制止兇手？, Explore the World of Medicine. 育醫造才探索醫學世界, Hong Kong, LKS Faculty of Medicine, HKU, 2010, 87-90. |
| Leung A.Y.M., Chu D.W.S., Chan S.S.C. and Shum W.C., Chinese diabetic patients’ communicative health literacy: Views from health professionals. , The 19th IAGG World Congress of Gerontology and Geriatrics. 2009. |
| Leung A.Y.M., Chu D.W.S., Chan S.S.C. and Shum W.C., Chinese diabetic patients’ communicative health literacy: views from health professionals, The Journal of Nutrition, Health and Aging. 2009, 13: S342. |
| Leung A.Y.M., Chan S.S.C., Chu D.W.S. and Shum W.C., Communicative health literacy in diabetic care: different perspectives from diabetic patients and health professionals, The 1st Asia-Pacific Conference on Health Promotion and Education. 2009. |
| Leung S.S.K., Lee A.C.K., Johnston J.M., Fong D.Y.T., Lam T.H. and Chan S.S.C., Interprofessional learning of nursing and medical students. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung Y.P., Chan S.S.C., Mak Y.W., Leung G.M. and Lam T.H., Fathers' smoking behaviors at home and near their children after a smoke-free legislation in Hong Kong: A two-group comparison, Circulation. 2010, 122(2): e274. |
| Leung Y.P., Chan S.S.C., Leung A.Y.M. and Lam T.H., Measuring self-efficacy to manage disease in general among a sample of Chinese older adults with chronic diseases, the First Asia-Pacific Conference on Health Promotion and Education, Makuhari Messe, Japan. 2009. |
| Leung Y.P., Chan S.S.C. and Lam T.H., Personality traits and smoking cessation follwoing treatment, Book of Abstract, The Hong Kong Public Health Forum 2009, The University of Hong Kong, Sept 29, 2009. 54. |
| Leung Y.P., Chan S.S.C. and Lam T.H., Psychometric properties of the smoking self-efficacy scale (SEQ-12) among Chinese cardiac patients who smoke, The Hong Kong Public Health Forum 2009, The University of Hong Kong. 20 September. 2009, 55. |
| Leung Y.P., Chan S.S.C., Yau J.P.L., Leung A.Y.M., Leung S., Emmons K. and Lam T.H., Validating the Chinese General Self-Efficacy Scale in a sample of mothers with smoking husbands in Hong Kong, The 4th Hong Kong International Nursing Forum, The University of Hong Kong, 4-5 June 2010. |
| Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of Youth Quitline, The 14th Postgraduate Research Symposium, Li Ka Shing Faculty of Medicine, the University of Hong Kong. Hong Kong, 2009, 148. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Yau J.P.L., Chan S.S.C., Leung Y.P., Leung G.M., Leung A.Y.M., Emmons K., Leung S., Koh D., Ng V. and Lam T.H., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure to children: a pilot study., The 4th Hong Kong International Nursing Forum, Hong Kong, China, 4-5 June 2010.. 2010. |
| Yau P.L.J., Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., A RCT of a family intervention to reduce secondhand smoke (SHS) exposure in children, The Hong Kong Public Health Forum 2009. Hong Kong, 49. |
| Yau P.L.J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A randomized controlled trial of a family intervention to reduce SHS exposure in children: Preliminary analysis of the baseline data, 14th Research Postgraduate Symposium, The University of Hong Kong. Hong Kong, 2009, 89. |
| Yau P.L.J., Chan S.S.C., Lam T.H. and Fong D.Y.T., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure in babies, U21 Doctoral Nursing Research Forum at Health Sciences Meeting. USA, 2009. |
| Zhang J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A study on the factors affecting smoking behaviour during hospitalisation among patients with cardiovascular disease (CVD) in mainland China, The Hong Kong Public Health Forum 2009. Hong Kong, 56. |
| Zhu W.H., Yang L., Jiang C.Q., Deng L.Z., Lam T.H., Zhang J. and Chan S.S.C., Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China, Journal of Public Health. 2010, 32(2): 267-276. |
| Researcher : Chiang VCL |
| Project Title: | Building capacity for life-long learning with freshmen students |
| Investigator(s): | Chiang VCL, Leung AYM, Leung SSK |
| Department: | School of Nursing |
| Source(s) of Funding: | Teaching Development Grants |
| Start Date: | 09/2006 |
| Abstract: |
| This project aims to improve the curriculum design and teaching approach in order to meet the need of increased nursing student number and to prepare for the forthcoming “3+3+4” academic structure. The new teaching design is integrative and it will match well with the vision of the new academic structure which aims to prepare nursing students with broader knowledge and skills base, more solid foundation for future study in their enrolled programmes, whole-person development and life-long learning. If supported, the integrative design will be fully established for freshmen students enrolling in the first university year of ‘3+3+4’ structure. |
| Project Title: | The application and evaluation of advanced simulation for experiential learning in developing students' critical thinking dispositions and skills |
| Investigator(s): | Chiang VCL, Chan SSC, Yuen FKH, Chui ML, Chan SL, Hui Choi WH, Lam SF, Kong CHM |
| Department: | School of Nursing |
| Source(s) of Funding: | Teaching Development Grants |
| Start Date: | 10/2009 |
| Abstract: |
| This study aims primarily to identify issues and experiences from nursing students and teachers to further improve the new approach of advanced simulation for experiential learning and course/curriculum development; as well as to evaluate the student’s development of critical thinking dispositions and skills with the application of new approach of advanced simulation for experiential learning. |
| List of Research Outputs |
| Chan J.L.Y., Leung A.Y.M., Chiang V.C.L., Li W.H.C., Wong E.M.L., Liu A.N.C. and Chan S.S.C., A Pilot project to build e-health literacy among university students in Hong Kong, The 10th International Congress on Medical Librarianship (Brisbane, Australia). 2009. |
| Chiang V.C.L., Leung S.S.K., Lee A.M., Lam S.K., Fung S., Wong A.K.Y. and Yung W.K., A short antenatal cognitive-behavorial program to prevent postpartum depression and anxiety in Hong Kong (oral presentation), The 4th International Conference on Community Health Nursing Research (Health in Transition: Researching for the Future), Adelaide, Australia. 2009. |
| Chiang V.C.L., Application and evaluation of advanced simulation with HPS in developing student’s critical thinking dispositions and skills: The progress (oral presentation), CITE Research Symposium 2010. The University of Hong Kong, Hong Kong, SAR, China. 2010. |
| Chiang V.C.L., Leung S.S.K., Mak Y.W., Chui Y.Y. and Wong D.F.K., Efficacy of a brief teachers’ stress management program using a cognitive-behavioral approach. , The 4th Hong Kong International Nursing Forum, Hong Kong.. 2010. |
| Chiang V.C.L., First step or the still of nothing, In: Chief Editor: Dr Vico Chiang, HKACCN, HKACCN Newsletter. 2010, 11(1): 2. |
| Chiang V.C.L. and Crickmore B., Improving English proficiency of post-graduate international nursing students seeking further qualifications and continuing education in foreign countries, In: Patricia S. Yoder-Wise, The Journal of Continuing Education in Nursing. SLACK, 2009, 40(7): 329-336. |
| Chiang V.C.L., On advanced simulation for clinical skills learning, International Symposium for Practice-centered Education (Halla / Newcastle PBL Center, Che-ju Halla College School of Nursing Studies, South Korea). 2009. |
| Chiang V.C.L., Leung S.S.K., Chui Y.Y., Lee A.C.K. and Mak Y.W., Online support for teachers’ stress management: Feasibility and Potentials., The 4th Hong Kong International Nursing Forum, Hong Kong.. 2010. |
| Chiang V.C.L., Presentation of the SimMan Project in IMHSE Sharing, Nurse Letter (Department of Nursing Studies, HKU). 2009, 15. |
| Chiang V.C.L., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, IMHSE R & D Sharing (3 July 2009). 2009. |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Leung S.S.K. and Chiang V.C.L., International Nursing: Nursing curriculum and training in Hong Kong, Miyazaki Prefectural Nursing University, Japan. 2010. |
| Leung S.S.K., Mak Y.W., Chui C.Y.Y., Chiang V.C.L. and Lee A.C.K., Occupational stress, mental health status and stress management behaviors among secondary school teachers in Hong Kong, Health Education Journal. 2009, 68 (4): 1-16. |
| Researcher : Chik BCB |
| List of Research Outputs |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Researcher : Chow AWM |
| List of Research Outputs |
| Chan S.S.C. and Chow A.W.M., The learning needs assessment of Chinese Nurse Managers: A qualitative study, 4th Hong Kong International Nursing Forum, 4-5 June. Hong Kong, 2010, 82. |
| Researcher : Chui ML |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Li W.H.C., Chung O.K., Chui M.L. and Chan S.L., Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. , Journal of Clinical Nursing. 2009, 18(23): 3253-3261. |
| Li W.H.C., Chan S.L., Chung O.K. and Chui M.L., Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study, Journal of Health Psychology. 2010, 15(1): 96-106. |
| Researcher : Chung OK |
| List of Research Outputs |
| Li W.H.C., Chung O.K., Chui M.L. and Chan S.L., Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. , Journal of Clinical Nursing. 2009, 18(23): 3253-3261. |
| Li W.H.C., Chan S.L., Chung O.K. and Chui M.L., Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study, Journal of Health Psychology. 2010, 15(1): 96-106. |
| Li W.H.C., Chung O.K. and Chiu S.Y., The impact of cancer on children’s physical, emotional, and psychosocial well-being. , Cancer Nursing. 2010, 33(1): 47-54. |
| Researcher : Dodgson JE |
| Project Title: | 13th International Nursing Research Congress The Theory of Planned Behavior Models for Breastfeeding Duration among Hong Kong Mothers |
| Investigator(s): | Dodgson JE |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 07/2002 |
| Abstract: |
| N/A |
| Researcher : Fong DYT |
| Project Title: | A web-based statistics laboratory for teaching and learning of medical statistics |
| Investigator(s): | Fong DYT, Lam KF, Chan SSC, Chiang VCL, Leung SSK |
| Department: | School of Nursing |
| Source(s) of Funding: | Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 05/2006 |
| Abstract: |
| Purposes: 1. To develop a combined lecture and online problem-based paradigm for teaching and learning of medical statistics 2. To develop an effective teaching and learning platform for medical statistics by providing a web-based statistics laboratory |
| Project Title: | A long term evaluation of the clinical and cost effectiveness of the Hong Kong Scoliosis Screening Programme |
| Investigator(s): | Fong DYT, Cheng JCY, Cheung KMC, Luk KDK |
| Department: | School of Nursing |
| Source(s) of Funding: | Public Policy Research |
| Start Date: | 09/2009 |
| Abstract: |
| 1) To examine the temporal patterns of operation rate since the inception of the Hong Kong scoliosis screening programme; 2) To have a longer term evaluation of the cost and clinical effectiveness of the scoliosis screening programme in Hong Kong by considering a representative group of students who were longitudinally followed till skeletal maturity. |
| Project Title: | Cognitive debriefing of the Functional Living Index – Cancer for Hong Kong Chinese patients with cancer |
| Investigator(s): | Fong DYT |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 01/2010 |
| Abstract: |
| Key Issues and Problems: The Functional Living Index – Cancer (FLIC) has not been established in Hong Kong (HK) Chinese. The FLIC is a 22-item instrument originally developed in English for assessing QoL in cancer patients. It emphasises on the extent cancer and its related treatments affected patients’ normal function (Schipper et al., 1984). When compared with the other two major QoL instruments for cancer, namely the Functional Assessment of Cancer Therapy-General (FACT-G, 27 items) and the European Organisation for Research and Treatment of Cancer QoL Core Questionnaire 30 (EORTC QLQ-C30, 30 items), the Singapore Chinese FLIC has been shown to have similar discriminative ability with the FACT-G. However, both the Singapore Chinese FLIC and FACT-G outperformed the EORTC QLQ-C30 (Goh et al., 1996; Cheung et al., 2005). Indeed, the English FLIC has also been shown to be more sensitive than the EORTC QLQ-C30 (King et al., 1996). These imply a potentially lower sample size burden for the FLIC and FACT-G. However, the FLIC is shorter and is thus more appealing for outcome assessment. Despite these, a properly tested HK Chinese version of the FLIC is unavailable. Cultural adaptation of an instrument that was developed in a foreign language requires the instrument to be linguistically validated before it can be evaluated for its psychometric performance. Linguistic validation involves both the commonly performed forward and backward translation and the often neglected but important step of cognitive debriefing, a process that questions a sample of target subjects for their understanding of the translated instrument. Our group has rigorously translated the FLIC into Hong Kong (HK) Chinese and validated it by a backward translation. However, cognitive debriefing of the HK Chinese FLIC has not been performed. The Singapore Chinese FLIC has been established. Although it is also culturally adopted from the original English version, some modifications have been made including the wordings and response scales, in order to improve the clarity and understanding of the instrument in the Singaporean culture (Goh et al., 1996; Cheung et al., 2003). As there has been much cultural similarity between Hong Kong and Singapore, the Singapore Chinese FLIC would be useful during the linguistic validation of the HK Chinese FLIC should queries and concerns arise on its clarity and relevance. Moreover, it will be useful to compare the HK Chinese FLIC (to be derived in this proposal) and Singapore Chinese FLIC (after literally translate it from Simplified Chinese to Traditional Chinese) for cross-cultural comparisons between the two neighbouring cities. However, these have not been performed. Objectives: 1. To perform cognitive debriefing of the Hong Kong (HK) Chinese and Singapore Chinese Functional Living Index - Cancer (FLIC). 2. To compare the performance of the HK Chinese FLIC and the Singapore Chinese FLIC in patients with cancer References: 1. Cheung YB, Goh C, Thumboo J, Khoo KS, Wee J. (2005). Variability and sample size requirements of quality-of-life measures: A randomized study of three major questionnaires. Journal of Clinical Oncology. 23(22):4936-4944. 2. Cheung YB, Goh C, Wong LC, Ng GY, Lim WT, Leong SS et al. (2004). Quick-FLIC: validation of a short questionnaire for assessing quality of life of cancer patients. British Journal of Cancer, 90, 1747-1752. 3. Cheung YB, Ng GY, Wong LC, Koo WH, Tan EH, Tay MH et al. (2003). Measuring quality of life in Chinese cancer patients: a new version of the Functional Living Index for Cancer (Chinese). Annals of the Academy of Medicine, Singapore, 32, 376-380. 4. Goh CR, Lee KS, Tan TC, Wang TL, Tan CH, Wong J, Ang PT, Chan ME, Clinch J, Olweny CLM, Schipper H. (1996). Measuring quality of life in different cultures: translation of the Functional Living Index for Cancer (FLIC) into Chinese and Malay in Singapore. Ann Acad Med Singapore 25:323-334. 5. Johnson JR, Temple R. (1985). Food and Drug Administration requirements for approval of new anticancer drugs. Cancer Treat Rep 69: 1155-9. 6. King MT, Dobson AJ, Harnett PR. (1996). A comparison of two quality-of-life questionnaires for cancer clinical trials: The Functional Living Index-Cancer (FLIC) and the Quality of Life Questionnaire Core Module (QLQ-C30). Journal of Clinical Epidemiology 49(1):21-29. 7. Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. (1982). Toxicity And Response Criteria Of The Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649-655. 8. Schipper H, Clinch J, McMurray A, Levitt M. (1984). Measuring the quality of life of cancer patients: the Functional Living Index-Cancer: development and validation. Journal of Clinical Oncology, 2, 472-483. |
| List of Research Outputs |
| Chan C.H., Tiwari A.F.Y., Fong D.Y.T. and Ho P.C., Post-traumatic stress disorder among Chinese women survivors of intimate partner violence: A review of the literature, International Journal of Nursing Studies. 2010, 47: 918-925. |
| Chan E.K.L., Brownridge D.A., Yan E.C.W., Fong D.Y.T. and Tiwari A.F.Y., Assessing the effects of child maltreatment polyvictimization on children’s adjustment in a nationally representative sample, Psychology of Violence. 2010. |
| Chan E.K.L., Brownridge D.A., Tiwari A.F.Y., Fong D.Y.T., Leung W.C. and Ho P.C., Associating pregnancy with partner violence against Chinese women, Journal of Interpersonal Violence. 2010. |
| Chan E.K.L., Yan E.C.W., Brownridge D.A., Tiwari A.F.Y. and Fong D.Y.T., Childhood Sexual Abuse Associated with Dating Partner Violence and Suicidal Ideation in a Representative Household Sample in Hong Kong, Journal of Interpersonal Violence. 2010. |
| Chan E.K.L., Tiwari A.F.Y., Leung W.C., Fong D.Y.T., Brownridge D.A. and Ho P.C., Cost Measures for the Economic Impact of Domestic Violence, paper presented in the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T. and Lam T.H., Impact of the smoking free legislation on youth quitting-related behaviors in Hong Kong via a smoking cessation hotline, Circulation. American Heart Association, 2010, 122(2): e87. |
| Cheung K.M.C., Mok P.S., Samartzis D., Karppinen J., Cauilan G.E., Luk K.D.K. and Fong D.Y.T., Schmorl's nodes of the lumbar spine: prevalence, classification, associated risk factors and clinical relevance, 83rd Annual Meeting of the Japanese Orthopaedic Association, Tokyo, Japan, May 27-30, 2010. |
| Cheung K.M.C., Samartzis D., Karppinen J., Mok P.S., Ho D.W.H., Fong D.Y.T. and Luk K.D.K., “Skipped” level disc degeneration of the lumbar spine, a MRI study of 1989 individuals, International Society for the Study of the Lumbar Spine Annual Meeting, Auckland, New Zealand, April 13-17, 2010. |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine. 2010, 35(10): 1061-1071. |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine (Phila Pa 1976). 2010, 35(10): 1061-1071. |
| Fong D.Y.T., Application of Structural Equation Modeling to Nursing Research, Peking Union Medical College. 2009. |
| Fong D.Y.T., Ho D.S.Y. and Lam T.H., Evaluation of internal reliability in the presence of inconsistent responses, Health and Quality of Life Outcomes. 2010, 8:27: 1-10. |
| Fong D.Y.T., Faculty Teaching Medal, Li Ka Shing Faculty of Medicine, The University of Hong Kong. 2009. |
| Lam C.L.K., Fong D.Y.T., Chin W.Y., Lee P.W.H., Lam T.P. and Lo Y.Y.C., Brief problem-solving treatment in primary care (pst-pc) was not more effective than placebo for elderly patients screened positive of psychological problems, International Journal of Geriatric Psychiatry. 2009. |
| Lam C.L.K., Wong W. and Fong D.Y.T., Chinese Herbal Medicine in the Treatment of Acute Upper Respiratory Tract Infections, a Double Blind, Placebo Controlled Trial, HK Med J. 2009, 15 (Supple 6): S30-4. |
| Lam C.L.K., Chin W.Y. and Fong D.Y.T., Training residents in problem solving therapy: feasibility, effectiveness and perceptions” , 7th Asia Pacific Medical Education Conference, . Singapore, 2010. |
| Lam C.L.K., Chin W.Y., Lee P.W.H., Lo Y.Y.C., Fong D.Y.T. and Lam T.P., Unrecognized Psychological Problems Impair Quality of Life and Increase Consultation Rates in Chinese Elderly Patients, Int J Geriatr Psychiatry. 2009, 24 (Aug): 979-989. |
| Lam C.M., Yan C.S.W., Lai A.Y.K., Tam S., Fong D.Y.T., Lam C.L.D. and Ip M.S.M., Determinants of Daytime Blood Pressure in Relation to Obstructive Sleep Apnea in Men, Lung. 2009, 187: 291-298. |
| Lam T.P., Lam C.L.K., Lai C.L., Yuen R.M.F. and Fong D.Y.T., Psychometrics of the chronic liver disease questionnaire for Southern Chinese patients with chronic hepatitis B virus infection, World Journal of Gastroenterology. 2009, 15: 3288-97. |
| Lam T.P., Lam C.L.K., Lai C.L., Fong D.Y.T., So T.M.K. and Yuen R.M.F., The Effect of Health-related Quality of Life on Health Service utilization and Willingness to Pay for Treatment of Chinese with Chronic Hepatitis B Infection, Oral, 2009 International Society for Quality of Life Research Annual Meeting. New Orleans, USA, 2009. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Combined SICOT/RCOST 2009 Annual Meeting, Pattaya, Thailand, October 29-November 1, 2009. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., Costs of School Scoliosis Screening: A Large, Population-Based Study, Spine (Phila Pa 1976). 2010, Epub ahead of print. |
| Leung S.S.K., Lee A.C.K., Johnston J.M., Fong D.Y.T., Lam T.H. and Chan S.S.C., Interprofessional learning of nursing and medical students. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K., Stewart S.M., Wong J.P.S., Ho D.S.Y., Fong D.Y.T. and Lam T.H., Maternal negative moods affected by depressive symptoms of their adolescent children among Chinese. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K., Stewart S.M., Wong J.P.S., Ho D.S.Y., Fong D.Y.T. and Lam T.H., The association between adolescents’ depressive symptoms, maternal negative affect, and family relationships in Hong Kong: Cross-sectional and longitudinal findings., In: Anne E. Kazak, Journal of Family Psychology. American Psychological Association, 2009, 23(5): 636-645. |
| Liu S., Chan Y.K., Leung C.Y., Luk H.M., Lo S.T., Fong D.Y.T., Cheung A.N.Y., Lin Z.Q. and Ngan H.Y.S., Human papillomavirus infection in Southern Chinese women – a population-based study , American Association for Cancer Research (AACR) 101th annual meeting, Washington DC, USA, April 17-21, 2010. |
| Luk T.H., Dai Y.L.E., Siu D.C.W., Yiu K.H., Chan H.T., Fong D.Y.T., Lee S.W.L., Tam S., Lau C.P. and Tse H.F., Habitual physical activity is associated with endothelial function and endothelial progenitor cells in patients with stable coronary artery disease, European Journal of Cardiovascular Prevention & Rehabilitation. 2009, 16: 464-471. |
| Mok F., Samartzis D., Karppinen J., Luk K.D.K., Fong D.Y.T. and Cheung K.M.C., 2010 ISSLS Prize Winner: Prevalence, determinants, and association of Schmorl's nodes of the lumbar spine with disc degeneration: a population-based study of 2,449 individuals, Annual Meeting of the International Society for the Study of the Lumbar Spine. Auckland, New Zealand, 2010. |
| Mok F., Samartzis D., Karppinen J., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., Modic changes of the lumbar spine in Southern Chinese, 29th Annual Congress of the Hong Kong Orthopaedic Association. Hong Kong, SAR China, 2009. |
| Mok F., Samartzis D., Karppinen J., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., Modic changes of the lumbar spine in Southern Chinese, 4th International Congres of Chinese Orthopaedic Association. Xiamen, China, 2009. |
| Mok P.S., Samartzis D., Karppinen J., Luk K.D.K., Fong D.Y.T. and Cheung K.M.C., ISSLS Prize for Lumbar Spine Research. Prevalence, determinants and association of Schmorl’s Nodes of the lumbar spine with disc degeneration: A population-based study of 2499 individuals., International Society for the Study of the Lumbar Spine Annual Meeting, Auckland, New Zealand, April 13-17, 2010. 2010. |
| Mok P.S., Samartzis D., Karppinen J., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., Modic changes of the lumbar spine in southern Chinese, 29th Annual Congress of the Hong Kong Orthopaedic Association, Hong Kong, November 28-29, 2009. |
| Mok P.S., Samartzis D., Karppinen J., Luk K.D.K., Fong D.Y.T. and Cheung K.M.C., Prevalence, determinants and association of Schmorl’s nodes of the lumbar spine with disc degeneration: a population-based study of 2449 individuals, International Society for the Study of the Lumbar Spine Annual Meeting, Auckland, New Zealand, April 13-17, 2010. |
| Mok P.S., Cheung K.M.C., Samartzis D., Karppinen J., Cauilan G.E., Luk K.D.K. and Fong D.Y.T., Schmorl’s nodes of the lumbar spine: prevalence, classification, associated risk factors, and clinical relevance, 16th International Meeting on Advanced Spine Techniques, Vienna, Austria, July 15-18, 2009. |
| Samartzis D., Luk K.D.K., Fong D.Y.T. and Cheung K.M.C., Prevalence, determinants, and association of Schmorl's nodes of the lumbar spine with disc degeneration: a population-based study of 2,449 individuals. Best Clinical Study Prize, International Society for the Study of the Lumbar Spine. 2010. |
| Samartzis D., Karppinen J., Mok P.S., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., Skipped level disc degeneration of the lumbar spine, 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, Louisiana, March 9-13, 2010. |
| Samartzis D., Karppinen J., Mok P.S., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., Skipped level disc degeneration of the lumbar spine, 56th Annual Meeting of the Orthopaedic Research Society, New Orleans, Louisiana, March 6-9, 2010. |
| Samartzis D., Karppinen J., Mok F., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., “Skipped” level disc degeneration of the lumbar spine: new insights on the etiology & clinical relevance association with disc degeneration, Annual Meeting of the American Academy of Orthopaedic Surgeons. New Orleans, Louisiana, USA, 2010. |
| Samartzis D., Karppinen J., Mok F., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., “Skipped” level disc degeneration of the lumbar spine: new insights on the etiology & clinical relevance association with disc degeneration, Annual Meeting of the American Academy of Orthopaedic Surgeons. New Orleans, Louisiana, USA, 2010. |
| Samartzis D., Karppinen J., Mok F., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., “Skipped” level disc degeneration of the lumbar spine: new insights on the etiology & clinical relevance association with disc degeneration, Annual Meeting of the International Society for the Study of the Lumbar Spine. Auckland, New Zealand, 2010. |
| Samartzis D., Karppinen J., Mok F., Fong D.Y.T., Luk K.D.K. and Cheung K.M.C., “Skipped” level disc degeneration of the lumbar spine: new insights on the etiology & clinical relevance association with disc degeneration, Annual Meeting of the Orthopaedic Research Society. New Orleans, Louisiana, USA, 2010. |
| Tarrant A.M., Fong D.Y.T., Wu K.M., Lee I.L.Y., Wong E.M.Y., Sham A., Lam C. and Dodgson J.E., Breastfeeding and weaning practices among Hong Kong mothers: a prospective study, BMC Pregnancy & Childbirth. BMC, 2010, 10: 27. |
| Tarrant A.M., Wu K.M., Fong D.Y.T., Lee I.L.Y., Wong E.M.Y., Shan A., Lam C. and Dodgson J.E., Impact of baby-friendly hospital practices on breastfeeding in Hong Kong, American Public Health Association’s 137th Annual Meeting – Water and Public Health, Philadelphia, PA.. 2009. |
| Tiwari A.F.Y., Chan R., Fong D.Y.T. and Tang D., Using Chinese Dietetics to Improve the Health of Abused Women, the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Tiwari A.F.Y., Chan R., Fong D.Y.T., Chan E.K.L. and Tang D., Using Chinese Dietetics to Improve the Health of Abused Women, the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of Youth Quitline, The 14th Postgraduate Research Symposium, Li Ka Shing Faculty of Medicine, the University of Hong Kong. Hong Kong, 2009, 148. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Wong J.Y.H., Yuen F.K.H., Fong D.Y.T. and Tiwari A.F.Y., A randomized controlled trial to test the efficacy of an empowerment intervention to improve mental health of Chinese abused women, The First Asia-Pacific Conference on Health Promotion and Education (APHPE), the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe , Japan. 2009. |
