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Credit transfer information systems in higher education are not well studied. This article demonstrates the prototype development of a cross-institutional credit transfer information system (CICIS) for community college transfer (i.e., vertical transfer) students in an Asian educational context. It exhibits credit transfer guidelines and past credit transfer records to enhance the transparency and sustainability of credit transfer information and to facilitate the transfer process of prospective community college transfer students. It also ensures the sustainability of credit transfer information and its application. The four-phase life cycle of the prototyping model was adopted to guide the study. In this paper, we report the first three phases of this development: (1) Users’ needs assessment and pre-prototyping groundwork, (2) prototype development, and (3) unforeseen circumstances and expert review. Challenges and difficulties throughout the whole process are documented and discussed. Based on this prototype development experience, a solid foundation of strategies for future engineering and enhancement of credit transfer information systems can be developed.
Kin Cheung; Bin Li; Peter Benz; Ka Ming Chow; Jeremy Tzi Dong Ng; Wilson Yeung Yuk Kwok; Hilda Tsang; Dicky Nok Hang Leung; Janus Ka Yee Lui; Yee Na Li; Eunice So; Alice Leung. Prototype Development of a Cross-Institutional Credit Transfer Information System for Community College Transfer Students. Sustainability 2021, 13, 9398 .
AMA StyleKin Cheung, Bin Li, Peter Benz, Ka Ming Chow, Jeremy Tzi Dong Ng, Wilson Yeung Yuk Kwok, Hilda Tsang, Dicky Nok Hang Leung, Janus Ka Yee Lui, Yee Na Li, Eunice So, Alice Leung. Prototype Development of a Cross-Institutional Credit Transfer Information System for Community College Transfer Students. Sustainability. 2021; 13 (16):9398.
Chicago/Turabian StyleKin Cheung; Bin Li; Peter Benz; Ka Ming Chow; Jeremy Tzi Dong Ng; Wilson Yeung Yuk Kwok; Hilda Tsang; Dicky Nok Hang Leung; Janus Ka Yee Lui; Yee Na Li; Eunice So; Alice Leung. 2021. "Prototype Development of a Cross-Institutional Credit Transfer Information System for Community College Transfer Students." Sustainability 13, no. 16: 9398.
Background People with type 2 diabetes (T2D) receiving insulin injection are reported to encounter challenges to achieve optimal glycaemic control. The evidence on effectiveness of self-management programmes for T2D people receiving insulin injection is far from conclusive. Aim To examine the effectiveness of self-management programmes for people with T2D receiving insulin injection. Methods Twelve databases were searched from dates of inception to June 2021. All randomised controlled trials (RCTs) and controlled clinical trials examining the effectiveness of self-management programmes were included. The methodological quality was appraised using the Joanna Briggs Institute critical appraisal tools by two independent researchers. Data were summarised narratively or pooled statistically where appropriate. Results Nine RCTs involving 2613 participants were included. At post-intervention, meta-analysis results showed that self-management programmes significantly improved glycated haemoglobin A1c (HbA1c) (mean difference [MD]: −0.21, 95% confidence interval [CI] −0.29 to −0.12, P < .001), self-management behaviours (standardised MD [SMD]: 0.23, 95% CI: 0.12 to 0.33, P < .001) and self-efficacy (SMD: 0.20, 95% CI: 0.09 to 0.31, P = .0002). Only one intensive lifestyle intervention reported significant improvements in body weight and waist circumference. Three RCTs demonstrated significant improvements in body mass index compared with the control group. Only one study demonstrated significant improvements in total cholesterol and triglycerides in favour of the intervention group. At six months post-intervention, pooled results of two studies revealed decreased diabetes-related distress (MD: −2.98, 95% CI: −5.15 to −0.82, P = .007). No significant changes in blood pressure, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, depression and anxiety were found. Conclusions Self-management programmes have the potential to improve glycaemic control, weight management, blood lipids, self-management behaviours, self-efficacy and diabetes-related distress of people with T2D receiving insulin injection. More rigorous experimental trials are warranted to examine the effectiveness of self-management programme and its maintenance.
Wei Liang; Suzanne Hoi Shan Lo; Yetunde Oluwafunmilayo Tola; Ka Ming Chow. The effectiveness of self‐management programmes for people with type 2 diabetes receiving insulin injection: A systematic review and meta‐analysis. International Journal of Clinical Practice 2021, e14636 .
AMA StyleWei Liang, Suzanne Hoi Shan Lo, Yetunde Oluwafunmilayo Tola, Ka Ming Chow. The effectiveness of self‐management programmes for people with type 2 diabetes receiving insulin injection: A systematic review and meta‐analysis. International Journal of Clinical Practice. 2021; ():e14636.
