Although the psychological impact of coronavirus disease 2019 (COVID-19) has been evaluated in the literature, further research is needed, particularly on post-traumatic stress disorder (PTSD) and psychological outcomes, is needed. This study aims to investigate the effect of the COVID-19 pandemic on psychological outcomes (depression, anxiety, and insomnia). A cross-sectional study using an online survey was conducted using the following instruments: Impact of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), and Insomnia Severity Index (ISI). Confirmatory factor analysis (CFA), structural equation model (SEM), multiple indicators and multiple causes (MIMIC) modeling, and differential item functioning (DIF) were performed to analyze the collected data. According to the results, participants with PTSD (n = 360) showed a higher level of depression, anxiety, and insomnia than those without PTSD (n = 639). Among the participants, 36.5% experienced moderate to severe symptoms of depression, and 32.6% had mild depressive symptoms. Moreover, 23.7% of participants experienced moderate to severe anxiety symptoms, and 33.1% had mild anxiety symptoms. In addition, 51.5% of participants experienced symptoms of insomnia. In conclusion, the PTSD caused by COVID-19 is significantly associated with depression, anxiety, and insomnia at the level of latent constructs and observed variables.

Mobile and tablet apps, ubiquitous and pervasive computing, wearable computing and domotics for health.

Introduction: Several countries have started mass vaccination programs to halt the spread of the COVID-19 pandemic. With an R naught value of 2 to 3, about 70% of the population needs to be immunized to achieve herd immunity. This study aimed to investigate the reasons for acceptance or refusal of COVID-19 vaccines among the Malaysian population. Methodology: An exploratory, descriptive qualitative design was performed. The cross-sectional survey used a non-probability convenient sampling technique to recruit the respondents, who were required to answer an open-ended question: Either "If you are willing to get the vaccine, please state your reason" or "If you are not willing to get vaccinated, please state your reason." The survey also included questions on demography such as age, gender, and place of residence. According to the Health Belief Model, the data was transcribed, translated, and analyzed: perceived susceptibility, perceived severity, perceived barrier, and cues for action. Results: A total of 1091 respondents who completed the online survey comprised 685 (62.8%) females, 406 (37.2%) males, with a mean age of 38.16 (SD = 16.44). The majority (81.1%) were willing to get vaccinated. Thematic analysis showed that most respondents perceived that the vaccine is safe, effective, protective and will provide herd immunity. Barriers to vaccination include unknown long-term side effects, rapid vaccine production, inadequate information and concerns regarding halal status. Cues to vaccination included individual desire, social responsibility, economic concerns and wait-and-see behavior. Conclusions: The public should be well informed about the vaccine, its efficacy, side effects, and halal status to increase vaccine acceptability and achieve herd immunity.

Background: Vaccine hesitancy has been around since the introduction of smallpox vaccine. Vaccine hesitancy has become more intense due to the rise of vaccine information in social media and mass adult vaccination during COVID-19 pandemic. This study investigated knowledge, perception, and reasons for rejection of the COVID-19 vaccine among Malaysian adults who refused to get free COVID-19 vaccination. Methods: An online cross-sectional survey using an embedded mixed-method study [QUAN(quali)] was conducted among Malaysian adults. The quantitative section consisted of a 49-item questionnaire, whereas the qualitative sections consisted of two open-ended questions (1) "Please state your reason why you have not registered or have no intention to register at all for COVID-19 vaccines?" and (2) "Please tell us if you have any suggestions for improvement about COVID-19 vaccine delivery". Data from respondents who were not willing to get vaccination were extracted from the overall data and further analyzed in this paper. Result: Sixty-one adults completed the online open-ended survey with a mean age of 34.28 years (SD = 10.30). Among factors that influenced them to get vaccinated was information on vaccine effectiveness (39.3%), death due to COVID-19 (37.7%), and recommendations from the Ministry of Health (36.1%). Most of the respondents (77.0%) were knowledgeable about vaccines, with half having high-perceived risks (52.5%) to COVID-19. While 55.7% and 52.5% had, high perceived barriers and benefits to COVID-19 vaccines respectively. The reasons for vaccine rejections included vaccine safety, indecisiveness, underlying medical conditions, herd immunity, non-transparent data, and use of traditional or complementary medicine. Conclusion: The study explored the multitude factors that drive perception, acceptance, and rejection. The qualitative approach with a small sample size provided more data point for interpretations and allowed participants to express themselves. This is important to develop strategies to create public awareness on vaccines not just for COVID-19 but any infectious diseases that can be curbed through vaccination.

Non-communicable diseases (NCDs) represent the foremost cause of mortality worldwide, including Malaysia. In this study, we aim to gauge the level of knowledge, attitudes, and practices on NCDs using a validated questionnaire. A descriptive cross-sectional study conducted among the general adult population in selected areas of Negeri Sembilan, Malaysia conducted from October 2017 to February 2018. Of the 486 respondents, 57.4% (279) were from rural communities. The mean age of the respondents was 53.68 (SD:19.69). For both urban and rural respondents, more than half of the respondents showed good knowledge (78.7% vs 69.9%), good attitude (53.1% vs 93.2%), and moderate practice (63.8% vs 54.8%). In bivariate analysis, rural respondents have a significantly higher total attitude [66.01 (SD = 5.049) vs 57.18 (SD = 4.825), p < 0.001] and practice [7.65 (SD = 1.891) vs 7.24 (SD = 1.624), p = 0.013] scores than urban respondents with no significant difference in total knowledge scores. However, rural respondents had lower scores regarding general knowledge on NCDs [5.71 (SD = 2.288) vs 6.35 (SD = 1.587), p = 0.001] and diabetes mellitus diseases [2.91 (1.134) vs 3.24 (0.954), p = 0.001] compared to urban communities. This study identified that even with adequate knowledge, the attitude and practices towards NCDs were unsatisfactory, particularly among urban respondents. Considering the future burden of NCDs management and complication, efforts are needed to assess the factors that decrease the attitude and lifestyle practices in the prevention of NCDs, particularly among the urban community.

Salat is the essential way of connecting Muslims with Allah, the Creator. Salat is also an important way of coping especially for those who are facing hardships and difficulties such as having chronic or acute illnesses. This study determines the level of knowledge, attitude, and practice among patients admitted to the Hospital Langkawi, Kedah. From January to December 2015, a cross sectional study on a sample of 166 respondents was conducted. The sample was selected using simple random sampling and the information was elicited through face-to-face interviews using a validated, self-constructed questionnaire. Data were then analyzed using IBM SPSS version 21.0. The results showed that 78.9% (n = 131) of the respondents did not perform Salat while in the ward due to their illnesses mainly because they do not know how to perform rukhsah salat (77.7%, n = 129). Overall, 48.2% (n = 80) of the respondents claimed that nobody guided them on how to perform Salat and how to take ablution (wudhu’) (47.6%, n = 79) while in the ward. The most important person who teaches the respondents on how to perform Salat in the ward is the religious officer (27.7%, n = 46) and nurses (13.3%, n = 22). Generally, more than half of the respondents still have a low knowledge (53.6%, n = 89) and a low attitude (61.4%, n = 102) on performing rukhsah salat while being admitted. As a conclusion, healthcare providers need to have knowledge regarding rukhsah salat and hold a responsibility to educate patients especially those admitted and more importantly debilitated due to their illnesses while in the ward.