| Yau P.L.J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A randomized controlled trial of a family intervention to reduce SHS exposure in children: Preliminary analysis of the baseline data, 14th Research Postgraduate Symposium, The University of Hong Kong. Hong Kong, 2009, 89. |
| Yau P.L.J., Chan S.S.C., Lam T.H. and Fong D.Y.T., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure in babies, U21 Doctoral Nursing Research Forum at Health Sciences Meeting. USA, 2009. |
| Zhang J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A study on the factors affecting smoking behaviour during hospitalisation among patients with cardiovascular disease (CVD) in mainland China, The Hong Kong Public Health Forum 2009. Hong Kong, 56. |
| Researcher : Fu CY |
| List of Research Outputs |
| Chan S.S.C., Leung Y.P., Fu C.Y. and Lam T.H., Assessing the effectiveness of a gender-specific smoking cessation counseling intervention for female smokers: A Hong Kong experience, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 275. |
| Fu C.Y., Tiwari A.F.Y., Lam S.F., Yuen F.K.H. and Chan S.S.C., Enhancing the effectiveness of clinical problem-based learning: the role of tutor as a facilitator, 3rd International Nurse Education Conference. 2010. |
| Lam S.F., Fu C.Y., Yuen F.K.H. and Tiwari A.F.Y., Implementing a named-nurse supervisory model to prepare the pre-registered nurses enter into the work force , International Nurse Education Conference. 2010. |
| Researcher : Ho KY |
| List of Research Outputs |
| Li W.H.C. and Ho K.Y., The Effectiveness of Therapeutic Play, Using Virtual Reality Computer Games, in Promoting the Psychological Well-being of Children Hospitalized with Cancer, 4th Hong Kong International Nursing Forum: Nurses' Role in Promoting and Managing the Health of the Community. 2010, 77. |
| Researcher : Hong WL |
| List of Research Outputs |
| Hong W.L., Lau E.M.C., Woo J., Critchley J.A.J.H. and Chan K.M., Quality of life among the older adult who perform Tai Chi or resistance training exercise, In: Hong, A.W.L., Lau, E.M.C., Woo, J., Critchley, J.A.J.H. (deceased), Chan, K.M., Name of Conference: Quality of Life: Practice, Research and Policy; Organiser: Hong Kong Society for Quality of Life (HKSoQOL). 2009. |
| Researcher : Hui Choi WH |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Hui Choi W.H., Using Narrative Practice in supporting students, Department’s Newsletter . 2009. |
| Researcher : Kong CHM |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Kong C.H.M., Related Oral presentation: "Does The Chronic Care Model Used in Hong Kong Community Programmes Prevent Chronic Illness?" , In: Ms C Kong Hoi Mei, International Conference on Promoting Chronic care Jan 2010, Hong Kong.. 2010. |
| Researcher : Lam SF |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Fu C.Y., Tiwari A.F.Y., Lam S.F., Yuen F.K.H. and Chan S.S.C., Enhancing the effectiveness of clinical problem-based learning: the role of tutor as a facilitator, 3rd International Nurse Education Conference. 2010. |
| Lam S.F., Fu C.Y., Yuen F.K.H. and Tiwari A.F.Y., Implementing a named-nurse supervisory model to prepare the pre-registered nurses enter into the work force , International Nurse Education Conference. 2010. |
| Researcher : Lam WWT |
| Project Title: | A longitudinal study of psychosocial needs and psychological distress of Chinese women with advanced breast cancer |
| Investigator(s): | Lam WWT, Epstein R, Fielding R |
| Department: | Community Medicine |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 06/2008 |
| Completion Date: | 06/2010 |
| Abstract: |
| In Hong Kong, breast cancer is the most common cancer and the third leading cause of cancer death among women, with 2,307 new cases reported in 2005, 22% of all newly diagnosed female cancers (1). Of these new cases, around 10 % are diagnosed at an advanced stage after the tumour has spread within the breast and surrounding tissues (locoregionally) or to other organs of the body (metastasis). Additionally, a significant proportion of women who have been previously treated for breast cancer subsequently develop either a locoregional recurrence or metastasic disease, making it much more difficult to cure the condition and control further spread. Improved treatment has increased length of survival for these women with advanced breast cancer to many years. However, with the incurable and inevitably progressive nature of the condition, the emotional demands of living with advanced breast cancer are enormous. Little is known about the extent and type of emotional morbidity experienced by these women. Based on a few Western studies of Caucasian women with advanced breast cancer, the prevalence of psychological distress ranges from 30% to 57% (2-4). No previous study has reported the prevalence of psychological morbidity among Chinese women with advanced breast cancer. Our previous studies on Chinese women with localized breast cancer showed that psychological distress is substantially more prevalent than among Caucasian breast cancer patients, suggesting potential cultural effects on breast cancer-influenced psychological morbidity (5). Given the preponderance of Chinese people worldwide, it is crucial to understand the extent and type of psychological morbidity experienced by Chinese women with advanced breast cancer. As treatments progressively prolong life, addressing the psychosocial needs and quality of life issues among people with advanced cancer is growing in importance (6). Effective service provision needs to be evidence-based. Quality of life and patient satisfaction as measures of morbidity outcomes of cancer (7) fail to reflect what patients want and demand. In contrast, needs assessment offers a direct measure of patients’ support preferences identifying unmet needs, enabling us to identify gaps in existing services, as well as to improve resource allocation (7). As the numbers living with advanced cancer continue to grow, this becomes a critical economic issue. A growing number of studies focus on identifying unmet psychosocial needs of cancer patients (8-14). Need is defined as the requirement of some action or resource to achieve optimal well-being (8). There is evidence that patients with advanced cancer had higher levels of unmet psychosocial needs compared to patients with localized cancer (8-10). The greater the unmet needs, the greater the likely avoidable health care costs. Though only a few studies have focused on patients with advanced cancer in which these patients reported high levels of physical symptoms, psychological distress, and needs in information and practical support (6,10-12). While these studies provided insights into psychosocial needs in patients with advanced cancer, little is known about the changes in these patients’ needs across the illness trajectory as these studies had used either cross-sectional (6,11,12) or longitudinal designs with only two assessment points (10). Patients with advanced cancer inevitably confront disease progression and consequential changing psychosocial needs across the illness trajectory. Understanding how these patients’ needs change during their cancer journey will enable us to develop tailored interventions to meet the needs of these patients and help control health care costs. To address the literature gaps, this study aims to (1) identify the extent of psychological morbidity in Chinese women diagnosed with advanced breast cancer, (2) explore changes in the patterns of psychological morbidity over the first year after the diagnosis of advanced breast cancer, (3) describe the prevalence and type of unmet psychosocial needs for Chinese women with advanced breast cancer, and (4) explore changes in unmet needs across time. This will be a key step in enabling a future studies that can estimate cost-benefits of different interventions. |
| Project Title: | The effect of decision aids on treatment decision making for breast cancer surgery: A randomized controlled trial |
| Investigator(s): | Lam WWT, Fielding R, Chan M, Or AYM, Cowling BJ |
| Department: | Community Medicine |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 12/2009 |
| Abstract: |
| To provide sound evidence to guide the development of decision support interventions aimed at improving the quality of decision making among Hong Kong women when facing with surgical options for breast cancer, thus leading to a better post-operative quality of life. |
| Project Title: | An international study of psychosocial needs and psychological distress among women with breast cancer - cross-cultural comparison |
| Investigator(s): | Lam WWT, Fielding R |
| Department: | Community Medicine |
| Source(s) of Funding: | Germany/Hong Kong Joint Research Scheme |
| Start Date: | 01/2010 |
| Abstract: |
| Refer to hard copy |
| List of Research Outputs |
| Hou W.K., Lam W.W.T., Law C.C., Fu Y.T. and Fielding R., Measuring social relational quality in colorectal cancer: The Social Relational Quality Scale (SRQS)., Psycho-Oncology. 2009, 18: 1097-1105. |
| Tsang J.W.H., Lau T.T.S., Lee V.K.H., Yung S.T., Li V.W.K., Cheung T.K., Lam W.W.T., Lee V.H.F., Au G.K.H. and Kwong D.L.W., Higher Education And Younger Age Are Associated With Better Understanding Of Clinical Trials Among Hong Kong Cancer Patients, 16th Hong Kong International Cancer Congress & 6th Annual Meeting Centre For Cancer Researach. 2009. |
| Researcher : Lancaster BJ |
| List of Research Outputs |
| Leung A.Y.M., Tse M.A., Shum W.C., Lam C.L.K. and Lancaster B.J., Health Enhancement and Pedometer-determined ambulatory (HEPA) programme for older adults: A feasibility study, The 4th Hong Kong Nursing Forum, Jun 4-5, 2010.. 2010. |
| Tse M.A., Leung A.Y.M., Shum W.C., Lancaster B.J. and Lam C.L.K., Health enhancement and pedometer-determined (HEPA) programme pilot study. , The 5th International Symposium on Healthy Aging - Is aging a disease? (Young investigator award presentation), 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 45. |
| Researcher : Lau AKL |
| Project Title: | The quality of life of Chinese infertile couples undergoing assisted reproductive technology (ART) treatment |
| Investigator(s): | Lau AKL, Fong DYT, Ng EHY |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 11/2003 |
| Abstract: |
| To compare the quality of life (QOL) of the mainland Chinese and Hong Kong Chinese couples undergoing ART treatment; to evaluate the QOL of mainland infertile Chinese couples in Shanghai who have undergone assisted reproductive technoloy (ART) treatment; to identify the gender difference in the QOL of the mainland infertile Chinese couples; to determine the changes of QOL of infertile couples at different stages of IVF treatment; to examine the psychometric properties and clinical application of the simplified Chinese versions of the SF-36. |
| Researcher : Lau TPL |
| Project Title: | Seventh Annual Qualitative Health Research Conference 2001 Young Women's Magazines for Hong Kong Chinese Youth: Health Messages |
| Investigator(s): | Lau TPL |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 06/2001 |
| Abstract: |
| N/A |
| Researcher : Lee ACK |
| Project Title: | First Asia-Pacific Conference on Health Promotion and Education (APHPE) ED and Drinking in Chinese men |
| Investigator(s): | Lee ACK |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 07/2009 |
| Abstract: |
| N/A |
| List of Research Outputs |
| Leung S.S.K., Lee A.C.K., Johnston J.M., Fong D.Y.T., Lam T.H. and Chan S.S.C., Interprofessional learning of nursing and medical students. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Researcher : Lee CF |
| List of Research Outputs |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine. 2010, 35(10): 1061-1071. |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine (Phila Pa 1976). 2010, 35(10): 1061-1071. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Combined SICOT/RCOST 2009 Annual Meeting, Pattaya, Thailand, October 29-November 1, 2009. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., Costs of School Scoliosis Screening: A Large, Population-Based Study, Spine (Phila Pa 1976). 2010, Epub ahead of print. |
| Researcher : Lee CF |
| List of Research Outputs |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine. 2010, 35(10): 1061-1071. |
| Fong D.Y.T., Lee C.F., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Spine (Phila Pa 1976). 2010, 35(10): 1061-1071. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Mak K.H., Yip P.S.F. and Luk K.D.K., A meta-analysis of the clinical effectiveness of school scoliosis screening, Combined SICOT/RCOST 2009 Annual Meeting, Pattaya, Thailand, October 29-November 1, 2009. |
| Lee C.F., Fong D.Y.T., Cheung K.M.C., Cheng J.C.Y., Ng B.K.W., Lam T.P., Mak K.H., Yip P.S.F. and Luk K.D.K., Costs of School Scoliosis Screening: A Large, Population-Based Study, Spine (Phila Pa 1976). 2010, Epub ahead of print. |
| Researcher : Lee OLD |
| List of Research Outputs |
| Leung S.S.K., Cheng R.P.Y., Ip F.L.Y., Tso K.K.P., Ngan C.M. and Lee O.L.D., FAMILY: Share the Care Share the Joy, FAMILY: A Jockey Club Initiative for a Harmonious Society Multidisciplinary Collaboration to Promote Family Health, Happiness and Harmony . 2009. |
| Researcher : Leung AYM |
| Project Title: | Building e-health literacy among university students |
| Investigator(s): | Leung AYM |
| Department: | School of Nursing |
| Source(s) of Funding: | Teaching Development Grants |
| Start Date: | 05/2008 |
| Abstract: |
| To provide a platform to all HKU students (irrespective of the disciplines) to learn about health information searching skills and critically evaluate the reliability of the sources providing health information through their participation in online activities and library workshop. These searching and analytical skills would be useful to students' professional practice and self management in health. |
| Project Title: | Health literacy programmes for improving physical exercise among Chinese older adults with type 2 diabetes mellitus |
| Investigator(s): | Leung AYM |
| Department: | School of Nursing |
| Source(s) of Funding: | The Hong Kong Jockey Club Charities Trust |
| Start Date: | 08/2008 |
| Abstract: |
| Evidence showed that interventions that addressed health literacy problems could improve individual's health knowledge while individual's knowledge about illness and care is correlated to one's self-care. The current proposed study therefore aims to fill up this knowledge gap in health literacy research by developing health literacy materials (workbook with pictorial stories and audiotapes) and assessing the feasibility of a health literacy program addressing the learning needs of diabetic Chinese older adults with low health literacy. |
| Project Title: | Construction and Validation of Chinese Health Literacy Scale for Diabetes (CHLSD) |
| Investigator(s): | Leung AYM, Lou VW, Chan SSC |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 01/2009 |
| Abstract: |
| PURPOSE The current study aims to develop and validate a reliable tool “Chinese Health Literacy Scale for Diabetes” (CHLSD) which can be used by health professionals to assess Chinese diabetic patients’ ability to receive, understand and apply relevant health information in self care and treatment decision. The findings of this study will provide valuable instrument to clinicians who provide ongoing treatment and care to these patients and researchers who are interested to further investigate health literacy issues and its impacts on health outcomes in Chinese population. KEY ISSUES AND PROBLEMS BEING ADDRESSED Health literacy is a relatively new concept in public health research (Speros, 2005; Nutbeam, 2000) but it is considered as one of the 4 public health priorities by the Office of the Surgeon General of the United States Department of Health and Human Services (USDHHS) (Galson, 2008). Health literacy is defined as “the ability to read, understand and act on health information” (Potter & Martin, 2005) and “the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions” (USDHHS, 2005). Adults with inadequate or marginally health literacy have difficulty to understand the health care information they need or received, and eventually they may have difficulty to implement self-care or follow doctor’s prescription. Evidence showed that inadequate health literacy was associated with several negative health outcomes such as poor physical and mental health (Wolf, Gazmararian, & Baker, 2005), higher hospitalization rate (Baker et al., 2002), less use of flu vaccination (Miller, 2004; Scott et al., 2002) and even higher mortality (Sudore et al., 2006; Baker, Wolf, Feinglass, Thompson, Gazmararian, & Huang, 2007). Among diabetic patients, evidence showed the significant association between low health literacy and poor glycemic control (Schillinger et al., 2002). After controlling patients’ socio-economical factors, depressive symptoms, social support, treatment regime, years of diabetes, for each decrement in health literacy, the glycemic control (HbA1c) increased by 0.02 (p=.02) (Schillinger et al., 2002). Patients with inadequate health literacy were more likely than patients with adequate health literacy to have poor glycemic control (HbA1c 9.2%; adjusted odds ratio (O.R.), 2.03, 95% CI, 1.11-3.73; p=.02) and more likely to report retinopathy (adjusted O.R., 2.33, 95% CI, 1.19-4.57; p=.01) (Schillinger et al., 2002). When individuals with inadequate health literacy and encounter the health care system, they are more likely to have difficulties in reading prescription bottles, reading appointment slips, follow self-care instructions such as blood glucose monitoring, and understand the advice from health education brochures. Thus there is an urgent need to identify these individuals who are with inadequate health literacy and they would require special instructions from health professionals for their chronic disease management (Baker, Williams, Parker, Gazmararian, & Nurss, 1999). Patients’ health literacy cannot be judged from appearance and impressions. In many occasions, patients with health literacy problems feel embarrassed and incline to hide it from health care providers, friends and even close relatives (Nath, Sylvester, Yasek, & Gunel, 2001). There are validated, reliable instruments available for assessing functional health literacy for adults. The most commonly used instruments were The Test of Functional Health Literacy in Adults (TOFHLA) and The Rapid Estimate of Adult Literacy in Medicine (REALM). However, these two instruments are available in English and Spanish only, and they are not context specific. Thus these instruments would not be able to identify the ability demanded by diabetic patients who are in frequent contacts with specific terms such as hypoglycaemia or blood glucose. Nath and colleagues (2001) developed another instrument, the Literacy Assessment for Diabetes (LAD), to assess literacy in diabetic adults. Unfortunately, this instrument is available in English only and it was designed as a word recognition test. Diabetic patients’ ability to execute numeric calculation or recognition could hardly be assessed by LAD. In view of the current situation and the international trend for advocating health literacy as one of the public health priorities, the research team is proposing to the develop a valid and reliable instrument, Chinese Health Literacy Scale for Diabetes (CHLSD). The current proposed study therefore aims to fill up this knowledge gap in health literacy research by developing a reliable instrument for measuring health literacy level of Chinese diabetic patients. |
| Project Title: | The First Asia-Pacific Conference on Health Promotion and Education (APHPE) Hong Kong Chinese Third Agers' Experience and Presence in Health Promotion: Would their educational level make a difference? Communicative health literacy in diabetic care: different perspectives from diabetic patients and health professionals |
| Investigator(s): | Leung AYM |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 07/2009 |
| Completion Date: | 07/2009 |
| Abstract: |
| N/A |
| Project Title: | Health enhancement and pedometer-determined ambulatory (HEPA) program |
| Investigator(s): | Leung AYM, Lam CLK |
| Department: | School of Nursing |
| Source(s) of Funding: | Health Care and Promotion Fund - Research Grant Projects |
| Start Date: | 11/2009 |
| Abstract: |
| (1) Increase the participants' mean steps by a minimum of 20% (primary outcome); (2) increase older adults' confidence to communicate more openly and effectively with health care providers (primary outcome); (3) improve the older adults' health and fitness measurement parameters in terms of rating of perceived exertion (RPE) (secondary outcome); (4) increase older adults' self-efficacy in doing exercise (secondary outcome) increase older adults' health-related quality of life (secondary outcome). |
| Project Title: | Development of Chinese Health Literacy Scale (CHLS) for engaging older adults in self-care |
| Investigator(s): | Leung AYM |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 04/2010 |
| Abstract: |
| To engage the community to actively participate in self-care or improve its health, the first and most crucial step is the assessment of health literacy (HL). This is because adults with inadequate health literacy have difficulty to understand the health care information they received from health professionals, and eventually they may have difficulty to implement self-care or follow treatment and health care regime. It was known that diabetic patients with inadequate functional health literacy were less likely to know the basic facts about their diseases (such as range of normal blood sugar) and the way to take care of themselves (what to do if they develop symptoms of hypoglycermia)2,3. Similarly, patients with hypertension and inadequate health literacy were less likely to know about the normal range of blood pressure1. Thus, HL is considered as one of the public health priorities and actions have been taken to screen patients with chronic illness and identify their functional health literacy before implementing educational programmes to them4,5,6. Health literacy is defined as “the ability to read, understand and act on health information”7 and “the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions”1. Evidence showed that inadequate health literacy was associated with several negative health outcomes such as poor physical and mental health8, higher hospitalization rate9, less use of flu vaccination10,11 and even higher mortality12,13. Among diabetic patients, evidence showed the significant association between low health literacy and poor glycemic control14. Patients with inadequate health literacy were more likely than patients with adequate health literacy to have poor glycemic control (HbA1c >/= 9.2%; adjusted odds ratio (O.R.), 2.03, 95% CI, 1.11-3.73; p=.02) and more likely to report retinopathy (adjusted O.R., 2.33, 95% CI, 1.19-4.57; p=.01)11. Individuals with inadequate HL had 2.7 times the odds of being depressed when compared to those with adequate HL skills15. When individuals with inadequate health literacy and encounter the health care system, they are more likely to have difficulties in reading prescription bottles, reading appointment slips, follow self-care instructions such as blood glucose monitoring, and understand the advice from health education brochures. Thus there is an urgent need to identify these individuals who are with inadequate health literacy and they would require special instructions from health professionals for their chronic disease management3. Older adults are the most vulnerable group with more than 70% of them suffering from one or more chronic illness16. The current cohort of older adults in Hong Kong generally has lower education level than the younger generation17. Patients’ health literacy cannot be judged from appearance and impressions. In many occasions, patients with health literacy problems feel embarrassed and incline to hide it from health care providers, friends and even close relatives 2. There are validated, reliable instruments available for assessing functional health literacy for adults. The most commonly used instruments were The Test of Functional Health Literacy in Adults (TOFHLA) and The Rapid Estimate of Adult Literacy in Medicine (REALM). However, these two instruments are available in English and Spanish only, and they are not cultural sensitive, in particular, the language structure of Chinese characters is totally different from English. Thus these instruments would not be able to identify the ability demanded by Chinese adults. By now, we have limited knowledge in health literacy in Chinese population. One of the possible reasons is the lack of reliable and validated instrument that can measure health literacy level among Chinese people. In view of the current situation, the research team is proposing to the development of a valid and reliable instrument, Chinese Health Literacy Scale (CHLS). The current study aims (1) to develop a reliable tool “Chinese Health Literacy Scale” (CHLS) which can be used by health professionals to assess Chinese older adults’ and soon-to-be-aged adults’ ability to receive, understand and apply relevant health information in self care and treatment decision; (2) to assess validity and reliability of this tool and (3) to measure health literacy level of chronic illness patients (such as hypertension, diabetes mellitus, COAD, arthritis) in Hong Kong. |
| List of Research Outputs |
| Chan J.L.Y., Leung A.Y.M., Chiang V.C.L., Li W.H.C., Wong E.M.L., Liu A.N.C. and Chan S.S.C., A Pilot project to build e-health literacy among university students in Hong Kong, The 10th International Congress on Medical Librarianship (Brisbane, Australia). 2009. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., Exploring mothers experiences in improving smoking hygiene at home: A qualitative study, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T. and Lam T.H., Impact of the smoking free legislation on youth quitting-related behaviors in Hong Kong via a smoking cessation hotline, Circulation. American Heart Association, 2010, 122(2): e87. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung S., Mak K.H., Koh D., Ng V. and Lam T.H., Measuring saliva cotinine in non-smoking mothers and infants living with smoking fathers, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 571. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam C.L.K., Hung I., Yuen K.Y., Liang R.H.S., Johnston J.M., Chan C.K., Chu D., Liu S.H. and Lam T.H., Predictors of influenza vaccination in Chinese older patients with chronic disease in Hong Kong, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 186. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Emmons K., Leung S. and Lam T.H., Randomized Controlled Trials (RCT) of Family Interventions to Reduce Secondhand Smoke (SHS) Exposure in Infants and Mothers, Flight Attendant Medical Research Institute (FAMRI) Ninth Scientific Symposium, Miami, Flordia, USA, 3-5 May. USA, 2010, 168-169. |
| Cheung K.S.L., Yip P.S.F., Chi I., Chui E.W.T., Leung A.Y.M., Chan F.H.W. and Chan G.M.Y., Factors Associated with Healthy Longevity - A Report from the Study of Oldest-Old and Centenarians in Hong Kong, 17th Annual Congress of Gerontology. 2009. |