Chicago/Turabian StyleWei Liang; Suzanne Hoi Shan Lo; Yetunde Oluwafunmilayo Tola; Ka Ming Chow. 2021. "The effectiveness of self‐management programmes for people with type 2 diabetes receiving insulin injection: A systematic review and meta‐analysis." International Journal of Clinical Practice , no. : e14636.
Background Adjuvant endocrine therapies are known to induce undesirable adverse effects such as vasomotor, vaginal and musculoskeletal symptoms among breast cancer patients. Drugs used in these therapies are often metabolised by cytochrome P450 (CYP) enzymes, in which their metabolising activities can be modified by single nucleotide polymorphisms (SNP) in CYP genes and CYP genotypes. This review aims to explore whether SNPs or genotypes of CYP are associated with the occurrence, frequency and severity of vasomotor, vaginal and musculoskeletal symptoms in breast cancer patients on adjuvant endocrine therapies. Methods A literature review was conducted using five electronic databases, resulting in the inclusion of 14 eligible studies, and their findings were presented narratively. Selected items from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist were used for critical appraisal of the reporting quality of the included studies. Results Most of the included studies showed that SNPs or genotypes of CYP that modify its metabolising activity have no effect on the occurrence, frequency or severity of vasomotor symptoms, including hot flashes. One study showed no correlation of these genetic variations in CYP with musculoskeletal symptoms, and no data were available on the association between such genetic variations and vaginal symptoms. Conclusions Overall, genetic variations in CYP have no effect on the experience of hot flashes among breast cancer patients. We recommend exploration of the link between the active metabolites of chemotherapeutic drugs and the molecules shown to affect the occurrence or severity of hot flashes, and the establishment of the relationship between such genetic variations and patients’ experience of musculoskeletal and vaginal symptoms. Subgroup analyses based on patients’ duration of adjuvant endocrine therapies in such studies are recommended.
Carmen W. H. Chan; Bernard M. H. Law; Marques S. N. Ng; Corinna C. Y. Wong; Carissa W. Y. Wong; Morgan Quinley; Jessica M. Orgusyan; Ka Ming Chow; Mary M. Y. Waye. Association of single nucleotide polymorphisms of cytochrome P450 enzymes with experience of vasomotor, vaginal and musculoskeletal symptoms among breast cancer patients: a systematic review. BMC Cancer 2021, 21, 1 -19.
AMA StyleCarmen W. H. Chan, Bernard M. H. Law, Marques S. N. Ng, Corinna C. Y. Wong, Carissa W. Y. Wong, Morgan Quinley, Jessica M. Orgusyan, Ka Ming Chow, Mary M. Y. Waye. Association of single nucleotide polymorphisms of cytochrome P450 enzymes with experience of vasomotor, vaginal and musculoskeletal symptoms among breast cancer patients: a systematic review. BMC Cancer. 2021; 21 (1):1-19.
Chicago/Turabian StyleCarmen W. H. Chan; Bernard M. H. Law; Marques S. N. Ng; Corinna C. Y. Wong; Carissa W. Y. Wong; Morgan Quinley; Jessica M. Orgusyan; Ka Ming Chow; Mary M. Y. Waye. 2021. "Association of single nucleotide polymorphisms of cytochrome P450 enzymes with experience of vasomotor, vaginal and musculoskeletal symptoms among breast cancer patients: a systematic review." BMC Cancer 21, no. 1: 1-19.
Purpose This study aimed to explore the cultural elements of music in relation to pain management among women who have undergone mastectomy. Method: An exploratory qualitative study with in-depth interviews. Using the purposive sampling technique, 20 participants were recruited for the study. The interviews were conducted face to face at the surgical out-patient clinic and female surgical ward. Data collection continued until data saturation was reached. The inductive approach was used to analyse the data, and the concepts were organized into themes. The consolidated criteria for reporting qualitative research guidelines (COREQ) were used to report this study. Results The participants were between 28 and 83 years old and mostly diagnosed with Stage III breast cancer. Three main themes emerged from the data analysis, including pain experienced after mastectomy, culture and music, and the perception of music for postoperative pain management after mastectomy. Conclusion Knowledge and the utilisation of music as a therapy for pain management remains inadequate, but the participants perceived that music could be useful for pain control after mastectomy when the language and religion of the patient and the meaningfulness of the music were considered when introducing and selecting the music. This study will help open and extend the conversation about the utilisation and cultural elements of music that can be used clinically for pain management after mastectomy.
Yetunde Oluwafunmilayo Tola; Njokanma G Iloba; Ka Ming Chow. Music therapy for postoperative pain management after mastectomy in Nigeria: An exploratory qualitative study. 2021, 1 .
AMA StyleYetunde Oluwafunmilayo Tola, Njokanma G Iloba, Ka Ming Chow. Music therapy for postoperative pain management after mastectomy in Nigeria: An exploratory qualitative study. . 2021; ():1.