| Lam C.L.K., Chan G.C.F., Lam T.H., Lee P.P.W., Leung A.Y.M., Leung G.K.K. and Tsao G.S.W., 育醫造才: 探索醫學世界, 2010. |
| Leung A.Y.M., Leung Y.P. and Chi I., Barriers and facilitators in health-related learning among Chinese third agers, The 62nd Annual Scientific Meeting of the The Gerontology Society of America. 2009, 77. |
| Leung A.Y.M., Lou V.W., Chan K.S., Yung A. and Chi I., Care management service and falls prevention: A case-control study in a Chinese population, Journal of Aging and Health. 2010, 22(3): 348-361. |
| Leung A.Y.M., Chu D.W.S., Chan S.S.C. and Shum W.C., Chinese diabetic patients’ communicative health literacy: Views from health professionals. , The 19th IAGG World Congress of Gerontology and Geriatrics. 2009. |
| Leung A.Y.M., Chu D.W.S., Chan S.S.C. and Shum W.C., Chinese diabetic patients’ communicative health literacy: views from health professionals, The Journal of Nutrition, Health and Aging. 2009, 13: S342. |
| Leung A.Y.M., Communication with diabetic patients through pictorial and audio stories., The 5th International Symposium on Healthy Aging - Is aging a disease? (Invited Symposium VI: Healthy aging and healthy living), 6-7 March 2010, Sheraton Hong Kong Hotel and Towers . Hong Kong, 2010, 27. |
| Leung A.Y.M., Chan S.S.C., Chu D.W.S. and Shum W.C., Communicative health literacy in diabetic care: different perspectives from diabetic patients and health professionals, The 1st Asia-Pacific Conference on Health Promotion and Education. 2009. |
| Leung A.Y.M., Tse M.A., Shum W.C., Lam C.L.K. and Lancaster B.J., Health Enhancement and Pedometer-determined ambulatory (HEPA) programme for older adults: A feasibility study, The 4th Hong Kong Nursing Forum, Jun 4-5, 2010.. 2010. |
| Leung A.Y.M., Health Literacy Issues in Diabetic Care: How Much Do We Care? , Frontiers in Biomedical Research, LKS Faculty of Medicine. 2009, 64. |
| Leung A.Y.M., Health literacy materials for diabetic patients: the use of printed pictorial stories and audiotapes in health promotion, The 4th Hong Kong International Nursing Forum, Jun 4-5, 2010.. 2010. |
| Leung A.Y.M., Leung Y.P. and Chi I., Hong Kong Chinese Third Agers’ Experience and Preference in Health Promotion: Would their Educational Level Make a Difference? , The 1st Asia-Pacific Conference on Health Promotion and Education. 2009. |
| Leung A.Y.M., Older adults’ involvement in the development of health literacy materials: findings from cognitive interviews, The 62nd Annual Scientific Meeting of the The Gerontology Society of America (late breaker poster presentation). 2009, 34-35. |
| Leung A.Y.M. and Leung Y.P., Online health information seeking behavior among soon-to-be aged adults: A cross-sectional survey, International conference on promoting chronic care. 2010. |
| Leung A.Y.M., Chi I., Lou V.W. and Chan K.S., Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong, Health and Social Care in the Community. 2010, 18(3): 272-281. |
| Leung A.Y.M., Scientific paper award, Hong Kong Nurses Association of Gerontology 4th Scientific Meeting cum 13th AGM. 2010. |
| Leung A.Y.M., Searching health information via Internet: A survey on the Hong Kong soon-to-be-aged adults, Departmental Development Series (Research), Serena Yang Library, Department of Nursing Studies, HKU. 2 Feb 2010. Hong Kong. |
| Leung Y.P. and Leung A.Y.M., Factors structure of the Chinese General Self-efficacy Scale (CGSE) across age group of soon-to-be-aged adults (poster presentation), The 5th International Symposium on Healthy Aging - Is aging a disease?, 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 60. |
| Leung Y.P., Chan S.S.C., Leung A.Y.M. and Lam T.H., Measuring self-efficacy to manage disease in general among a sample of Chinese older adults with chronic diseases, the First Asia-Pacific Conference on Health Promotion and Education, Makuhari Messe, Japan. 2009. |
| Leung Y.P. and Leung A.Y.M., Psychometric Properties of the Chinese General Self-Efficacy Scale (CGSE) among Soon-to-be-aged Adults, The 17th Annual Congress of Gerontology, Hong Kong Association of Gerontology. 2009. |
| Leung Y.P., Chan S.S.C., Yau J.P.L., Leung A.Y.M., Leung S., Emmons K. and Lam T.H., Validating the Chinese General Self-Efficacy Scale in a sample of mothers with smoking husbands in Hong Kong, The 4th Hong Kong International Nursing Forum, The University of Hong Kong, 4-5 June 2010. |
| Lou V.W., Chi I., Kwan C.W. and Leung A.Y.M., Changes in the functioning health of nursing home residents with moderate to severe cognitive impairement, 2010 Joint World Conference on Social Work & Social Development: The Agenda. June 10-14, Hong Kong, 2010, 164. |
| Lou V.W., Chui E.W.T., Leung A.Y.M., Kwan C.W., Chi I. and Leung Wong E.K.S., Psychological factors affecting long-term care utilization in Hong Kong, A symposium on Community-based Long-term Care in Hong Kong: From Theory to Practice. Hong Kong, 2009. |
| Lou V.W., Chui E.W.T., Leung A.Y.M., Kwan C.W., Chi I. and Leung E., The role of psychosocial factors in long-term care utilization among elderly Chinese, The Gerontological Society of America 62nd Annual Scientific Meeting. Atlanta, GA, The Gerontological Society of America, 2009, 111. |
| Lou V.W., Kwan C.W., Chi I. and Leung A.Y.M., Willingness to provide care of family caregivers for community-dwelling older adults: Trends in Hong Kong 2004, 2006, 2008, 2010 Joint World Conference on Social Work & Social Development: The Agenda. June 10-14, Hong Kong, 2010, 163. |
| Pun W.M. and Leung A.Y.M., Systemic Review: depression among community dwelling older adults (poster presentation) - Outstanding Poster Presentation Award, The 4th International Nursing Forum. Hong Kong, School of Nursing, HKU, 2010, 81. |
| Pun W.M. and Leung A.Y.M., Systemic Review: depression among community dwelling older adults (poster presentation), The 5th International Symposium on Healthy Aging - Is aging a disease?, 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 68. |
| Tse M.A., Leung A.Y.M., Shum W.C., Lancaster B.J. and Lam C.L.K., Health enhancement and pedometer-determined (HEPA) programme pilot study. , The 5th International Symposium on Healthy Aging - Is aging a disease? (Young investigator award presentation), 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 45. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Yau J.P.L., Chan S.S.C., Leung Y.P., Leung G.M., Leung A.Y.M., Emmons K., Leung S., Koh D., Ng V. and Lam T.H., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure to children: a pilot study., The 4th Hong Kong International Nursing Forum, Hong Kong, China, 4-5 June 2010.. 2010. |
| Yau P.L.J., Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., A RCT of a family intervention to reduce secondhand smoke (SHS) exposure in children, The Hong Kong Public Health Forum 2009. Hong Kong, 49. |
| Researcher : Leung SSK |
| Project Title: | Interactive online learning through WebCT on communication skills |
| Investigator(s): | Leung SSK, Chiang VCL, Chui YY, Leung AYM, Mak YW, Fielding R |
| Department: | School of Nursing |
| Source(s) of Funding: | Run Run Shaw Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 06/2007 |
| Abstract: |
| Purposes: 1. To develop an interactive online learning programme through WebCT for nursing students in facilitating communication skills which are applicable in managing conflict, motivating others, leading effective teams and various management related areas; 2. To evaluate the effectiveness of the learning programme in building self-efficacy in dealing with patients and increasing perceived competence in communication skills. Key issues and problems to be addressed: 1. Lack of confidence and skills in communicating with clients and colleagues. Communication skills have been identified as one of the core competencies of a registered nurse in Hong Kong (Nursing Council of Hong Kong, 2004). Quality of care in health services largely depends on effective communication with patients, patients' relatives and among health care team members. Communication is regarded as one of the caring behaviors (McNamara, 1995) and part of the essence of nursing and caring (Wilkinson, 1991). Lack of skills in communicating with patients in various setting or using different kinds of communication media was evident in several studies (Chaffee, 2000; Farrell, 1996; Tingle, 1998). Shortage of communication skills training for dealing with patients was identified as a crucial factor to be improved in nursing education (Caris-Verhallen, Kerkstra, & Bensing, 1997; Chant, Jenkinson, Randle, & Russell, 2002). 2. Need for effective communication tools which are applicable in busy working environment. One of the main reasons given by nurses for poor communication with patients and relatives were the busy work schedule. Psychological care was restricted only to a small portion of the day while nursing care time was mainly taken up by physical care (Morrison & Burnard, 1997; Byrne & Heyman, 1997). Nurses need to equip with effective communication skills that can be applicable in busy work schedule to effectively improve the communication in verbal and non-verbal ways while providing physical care. 3. Preparation for 3+3+4 education reform Effective communication is identified as one of the six educational aims of the HKU Curriculum Reform (Four Year Undergraduate Curriculum Reform, 2006). As the University is planning for the change, each faculty and department are revising their programmes to address those identified aims. This project is timely to shed light on the reform by providing valuable information for developing teaching experiences that build students' capabilities in effective communication. References: Byrne, G., & Heyman, R. (1997). Understanding nurses communication with patients in accident and emergency department using a symbolic interactionist perspective. Journal of Advanced Nursing, 26 (1), 93-100. Caris-Verhallen, W.M.C.M., Kerkstra, A. & Bensing, J.M. (1997). The role of communication in nursing care for elderly people: a review of the literature. Journal of Advanced Nursing, 26 (1), 93-100. Chant, S., Jenkinson, T., Randle, J., & Russell, G. (2002). Communication skills: some problems in nursing education and practice. Journal of Clinical Nursing, 11 (1), 12-21. Chaffee, M. (2000). Health communications: nursing education for increased visibility and effectiveness. Journal of Professional Nursing, 16 (1), 31-38. Nursing Council of Hong Kong. (2004). Core-competence for Registered Nurses (General). Retrieved December 18, 2006, from http://www.nchk.org.hk/council/ Farrell, G. (1996). Telephoning a nursing department: callers' experiences. Nursing Standard, 10 (33), 34-36. Four Year Undergraduate Curriculum Reform. The University of Hong Kong. Retrieved on December 22, 2006 from http://uis.hku.hk/reform/html/hkucurriculum/hkucurriculum.html McNamara, S. (1995). Perioperative nurses' perceptions of caring practices. AORN Journal, 61 (2), 377-388. Morrison, P., & Burnard, P. (1997). Caring and communicating. The Interpersonal Relationship in Nursing. Macmillan, Basingstoke. Tingle, J.H. (1998). Nurses must improve their record keeping skills. British Journal of Nursing, 7 (5), 245. |
| Project Title: | Stress and social support of pregnant women with depressive symptoms |
| Investigator(s): | Leung SSK, Lee AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 04/2008 |
| Completion Date: | 03/2010 |
| Abstract: |
| Purpose of this study is to gain a deeper understanding of the experience of pregnancy among depressed women, particularly on the stress and social support they experienced during pregnancy. Antenatal depression was consistently identified as risk factor of postpartum depression (Jossefson et al., 2001; Kitamura et al., 2007; Larsson et al., 2004) and significant predictor of postpartum depression in meta-analysis (Beck, 2001). Same finding was reported among Chinese population (Leung, et al., 2005). It affects up to 20% of pregnant women (Bennet et al., 2004; Evans et al., 2001; Jossefson et al., 2001; Lee et al., 2004). Serious impact was also identified including poor antenatal attendance and substance misuse, low birth weight, preterm delivery (Chung et al., 2001; Hedegaard et l., 1993; Pagel et al., 1990) and negative impact on infants (Zukerman et al., 1989). Many perinatal studies have been conducted on the Western population, however, little is known among Asian. And most of the study focused on postnatal depression. Only in recent years researchers started to investigate closely on prevalence and correlates of antenatal depression (Evans et al., 2001; Adewuya et al., 2007; Kitamura et al., 2006; Lau & Wong, 2007). As Ross et al. (2004) reported that the model for predicting antenatal was different from that for postnatal depression, more studies, particularly from qualitative perspectives, are needed to risk factors of antenatal depression and to understand the lived experience of pregnant women going through depression. References Adewuya, A.O., Ola, B.A., Aloba, O.O., Dada, A. O., & Fasoto, O.O. (2007). Prevalence and correlates of of depression in late pregnancy among Nigerian women. Depression and Anxiety, 24, 15-21. Beck, C.T. (2001). Predictors of postpartum depression: an update. Nursing Research, 50, 275-285. Evans, J., Heron, J., Francomb, H., Oke, S., Golding, J. (2001). Cohort study of depressed mood during pregnancy and after childbirth. British Medical Journal, 323 (7307), 257-260. Hedegaard, M. Henriksen, T.B., Sabroe, S., Secher, N.J. (1993). Psychological distress in pregnancy and preterm delivery. British Medical Journal, 307, 234-239. Josefsson, A., Berg, G., Nordin, C., Sydsjo, G. (2001). Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstetric & Gynecology Scandinavia, 80, 251-255. Kitamura, T., Yoshida, K., Okano, T., Kinoshita, K., Hayashi, M., Toyada, N. et al. (2006). Multicenter prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression. Archives of Women’s Mental Health, 9, 121-130. Larsson, C., Sydsjo, G., Josefsson, A. (2004). Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstetric Gynecology, 104, 459-466. Lau, Y., & Wong, D.F.K. (2007). Correlates of depressive symptomatology during the second trimester of pregnancy among Hong Kong Chinese. Social Science & Medicine, 64 (9), 1802-1811. Leung, SSK, Martinson, I.M., & Arthur, D. (2005). Postpartum depression and related psychosocial variables in Hong Kong Chinese women: findings from a prospective study. Research in Nursing & Health, 28, 27-38. Limlomwongse, N., & Liabsuetrakul, T. (2006). Cohort study of depressive moods in Thai women during late pregnancy and 6-8 weeks of postpartum using Edinburgh Postnatal Depression Scale (EPDS). Archives of Women’s Mental Health, 9, 131-138. Pagel, M.D., Smilkstein, G., Regen, H., Montano., D. (1990). Psychosocial influences on new born outcome: a controlled prospective study. Social Science & Medicine, 30, 597-604. Ross, L.E., Sellers, E.M., Gilbert Evans, S.E., Romach, M.K. (2004). Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model. Acta Psychiatry in Scandinavia, 109, 457-466. |
| Project Title: | A randomized control trial on teh effects of a cognitive-behavioral programme for secondary school teachers in HK to manage occupational related stress. |
| Investigator(s): | Leung SSK |
| Department: | School of Nursing |
| Source(s) of Funding: | University Development Fund - General Award |
| Start Date: | 11/2008 |
| Abstract: |
| The purpose of this study is to investigate the effectiveness of a stress management programme using cognitive-behavioral approach for secondary school teachers in Hong Kong. The design of the study is a randomised control trial with intervention and control groups of participants: intervention group receives a cognitive-behavioural programme; control group receives the same programme after the intervention group and upon completion of the baseline and follow-up assessment before attending the programme. Both groups will also receive self-educational pamphlets on stress management and promotion of better mental health and healthy lifestyle. A total of 568 secondary school teachers will be recruited from 3 major districts in Hong Kong and randomly allocated into the two groups. The effectiveness will be evaluated by four different measures: (1) occupational stress (OSI-R); (2) mental health status (DASS); (3) health promoting lifestyle behaviors (HPLPII), (4) and dysfunctional attitude scale (DAS), (5) work related symptoms. Together with these scales, the participants’ demographic information will be collected in the initial baseline measure before the interventions. Repeated measures of scales will be administered at 2 weeks after completion of the intervention for intervention group and immediate before the intervention for the control group. The study results will reveal the occupational stress experienced by the secondary teachers in Hong Kong and the effectiveness of the proposed intervention programmes in increasing awareness and abilities in stress management for secondary school teachers in Hong Kong. |
| Project Title: | FAMILY: Sharing the Care, Sharing the Joy |
| Investigator(s): | Leung SSK, Ngan CM |
| Department: | School of Nursing |
| Source(s) of Funding: | The Hong Kong Jockey Club Charities Trust |
| Start Date: | 12/2008 |
| Abstract: |
| Primary Objectives 1. To test the effectiveness of the intervention in improving self-efficacy of first-time mothers in managing conflicts with their in-law. 2. To enhance intergenerational relationship by promoting better communication and conflict management skills. Secondary Objectives 1. To increase satisfaction of family functioning by developing better communication and conflict management skills. 2. To upkeep the mental health status of new mothers in terms of their perceived stress level. |
| Project Title: | Trial-run for Antenatal Preventive Intervention to Prevent Postpartum Depression and Anxiety in Hong Kong |
| Investigator(s): | Leung SSK, Lee AM, Wong DFK, Chiang VCL |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 06/2009 |
| Abstract: |
| The aim of this trial-run is to test the feasibility of recruiting pregnant women of 20 weeks or more pregnancy, as well as the feasibility of recruiting participants and their husbands for filling out survey before and after the intervention. The intervention manual will also be tried out during the trial-run so that it could be refined for the main study. This trial-run also aims to test the acceptability of the intervention programme by the participants. Postnatal depression is a common mental disorder after childbirth. It was consistently reported the negative impact of postpartum depression on the physical and psychological well-being of women and their children, as well as the entire family (Epperson & Ballew, 2006; O’Hara, 1997). However, it was often left unidentified and untreated (Affonso & Arizmendi, 1986). Yet, postnatally depressed women were more likely to develop depression in the future pregnancy (Weissman & Olfson, 1995). Effective preventive interventions are needed. With the increasing burden on medical cost and limited resources, treatment for postpartum depression must demonstrate clinical effectiveness as well as cost-effectiveness. As several meta-analyses have found that psychosocial interventions produced comparable outcome (Hollon, Shelton & Loosen, 1991) or even better outcome (Dobson, 1989) than pharmacotherapy alone, and considering that the majority of women with postnatal depression prefer psychosocial interventions to pharmacotherapy, it is worth investigating into the effectiveness of psychosocial interventions. Among the various approaches have been used in the prevention studies, cognitive-behavioral intervention (e.g. Austin et al., 2008; Munoz et al., 2007) is most commonly used and reported to be effective (Chabrol et al., 2002; Craig et al., 2005; Prendergast & Austin, 2001). CBT is a time-limited, evidence-based psychosocial intervention that is efficacious in treating various mental disorders (Myhr, 2004; Otto, 2005). It aims to help patients in modifying cognitive distortions that may impact their mood negatively (Antonuccio, Thomas & Danton, 1997). CBT has been consistently shown to be effective as a postpartum intervention to prevent depression. In Chabrol et al. (2002), the intervention group showed a greater proportion of subjects with ≥50% reduction in postnatal depressive symptoms. The mean EPDS score dropped from 12.8 to 5.7 after treatment (53.9% reduction); the mean score in the control group remained the same at 13.7. In Craig et al. (2005), there was significant reduction in mean EPDS score with a drop to <10 (49.7% reduction) after treatment and 73% reduction during follow up. In Prendergast and Austin (2001), the post-intervention mean EPDS score dropped to <9 with a comparable drop in the CBT group and the ideal standard care group. During follow up, there was significantly greater reduction in the CBT group (61% versus 43.8% reduction). Only recent few years, CBT is tested as antenatal interventions to prevent postpartum depression on pregnant women (Austin et al., 2008; Munoz et al., 2007). Antenatal depression and anxiety were reported to be strong predictors of postpartum intervention both in West (Heron, O’Connor, Evans, Golding, & Glover, 2004; Leigh & Milgrom, 2008) and in Hong Kong (Leung et al 2005). High prevalence of antenatal depression was also reported in Hong Kong from recent studies with 16.6% (Leung et al 2005) measured by EPDS to 37.1% measured by Hospital Anxiety and Depression Scale, (Lee et al., 2007). Most CBT intervention consisted of 8 to 12 sessions (van der Kink et al., 2001) which demanded high commitment of the participants and had been a huge challenge in preventive intervention studies (Stick, Burton, Bearman, & Rohde, 2006). The antenatal CBT intervention tested by Austin et al. (2008) and Munoz et al. (2007) comprised of 6 and 12 sessions, respectively. It is worth testing a breif CBT antenatal interventions to prevent depression among Hong Kong postpartum women. Conceptual Basis of the Intervention The intervention components of CBT can be divided into cognitive and behavioral components. With regard to the cognitive component, various cognitive core ideas and techniques were introduced and used, including recognition of automatic thoughts, use of alternative therapy, and scheduling of activities. Mothers were encouraged to share their current circumstances and emotional states, in order to provide them with channels to express their negative feelings (Chabrol et al., 2002). Facilitators assisted mothers to examine their patterns of thinking and to identify their negative automatic thoughts. This helped to raise their assertiveness and self-esteem, and to develop a positive thinking style (Craig et al., 2005). Mothers were encouraged to interrelate their thoughts, affects, behavior, physical reactions, and environment, for example, the use of life events or one’s own experiences, to help them to accept and work with their symptoms, in order to improve their mood (Misri, Reebye, Corral, & Milis, 2004). The thought challenging technique was also used to help women to challenge their thoughts, behaviors, and internal critique so that they could move forward and improve their mood (Criag et al., 2005; Prendergast & Austin, 2001). Behavioral techniques were used in combination with various cognitive techniques to enhance the effectiveness of the intervention. Homework was assigned to the mothers and previously agreed tasks were reviewed in subsequent sessions. In some studies, mothers were instructed on how to schedule their activities and to include pleasant activities in their schedules, in order to alleviate the sense of lack of enjoyment (Craig et al., 2005; Prendergast & Austin, 2001). With regard to the comparison between group and individual CBT, both types of interventions were conducted in the reviewed studies. Studies showed that both were effective in reducing depression scores at post-treatment and follow up with no significant differences (Joanna Briggs Institute, 2006). Scott and Stradling (1990) also showed that group and individual therapy for depression were equally effective, in terms of amount of change affected per patient. In terms of therapists’ time, group cognitive-behavioural approach offers as much as 50% greater efficiency. Thus, group delivery of treatment, requiring less therapist time per patient, is considerably more efficient. Having known that group CBT can be as efficacious as individual CBT, and with limited manpower resource, group cognitive-behavioural would be considered as a better choice of treatment, with more effective use of resources. There are also additional advantages over individual therapy in terms of greater levels of intra- and interpersonal learning, and a sense of lasting benefit for group members. |
| Project Title: | The 4th International Conference on Community Health Nursing Research Maternal negative moods affected by depressive symptoms of their adolescent children among Chinese. (Oral presentation). Challenges of family relationships in transition to parenthood. (Oral presentation). Interprofessional learning of nursing and medical students. (Poster presentation). School-based eating disorders screening program and preventive education for adolescent female students in Hong Kong. (Poster presentation). |
| Investigator(s): | Leung SSK |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 08/2009 |
| Completion Date: | 08/2009 |
| Abstract: |
| N/A |
| Project Title: | Trial run of Brief Group Intervention Using Cognitive-behavioral Approach to Reduce Postnatal Depressive Symptoms |
| Investigator(s): | Leung SSK, Lee AM, Chiang VCL, Leung KY, Wong DFK |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 04/2010 |
| Abstract: |
| This is a pilot study to put two brief interventions into trial run for reducing depressive symptoms among postnatal women. The interventions are programs with 4 to 6 weekly sessions using group cognitive-behavioral (CB) approach. This trial-run is to test the feasibility of recruiting postnatal women after delivery as well as to test the acceptability of intervention. After the trial run, the intervention manual will be refined and used for a larger study to test the efficacy of the intervention in a randomized controlled trial. Postnatal depression (PND) is a mental disorder after childbirth that is consistently reported to have negative impact on the physical and psychological well-being of women and their children, as well as the entire family (Epperson & Ballew, 2006; WHO, 2005). PND is similar to depression at other time across life span which may lead to social isolation, poor quality of life and increased mortality (WHO, 2006). It affects 10-15% postpartum women in the West (O’Hara & Swain 1996) and 11-19.8% in Asia and Hong Kong (Lee et al. 2001; Xie et al., 2009). Several meta-analyses have found that psychotherapy interventions produced comparable outcome (Hollon, Shelton & Loosen, 1991) or even better outcome (Dobson, 1989) than pharmacotherapy alone to treating PND. Majority of women with PND prefer psychotherapy interventions to pharmacotherapy (Chabrol et al., 2002), particularly for breast-feeding mothers (Sit & Wisner, 2005). Among psychotherapy interventions, cognitive-behavioral (CB) approach was found to be most promising in reducing depressive symptoms among postnatal women (Chabrol et al., 2002; Cooper et al., 2003; Craig et al., 2005). In Chabrol et al. (2002), the intervention group showed a greater proportion of subjects with ≥50% reduction in postnatal depressive symptoms. The mean EPDS score dropped from 12.8 to 5.7 after treatment (53.9% reduction); the mean score in the control group remained the same at 13.7. In Craig et al. (2005), there was significant reduction in mean EPDS score with a drop to <10 (49.7% reduction) after treatment and 73% reduction during follow up. In Prendergast and Austin (2001), the post-intervention mean EPDS score dropped to <9 with a comparable drop in the CBT group and the ideal standard care group. During follow up, there was significantly greater reduction in the CBT group (61% versus 43.8% reduction). Studies showed that both group and individual CBT were effective in reducing depression scores at post-treatment and follow up with no significant differences (Joanna Briggs Institute, 2006). However, group CB was more cost-effective in terms of saving therapists’ time and achieved as much as 50% greater efficiency (Scott and Stradling, 1990). It has additional advantages in terms of greater levels of intra- and interpersonal learning, and a sense of lasting benefit for group members. CB intervention focused on correcting the negative distorted cognitions and dysfunctional underlying beliefs that maintain depressive symptoms (Beck et al., 1979). The key of the CBT is to unlock the misconception of motherhood and offer them alternatives to the traditional views (Beck, 2002). Most CBT intervention consisted of 8 to 12 sessions (van der Kink et al., 2001) which demanded high commitment of the participants (Stice, Burton, Bearman & Rohde, 2006). Brief intervention is one of the most crucial features and consideration in further improvement of the psychotherapy interventions and report on effective intervention program for postpartum depression on Asian or Chinese is lacking. There is a pressing need for developing brief interventions that are cost-effective. In addition to the concern for cost, shorter programs are most desirable in view of the high attrition rate (up to 50%) which is common among perinatal studies. However, majority of the studies did not report the details of the group CBT program. It was not clear how the intervention work and which were the major components in designing a brief intervention. Austin et al (2008) suggested behavioral components were essential and more suitable for in CBT program for perinatal depression. This study aims to compare two interventions programmes that are brief with only 4-6 sessions which have different emphases with one focuses more on cognitive measures and the other one more on behavioral measures. Our intervention programmes are developed based on a well-developed and tested CBT programme which has been used on Chinese depressed adults. Our research team member, Wong (2008), has adopted group CB intervention on 347 Hong Kong Chinese adult with mild to moderate depressive symptoms in a randomized controlled trial. After the10-week intervention, participants in group CBT program had significantly lower depressive symptoms, fewer dysfunctional thoughts and better quality of life compared to control groups. Modification is needed in applying the CBT into the Chinese culture as emphasized by Wong (2008) in his adaption of the group CBT program on Hong Kong Chinese. Wong (2008) has translated and rephrased the terms to ensure appropriateness to the Chinese culture. Based on our team’s previous studies on Hong Kong peri-natal women, we argued that there are differences in cultural expectation and social norms regarding childcare and motherhood among Chinese and Western women. Our previous studies revealed stresses among postnatal women were related to cultural and social norms including conflict with culture and tradition (Leung et al., 2005b). The Chinese postnatal ritual of “doing the month” could be a source of stress when the preference of the new mother was in conflict with the traditional ritual (Leung et al., 2005c). Wong and colleague (Lau & Wong, 2008) noted that postnatal women who were highly concerned for face were more likely to show early depressive symptoms and they were less likely to seek help because they perceived seeking help as an evidence of “incompetence”. Cultural-specific modification is thus required particularly on addressing these culturally related irrational thinking rules and beliefs of childcare and motherhood. Worksheets and exercises were developed to facilitate discussion and application of the concepts. A shortened CBT program modified from Wong (2008) was conducted for teacher stress management among Hong Kong secondary school teachers (Leung et al., 2008). The feedback obtained demonstrated a positive outcome. Participants reported increased confidence in managing emotions and stress. |
| List of Research Outputs |
| Chiang V.C.L., Leung S.S.K., Lee A.M., Lam S.K., Fung S., Wong A.K.Y. and Yung W.K., A short antenatal cognitive-behavorial program to prevent postpartum depression and anxiety in Hong Kong (oral presentation), The 4th International Conference on Community Health Nursing Research (Health in Transition: Researching for the Future), Adelaide, Australia. 2009. |
| Chiang V.C.L., Leung S.S.K., Mak Y.W., Chui Y.Y. and Wong D.F.K., Efficacy of a brief teachers’ stress management program using a cognitive-behavioral approach. , The 4th Hong Kong International Nursing Forum, Hong Kong.. 2010. |
| Chiang V.C.L., Leung S.S.K., Chui Y.Y., Lee A.C.K. and Mak Y.W., Online support for teachers’ stress management: Feasibility and Potentials., The 4th Hong Kong International Nursing Forum, Hong Kong.. 2010. |
| Chiu Y.Y. and Leung S.S.K., School-based eating disorders screening program and preventive education for adolescent female students in Hong Kong. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K., Lee A.C.K., Johnston J.M., Fong D.Y.T., Lam T.H. and Chan S.S.C., Interprofessional learning of nursing and medical students. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K. and Leung I., Cervical cancer screening: knowledge, health perception and attendance rate among Hong Kong Chinese women, International Journal of Women's Health. Dove Press, 2010, 2: 1-8. |
| Leung S.S.K., Challenges of family relationships in transition to parenthood. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K., Cheng R.P.Y., Ip F.L.Y., Tso K.K.P., Ngan C.M. and Lee O.L.D., FAMILY: Share the Care Share the Joy, FAMILY: A Jockey Club Initiative for a Harmonious Society Multidisciplinary Collaboration to Promote Family Health, Happiness and Harmony . 2009. |
| Leung S.S.K., Impact of in-law conflicts on next generation. , AM730. 2010. |
| Leung S.S.K. and Chiang V.C.L., International Nursing: Nursing curriculum and training in Hong Kong, Miyazaki Prefectural Nursing University, Japan. 2010. |
| Leung S.S.K., King's/HKU Fellowship Award 2010, King's College and HKU. 2010. |
| Leung S.S.K., Stewart S.M., Wong J.P.S., Ho D.S.Y., Fong D.Y.T. and Lam T.H., Maternal negative moods affected by depressive symptoms of their adolescent children among Chinese. , Health in Transition: Researching for the Future. The 4th International Conference on Community Health Nursing Research. Adelaide, South Australia. . 2009. |
| Leung S.S.K., Mak Y.W., Chui C.Y.Y., Chiang V.C.L. and Lee A.C.K., Occupational stress, mental health status and stress management behaviors among secondary school teachers in Hong Kong, Health Education Journal. 2009, 68 (4): 1-16. |
| Leung S.S.K., Stewart S.M., Wong J.P.S., Ho D.S.Y., Fong D.Y.T. and Lam T.H., The association between adolescents’ depressive symptoms, maternal negative affect, and family relationships in Hong Kong: Cross-sectional and longitudinal findings., In: Anne E. Kazak, Journal of Family Psychology. American Psychological Association, 2009, 23(5): 636-645. |
| Researcher : Leung YP |
| Project Title: | Incorporating personality traits into the Attitude-Social Influence-Efficacy Model for predicting intention and behaviors of smoking cessation among Chinese smokers: a prospective study |
| Investigator(s): | Leung YP, Chan SSC, Lam TH |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 12/2009 |
| Abstract: |
| Smoking is the biggest preventive cause of death. Hong Kong is the most westernized city of China with the lowest smoking prevalence of about 11.8% in 20081 and has better availability of smoking cessation service, but still suffered from a huge economic burden due to smoking. Smoking kills about 6000 people per year, accounting for about one-fifth of all deaths and lead to an estimated annual medical cost of US$688 million, with active smoking accounted for 77% and passive smoking for 23% of the total cost in 1998.2-3 Research has begun to relate personality traits to various health behaviors and health outcomes.4,5 The five-factor taxonomy (FFM) of personality organize personality into five broad dimensions that are often labeled as extraversion, agreeableness, conscientiousness, neuroticism, and openness to experience.6 Research has implicated personality traits as distal determinants of various health behavior such as smoking, physical activity, and consumption of fruit and vegetables.7-9 In particular for smoking, research suggests that extraversion and neuroticism may be particularly relevant to engagement in smoking and hence will provide insight into smoking behavior and smoking cessation.10-15 Studies on the association between personality and smoking cessation were scarce and the results were somewhat mixed. Longitudinal studies found that extraversion appeared to be associated with smoking cessation in adult16 and conscientiousness prospectively predicted greater likelihood of restricting smoking indoor17. Two cross-sectional studies also reported agreeableness was negatively associated with smoking intensity18,19 while other studies have found no significant correlations between quitting history and trait factors20. Consistent with previous studies7,21, our previous cross-sectional study on Chinese smokers who had received stage-matched cessation counselling also found gender differences in personality traits that female smokers were more neurotic and less open to experience, and related to health-related outcomes that extraversion and conscientiousness were positively and neuroticism was negatively associated with perceived health status.22 Our study also showed that higher score in conscientiousness and lower score in openness to experience predicted greater likelihood of tobacco abstinence at 6-year; and neuroticism was negatively and conscientiousness was positively correlated with the length of abstinence among quitters. It seems that conscientiousness is an important factor in smoking cessation among our Chinese adult smokers. Collectively, research suggests that personality and behavior-specific cognitive influences behavior but more systematic exploration of the phenomenon guided by theory is needed. An integration of the FFM with current theories used in health behavior research may provide a more powerful model of health behaviors in a way that in addition to behavior-specific attitudes and intentions, personality may enable us to understand why certain individuals behave in a healthier fashion than others beyond those explanations given by social cognitions.23,24 The Attitude-Social Influence-Efficacy (ASE) model was developed from the Theory of Reasoned Action and Bandura’s Social Cognitive Theory together with the Transtheoretical models have been used to gain insight into the determinants and guide the development of interventions for smoking cessation.25,26 The ASE model focus on proximal behavioral determinants of health behaviors including attitudes of both affective and cognitive components, three types social influences (social norms, perceived behaviors of others, and direct pressure and support), and self-efficacy expectation will influence the behavior indirectly through the intention to change behavior, the stage of change (precontemplation, contemplation, preparation, and action). These three proximal factors, in turn, is posited to be moderated by distal factors such as past behavior, social and cultural factors and biological factors.27,28 In this extended integrated model, personality trait will be considered as distal factors which influence the stage of intention to change through the three proximal factors. However, it is also possible that some of the personality traits may have a direct effect on intention and future cessation behaviors. Thus, an understanding on how the cognitive and motivational mechanisms through which personality traits influence health behavior by extending the ASE model provide additional predictors of health behavior which will provide useful insight in developing personality-based smoking cessation interventions for Chinese smokers. References are given in Appendix I. Aims: This pilot study aims to apply the ASE model to Chinese smokers and to test the addition of personality traits to the theory by exploring the direct and indirect effects of personality traits on cessation intentions. In addition, the study will provide preliminary information on the predictive power of personality traits and cognitive and motivational constructs to prospectively predict smoking cessation behaviors among Chinese smokers in Hong Kong. The results will provide important information on developing innovative personality-based matched smoking cessation interventions for Chinese smokers. Outcomes: The outcomes of the study include: (1) Further validation of the measures of the personality scale and the constructs in the ASE model; (2) Contrast differences in attitudes, social influences, and self-efficacy across the stages of intention to quit; (3) Direct and indirect effects of personality traits on smoking cessation behaviors; (4) The extent to which cognitive variables of ASE mediating any direct effects of personality traits; and (5) The predictive power of the ASE variables and personality traits on smoking cessation behaviors among Chinese smokers. |
| Project Title: | World Congress of Cardiology 2010 Fathers' smoking behaviors at home and near their children after a smoke-free legislation in Hong Kong: A two-group comparison |
| Investigator(s): | Leung YP |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 06/2010 |
| Completion Date: | 06/2010 |
| Abstract: |
| N/A |
| List of Research Outputs |
| Chan J.S.K. and Leung Y.P., Binary geometric process model for the modeling of longitudinal binary data with trend, Computational Statistics. 2010, 25(3): 505-536. |
| Chan J.S.K., Leung Y.P., Choy B.S.T. and Wan W.Y., Nonignorable dropout models for longitudinal binary data with random effects: An application of Monte Carlo approximation through the Gibbs output, Computational Statistics & Data Analysis. 2009, 53(12): 4530-4545. |
| Chan S.S.C., Leung Y.P., Leung G.M., Wong V. and Lam T.H., A 48-month follow-up of a randomized controlled trial on a stage-matched smoking cessation intervention among cardiac patients, 護士為心臟病患者提供階段相稱的戒煙治療隨機對照研究：四十八個月跟進, The 3rd Cross-Strait Conference on Tobacco Control, Hong Kong Council on Smoking and Health, 20 October. 第三屆兩岸四地煙害防制交流研討會, Hong Kong, 2009, 70. |
| Chan S.S.C., Leung Y.P., Lau C.P., Wong V. and Lam T.H., A stage-matched smoking cessation intervention for cardiac outpatients: A randomized controlled trial, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 46. |
| Chan S.S.C., Leung Y.P., Fu C.Y. and Lam T.H., Assessing the effectiveness of a gender-specific smoking cessation counseling intervention for female smokers: A Hong Kong experience, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 275. |
| Chan S.S.C., Leung Y.P., Jiang C.Q., Yang L., Deng L.Z. and Lam T.H., Building capacity in smoking cessation counseling among health care professionals in China: An evaluation using a pre-post study, The First Asia-Pacific Conference on Health Promoton and Education, 18-20 July, Chiba, Japan. 2009, 278. |
| Chan S.S.C., Leung Y.P., Lau C.P., Wong V. and Lam T.H., Cost-effectiveness analysis of a low intensity nurse-led stage-matched smoking cessation intervention to cardiac patients in Hong Kong, Circulation. , American Heart Association, 2010, 122(2): e87. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., Exploring mothers experiences in improving smoking hygiene at home: A qualitative study, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Jiang C.Q., Yang L., Cheng K.K. and Lam T.H., Helping Chinese smokers to quit: 6-month results of a smoking cessation clinic in Guangzhou, China, 4th Hong Kong International Nursing Forum, 4-5 June . Hong Kong, 2010, 76. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T. and Lam T.H., Impact of the smoking free legislation on youth quitting-related behaviors in Hong Kong via a smoking cessation hotline, Circulation. American Heart Association, 2010, 122(2): e87. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung S., Mak K.H., Koh D., Ng V. and Lam T.H., Measuring saliva cotinine in non-smoking mothers and infants living with smoking fathers, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 571. |
| Chan S.S.C., Leung Y.P., Mak Y.W., Leung G.M., Leung S., Mak K.H. and Lam T.H., Mother's action in protecting their children from secondhand smoke exposure at home after the enactment of the smoke free legislation in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P. and Lam T.H., Perceived facilitators and barriers in quitting smoking among female smokers with cardiac diseases in Hong Kong, International Network of Women Against Tobacco, March-August 2010. 2010, 8-9. |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam C.L.K., Hung I., Yuen K.Y., Liang R.H.S., Johnston J.M., Chan C.K., Chu D., Liu S.H. and Lam T.H., Predictors of influenza vaccination in Chinese older patients with chronic disease in Hong Kong, The First Asia-Pacific Conference on Health Promotion and Education, 18-20 July, Chiba, Japan. 2009, 186. |
| Chan S.S.C., Leung Y.P. and Lam T.H., Promoting hospital nurses' practice in smoking cessation in Hong Kong: A cross-sectonal survey, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 47. |
| Chan S.S.C., Leung G.M., Leung Y.P. and Lam T.H., Promoting women's health: A gender-specific smoking cessation program for female smokers in Hong Kong, Book of Abstract. The Hong Kong Public Health Forum 2009, The University of Hong Kong, 20 September. Hong Kong, 2009, 52. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Emmons K., Leung S. and Lam T.H., Randomized Controlled Trials (RCT) of Family Interventions to Reduce Secondhand Smoke (SHS) Exposure in Infants and Mothers, Flight Attendant Medical Research Institute (FAMRI) Ninth Scientific Symposium, Miami, Flordia, USA, 3-5 May. USA, 2010, 168-169. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Koh D., Ng V. and Lam T.H., Saliva cotinine levels of mothers and infants exposed to household secondhand smoke, Circulation. American Heart Association, 2010, 122(2): e87-88. |
| Chan S.S.C., Leung G.M., Leung Y.P. and Lam T.H., The first gender-specific smoking cessation hotline for women in Hong Kong, 香港成立首個專為女性戒煙的熱線, The 3rd Cross-Strait Conference on Tobacco Control, Hong Kong Council on Smoking and Health, 20 October. 第三屆兩岸四地煙害防制交流研討會, Hong Kong, 2009, 66. |
| Chan S.S.C., Leung Y.P., Wong C.N. and Lam T.H., The impact of the smoke-free legislation on smolers' motivation and confidence to quit smoking: A comparison of two sampels in Hong Kong, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA. 24-27 February. 2010, 56. |
| Kember D.R. and Leung Y.P., Comparing the effect on the development of graduate capabilities of the differing teaching and learning environments in three discipline areas, In: Teo, T. & Khine, M.S., Structural equation modeling: Concepts and applications in educational research. Rotterdam, Netherlands, Sense Publishers, 2009, 267-286. |
| Lam T.H., Chan S.S.C., Leung Y.P., Abdullah A.S.M., Lo S.T., Kok W.M., Yip W.C., Leung L.S., Leung G.M. and Ho D.S.Y., A randomized control trial (RCT) on smoking cessation intervention with nicotine replacement therapy (NRT) on patients with erectile dysfunction in Hong Kong (poster presentation), The Hong Kong Public Health Forum 2009, 20 September 2009, Hong Kong. Hong Kong, School of Public Health/HKU, 2009, 50. |
| Lam T.H., Chan S.S.C., Leung Y.P., Abdullah A.S.M., Wong V.T. and Hedley A.J., A randomized controlled trial of a smoking reduction intervention in promoting cessation among Chinese smokers with no intention to quit (poster presentation), The Hong Kong Public Health Forum 2009, 20 September 2009, Hong Kong. Hong Kong, School of Public Health/HKU, 2009, 48. |
| Leung A.Y.M., Leung Y.P. and Chi I., Barriers and facilitators in health-related learning among Chinese third agers, The 62nd Annual Scientific Meeting of the The Gerontology Society of America. 2009, 77. |
| Leung A.Y.M., Leung Y.P. and Chi I., Hong Kong Chinese Third Agers’ Experience and Preference in Health Promotion: Would their Educational Level Make a Difference? , The 1st Asia-Pacific Conference on Health Promotion and Education. 2009. |
| Leung A.Y.M. and Leung Y.P., Online health information seeking behavior among soon-to-be aged adults: A cross-sectional survey, International conference on promoting chronic care. 2010. |
| Leung Y.P. and Lee W.S.W., Dimensionality of the Maslach Burnout Inventory (MBI-ES) among a sample of Chinese Teachers, The First Asia-Pacific Conference on Health Promotion and Education, Makuhari Messe, Japan. 2009. |
| Leung Y.P. and Leung A.Y.M., Factors structure of the Chinese General Self-efficacy Scale (CGSE) across age group of soon-to-be-aged adults (poster presentation), The 5th International Symposium on Healthy Aging - Is aging a disease?, 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 60. |
| Leung Y.P., Chan S.S.C., Mak Y.W., Leung G.M. and Lam T.H., Fathers' smoking behaviors at home and near their children after a smoke-free legislation in Hong Kong: A two-group comparison, Circulation. 2010, 122(2): e274. |
| Leung Y.P., Chan S.S.C., Leung A.Y.M. and Lam T.H., Measuring self-efficacy to manage disease in general among a sample of Chinese older adults with chronic diseases, the First Asia-Pacific Conference on Health Promotion and Education, Makuhari Messe, Japan. 2009. |
| Leung Y.P., Chan S.S.C. and Lam T.H., Personality traits and smoking cessation follwoing treatment, Book of Abstract, The Hong Kong Public Health Forum 2009, The University of Hong Kong, Sept 29, 2009. 54. |
| Leung Y.P. and Leung A.Y.M., Psychometric Properties of the Chinese General Self-Efficacy Scale (CGSE) among Soon-to-be-aged Adults, The 17th Annual Congress of Gerontology, Hong Kong Association of Gerontology. 2009. |
| Leung Y.P., Chan S.S.C. and Lam T.H., Psychometric properties of the smoking self-efficacy scale (SEQ-12) among Chinese cardiac patients who smoke, The Hong Kong Public Health Forum 2009, The University of Hong Kong. 20 September. 2009, 55. |
| Leung Y.P., Use of Structural Equation Modeling in Testing Realistic Model in Research, School of Nursing, Peking Union Medical College (PUMC). 2010. |
| Leung Y.P., Chan S.S.C., Yau J.P.L., Leung A.Y.M., Leung S., Emmons K. and Lam T.H., Validating the Chinese General Self-Efficacy Scale in a sample of mothers with smoking husbands in Hong Kong, The 4th Hong Kong International Nursing Forum, The University of Hong Kong, 4-5 June 2010. |
| Tafarodi R.W., Shaughnessy S., Lee W.S.W., Leung Y.P., Ozaki Y., Morio H. and Yamaguchi S., Disregard for outsiders: A cultural comparison, Journal of Cross-Cultural Psychology. 2009, 40(4): 567-583. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Yau J.P.L., Chan S.S.C., Leung Y.P., Leung G.M., Leung A.Y.M., Emmons K., Leung S., Koh D., Ng V. and Lam T.H., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure to children: a pilot study., The 4th Hong Kong International Nursing Forum, Hong Kong, China, 4-5 June 2010.. 2010. |
| Yau P.L.J., Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., A RCT of a family intervention to reduce secondhand smoke (SHS) exposure in children, The Hong Kong Public Health Forum 2009. Hong Kong, 49. |
| Zhao Y., Leung Y.P., Xu X.Y., Han L.L., Liu D.M. and Li Y., Relationship between mental health and multidimensional health locus of control in a sample of Chongqing Undergraduates: Implications for health promotion, International Health Promotion Congress - Better Life through Health Promotion, Shanghai, 20-21 June 2010. |
| Researcher : Li WHC |
| Project Title: | The Development of a Measurement Tool in Assessing Chinese Children's Coping Behavior towards Surgery |
| Investigator(s): | Li WHC |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 10/2007 |
| Completion Date: | 09/2009 |
| Abstract: |
| Objectives of the Study Introduction Surgery is anxiety provoking experiences and can be emotionally devastating for children. Although a mild to moderate level of anxiety is crucial for learning and can promote better adjustment (Janis, 1958), excessive anxiety can be detrimental to children’s physical and psychological health. Empirical evidence shows that excessive anxiety hinders children’s ability to cope with medical treatment, affects their physical and mental well-being, encourages negative and uncooperative behaviour, and causes behavioural changes (Becher & Sing, 1997; Li & Lam, 2003; Lizasoain & Polaino, 1995; Ziegler & Prior, 1994). A strong, positive correlation between children’s emotional behaviours and state anxiety scores was found (Li & Lam, 2003), with high levels of state anxiety associated with more negative emotional behaviour manifested. The correlation between high anxiety level and poor postoperative outcome suggests that reducing preoperative anxiety in children could promote better postoperative recovery (O’Conner-Von, 2000). Therefore, there is a need to develop preoperative psychological interventions, and the goals of such preparation should focus on minimizing children’s level of anxiety and enhancing their ability to cope with surgery. According to Lazarus & Folkman’s (1984) approach to Cognitive, Stress and Coping, coping is conceptualised as consisting of two categories: problem- and emotion-focused coping. Problem-focused coping is an activity aimed at modifying, avoiding, or minimizing the impact of the problem encountered, or an attempt to control the situation. Emotional-focused coping is based on the elimination of undesirable emotions that result from the stress experience. Both problem-focused and emotion-focused coping are likely to be used during a stressful situation. Lazarus and Folkman further categorized the emotion-focused and problem-focused coping into eight coping strategies. Problem-focused coping includes seeking social support, planful problem solving, and confronting. Emotion-focused includes positive reappraisal, self-control, escape-avoidance, accepting responsibility, and distancing. Lazarus and Folkman (1984) pointed out that individual differences in appraisal of threat and coping would be expected to affect a person’s experience of surgery and his response to psychological intervention. Therefore, assessing coping behaviours of children is the first step toward designing appropriate interventions that can enhance their ability to cope with the stresses of surgery. Following the theoretical perspective of stress, appraisal, and coping of Lazarus and Folkman’s (1984), factors that influence how children cope with the stresses of surgery has been extensively investigated (LaMontagne, 1984, 1987, 2000; LaMontagne et al., 1996; Ryan, 1989). LaMontagne (2000) claimed that preoperative interventions given to those children with vigilant or active coping behaviours should focus on further enhancing children’s feelings of mastery. It is appropriate to provide them with more details about the surgery experience, such as what to expect postoperatively and how they can assist in their own recovery. In contrast, the preoperative interventions given to those children with avoidant coping behaviours should focus on clarifying any misconceptions they may have. In a study to examine children’s preoperative coping and its effects on postoperative outcome, LaMontagne et al (1996) revealed that preoperative coping of children has direct and positive effect on postoperative anxiety and return to normal activities. These findings have important implications for nursing practice. Understanding the evolution of children’s stress and coping process, especially the ways of coping in advance could enhance the effectiveness of nursing intervention strategies to reduce anticipatory anxiety and bolster coping mechanisms preoperatively. Therefore, it is crucial to have a screening tool for nurses working in a preoperative assessment clinic to identify children’s specific coping behaviours before their surgery. A review of the literature reveals that the Preoperative Mode of Coping Interview has been widely used to measure avoidant-vigilant coping in paediatric surgical patient (Cohen, 1975; LaMontagne, 1984, 1987; LaMontagne et al., 1996; Thompson, 1994; LaMontagne et al., 2004). This coping interview is designed to identify children’s emotional state and knowledge about the illness, the operation, and postoperative outcomes. On the basis of responses to the structured interviewed questions, children are rated along a dimension of coping behaviours from avoidant to vigilant. However, one limitation of this interview is that it does not measure children’s coping styles, but active coping processes. Moreover, the theoretical and practical meaning of high-, low-, and especially middle- range scores was not explained. In addition, the Preoperative Mode of Coping Interview is a structured interview that contains 24 items; it may not be feasible to conduct such interview in today’s busy clinical situations and settings. In a critical analysis of children’s coping measures, Ryan-Wenger (1994) recommended that the Kidcope checklist is most useful in clinical practice and research. The Kidcope checklist is a brief 10-item coping checklist developed for use with pediatric populations (Spirito, Stark, & Williams, 1988). Nevertheless, the validity of this checklist has not been established. Moreover, there is limited number of coping statements that makes up the instrument, which thus, is not a comprehensive clinical assessment of coping. Pretzlik, and Sylva (1999) highlighted that the Kidcope checklist should be used in conjunction with other measures of coping in clinical practice and research. Indeed, most children’s coping measures in existing literature have not been translated into Chinese or used in the Hong Kong Chinese society. It may be psychometrically inappropriate, and even problematic, to apply this tool to a new cultural group, such as Hong Kong Chinese children. Because of cultural differences, some concepts or items in the original instrument may be inappropriate for persons in another culture (Ferraz, 1997); therefore the findings may be inaccurate (Flaherty et al., 1988). Given these issues, this study aims at developing a reliable and valid scale that can be used to identify children’s coping behaviours based on the theoretical framework of Lazarus & Folkman’s (1984) approach to cognitive, stress and coping, and to test the psychometric properties of this newly developed scale. |
| Project Title: | The effectiveness of therapeutic play intervention using virtual technology in promoting mental well-being for children in the community: A randomized controlled trial study |
| Investigator(s): | Li WHC |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 03/2009 |
| Abstract: |
| Mental health problems in children are becoming more serious in Hong Kong and have turned out to be a major public health concern. The major contributory factor to the increase in mental health problems among children in Hong Kong has been the great expectations of academic achievement from both their parents and their schools. In a comprehensive review of the mental health of Hong Kong children, Wong and Tsoi (1999) reported that most parents in Hong Kong have high expectations of their children and they regard academic achievements as the top priority in childcare. This may be due to the common attitude, held by parents, and by most of the students, that academic achievement is related to a better career and bright future (Tsoi & Pryde, 1999). Given this cultural context, Hong Kong Chinese children are exposed to considerable stress within the family and school while growing up. There is evidence that prolong and excessive anxiety may cause behavioural changes, and encourage negative and uncooperative behaviour (Li & Lopez, 2005). Some children may even develop more serious mental health problems such as disruptive behaviour, problems related to communication and sleep, low self-esteem, attention and learning disorders, and even depression (Tomb & Hunter, 2004). With reference to “Hong Kong Children’s Development Indicators”, a report published by the Boy’s and Girl’s Club Association of Hong Kong (2007), the number of new cases of children seeking psychiatric specialist out-patient services at public hospitals in Hong Kong rose by 30% from 14,348 in 2001, to 18,516 in 2005. This report also indicated that most of these new cases were referred for treatment of emotional and anxiety disorders and the principal sources of these mental health problems were excessive homework, examinations and parental pressure relating to academic achievement. Conversely, the poverty rate in Hong Kong is displaying an upward trend. In September 2004, the Hong Kong Council of Social Service (HKCSS) published a report “Growing Seriousness in Poverty and Income Disparity”. The research results revealed a significant upward trend in the poverty rate of Hong Kong, which rose from 11.2% in 1991 to 18.0% in 2002. Similar trends were also being found in the poverty rates of children, which rose from 17.1% in 1991 to 25.5% in 2002. In 2002, 255 out of every 1000 children in Hong Kong were living in poor families. Impact of Poverty on Children and the Society While understanding the financial pressure, many children tend to suppress their needs; even they are very basic for other children. In a report entitled “A study of Livelihood of Children from Low-income Families” published by Society for Community Organization and the University of Hong Kong in 2001, it was indicated that many children lacked social recreational activities, and felt that their lives were boring. Children from low-income families also felt that their parents did not spend enough time with them. Despite the lack of resources most families seldom make use of community resources for their children. In December 2003, the Hong Kong Council of Social Service (HKCSS) published a report “A Study on Living Conditions and Expectations of Children”. The results indicated that the frequency of children participated in social recreational activities from low-income families was significantly much lower than children from non low-income families. Some children from low-income families claimed that they were not satisfied with their living conditions and financial pressure caused them to be unable to join social recreational activities. As a result, most children from low-income families spend most of their time sitting passively in front of a screen watching TV on public holiday. Children living in poverty lack resources for their physical and psychological development, which will drag down their self-esteem. As a result, their drive for improvement will be impaired and the opportunities for them to develop their potentials are reduced. Overall, the quality of the future pillars of the Hong Kong society will be adversely affected. Indeed, play is vital to the physical development and psychological well-being of all children. Both cognitive-developmental and psychoanalytic theorists believe that play is essential for children’s normal growth and development, an expression of their understanding about the world, and could provide opportunities for them to develop mastery of self and the environment (Piaget, 1969). During the past few decades, play has been well documented as a crucial role in the optimal growth, learning, and development of children from infancy through adolescence (Becher & Sing, 1997). Children can develop all their abilities: movement, hand skills, communication, self-care, social, creativity and intellectual skills through play. It can also build up children’s understanding of people and things around them and influence the development of their character and personality. Additionally, it can help foster children’s feeling of self-esteem and self-efficacy (Li & Lopez, 2005). Regrettably, despite the importance of play is well received in Western countries, play has traditionally been viewed as a secondary concern when compared with academic performance by many Hong Kong Chinese parents (Becher & Sing, 1997). Most importantly, the effectiveness of therapeutic play using virtual technology in promoting children’s mental health has seldom been tested. The purpose of this study is therefore, to test the effectiveness of therapeutic play using virtual technology in promoting children’s mental health in the community. The objectives of the study are to examine whether, in comparison with primary school children who do not receive therapeutic play intervention , primary school children who receive therapeutic play intervention will: (1) report fewer psychological distress; (2) report higher self-esteem, and (3) exhibit fewer depressive symptoms. Null Hypotheses There will be no differences in psychological distress, depressive symptoms and self-esteem in children who receive therapeutic play programme using virtual technology or not. |
| Project Title: | The effectiveness of therapeutic play on pre-and pro-operative anxiety and emotional responses of Hong Kong Chinese children having elective surgery: a randomized controlled trial |
| Investigator(s): | Li WHC, Chan SSC, Wong EML |
| Department: | School of Nursing |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 11/2009 |
| Abstract: |
| To examine: 1) the effectiveness of therapeutic play intervention on pre- and post-operative outcomes of children having elective (non-emergency) surgery; 2) the feasibility and appropriateness of implementing therapeutic play intervention in clinical areas from the perspectives of health care providers and participants. |
| Project Title: | 2009 Shanghai International Nursing Conference Strategies Used by Hong Kong Chinese Children to Cope with the Diagnosis and Treatment of Cancer |
| Investigator(s): | Li WHC |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 11/2009 |
| Completion Date: | 11/2009 |
| Abstract: |
| N/A |
| Project Title: | The Effectiveness of Incorporating Play Activities in a Health Promotion Programme to Ehance Mental-welling of Primary School Students: A Pilot Study |
| Investigator(s): | Li WHC |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 06/2010 |
| Abstract: |
| Mental health problems in children are becoming more serious in Hong Kong and have turned out to be a major public health concern. Over the past two decades, the family structure in Hong Kong has undergone significant changes, with traditional extended families gradually been replaced by small nuclear families (Lam, et al., 2004). Because there are fewer siblings in a nuclear family, children are afforded more attention and are over-protected by parents. This may result in today’s children being more vulnerable and less resilient to psychological distress compared to those of the previous generation. There is some evidence that today’s children are more vulnerable and less resilient to psychological distress compared to those of the previous generation (Lam, et al., 2004). Another major contributory factor to the increase in mental health problems among children in Hong Kong has been the great expectations of academic achievement from both their parents and their schools. A comprehensive review of the mental health of Hong Kong children revealed that most parents have high expectations of their children and they regard academic achievements as the top priority in child care (Wong & Tsoi, 1999). This may be due to the common attitude, held by parents that academic achievement is related to a better career and brighter future (Tsoi & Pryde, 1999). Given this cultural context, Hong Kong Chinese children are exposed to considerable stress within the family and school while growing up. This is evidenced by a recent study showing that primary school children in Hong Kong experienced considerably higher levels of anxiety before academic examinations (Li & Lopez, 2004). With reference to “Hong Kong Children’s Development Indicators”, a report published by the Boy’s and Girl’s Club Association of Hong Kong (2007), the number of new cases of children, aged 0 to 14, seeking psychiatric specialist out-patient services at public hospitals in Hong Kong increased by 30% from 14,348 in 2001, to 18,516 in 2005. This report also indicated that most of these new cases experienced much stress and even showed symptoms of depression and the principal sources of these mental health problems were, among others, excessive homework, examinations and parental pressure related to academic achievement. A large-scale surveillance was conducted in 2003 to examine eating habits, exercise pattern, risk behaviors, violence behaviors and psychological well-being of school students in Tsuen Wan (CUHK’s School of Public health, 2001). The results revealed that majority of primary and secondary school students did not have the required healthy eating standard and not even 50% of the students performed regular exercises. Moreover, about 40% of the students had depressive symptoms. The findings also revealed that those students with depressive symptoms were more likely to have unhealthy eating habits, smoke, drink alcohol or take illicit drugs. Nevertheless, those students who engaged in healthy lifestyle, such as having healthy eating and regular exercises, was found to have less depressive symptoms, better emotional and physical health than those who did not engage in healthy lifestyle. The findings have important implications for health promotion. Through helping children engage in healthy lifestyle, it could enhance their mental well-being. On the other hand, play is vital to the physical development and psychological well-being of all children. Both cognitive-developmental and psychoanalytic theorists believe that play is essential for children’s normal growth and development, an expression of their understanding about the world, and could provide opportunities for them to develop mastery of self and the environment (Piaget, 1969). During the past few decades, play has been well documented as a crucial role in the optimal growth, learning, and development of children from infancy through adolescence (Becher & Sing, 1997). Children can develop all their abilities: movement, hand skills, communication, self-care, social, creativity and intellectual skills through play. It can also build up children’s understanding of people and things around them and influence the development of their character and personality. There is also increasing empirical evidence of the importance of play in promoting children’s physical and mental health (Weiss, Bialik, & Kizony, 2003). Additionally, it can help foster children’s feeling of self-esteem and self-efficacy (Li & Lopez, 2005). Regrettably, despite the importance of play is well received in Western countries, play has traditionally been viewed as a secondary concern when compared with academic performance by many Hong Kong Chinese parents (Becher & Sing, 1997). On the other hand, a review of the literature reveals that there is no study to evaluate the effectiveness of health promotion programme in enhancing mental well-being of Hong Kong primary school students. Given the above issues, there is a need to develop a health promotion programme to promote healthy lifestyle to Hong Kong primary school students. Most importantly, it is essential to advocate to parents the importance of play in enhancing their children’s normal growth and development. Aim and Objectives The aim of this study is to examine the effectiveness of incorporating play activities in a health promotion programme to enhance mental well-being of primary school students. The objectives of the study are to examine whether, in comparison with primary school children who receive assessment only, primary school children who receive health promotion programme incorporated with play activities or primary school children who receive health promotion programme only will: (1) report lower level of anxiety, (2) exhibit fewer depressive symptoms, and (3) report higher self-esteem. Null Hypotheses 1. There will be no differences in anxiety level, depressive symptoms and self-esteem in children who receive health promotion programme incorporated with play activities or assessment only. 2. There will be no differences in anxiety level, depressive symptoms and self-esteem in children who receive health promotion programme or assessment only. 3. There will be no differences in anxiety level, depressive symptoms and self-esteem in children who receive health promotion programme incorporated with play activities or health promotion programme only. |
| List of Research Outputs |
| Chan J.L.Y., Leung A.Y.M., Chiang V.C.L., Li W.H.C., Wong E.M.L., Liu A.N.C. and Chan S.S.C., A Pilot project to build e-health literacy among university students in Hong Kong, The 10th International Congress on Medical Librarianship (Brisbane, Australia). 2009. |
| Li W.H.C., Barriers to Evidence-Based Nursing Practice: The Hong Kong Baccalaureate Nursing Students' Perspective, The First Asia-Pacific Conference on Health Promotion and Education. Chiba, Japan, 2009, R092. |
| Li W.H.C., Enhancing the efficacy of psychoeducational interventions for paediatric patients in a randomised controlled trial: methodological considerations , Journal of Clinical Nursing. 2009, 18: 3013-3021. |
| Li W.H.C., Excellent paper of 2009 Shanghai International Nursing Conference (SHINC): Strategies used by Hong Kong Chinese children to cope with the diagnosis and treatment of cancer, Shanghai Nursing Association, 2009 Shanghai International Nursing Conference . 2009. |
| Li W.H.C., Chung O.K., Chui M.L. and Chan S.L., Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. , Journal of Clinical Nursing. 2009, 18(23): 3253-3261. |
| Li W.H.C., Chan S.L., Chung O.K. and Chui M.L., Relationships among mental health, self-esteem and physical health in Chinese adolescents: an exploratory study, Journal of Health Psychology. 2010, 15(1): 96-106. |
| Li W.H.C., Strategies used by Hong Kong Chinese children to cope with the diagnosis and treatment of cancer, 2009 Shanghai International Nursing Conference. 2009. |
| Li W.H.C., Strategies used by children to cope with the diagnosis and treatment of cancer: An exploratory study, 16th Hong Kong International Cancer Congress. 6th Annual Meeting Centre for Cancer Research.. 2009. |
| Li W.H.C. and Ho K.Y., The Effectiveness of Therapeutic Play, Using Virtual Reality Computer Games, in Promoting the Psychological Well-being of Children Hospitalized with Cancer, 4th Hong Kong International Nursing Forum: Nurses' Role in Promoting and Managing the Health of the Community. 2010, 77. |
| Li W.H.C., The Impact of Cancer on Children's Physical, Emotional and Psychosocial Well-being in Hong Kong Chinese Children, The First Asia-Pacific Conference on Health Promotion and Education. Chiba, Japan, 2009, R247. |
| Li W.H.C. and Chiu S.Y., The impact of cancer on Hong Kong Chinese children’s physical, emotional and psychological well-being. Book of Abstracts. Joint Annual Scientific Meeting for Paediatricians and Paediatric Nurses, The Hong Kong Paediatric Society & Hong Kong Paediatric Nurses Associated Ltd. 2009. |
| Li W.H.C., Chung O.K. and Chiu S.Y., The impact of cancer on children’s physical, emotional, and psychosocial well-being. , Cancer Nursing. 2010, 33(1): 47-54. |
| Li W.H.C. and Chiu S.Y., Understand how children cope with the diagnosis and treatment of cancer: An important step to implement appropriate psychological interventions. , Joint Annual Scientific Meeting for Paediatricians and Paediatric Nurses. The Hong Kong Paediatric Society & Hong Kong Paediatric Nurses Associated Ltd.. 2009. |
| Li W.H.C., 愉快學習上小一, am730. 2010, 22. |
| Li W.H.C., 愛 十 人：愉快學習上小一, 愛 十 人：愉快學習上小一, 商業一台：同途有心人. 商業一台：同途有心人, 2009. |
| Li W.H.C., 手術前遊戲治療 安撫兒童焦慮情緒, 手術前遊戲治療 安撫兒童焦慮情緒, 東方日報. 東方日報, 2009. |
| Researcher : Lo MH |
| Project Title: | The 13th EAFONS Health-promoting behavior and quality of life among caregivers and noncaregivers in Taiwan: a comparative study |
| Investigator(s): | Lo MH |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 02/2010 |
| Completion Date: | 02/2010 |
| Abstract: |
| N/A |
| Project Title: | The effectiveness of practicing Tai Chi to promote sleep quality among older individuals in Hong Kong: a pilot study proposal |
| Investigator(s): | Lo MH |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 05/2010 |
| Abstract: |
| BACKGROUND Sleep disorders are globally prevalent in aging populations, and negatively affect elderly individuals’ quality of life. Numerous studies have indicated that up to 50% of European individuals aged 60 years and older experience insomnia (e.g., Gureji, 2009; LeBlanc, 2009). Studies in Taiwan and mainland China have reported that 6% to 38% of elderly individuals had insomnia (Liu & Liu, 2005; Su et al., 2004; Xiang, 2008). In Hong Kong, a study of 1,034 elderly individuals examined sleep habits and sleep disturbances, finding occasional or persistent sleep disturbance in 75% and insomnia in 38.2% of the sample (Chiu et al., 1999). The adverse health consequences of sleep problems have been widely reported. Studies have shown that older people with sleep problems are at risk of increasing respiratory symptoms, physical disability (Foley et al., 2004), falling incidents and injury (Gureje, 2009), mortality (Manabe et al., 2000) and suicide (Turvey et al. 2002). In addition, several studies have reported that insomnia was highly comorbid with later-life depression, including new onset and perpetuation of this illness (Foley et al., 2004; Pigeon et al., 2008; Su 2004) and other psychiatric disorders (Van Den Berg et al., 2009). Poor sleep in later life thus negatively impacts the physical and psychological aspects of many older people. The etiology of sleep disturbance in later life is multifactorial in nature. Apart from the well-described age-related changes that result in poor sleep initiation, maintenance and increased daytime napping (Harrington & Lee-Chiong, 2007), sleep disturbance in later life can also be secondary to medical, psychological and social factors (Chiu, et al., 1999, Ersser, et al., 1999, Morphy, et al., 2007, Luanaigh & Lawlor, 2008). In addition, studies have reported the association between sleep quality and healthy lifestyle behaviors, such as regular exercise, eating habits, smoking and alcohol use, in younger population (e.g. Ohida, et al., 2001, Jefferson et al., 2005) while very few studies have focused on older population. Nevertheless, studies of younger people with sleep problems may not fully capture the older people’s experience as the etiology of sleep disturbance among older people is, in part, different from the younger people. In addition, some lifestyle behaviors, such as exercise and eating habits, among older people might not comparable with the younger people in relation to the physical changes and prevalence of chronic illnesses in later life. In this respect, the impact of lifestyle on sleep quality should be further explored in older population. Pharmacological management is commonly used as an effective treatment for sleep problems; multiple studies have reported, however, that sedative-hypnotics such as benzodiazepines are associated with increased risk of falls, drug intolerance and adverse central nervous system effects among older adults (Kirkwood, 1999; Patriente, et al., 2008; Stone, et al., 2008). Therefore, long-term use of hypnotics is usually not recommended. Non-pharmacological approaches such as cognitive behavior therapy have reduced the use of benzodiazepines among older people with insomnia (Baillargeon et al., 2004). This therapy, however, requires significant professional involvement and therefore introduces a healthcare cost issue. For these reasons, alternative interventions that are more cost-effective should be explored. For example, simple exercise programs can be integrated into the everyday life of elderly individuals. Tai Chi is a low- to moderate-intensity exercise with a meditational component that has been used in China for centuries as a traditional health-promoting activity for the older population (Lan, et al., 2008). Today, many older people in Hong Kong and mainland China gather early in the morning to practice this traditional exercise that maintains and promotes their general well-being. Tai Chi is a very low cost treatment method, as individuals can independently practice it after a short period of training, and it requires no equipment and a small area to practice. The slow rhythmic movements of Tai Chi are relatively safe for the elderly. In addition, the group nature of the practice is socially beneficial. Studies have found Tai Chi effectively improve balance, upper- and lower-body muscular strength and endurance, and upper- and lower-body flexibility in older Chinese individuals at risk of heart disease and falling incidents (Chiu, 2005; Taylor, et al., 2006a). The psychosocial benefits of the meditational component of Tai Chi exercise have also been studied. It has been found to reduce depression and psychological distress, and to improve mood in older Chinese populations (Taylor, et al., 2006b; Li et al., 2001). A few studies have reported the effectiveness of Tai Chi for sleep problems among the elderly. The two available studies were randomized controlled trials (RCT) which were conducted in the United States. Li et al. (2001) compared the impacts of Tai Chi and stretching on sleep quality in older adults in Oregon. A total of 118 older adult were randomized: 62 to Tai Chi and 56 to low-impact exercise. After 24 weeks of Tai Chi and low impact exercise training, the Tai Chi participants reported significant improvements in sleep-onset latency, as well as in the quality, duration, efficiency and disturbance of sleep. Another RCT was also conducted in the San Diego and Los Angeles (Irwin et al., 2008). This study recruited 112 healthy older adults with moderate sleep complaints and they were randomly assigned to Tai Chi (n=59) or health education group (n=53). After 16 weeks of Tai Chi and health education training, it was found that Tai Chi practice more effectively improved sleep quality when compared with health education. The two RCTs had a small sample size and there was no sample size justification was reported in Irwan’s study. Therefore, the results of these studies might not be reliable. Finally, it is also important to note that there is no culturally appropriate exercise for treating sleep problems among older Chinese populations has been investigated. Given the potential benefits, cultural specificity and popularity of Tai Chi in Hong Kong, it is worthwhile to conduct more empirical studies to explore its effectiveness on sleep quality. The primary objectives of this pilot study are thus to (1) examine whether older individuals who have engaged in short-term Tai Chi intervention experience better sleep quality and (2) better quality of life. (3) The secondary objective of this study is to explore the relationship between healthy lifestyle and quality of sleep among the older individuals. |
| List of Research Outputs |
| Lo M.H., Health-promoting behavior and quality of life among caregivers and noncaregivers in Taiwan: a comparative study, The 13th East Aian Forum of Nursing Scholars. 2010. |
| Lo M.H., Quality of life among elderly Chinese immigrants in Australia. Germany, Lambert Academic Publishing, 2010. |
| Lo M.H., Quality of life among elderly Chinese immigrants in Australia. Lambert Academic Publishing, 2010, 170. |
| Researcher : Mak YW |
| Project Title: | 37th Annual Medical-Scientific Conference Telephone-based Proactive Smoking Cessation Intervention for Parents of Young Children: a Randomized Controlled Trial |
| Investigator(s): | Mak YW |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 05/2006 |
| Abstract: |
| N/A |
| Project Title: | Understanding influences of spousal support on quitting behaviors: a longitudinal study |
| Investigator(s): | Mak YW, Chan SSC, Lam TH |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 01/2008 |
| Completion Date: | 10/2009 |
| Abstract: |
| Many studies have examined the effects of partner support in facilitating the uptake of health behaviors, and have made the distinction between perceived and received support. It is considered that perceived support rather than received support to be the critical component of support in facilitating positive health behaviors such as abstinence from alcohol, cigarettes and caffeine (Aaronson 1989). Likewise, a number of studies related to smoking cessation have found that smokers with partners who reported received support to quit smoking were more likely to quit smoking and maintain abstinence (Cohen & Lichtenstein 1990, Cohen at el 1988, Ockene, Benfari, Nuttall, Hurwitz & Ockene 1982). It is, however, not clear what specific support behaviors are helpful or harmful to quitters. The nature of partner behaviors that support quitting and maintenance of abstinence needs to be identified before systematic intervention to affect partnership in smoking cessation efforts could be developed and delivered if partner support is to be used as a key part of the cessation program. Partner support for smoking cessation Studies have found significant relationship between support from spouses and smoking cessation (Cohen & Lichtenstein 1990; DeLongis, Capreol, Holtzman, O’Brien & Campbell, 2004). A prospective study to examine the role of social support in smoking cessation identified that high levels of partner support and the perceived availability of general support were associated with cessation (Mermelstein, Cohen, Lichtenstein, Baer & Kamarck, 1986). Another study that examined the effects of partner support on maintaining postpartum smoking cessation (Pollak & Mullen, 1997) also showed that the levels of support from partner was positively related to the partner’s support and lack of negative support for quitting. A study which examined the perceptions of support for cessation of smoking during pregnancy, and likelihood of quitting of women (McBride, Curry, Grothaus, Nelson, Lando, and Pirie, 1998), identified positive support such as compliments and willingness to help with daily activities was linked to success in cessation and long term maintenance, while negative support such as pressuring and nagging about smoking, was negatively associated with cessation and maintenance. A study had focused on the role of romantic partners’ support in moderating the men’s efforts to quit using smokeless tobacco (SLT), abstinence in smoking, and its impact on the level of addiction and depression (Lichtenstein, Andrews, Barckley, Akers & Severson. 2002). It was found that although women’s support was not directly related to quitting, their engagement in these activities was correlated with received positive support. The female supports influenced several stages of the cessation process, from the decision to enter a program, to initial quitting, and to maintenance. Partners can also benefit from awareness of support behaviors that get interpreted negatively. These studies distinguished the support into positive and negatives support and the relative contributions of these support to quitting, where positive support is actions that expressed pleasure at one’s efforts to quit, while negative support is those mentioned being bothered by one’s smoke (Lichtenstein, Andrews, Barckley, laura & Herbert, 2002). Another study also examined the correlation of women’s received support and partners’ provided support for smoking cessation during pregnancy (Pollak, McBride, Baucom, Curry, Lando, Pirie, & Grothaus, 2001). The results showed agreement between women’s and partners’ reports of negative support behaviors than for positive support behaviors. It wasalso suggested that that interventions which emphasize improving couple’s communication may reduce misunderstanding about support, reduce occurrences of well-intended but unhelpful behaviors and encourage women to recognize their partners’ support efforts. It is not known whether these studies that have focused on the support given by the providers and the smokers’ perception in getting and using support from the West is be transferable to the eastern culture. Little is known about how the Chinese smoking parents perceive the support provided by their partners and how these partners perceive the support offered. No study of this kind is identified in Asia. Study Aim: To describe and analyze the influence of spousal support on quitting behaviors Objectives: 1. To examine the experience and perceptions of smoking parents on receiving and their partners’ on providing spousal support to help quitting; 2. To investigate and validate an instrument for measuring the perceived support of couples to help smoking spouses to quit and 3. To investigate the efficacy of the support provided by spousal partner in terms of (a) smoking cessation; (b) attempt in quitting; (c) forward progression of stages of readiness in quitting smoking; (d) complete restriction of smoking at home; (e) reduction of daily consumption of cigarettes; and (f) participation in smoking cessation program. References (appended) |
| Project Title: | Prevalence of smoking, attitudes toward smoking and reasons of maintaining non-smoking among nursing students in Hong Kong |
| Investigator(s): | Mak YW, Chan SSC, Lam TH |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 03/2009 |
| Completion Date: | 02/2010 |
| Abstract: |
| Smoking is the most preventable cause of death, responsible for approximately 5.4 million premature deaths every year worldwide1. With the current trends of smoking prevalence and mortality, smoking-related diseases could increase to one billion in the next century if no effective action is taken to control the spread2. There were about 840,000 smokers in Hong Kong in 20063, while China consumes 31% of the world’s cigarettes, and has 320 million smokers4. China has also been recognized only in the early stages of the smoking epidemic5. More effective strategies to maintain non–smoking levels, to prevent smoking initiation and to encourage smoking cessation are urgently needed. Of fundamental importance to tobacco control is the understanding and identifying of the reasons for smoking or not smoking. Some studies have shown that smoking adolescents tend to overestimate the smoking behaviour of their friends and other people of a similar age6-7. Thus, smoking adolescents tend to perceive an unrealistic number of smokers in their environment. Promoting the reasons for maintaining non-smoking among adolescents could be a way of clarifying this misconception. There may be multiple factors that contribute to maintaining non-smoking, some known and some unknown. Three types of information are likely to be useful in explaining the reasons for not smoking. Two types of known factors can be found in the literature: information about predictors of smoking initiation, and protective factors of non-smoking. Traditionally, it will be take it for granted that the reverse side of reasons for smoking initiation can explain the reasons of non-smoking. The third type of information lies in the (unrevealed) factor of how non-smoking is maintained, as reported by those who have never smoked. Understanding the factors contributing to smoking initiation typically comes from cross-sectional studies8 or from adolescents’ transitions from non-smoking to starting smoking 9-11. However, this may not be accurately reflect the reasons for not smoking, partly because ‘never-smokers’ are usually excluded from related studies9 and partly because the definition of non-smokers with whom current smokers are to be compared has varied from study to study, and has often included some, if not all, of recent ex-smokers8, and those who have tried a few cigarettes or have experimented for at least a month10-11. Factors implicated in not starting to smoke may differ from those that lead to smoking initiation or tobacco dependence. At present, relatively little is known about the reasons for not smoking, but some studies have shown that family connections, parental supervision and involvement in daily routines12, religious identification13 or engaging in regular religious activities are associated with a reduced risk of smoking14. To date, as far as we know, there is only one cross-sectional survey which investigates the reasons for not smoking among never-smokers. This study was carried out in Syria, where the prevalence of adult women smoking was 9%, and investigated only Muslim subjects, many of whom were illiterate. It is therefore doubtful whether the findings could be applied to Hong Kong, which has different characteristics such as the prevalence of smoking (4% among female adults) 3, or the religious and educational background. A small number of longitudinal studies of adolescent smoking have examined the associates of non-smoking among those who did not smoke, but some do not control for baseline smoking status9. A research priority is therefore to examine the extent to which the reverse side of factors contributing to smoking initiation is relevant to never-smokers. Another priority is to identify new items that capture dimensions of maintaining non-smoking and reasons of non-smoking that are distinct from those experienced by never-smokers. Nurses belong to one of the most influential groups of healthcare providers in tobacco control, and have many opportunities to implement anti-smoking education programmes15, 16. Previous studies have indicated that healthcare professionals can act as effective models to persuade clients to quit if they themselves are non-smokers17. Nursing students as future health professionals also have an important role to play in the prevention or cessation of smoking. Studies have found that the prevalence of smoking among nurses and nursing students is higher than among the general population or other health profession students of the same age 18-20. However, a gradually decreasing trend has also been reported in other countries21. To date, no information is available on the smoking habits, beliefs and attitudes of nursing students in Hong Kong or on their reasons for smoking or not smoking. To promote anti-smoking measures among nurses and to equip them to be more active in tobacco control, it will be necessary to collect such information. The purposes of this study are (1) to examine the prevalence of smoking, and the attitudes and beliefs about smoking among nursing students and new graduates at the University of Hong Kong; (2) to explore students’ perceived reasons for smoking or maintaining non-smoking; and (3) to develop a questionnaire for measuring reasons for not smoking. The specific objectives are: a) to examine the prevalence of tobacco use among nursing students; b) to compare the characteristics of nursing students who are current smokers, former smokers and never-smokers, with an emphasis on their attitudes and beliefs about smoking; c) to identify the factors associated with maintaining non-smoking; e) to investigate the perceived important factors, stemming from nursing students’ experiences and beliefs, which have led them to maintain non-smoking. f) to examine the feasibility of obtaining quantitative and qualitative information regarding smoking-related issues from nursing students and fresh graduates; g) to develop a valid and reliable questionnaire that can be used to measure the reasons for maintaining non-smoking. |
| List of Research Outputs |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Mak Y.W., Leung G.M., Leung S., Mak K.H. and Lam T.H., Mother's action in protecting their children from secondhand smoke exposure at home after the enactment of the smoke free legislation in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Researcher : Ngai FW |
| Project Title: | The relationships between family sense of coherence, stress, social support, family and marital functioning, and emotional well-being in Chinese childbearing families. |
| Investigator(s): | Ngai FW, Ngu SF |
| Department: | School of Nursing |
| Source(s) of Funding: | Seed Funding Programme for Basic Research |
| Start Date: | 06/2010 |
| Abstract: |
| Transition to parenthood is a time for celebration of the arrival of a new member in the family. It is also a time of psychological stress that poses critical adaptation challenges for new parents. In a recent a survey of 130 Chinese parents in Taiwan (Gao et al., 2009), similar prevalence of postpartum depression has been found in mothers (13.8%) and fathers (10.8%), suggesting that the developmental transition of parenthood is a stressor for both parents. Considering the long-term impact of perinatal depression on the family (Carro et al., 2009) and the close relationship between maternal and paternal depression (Gao et al., 2009), it is important to understand the process of family adaptation and to develop effective interventions to empower both parents in negotiating their lives under the stressful demands of parental transition. The Resiliency Model of Family Stress, Adjustment, and Adaptation (McCubbin et al., 1996) and Salutongenic Model (Antonovsky, 1979) provide the theoretical basis for understanding a family’s adjustment during the transition to parenthood. The Resilience Model focuses on family strengths and capabilities which buffer the family from disruptions under stressful encounter (McCubbin et al., 1996). Family sense of coherence has been identified as an important resource which contributes to family resilience and influences positive family functioning and well-being (Ylven et al., 2006). Family sense of coherence refers to the family’s global belief that the environment is comprehensible, manageable, and meaningful (Antonovsky & Sourani, 1988). During the transition to parenthood, the family sense of coherence can be viewed as a perceptual family resistance resource to the impact of stress and parenthood on the family and thus may mediate the relationship between parenting demands and family well-being. Social support has also been identified as an important interpersonal resource that family members mobilize to manage intrafamily strains (McCubbin et al., 1996). Support from family members, friends and health care professionals has been found to buffer the adverse effects of stressful events, thus enhancing parenting competence and satisfaction (Gao et al., 2009; Knauth, 2000). Gao et al. (2009) conducted a survey of 130 Chinese parents and found that parents with poor social support were more vulnerable to experiencing stress and depression. These findings suggest the potential stress-buffering effect of social support in promoting family adaptation during parental transition. Family adaptation is characterized by the emotional well-being of individual family members and satisfactory relationships between family members (McCubbin & McCubbin, 1991). In the present study, successful adaptation for childbearing family involves emotional well-being of the couples and satisfaction with family and marital functioning. Although the concept of sense of coherence has been studied extensively in diverse population groups and in families with chronic illness and children with disabilities (Eriksson & Lindstrom, 2006; Ylven et al., 2006), little is known about the implications of family sense of coherence for family adaptation during the transition to parenthood in Chinese society. It is also important and useful to use a reliable and valid instrument to assess the level of family sense of coherence in Chinese childbearing family. Understanding the role of family sense of coherence in the context of Chinese parenthood would contribute to the development of culturally appropriate interventions which help promote positive family adaptation and well-being of the whole family. The purpose of this study is to investigate the relationships between family sense of coherence, stress, social support, family and marital functioning, and emotional well-being in Chinese childbearing family. The specific objectives are: 1. To translate and validate a Chinese version of Family Sense of Competence Scale in Chinese childbearing couples, 2. To examine the relationships between family sense of coherence with stress, social support, family and marital functioning, and emotional well-being, and 3. To determine whether family sense of coherence mediates the effect of stress on family and marital functioning, and emotional well-being in Chinese childbearing couples |
| List of Research Outputs |
| Ngai F.W., Predictors And Correlates Of Maternal Role Competence And Satisfaction. , In: Dougherty, Nursing Research. Lippincott Williams & Wilkins, 2010, 59: 185-193. |
| Ngai F.W., Translation and validation of a Chinese version of the Parenting Sense of Competence Scale, 4th Hong Kong International Nursing Forum. 2010. |
| Researcher : Ngan CM |
| List of Research Outputs |
| Leung S.S.K., Cheng R.P.Y., Ip F.L.Y., Tso K.K.P., Ngan C.M. and Lee O.L.D., FAMILY: Share the Care Share the Joy, FAMILY: A Jockey Club Initiative for a Harmonious Society Multidisciplinary Collaboration to Promote Family Health, Happiness and Harmony . 2009. |
| Researcher : Pun WM |
| List of Research Outputs |
| Pun W.M. and Leung A.Y.M., Systemic Review: depression among community dwelling older adults (poster presentation) - Outstanding Poster Presentation Award, The 4th International Nursing Forum. Hong Kong, School of Nursing, HKU, 2010, 81. |
| Pun W.M. and Leung A.Y.M., Systemic Review: depression among community dwelling older adults (poster presentation), The 5th International Symposium on Healthy Aging - Is aging a disease?, 6-7 March 2010, Sheraton Hong Kong Hotel and Towers. Hong Kong, 2010, 68. |
| Researcher : Salili F |
| List of Research Outputs |
| Tiwari A.F.Y., Salili F., Chan R.Y.P., Chan E.K.L. and Tang D., Effectiveness of an empowerment intervention in abused Chinese women, Hong Kong, Hong Kong Medical Journal, 2010, 16(3): 33-7. |
| Researcher : So KW |
| Project Title: | Preoperative anxiety and uncertainty of gynecological cancer patients |
| Investigator(s): | So KW |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 08/2006 |
| Abstract: |
| Research problem Gynecological cancer is one of the most common cancers in the world (Dorigo & Baker, 2003) as well as in the female population in Hong Kong (Hong Kong Cancer Registry, 2003). In Hong Kong, there were 949 new cases diagnosed with gynecological cancers in 1993. However, the number of new cases increased to 1254 in 2003 (Hong Kong Cancer Registry, 2003). This draws attention from the health care professionals and the society towards women's health and the provision of quality care among this population. The primary treatment for most of the gynecological cancer is surgery (Dorigo & Baker, 2003; Dorigo & Goodman, 2003; Holschneider, 2003). However, patients usually experienced psychological distress, especally anxiety, when receving surgery for cancer (Martin, 1996; Mitchell, 2003). Research studies supported a significant association between preoperative anxieties and uncertainties (Calvin & Lane, 1999; Wong & Bramwell, 1992). Perception of axiety and uncertainty may have negative effects on patient outcomes such as lengthen the duration of hospitalization and rehabilitation (Wong & Bramwell, 1992). However, little is known about anxiety and uncertainty in chinese women underging surgery for gynecological cancer, and factors that influence the level of anxety and uncertainty in this particular group of patients. Aim The aim of this study is to examine the level of uncertainty and anxiety among Hong Kong Chinese women with gynecological cancer before surgery, and to identify factors that affect the degree of uncertainty and anxiety. Research questions 1. What is the level of preoperative uncertainty experienced by Hong Kong Chinese women with gynecological cancer? 2. What is the level of preoperative anxiety in Hong Kong Chinese women with gynecological cancer? 3. What are the predictors to predict the level of preoperative uncertainty and anxiety experienced by Hong Kong Chinese women with gynecological cancer? |
| Project Title: | Information needs of breast cancer women in Hong Kong |
| Investigator(s): | So KW, Fong DYT |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 11/2007 |
| Abstract: |
| Research problem Cancer has emerged as a major health problem worldwide. Diagnosis of cancer is a stressful life event, and is regarded with more fear than other diagnoses. Cancer diagnosis instills feelings of shock, grief, uncertainty and loss of control to patients (Parry, 1990; Schain, 1990). There’s no doubt that the challenge of decision making in breast cancer patients is of particular great, as the treatment choices vary from conservative surgery to total mastectomy. It involves a decision to remove the sexual characteristic that represents women. Health professionals can help these women in terms of providing various kinds of support, whereas providing adequate information regarding the disease is vital to facilitate their decision making process. Information is a necessary prerequisite to informed decision making (Cawley, Kostic & Cappello, 1990). Patients’ Charter stated that patients have the right to be given a clear description of the medical condition, with diagnosis, prognosis (i.e. an opinion as to the likely future course of any illness) and of the treatment proposed including common risks and appropriate alternatives (Hospital Authority, 1999). The benefits of adequate information were well documented. It increases patient’s involvement in decision making process and induces greater satisfaction with treatment choices (Luker, et al., 1995; Cawley et al., 1990). It improves the ability to cope during different phases in the cancer care continuum (Harrison-Woermke & Graydon, 1993). It reduces anxiety and mood disturbances (Rainey, 1985) and improves communication with the family members (Reynolds, Sanson-Fisher, Poole, Harker & Byrne, 1998). There were vast numbers of research identifying cancer patients’ information needs has emerged in western countries. However, little is known about the information needs of breast cancer Asian women. The incidence rate for breast cancer in Asian population is increasing, especially the developed Asia regions including Hong Kong, Singapore, Shanghai, Korea and Japan, etc. The incidence and mortality rates of these areas are following the footsteps of western countries. According to the statistics, breast cancer became the top cancer among women in Hong Kong since 1994. According to the Hong Kong Cancer Statistics in 2004, the life-time risk of breast cancer in Hong Kong women is one in every 22 women. Also, breast cancer is the third leading cancer death in Hong Kong. (Hong Kong Cancer Registry, Hospital Authority, n.d.) Studies found there are discrepancies on the perceptions of information needs between health care professionals and patients, patients may not receive the right amount and types of information (Lauer, Murphy & Powers, 1982; Hack, Degner, Farber & McWilliams, 1992). Studies also showed women with breast cancer have substantial needs for information (Boman, Andersson & Bjorvell, 1997; Degner L. F. et al. 1997). However, Cimprich (1992) suggested that the attention and recall abilities in threatening situation are severely limited. Moreover, tight manpower in health care system is another hot issue worldwide. Purpose To explore what particular types of information are regarded as most important to the breast cancer women, the satisfactory level of them with current service and to identify any unmet information needs. Objectives 1. To prioritize the information needs of breast cancer women in Hong Kong. 2. To identify current use of and satisfaction with the sources of information for breast cancer women. 3. To determine the satisfactory level of breast caner women with different types of information provided by health professionals. 4. To explore the unmet information needs of breast cancer women. 5. To investigate whether the information needs of breast cancer women during treatment are different from those who have completed the primary treatment. |
| Project Title: | 15th International Conference on Cancer Nursing Fatigue, pain, psychological distress and quality of life of women undergoing chemotherapy or radiotheray for breast cancer |
| Investigator(s): | So KW |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 08/2008 |
| Abstract: |
| N/A |
| List of Research Outputs |
| Kwong A. and So K.W., 乳癌治療新知及紓緩護理, 育醫造才：探索醫學世界, 香港, 香港大學李嘉誠醫學院, 2010, 66-68. |
| Researcher : Sullivan PL |
| Project Title: | 15th International Nursing Research Congress and International Evidence - Based Practice Preconference Socio-cultural Values and Needs Assessment: A Model for Generating an Integrative Understanding of Divorcing Chinese Families The Learning Needs of Expectant Chinese Fathers: An Empirical Assessment |
| Investigator(s): | Sullivan PL |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 07/2004 |
| Abstract: |
| N/A |
| Researcher : Tarrant AM |
| Project Title: | American Public Health Association 132nd Annual Meeting and Exposition: Public Health and the Environment Student Nurses' Knowledge, Attitudes, and Beliefs about Breastfeeding: Using Nursing Curricula to Affect Change Becoming a Mothers During the SARS Outbreak in Hong Kong |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 11/2004 |
| Abstract: |
| N/A |
| Project Title: | An investigation of the factors affecting academic performance in part-time degree programs |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Wu Jieh-Yee Research Fund |
| Start Date: | 02/2005 |
| Abstract: |
| Increasingly, mature adults are returning to post-secondary institutions to pursue part-time undergraduate and post-graduate degree programs. These students usually hold full-time or part-time employmemt while they complete their study and often also have spouses and children. Because of the multiple demands on their time, they are often unable to devote as much time as they would like to their studies. This in turn can influence academic performance. Furthermore, students in part-time programs often feel that course faculty do not recognize the competing demands on their time and that the workload of such programs is too heavy. Course teachers often feel that part-time students have an unrealistically low expectation about the requirement of part-time study. |
| Project Title: | The Frequency of Item Writing Flaws (IWFs) in High Stakes Nursing Examinatinos and The Unintended Consequences |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 02/2005 |
| Abstract: |
| Undergraduate nursing enrolment is increasing in Hong Kong and is set to increase even more over the next years. Formerly, nursing assessments could use a wide range of assessment instruments to support the curricular goals of bacalaureate programmes. In the future this is unlikely to be so and already now assessment strategies are being considered for coping with the challenge of increasing student numbers. Notwithstanding this development , it is expected that a variety of instruments will still be used, but there will be a greater reliance on machine marked tests. This has been the norm in medicine for many years. Indeed medical schools have gone together to share question banks. |
| Project Title: | Impact of Breastfeeding on Hospitalizations from Infectious Diseases in Hong Kong Chinese Children up to Eight Years of Age |
| Investigator(s): | Tarrant AM, Schooling CM, Leung GM |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 11/2005 |
| Abstract: |
| Infectious disease is one of the leading causes of morbidity and hospitalization in Hong Kong children over one year of age(1). In children up to eight years of age, the cumulative incidence of ever-hospitalization from infectious disease is 43.4%(2). During infancy, breastfeeding protects against infectious disease (3-5), primarily in the prevention of respiratory infections(3, 6-9), gastrointestinal (GI) infections(10-13), and otitis media(9, 12, 14) (OM). Breastfeeding is also associated with long-term developmental benefits in several areas, such as cardiovascular risk factors(15), intellectual capacity(16, 17), and allergy(9, 18-20). Moreover, breastfeeding is thought to provide long-term protection against infections, due to milk-mediated influences that produce a ”healthier” immune system(21). Furthermore, nutritional deficiencies at key periods in infancy can result in permanent changes in later physiological functioning(22). However, relatively little research has examined the impact of breastfeeding on infectious disease in older children, particularly in an East Asian context, where there are different patterns of some common infectious diseases, such as influenza(23). Among the available literature, breastfeeding has been found to protect against OM in children until three years of age(24-27), and protect against Haemophilus influenzae type b (Hib) infection up to 10 years of age(28, 29). The effect of breastfeeding in reducing wheezing and allergic disease during childhood is thought to be largely the result of prevention of symptom-inducing infections rather than preventing asthma(30) , which is consistent with some studies finding breast-feeding protective against childhood respiratory infections(33) (34) . There are mixed findings on whether the protective effect of breastfeeding against diarrhoeal diseases lasts beyond infancy(10, 31, 32). The majority of these studies, however, had methodological limitations including: a retrospective design(10, 26, 28, 29, 31-33); failure to adjust adequately for known confounders(29, 34); and failure to stratify children by age group to differentiate the effects of breastfeeding on infants from older children (31-33). In Hong Kong, breastfeeding has been shown to reduce both outpatient and inpatient treatment for respiratory, GI, and febrile illnesses up to 18 months of age(7). Breastfeeding, however, is associated with an overall higher hospitalization rate as a result of increased hospitalizations for jaundice in breastfed infants(7). It is hypothesized that this is a result of different metabolism of bilirubin in East Asian infants that makes them more prone to developing jaundice(35, 36). This finding was unexpected and so far unique to this population. Therefore, in older Hong Kong children it also is less clear whether breastfeeding would confer protection. A well-designed prospective study is essential in order to confirm or refute observations(37) seen in older children in other populations, with potentially different patterns of vulnerability and infectious disease. The Chinese population of Hong Kong is an excellent social laboratory in which to investigate the effect of breastfeeding on infectious-disease related hospitalizations throughout childhood because the required data is easily accessible and available as a result of an existing large cohort study of Hong Kong children, first funded by the HSRC in 1997. There are also high rates of child hospital admissions associated with some infectious diseases, such as influenza in Hong Kong(23). Furthermore, there is a relatively stable population, which permits long term follow-up and the impact of potential confounders is minimized in the population because of low maternal smoking rates(38) and small family size(39). The basis for this study, a well-established birth cohort study, has already found a wide-range of environmental impacts on health in early life(7, 38, 40-46). Extending this birth cohort to look at longitudinal effects of early infant feeding on infectious disease hospitalizations in childhood is a logical and important step in expanding the knowledge base of the impact early life factors have on later child health outcomes. Objectives: •To test the hypothesis that breastfeeding protects against subsequent hospital admission for all infectious diseases and respiratory and gastrointestinal infections in children between birth and eight years of age; •To test the hypothesis that the protective effect of breastfeeding is dose specific and therefore, will be stronger with increasing duration of exclusive breastfeeding; •To test the hypothesis that breastfeeding will inversely impact disease severity (as measured by length of stay and total bed-days consumed). |
| Project Title: | Changing infant feeding models: impact of cessation of complimentary infant formula in public hospitals on the duration and exclusivity of breastfeeding |
| Investigator(s): | Tarrant AM, Fong DYT |
| Department: | School of Nursing |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 10/2007 |
| Abstract: |
| To investigate the impact of free infant formula supplied to hospitals and mothers on breastfeeding duration and exclusivity in infants. |
| Project Title: | An investigation of the factors contributing to the early cessation of breastfeeding in Hong Kong |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 12/2008 |
| Abstract: |
| The benefits of breastfeeding to both the infant and the mother have been widely recognized.(1) During infancy, breastfeeding protects against infectious disease(2-4) and long term is associated with reduced cardiovascular risk factors,(5) increased intellectual capacity,(6 7) and reduced allergies.(8-11) Women in Hong Kong, like women in many other industrialized countries, are increasingly choosing to breastfeed their infants. Approximately 70% of all new mothers now initiate breastfeeding,(12) up from 19% in 1981 and 50% in 1997.(13) Despite recommendations from the World Health Organization (WHO)(1) and the Hong Kong Department of Health(14) for exclusive breastfeeding up to 6 months of age and continued breastfeeding up to 2 years of age, less than 25% of Hong Kong women exclusively breastfeed and almost one-half stop breastfeeding within the first month postpartum.(15) The high breastfeeding attrition rate in Hong Kong has been attributed to hospital practices that do not adequately support breastfeeding women(16) and sociocultural variables such as lack of family, community, and workplace support for breastfeeding.(17-19) Previous studies have shown that women who initiate breastfeeding in Hong Kong are older, more highly educated, and less likely to return to full-time employment in the postpartum period.(18) Furthermore, Hong Kong has one of the highest Caesarean Section rates (27.1%) in the world,(20) a factor which has been demonstrated to adversely impact breastfeeding rates.(21) Traditional Chinese postpartum practices and family dynamics may also play a role in Hong Kong women’s breastfeeding behaviours. Chinese mothers often spend the first month after delivery convalescing at home (i.e. doing-the-month), away from societal obligations.(22) This period can be isolating for the woman as contact with the outside world is minimized so that the mother can rest and recover.(23) In Confucian-based societies, breastfeeding practices are also influenced by maternal position within the family and roles of other family members. The mother-in-law, traditionally the most powerful family member, exerts a special influence on infant feeding decisions. Fok(22) found that among new mothers in Singapore, those who wanted to breastfeed would not do so if any significant other opposed their decision. Furthermore, in Hong Kong, 75% of women aged 25–45 years work full-time.(24) The maximum maternity leave available is 10 weeks and a minimum of 2 weeks must be taken before the woman’s expected date of confinement.(25) Work environments rarely provide support for lactating women.(19) Returning to work at 8-weeks postpartum and an unsupportive work environment, however, does not adequately explain why almost one-half of all breastfeeding women have weaned well before one-month post-partum. Our understanding of the factors that affect breastfeeding cessation in Hong Kong has primarily been gained from quantitative studies(18) and from women who continue and persist at breastfeeding.(26) No recent Hong Kong studies have explored this issue in any depth with women who have actually stopped breastfeeding early using in-depth exploratory designs. Furthermore, no study has specifically investigated why the breastfeeding attrition rate is so high and what factors contribute to this attrition. Breastfeeding is a complex and multi-factorial behaviour that cannot be adequately explored in a quantitative study and the exclusive use of quantitative methodologies to study such a complex issue oversimplifies and misses some key nuances of the breastfeeding decision process.(27) In order to increase breastfeeding rates and improve the health of infants, it is important to fully understand why women stop breastfeeding. The purpose of this research is to explore the breastfeeding experiences of women who discontinue breastfeeding in the first month postpartum in order to identify contributing factors and to identify factors which might be remediated to help women breastfeed longer. The specific study objectives are: 1. To describe the early breastfeeding experiences of mothers who breastfeed for less than one month. 2. To identify antenatal, puerperal, and post-natal factors that contribute to early breastfeeding cessation. 3. To identify areas where professionals may be able to intervene to prevent early breastfeeding cessation. |
| Project Title: | Implementation and evaluation of podcasts as an educational tool in an undergraduate post-registration nursing education course |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Run Run Shaw Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 05/2009 |
| Abstract: |
| In the last 20 years both educators and students have witnessed an explosion in the amount and variety of technology used in tertiary education. Today’s generation of university students are technologically savvy and have high expectations about the use and integration of technology into tertiary education. One of the technologies generating the most discussion and excitement among academics and students is the use of “podcasts” to supplement and enhance student learning. In 2005, “podcast” was selected by the editors of the New Oxford American Dictionary as the word of the year (1) and it is predicted that podcasting will transform higher education (1, 2). Wikipedia (3) defines a podcast as “a series of audio or video digital-media files which is distributed over the Internet by syndicated download, through web feeds, to portable media players and personal computers.” The term podcast is a combination of the words iPod and broadcast, signifying the importance of the iPod in helping to spread the use of the technology. However, podcasts can be viewed on most personal media players and are no longer limited to iPods. Podcasts can include audio-only content or can include video content such as PowerPoint presentations or video recordings. Podcasts can be viewed on personal portable media players, such as iPods or mobile phones, or on desktop or notebook computers. In education, podcasts have many potential uses. Podcasts can be used to provide students with supplementary course materials, they can be used to deliver revision sessions, and they can also be used for demonstrations of practical skills. One of the most common uses for podcasts is to record course lectures so that they can be played back and listened to by students at any time and as many times as they wish after the class is over (4, 5). Studies have shown that students find lecture podcasts extremely helpful to reinforce misunderstood or complex concepts, to review before examinations, and to catch up on lectures that were missed (6-8). Having access to lecture recordings after the class is particularly beneficial for students who speak English as a second language as it can facilitate learning of complex material (5) as it allows them to look up words or terms as needed and to listen to the lecture at their own pace (8). Podcasts are simple and easy to produce and production is inexpensive (4). Students also prefer podcasts that contain audio and video material, such as PowerPoint presentations, over podcasts that contain audio only content (9). Despite the fears of teachers that recording lectures and making them available to students online would encourage students to skip classes, studies have not shown this to be true. Students only rarely use lecture podcasts as a substitute for attending the lectures (7, 10) and then it is often because competing demands such as work or illness have prevented them from attending the lectures (8). The Department of Nursing Studies offers a two-year part-time post-registration Bachelor of Nursing (BNurs) honours degree to diploma-level Registered Nurses (RNs). The program allows practising RNs to obtain their baccalaureate degree so that they can upgrade their skills and knowledge and progress in their nursing careers. All students are concurrently engaged in nursing practice, almost exclusively on a full-time basis. Hence they find their time limited and have many competing demands. In Year II of the bachelor of nursing (part-time) program, students take a course in Epidemiology and Population health, taught and coordinated by the PI. The course is delivered 2 hours per week over 10 weeks and consists of 10 hours of theoretical content and 10 hours of tutorials where students do problem-based exercises such as investigating an infectious disease outbreak, evaluating the effectiveness of screening tests and programs, and interpreting the results of epidemiological studies. Many of the exercises require students to acquire specific skills such as interpreting an epidemic curve and assessing the sensitivity, specificity, and predictive value of screening tests. Students find these exercises complex and often require remedial sessions to master the content. Providing educational aids and supplements that students find helpful and that allow them to manage their time better will reduce their stress and anxiety and enhance the learning process (11). The aim of this study is to implement podcasting in an undergraduate part-time post-registration bachelor of nursing course and to assess the impact of podcast recordings on the educational experience of baccalaureate nursing students. Specifically the study will: 1. Develop and make available to students on the course website high-quality podcasts of course lectures of a course titled “Epidemiology and Population Health.” 2. Develop and make available to students on the course website recapitulation podcasts of key course concepts. 3. Assess the impact of podcasting on students perceived understanding of course materials. 4. Assess the impact of podcasting on students overall educational experience in the course. |
| Project Title: | 137th APHA Annual Meeting & Exposition Impact of baby-friendly hospital practices on breastfeeding in Hong Kong |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 11/2009 |
| Completion Date: | 11/2009 |
| Abstract: |
| N/A |
| Project Title: | Hong Kong women's knowledge, attitudes, and behaviors toward influenza vaccination during pregnancy |
| Investigator(s): | Tarrant AM |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 12/2009 |
| Abstract: |
| Influenza causes substantial morbidity and mortality in Hong Kong. Annually, almost 3,000 excess deaths and almost 20,000 excess hospitalizations can be attributed to influenza, a burden which is greater than most temperate regions.[1] During pregnancy, women are at increased risk of significant morbidity and mortality from influenza.[2] Pregnant women who contract influenza are at a greater risk of being hospitalized[2, 3], of being hospitalized for longer duration,[4] and of pregnancy complications such as pre-term labor, fetal distress, and cesarean section.[4, 5] To reduce influenza related morbidity and mortality in pregnant women, Hong Kong and many other countries, currently recommend influenza vaccine for all pregnant women during influenza season, regardless of their gestational age, to reduce the cardiopulmonary complications and hospitalizations associated with influenza infection.[6, 7] In one of the few prospective, randomized controlled trials of influenza vaccine administered to mothers in their third trimester, immunization reduced the incidence of febrile respiratory illnesses by 36%.[8] Influenza vaccine during pregnancy also reduced the incidence of laboratory confirmed influenza in infants up to 6 months of age by 63%.[8] The uptake of influenza vaccine in pregnancy among Hong Kong women however, is uncertain as no studies have been conducted. Data from other countries shows that less than 10% of pregnant women receive influenza vaccine during pregnancy.[2, 9-11] Although influenza vaccine has been demonstrated to be safe for pregnant women in any trimester and the risks associated with influenza infection during pregnancy are substantial,[12] vaccine safety concerns are the major reason pregnant women remain reluctant to receive influenza vaccination during pregnancy.[7] In addition, many providers are reluctant to recommend the influenza vaccine to pregnant women because they also have concerns about the safety and effectiveness of the vaccine in pregnancy.[13, 14] In the recent H1N1 swine flu global outbreak, infected pregnant women have also experienced greater morbidity and mortality than other infected non-pregnant individuals.[15] During an influenza pandemic, groups that experience the greatest morbidity and mortality from influenza are usually the first targets for vaccination. Therefore, it is important to understand the barriers to vaccination uptake among these groups so as to enable better pandemic planning and preparedness. Despite the Hong Kong recommendations for influenza vaccination of pregnant women, it is unclear how many pregnant women actually are offered and receive the vaccination during pregnancy. Additionally, in Hong Kong there is little information on pregnant women’s knowledge of influenza, the potential complications of influenza infection during pregnancy, and the recommendations for vaccination. Therefore, the aim of this study is to assess the knowledge, attitudes, and behaviors of pregnant women regarding influenza and influenza vaccination during pregnancy. |
| Project Title: | A randomized controlled trial of a professional breastfeeding support intervention to increase the exclusivity and duration of breastfeeding |
| Investigator(s): | Tarrant AM, Fong DYT, Heys M, Hui Choi WH |
| Department: | School of Nursing |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 01/2010 |
| Abstract: |
| To investigate the impact of a professional support intervention on the exclusivity and duration of breastfeeding |
| List of Research Outputs |
| Dodgson J.E., Tarrant A.M., Chee Y.O. and Watkins A., New mothers' experiences of social disruption and isolation during the severe acute respiratory syndrome outbreak in Hong Kong., Nursing and Health Sciences. 2010, 12: 198-204. |
| Tarrant A.M., A comparison of three- and four option multiple-choice questions , Medical Teacher Poster Prize 2009, 3rd Place: 9BB14. Spain, Association for Medical Education in Europe (AMEE), 2009. |
| Tarrant A.M. and Ware J., A comparison of three- and four option multiple-choice questions, AMEE 2009. Malaga, Spain. |
| Tarrant A.M., Ware J. and Mohammed A.M., An assessment of functioning and non-functioning distractors in multiple-choice questions: a descriptive analysis, 7th Asia-Pacific Medical Education Conference (APMEC), Singapore. 2010. |
| Tarrant A.M., Ware J. and Mohammed A.M., An assessment of functioning and non-functioning distractors in multiple-choice questions: a descriptive analysis, BMC Medical Education. 2009, 9(40). |
| Tarrant A.M. and Dodgson J.E., An investigation of the factors contributing to the early cessation of breastfeeding in Hong Kong, 15th Annual Qualitative Health Research Conference, Vancouver, BC. 2009. |
| Tarrant A.M., Fong D.Y.T., Wu K.M., Lee I.L.Y., Wong E.M.Y., Sham A., Lam C. and Dodgson J.E., Breastfeeding and weaning practices among Hong Kong mothers: a prospective study, BMC Pregnancy & Childbirth. BMC, 2010, 10: 27. |
| Tarrant A.M. and Dodgson J.E., Factors Contributing to the Early Cessation of Breastfeeding in Hong Kong., 4th Hong Kong Nursing Forum, Hong Kong. 2010. |
| Tarrant A.M., Wu K.M., Fong D.Y.T., Lee I.L.Y., Wong E.M.Y., Shan A., Lam C. and Dodgson J.E., Impact of baby-friendly hospital practices on breastfeeding in Hong Kong, American Public Health Association’s 137th Annual Meeting – Water and Public Health, Philadelphia, PA.. 2009. |
| Tarrant A.M., In response to: “Alkhasawneh, I.M., Akhu-Zaheya, L.M. & Suleiman, S.M. (2009). Jordanian nurses' knowledge and practice of breast self-examination. Journal of Advanced Nursing, 65(2), 412-416, Journal of Advanced Nursing. 2009, In Press. |
| Researcher : Tiwari AFY |
| Project Title: | An investigation into the needs of patients with SARS |
| Investigator(s): | Tiwari AFY, Chan SSC, Tsang KWT, Lee PWH |
| Department: | School of Nursing |
| Source(s) of Funding: | VCO SARS Research Fund |
| Start Date: | 07/2003 |
| Abstract: |
| To identify the needs of patients with SARS; to find out if the patients' needs vary according to their background; to compare the patients' needs at different stages of recovery. |
| Project Title: | The longitudinal effects of peer tutoring |
| Investigator(s): | Tiwari AFY, Yuen FKH, Salili F, Chan SSC |
| Department: | School of Nursing |
| Source(s) of Funding: | Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants |
| Start Date: | 04/2004 |
| Abstract: |
| To assess the long-term effects of peer tutoring on nursing students' role conception, academic motivation and approaches to learning. |
| Project Title: | A RCT to test the effectiveness of a telephone intervention to improve the mental health of community dwelling women abused by their intimate partners |
| Investigator(s): | Tiwari AFY, Yuk Fung HYK, Pang POY, Fong DYT, Yuen FKH, Bullock L |
| Department: | School of Nursing |
| Source(s) of Funding: | Health and Health Services Research Fund - Full Grants |
| Start Date: | 12/2006 |
| Abstract: |
| To evaluate the effectiveness of a telephone social support and empowerment intervention (hereafter known as the intervention) in improving the mental health of a community-based sample of women with a history of intimate partner violence. |
| Project Title: | Building partnership to promote health in the community: collaboration of parents, volunteers and professionals for better parenting |
| Investigator(s): | Tiwari AFY, Yuk Fung HYK, Pang POY, Fong DYT, Chan EKL |
| Department: | School of Nursing |
| Source(s) of Funding: | Health Care and Promotion Fund - Research Grant Projects |
| Start Date: | 12/2008 |
| Abstract: |
| (1) Develop a parenting intervention based on the concept of child-friendly parenting; (2) train volunteers to provide peer support to parents in learning and practicing child-friendly parenting; (3) involve both parents in learning and practicing child-friendly parenting; (4) enhance the knowledge, skills and confidence of parents in child-friendly parenting; (5) conduct an evaluation of the CO-OP programme; (6) sustain child-friendly parenting in the community beyond the lifetime of this project. |
| Project Title: | Chinese women's experiences of intimate partner relationships |
| Investigator(s): | Tiwari AFY, Chan CH, Fong DYT |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 12/2008 |
| Abstract: |
| Intimate partner violence (IPV) refers to the use of physical violence, sexual assault and/or emotional abuse, threats or coercive tactics by current or formal intimate partners for the purpose of gaining power and control over a victim (1, 2). An intimate partner may be a spouse, cohabiting partner, or dating partner (2). Findings from a multi-country study indicate that violence against women by an intimate partner is a widespread problem and has a devastating impact on women's health (3). In fact, World Health Organization (WHO) has declared that IPV is a global public health concern (2). IPV also occurs across cultures, even in cultures that are supposed to value highly the maintenance of harmonious relationships, as in the Chinese culture (4). A recent review of the studies investigating IPV against Chinese women revealed that the prevalence of IPV was comparable to that found in non-Chinese cultures (5). Interestingly, among the reviewed studies involving Chinese women in Hong Kong (but not those in Mainland China), the abuse reported was predominantly psychological and a large number of the respondents reported psychological abuse only (in the absence of physical and/or sexual abuse) (6-14). Over the last decade, questions have arisen about the predominantly psychological nature of IPV victimisation among local Chinese women (6,10,12,14). One of the questions is whether the psychological abuse reported by abused women in the Hong Kong studies is a precursor of physical abuse. This is a possibility as literature has suggested that psychologically coercive behaviours precede and predict the development of physically aggressive behaviour in marriage (15). The cross-sectional design of the reviewed studies (6-14), however, cannot confirm the progression of psychological abuse to physical abuse in Hong Kong Chinese women. Another question raised is whether the psychological abuse reported is part of common couple violence, which has a lower per-couple frequency, not as likely to escalate over time or involve severe violence, and more likely to be mutual (16). Johnson has shown that virtually all IPV reported in general samples (those collected in surveys or primary care settings) is common couple violence (17). As all the reviewed studies are based on community or obstetric samples in Hong Kong, it is possible that the psychological abuse is part of the common couple violence. However, without the data from clinical samples (such as those from shelters for abused women, which tend to show intimate terrorism, a more severe form of IPV), it is not possible to make a comparison. Yet another question is whether psychological abuse is a unique feature of IPV in Chinese society. Since Chinese culture is shame-oriented and shaming is a powerful social control mechanism (18), the perpetrators in the Hong Kong studies may have decided to use psychological denigration rather than physical force to control their intimate partners. However, this is pure supposition and cannot be substantiated without verification by the victims. In an ongoing study evaluating the effect of empowerment and social support in a group of community dwelling abused Chinese women, it is found that IPV may improve or deteriorate depending on a number of protective or risk factors, respectively (19). This has raised the question that IPV may not be a dichotomous (yes/no) phenomenon but part of a harmony-violence continuum with triggers that move intimate partner relationships along the continuum. With few studies on intimate relationship status over time, particularly in Chinese societies, it is not possible to verify the supposition of a harmony-violence continuum. Given the paucity of literature to describe the trajectory of IPV in Chinese populations, there is a need to collect qualitative and contextualised accounts of both abusive and non-abusive relationships. A qualitative approach is appropriate because it allows an in-depth exploration and understanding of the process of intimate partner relationships, taking into account not just individual behaviours but also the context in which the behaviours occur (20). We choose to focus on elucidating the experiences of intimate partner relationships from women’s perspectives because their subjective accounts are essential for us to understand why they choose to engage or not engage in certain behaviours when dealing with potential and actual conflicts in their intimate partner relationships. We theorise that by identifying the development of abusive as well as non-abusive intimate partner relationships, it is possible to explain why some of the relationships become abusive while others do not. The purpose of this study is to describe Chinese women’s experiences of abusive and non-abusive intimate partner relationships. Using a qualitative design, we intend the address the following questions: 1. What are Chinese women's experiences of abusive and non-abusive intimate partner relationships? 2. How do Chinese women respond to potential and actual conflicts in their intimate partner relationships? 3. Are there differences in their responses to such conflicts between abused and non-abused Chinese women? 4. What contextual factors influence the women’s responses? 5. Is there a difference in the process of development between abusive and non-abusive Chinese intimate partner relationships? |
| Project Title: | Positive fathering: a programme to enhance the mental health and marital relationship of expectant couples |
| Investigator(s): | Tiwari AFY, Yuen FKH, Wong JYH |
| Department: | School of Nursing |
| Source(s) of Funding: | Health Care and Promotion Fund - Research Grant Projects |
| Start Date: | 04/2009 |
| Abstract: |
| (1) Develop the positive fathering programme; (2) Implement the programme in a target group of expectant fathers; (3) Involve their partners in the programme; (4) Evaluate the effectiveness of the programme in enhancing the mental health and marital relationship these expectant couples. |
| Project Title: | HKU Overseas Fellowship Awards 2009-10 |
| Investigator(s): | Tiwari AFY |
| Department: | School of Nursing |
| Source(s) of Funding: | HKU Overseas Fellowship Awards |
| Start Date: | 09/2009 |
| Abstract: |
| To visit the School of Social Work in the University of Michigan, USA to undertake collaborative studies on intervention for pregnant women with post-traumatic stress disorder (PTSD), intervention for partners of women with PTSD, intervention for partners of abused women, batterer intervention program, measurement of psychological abuse, and intervention for positive fathering. |
| Project Title: | The role of posttraumatic stress disorder symptoms in mediating the effects of types of intimate partner violence on chronic pain in Chinese women |
| Investigator(s): | Tiwari AFY, Fong DYT, Yuen FKH, Chan CH |
| Department: | School of Nursing |
| Source(s) of Funding: | Small Project Funding |
| Start Date: | 12/2009 |
| Abstract: |
| Intimate partner violence (IPV) is a prevalent public health problem with costs to the individual, family and community. [1] Globally, lifetime prevalence of IPV against women is 25-30%. [2] Even in cultures that are thought to emphasize harmonious relationships, IPV still occurs. For instance, in a household survey conducted in Hong Kong, 9.6% of the respondents reported a history of abuse by an intimate partner. [3] A Multi-country Study on Women’s Health and Domestic Violence against Women conducted by the World Health Organization has shown that IPV is associated with increased likelihood of physical and mental health problems. [4] Despite the resilience and resourcefulness of Chinese abused women, [5] IPV-related mental health problems have also been detected in these women. [6,7] Comparatively, information on the impact of IPV on Chinese women’s physical health is scanty. Nevertheless, an ongoing investigation of women’s service utilization in Hong Kong has revealed that abused women have sought significantly more informal help and formal services compared to non-abused women. [8] Although the study has not addressed the specific health problems that necessitated the women’s help seeking, it has confirmed the costs of IPV. Furthermore, it points to the need for a better understanding of the health needs of Chinese abused women so that appropriate treatment and timely intervention can be provided. Elsewhere in the world, a number of controlled studies have shown higher rates of chronic pain in women who have experienced IPV than in women who have not. [9,10] The causes of chronic pain in abused women, however, have not been fully explained. Neuropathic changes related to physical injury sustained by abused women may partially explain why they have chronic pain. [11] However, chronic pain also frequently occurs in the absence of injury and is thought to be an outcome of a complex biopsychosocial stress response to physical and/or psychosocial trauma. [12] Since victims of IPV are subjected to repeated traumatic events (e.g. battering, sexual assault) within an environment of coercion, control and humiliation, their chemical mediators (e.g. neurotransmitters, cytokines) may become chronically elevated leading to pathophysiological changes [13] with chronic pain as the associated negative health consequence. [14] Chronic pain, as one of the health sequelae of IPV, can have functional impairment and psychological morbidity (e.g. depression) as well as serve as a distress-inducing reminder for the victim. Although long recognized as a complication of IPV, only recently has research begun to investigate the multidimensional aspects of chronic pain. The emerging findings have confirmed the need to pay attention to posttraumatic stress disorder (PTSD) symptoms, abuse-related injury and lifetime experiences of violence when managing chronic pain in IPV survivors. [15]. PTSD, an anxiety disorder after traumatic exposure and characterized by distressing memories or emotions about the trauma, avoidance of trauma reminders and elevated arousal, [16] is one of the most common mental health sequelae of IPV. [17] When chronic pain is associated with PTSD, it is likely to be more intense and to result in more distress and disability than chronic pain not associated with PTSD. [18] Also, PTSD symptom severity has shown to be a significant mediator of the relationships of both childhood abuse severity and assaultive IPV severity with chronic pain severity in a community sample of women survivors in Canada using structural equation modeling techniques. [15] Thus, it is important to consider the mediating effect of PTSD when assessing the impact of IPV on the health of abused women. Although PTSD in women exposed to IPV has been extensively studied in North America, [17] only a few studies have investigated PTSD in Chinese women survivors of IPV [19-22] and none has examined the relationships among IPV, PTSD and chronic pain. We have just completed an exploratory, qualitative study focusing on Chinese women’s health responses to IPV. The study involved 24 women in a shelter for battered women in Hong Kong. The results reveal that: (a) women who have been subjected to coercive control (that is, severe psychological aggression), in addition to physical assault, by their intimate partners were more likely to report PTSD symptoms, (b) women who have been physically assaulted by their intimate partners, but no coercive control was used, were less likely to report PTSD symptoms, and (c) a variety of pain symptoms were reported irrespective of the presence or absence of PTSD symptoms. [23] While the results may suggest probable relationships among types of IPV, PTSD symptoms and pain symptoms in Chinese abused women, the qualitative study design does not permit confirmation of such relationships. Also, the chronicity of the pain reported has not been explored. Despite the limitations, the results have provided the basis for further investigation into factors mediating the effects of IPV and chronic pain in Chinese abused women. The PURPOSE of the present study is to extend existing knowledge about health responses of women survivors of IPV by examining the relationships among types of IPV, PTSD symptoms and chronic pain in Chinese abused women. The PRIMARY OBJECTIVE of this study is to examine the role of PTSD symptoms in mediating the effects of types of IPV on chronic pain in Chinese women. The SECONDARY OBJECTIVES are to: i. identify the variables influencing the relationships among types of IPV, PTSD symptoms and chronic pain; ii. assess the prevalence of PTSD symptoms in Chinese women survivors of IPV; and iii. assess the prevalence of chronic pain in Chinese abused women. |
| Project Title: | National Summit on Interpersonal Violence and Abuse Enhancing the safety behaviors of Chinese women survivors of intimate partner violence |
| Investigator(s): | Tiwari AFY |
| Department: | School of Nursing |
| Source(s) of Funding: | URC/CRCG - Conference Grants for Teaching Staff |
| Start Date: | 02/2010 |
| Completion Date: | 02/2010 |
| Abstract: |
| N/A |
| List of Research Outputs |
| Brownridge D.A., Taillieu T., Tyler K., Tiwari A.F.Y., Chan E.K.L. and Santos S.C., Pregnancy and Intimate Partner Violence: Risk Factors, Severity, and Health Effects, Violence Against Women, Forthcoming. 2009. |
| Chan C.H., Tiwari A.F.Y., Fong D.Y.T. and Ho P.C., Post-traumatic stress disorder among Chinese women survivors of intimate partner violence: A review of the literature, International Journal of Nursing Studies. 2010, 47: 918-925. |
| Chan E.K.L., Brownridge D.A., Yan E.C.W., Fong D.Y.T. and Tiwari A.F.Y., Assessing the effects of child maltreatment polyvictimization on children’s adjustment in a nationally representative sample, Psychology of Violence. 2010. |
| Chan E.K.L., Brownridge D.A., Tiwari A.F.Y., Fong D.Y.T., Leung W.C. and Ho P.C., Associating pregnancy with partner violence against Chinese women, Journal of Interpersonal Violence. 2010. |
| Chan E.K.L., Yan E.C.W., Brownridge D.A., Tiwari A.F.Y. and Fong D.Y.T., Childhood Sexual Abuse Associated with Dating Partner Violence and Suicidal Ideation in a Representative Household Sample in Hong Kong, Journal of Interpersonal Violence. 2010. |
| Chan E.K.L., Tiwari A.F.Y., Leung W.C., Fong D.Y.T., Brownridge D.A. and Ho P.C., Cost Measures for the Economic Impact of Domestic Violence, paper presented in the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Fu C.Y., Tiwari A.F.Y., Lam S.F., Yuen F.K.H. and Chan S.S.C., Enhancing the effectiveness of clinical problem-based learning: the role of tutor as a facilitator, 3rd International Nurse Education Conference. 2010. |
| Kwan A.C.M., Chu S.K.W., Tiwari A.F.Y., Zhou P., Leung D. and Mo J., Using blogs to support internship for information management and nursing students. , Proceedings of the 2009 International Conference on Knowledge Management [CD-ROM]. . 2009. |
| Lam S.F., Fu C.Y., Yuen F.K.H. and Tiwari A.F.Y., Implementing a named-nurse supervisory model to prepare the pre-registered nurses enter into the work force , International Nurse Education Conference. 2010. |
| Tiwari A.F.Y., Salili F., Chan R.Y.P., Chan E.K.L. and Tang D., Effectiveness of an empowerment intervention in abused Chinese women, Hong Kong, Hong Kong Medical Journal, 2010, 16(3): 33-7. |
| Tiwari A.F.Y. and Yuen F.K.H., Psychological Abuse in Chinese Women: A Qualitative Study, Family & Intimate Partner Violence Quarterly. USA, 2010, 2: 292-302. |
| Tiwari A.F.Y., Chan R., Fong D.Y.T. and Tang D., Using Chinese Dietetics to Improve the Health of Abused Women, the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Tiwari A.F.Y., Chan R., Fong D.Y.T., Chan E.K.L. and Tang D., Using Chinese Dietetics to Improve the Health of Abused Women, the First Asia-Pacific Conference on Health Promotion and Education (APHPE), organized by the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe, Japan, July 18-20, 2009.. 2009. |
| Wong J.Y.H., Yuen F.K.H., Fong D.Y.T. and Tiwari A.F.Y., A randomized controlled trial to test the efficacy of an empowerment intervention to improve mental health of Chinese abused women, The First Asia-Pacific Conference on Health Promotion and Education (APHPE), the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe , Japan. 2009. |
| Wong J.Y.H. and Tiwari A.F.Y., Telephone empowerment intervention to improve mental health of abused Chinese women in community: A randomized controlled trial, the 14th International Conference on Violence, Abuse, and Trauma, San Diego, California . 2009. |
| Wong J.Y.H., Chu S.K.W., Tiwari A.F.Y., Fung S. and Mo J., The use of blog to facilitate clinical learning during practicum among undergraduate nursing students: a preliminary study., Proceedings of the 6th International Conference on Knowledge Management: Managing Knowledge for Global and Collaborative Innovations [CD-ROM]. Hong Kong, 2009. |
| Researcher : Wong CN |
| List of Research Outputs |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Wong C.N. and Lam T.H., The impact of the smoke-free legislation on smolers' motivation and confidence to quit smoking: A comparison of two sampels in Hong Kong, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA. 24-27 February. 2010, 56. |
| Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of Youth Quitline, The 14th Postgraduate Research Symposium, Li Ka Shing Faculty of Medicine, the University of Hong Kong. Hong Kong, 2009, 148. |
| Wong C.N., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of the Youth Quitline., PhD thesis. 2010. |
| Wong C.N., Government tobacco control policies had an instant impact to motivate young people to stop smoking, In S. Smith, & H. Nikogosian (Co-Chair), Achieving tobacco control to reduce cardiovascular disease. Press conference conducted at the meeting of the World Congress of Cardiology: Scientific Sessions 2010, Beijing, China, June 16-19, 2010.. 2010. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Researcher : Wong CN |
| List of Research Outputs |
| Chan S.S.C., Leung Y.P., Leung A.Y.M., Lam D.O.B., Fong D.Y.T., Wong C.N. and Lam T.H., Evaluating the effects of the smoke-free legislation on youth smokers in Hong Kong: Perceived social and environmental influence, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February. 2010, 56. |
| Chan S.S.C., Wong C.N., Leung A.Y.M., Mak Y.W., Fong D.Y.T., Lam D.O.B. and Lam T.H., Gender differences in quitting behavior and intention among youth smokers who seek smoking cessation counseling through a youth quitline in Hong Kong, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Leung Y.P., Wong C.N. and Lam T.H., The impact of the smoke-free legislation on smolers' motivation and confidence to quit smoking: A comparison of two sampels in Hong Kong, Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA. 24-27 February. 2010, 56. |
| Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of Youth Quitline, The 14th Postgraduate Research Symposium, Li Ka Shing Faculty of Medicine, the University of Hong Kong. Hong Kong, 2009, 148. |
| Wong C.N., From smoking to quitting: Psycho-social determinants to predict smoking cessation among youth smokers and the effectiveness of the Youth Quitline., PhD thesis. 2010. |
| Wong C.N., Government tobacco control policies had an instant impact to motivate young people to stop smoking, In S. Smith, & H. Nikogosian (Co-Chair), Achieving tobacco control to reduce cardiovascular disease. Press conference conducted at the meeting of the World Congress of Cardiology: Scientific Sessions 2010, Beijing, China, June 16-19, 2010.. 2010. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Implementation of Youth Quitline to help youth and young adults quit smoking: An experience in Hong Kong, The 3rd Cross-Strait Conference on Tabacco Control, Hong Kong Council on Smoking and Health. Hong Kong, 2009, 155. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Mak Y.W., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Tobacco control policy has an indirect impact to help youth get rid of the risk of future cardiovascular disease: The side on smoking cessation motivation., Circulation. 2010, 122: e276. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Chik B.C.B., Lam D.O.B. and Lam T.H., When will youth smokers make a quit attempt and resume smoking after receiving telephone counseling? A longitudinal study., Society for Research on Nicotine and Tobacco 16th Annual Meeting, Baltimore, Maryland, USA, 24-27 February 2010. Maryland, USA, 29. |
| Wong C.N., Chan S.S.C., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Who called the Youth Quitline? A comparison of characteristics between youth smokers in school and in the workplace., Proceedings of the 4th Hong Kong Nursing Forum, School of Nursing, The University of Hong Kong, Hong Kong, June 4-5, 2010. |
| Wong C.N., Chan S.S.C., Mak Y.W., Leung A.Y.M., Fong D.Y.T., Leung Y.P., Chik B.C.B., Lam D.O.B. and Lam T.H., Youth quitline: A peer-led hotline to assist youth quit smoking, The Hong Kong Public Health Forum 2009. Hong Kong, 51. |
| Researcher : Wong EML |
| List of Research Outputs |
| Chan J.L.Y., Leung A.Y.M., Chiang V.C.L., Li W.H.C., Wong E.M.L., Liu A.N.C. and Chan S.S.C., A Pilot project to build e-health literacy among university students in Hong Kong, The 10th International Congress on Medical Librarianship (Brisbane, Australia). 2009. |
| Wong E.M.L., Chan S.W.C. and Chair S.Y., Nurses’ Experience Of Pain Management And Its Barriers For Patients Undergoing Orthopaedic Surgery., Proceeding Of The First Asia-pacific Conference On Health Promotion And Education (aphpe), Department Of Public Health,, Dokkyo Medical University School Of Medicine, Japan. . Japan, 2009. |
| Wong E.M.L., Chan S.W.C. and Chair S.Y., The Effectiveness Of An Educational Intervention On Level Of Pain, Anxiety And Self Efficacy For Patients With Musculoskeletal Trauma , Journal Of Advanced Nursing . 2010, 66 (5): 1120-1131. |
| Wong E.M.L., Chan S. and Chair S.Y., The Effectiveness Of An Educational Intervention On Pain Belief, Pain And Self Efficacy Of Pain Management Of Patients With Fracture Limb, Proceedings Of The 4th International Conference On Community Health Nursing Research ,royal District Nursing Service (rdns) Of Sa Inc And International Conference On Community Health Nursing Research (icchnr). Adelaide, Australia. . International Conference On Community Health Nursing Researc, 2009. |
| Researcher : Wong JYH |
| List of Research Outputs |
| Wong J.Y.H., Yuen F.K.H., Fong D.Y.T. and Tiwari A.F.Y., A randomized controlled trial to test the efficacy of an empowerment intervention to improve mental health of Chinese abused women, The First Asia-Pacific Conference on Health Promotion and Education (APHPE), the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe , Japan. 2009. |
| Wong J.Y.H., Fulbright Junior Scholars (RGC-Fulbright Hong Kong Dissertation Research Program) (Note: Formal letter will be received in April 2010), Research Grants Council (RGC) of Hong Kong and the Fulbright Program of the United States. 2010. |
| Wong J.Y.H. and Tiwari A.F.Y., Telephone empowerment intervention to improve mental health of abused Chinese women in community: A randomized controlled trial, the 14th International Conference on Violence, Abuse, and Trauma, San Diego, California . 2009. |
| Wong J.Y.H., Chu S.K.W., Tiwari A.F.Y., Fung S. and Mo J., The use of blog to facilitate clinical learning during practicum among undergraduate nursing students: a preliminary study., Proceedings of the 6th International Conference on Knowledge Management: Managing Knowledge for Global and Collaborative Innovations [CD-ROM]. Hong Kong, 2009. |
| Researcher : Yau JPL |
| List of Research Outputs |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., Exploring mothers experiences in improving smoking hygiene at home: A qualitative study, Society for Reserach on Nicotine and Tobacco First Asian Regional Conference: Developing Research Infrastructure and Skills to Meet FCTC Obligations, Bangkok, Thailand. 28-31 October. 2009. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Leung A.Y.M., Leung G.M., Emmons K., Leung S. and Lam T.H., Randomized Controlled Trials (RCT) of Family Interventions to Reduce Secondhand Smoke (SHS) Exposure in Infants and Mothers, Flight Attendant Medical Research Institute (FAMRI) Ninth Scientific Symposium, Miami, Flordia, USA, 3-5 May. USA, 2010, 168-169. |
| Chan S.S.C., Yau J.P.L., Leung Y.P., Koh D., Ng V. and Lam T.H., Saliva cotinine levels of mothers and infants exposed to household secondhand smoke, Circulation. American Heart Association, 2010, 122(2): e87-88. |
| Leung Y.P., Chan S.S.C., Yau J.P.L., Leung A.Y.M., Leung S., Emmons K. and Lam T.H., Validating the Chinese General Self-Efficacy Scale in a sample of mothers with smoking husbands in Hong Kong, The 4th Hong Kong International Nursing Forum, The University of Hong Kong, 4-5 June 2010. |
| Yau J.P.L., Chan S.S.C., Leung Y.P., Leung G.M., Leung A.Y.M., Emmons K., Leung S., Koh D., Ng V. and Lam T.H., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure to children: a pilot study., The 4th Hong Kong International Nursing Forum, Hong Kong, China, 4-5 June 2010.. 2010. |
| Researcher : Yau PLJ |
| List of Research Outputs |
| Yau P.L.J., Chan S.S.C., Leung Y.P., Leung A.Y.M., Leung G.M., Leung S., Emmons K. and Lam T.H., A RCT of a family intervention to reduce secondhand smoke (SHS) exposure in children, The Hong Kong Public Health Forum 2009. Hong Kong, 49. |
| Yau P.L.J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A randomized controlled trial of a family intervention to reduce SHS exposure in children: Preliminary analysis of the baseline data, 14th Research Postgraduate Symposium, The University of Hong Kong. Hong Kong, 2009, 89. |
| Yau P.L.J., Chan S.S.C., Lam T.H. and Fong D.Y.T., A randomized controlled trial of a family intervention to reduce secondhand smoke (SHS) exposure in babies, U21 Doctoral Nursing Research Forum at Health Sciences Meeting. USA, 2009. |
| Researcher : Yuen FKH |
| List of Research Outputs |
| Chiang V.C.L., Hui Choi W.H., Lam S.F., Chan S.L., Kong C.H.M., Chan S.S.C., Yuen F.K.H., Chui M.L. and So W., The application and evaluation of advanced simulation for experiential learning in developing student’s critical thinking dispositions and skills, The 3rd International Nurse Education Conference. Sydney, Australia. 2010. |
| Fu C.Y., Tiwari A.F.Y., Lam S.F., Yuen F.K.H. and Chan S.S.C., Enhancing the effectiveness of clinical problem-based learning: the role of tutor as a facilitator, 3rd International Nurse Education Conference. 2010. |
| Lam S.F., Fu C.Y., Yuen F.K.H. and Tiwari A.F.Y., Implementing a named-nurse supervisory model to prepare the pre-registered nurses enter into the work force , International Nurse Education Conference. 2010. |
| Tiwari A.F.Y. and Yuen F.K.H., Psychological Abuse in Chinese Women: A Qualitative Study, Family & Intimate Partner Violence Quarterly. USA, 2010, 2: 292-302. |
| Wong J.Y.H., Yuen F.K.H., Fong D.Y.T. and Tiwari A.F.Y., A randomized controlled trial to test the efficacy of an empowerment intervention to improve mental health of Chinese abused women, The First Asia-Pacific Conference on Health Promotion and Education (APHPE), the Northern Part of Western Pacific Region of International Union of Health Promotion and Education (NPWP/IUHPE) & Japanese Society of Health Education and Promotion (JSHEP), Makuhari Messe , Japan. 2009. |
| Researcher : Zhang J |
| List of Research Outputs |
| Zhang J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A study on the factors affecting smoking behaviour during hospitalisation among patients with cardiovascular disease (CVD) in mainland China, The Hong Kong Public Health Forum 2009. Hong Kong, 56. |
| Zhu W.H., Yang L., Jiang C.Q., Deng L.Z., Lam T.H., Zhang J. and Chan S.S.C., Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China, Journal of Public Health. 2010, 32(2): 267-276. |
| Researcher : Zhang J |
| List of Research Outputs |
| Zhang J., Chan S.S.C., Fong D.Y.T. and Lam T.H., A study on the factors affecting smoking behaviour during hospitalisation among patients with cardiovascular disease (CVD) in mainland China, The Hong Kong Public Health Forum 2009. Hong Kong, 56. |
| Zhu W.H., Yang L., Jiang C.Q., Deng L.Z., Lam T.H., Zhang J. and Chan S.S.C., Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China, Journal of Public Health. 2010, 32(2): 267-276. |