Chicago/Turabian StyleYetunde Oluwafunmilayo Tola; Njokanma G Iloba; Ka Ming Chow. 2021. "Music therapy for postoperative pain management after mastectomy in Nigeria: An exploratory qualitative study." , no. : 1.
Background Poorly managed preoperative anxiety and pain were reported to slow the postoperative recovery of breast cancer patients. Thus, proactive management using non‐pharmacological interventions becomes essential for decreasing opioid or anxiolytics consumption, anxiety level, pain intensity, postoperative complications and improving patients’ haemodynamics and satisfaction with care. Purpose To identify, analyse and synthesise the effects of non‐pharmacological interventions on preoperative anxiety and acute postoperative pain in women undergoing breast cancer surgery. Method For this systematic review, 12 databases including Ovid Nursing, PsycInfo, British Nursing Index, CINAHL, Cochrane Library were searched to identify relevant studies. A total of 6,012 articles were identified from the search, six RCTs and one quasi‐experimental study that met the inclusion criteria were included after eligibility screening. Narrative synthesis was used to analyse data extracted from the included articles. The review adhered to the PRISMA guideline. Results Twelve outcomes were measured in the included studies, including preoperative anxiety, and acute postoperative pain. Music, massage, aromatherapy and acupuncture were the interventions delivered. Music had a small‐to‐large effect size and aromatherapy had a small effect size on reducing preoperative anxiety. Also, music had a large effect size whilst acupuncture had a medium effect size on minimising postoperative pain in women undergoing breast cancer surgery. Conclusion Music, aromatherapy and acupuncture appeared to be effective for reducing preoperative anxiety and postoperative pain in women undergoing breast cancer surgery. However, the small number of studies available for each intervention prevents conclusive statements about which the most effective method. Implication for clinical practice A nursing care pathway that standardises the use of non‐pharmacological interventions for the management of both preoperative anxiety and postoperative pain in breast cancer surgery patients should be developed.
Yetunde Oluwafunmilayo Tola; Ka Ming Chow; Wei Liang. Effects of non‐pharmacological interventions on preoperative anxiety and postoperative pain in patients undergoing breast cancer surgery: A systematic review. Journal of Clinical Nursing 2021, 1 .
AMA StyleYetunde Oluwafunmilayo Tola, Ka Ming Chow, Wei Liang. Effects of non‐pharmacological interventions on preoperative anxiety and postoperative pain in patients undergoing breast cancer surgery: A systematic review. Journal of Clinical Nursing. 2021; ():1.
Chicago/Turabian StyleYetunde Oluwafunmilayo Tola; Ka Ming Chow; Wei Liang. 2021. "Effects of non‐pharmacological interventions on preoperative anxiety and postoperative pain in patients undergoing breast cancer surgery: A systematic review." Journal of Clinical Nursing , no. : 1.
Background A diagnosis of cancer and its treatments can be associated with a prominent issue of loss of dignity or an undermined sense of dignity for patients. Research is increasingly being conducted into how patients with cancer experience dignity, with the aim to build clinical foundations for care that preserves patients’ sense of dignity. Aim This review summarises and synthesises the available empirical literature on the experience of dignity in patients with cancer regarding both the perception of dignity and associated factors. Method An integrative review method was used. A literature search was conducted in 11 databases using the search terms ‘dignity’ OR ‘existential’ OR ‘existentialism’ combined with ‘cancer’. The Mixed Methods Appraisal Tool (version 2011) was adopted to appraise the methodological quality of the included studies. Results Nine qualitative studies and 13 quantitative studies met the selection criteria and were included in the review. The ways that patients with cancer perceived dignity include autonomy/control, respect, self‐worth, family connectedness, acceptance, hope/future and God/religious. Factors associated with dignity include demographics, physical and psychosocial distress, experiences of suffering and coping strategies. Conclusion Dignity‐conserving care should respect patients’ human autonomy to strengthen their sense of self‐worth, acceptance, hope, reinforce family connectedness, and foster coping strategies to control the physical, psychosocial factors and experience of sufferings that threaten their sense of dignity.
Jinnan Xiao; Marques S. N. Ng; Tingting Yan; Ka Ming Chow; Carmen W. H. Chan. How patients with cancer experience dignity: An integrative review. Psycho-Oncology 2021, 1 .
AMA StyleJinnan Xiao, Marques S. N. Ng, Tingting Yan, Ka Ming Chow, Carmen W. H. Chan. How patients with cancer experience dignity: An integrative review. Psycho-Oncology. 2021; ():1.
Chicago/Turabian StyleJinnan Xiao; Marques S. N. Ng; Tingting Yan; Ka Ming Chow; Carmen W. H. Chan. 2021. "How patients with cancer experience dignity: An integrative review." Psycho-Oncology , no. : 1.
Patients treated for gynaecological cancer (GC) generally experience impaired sexual function. Research on their sexual life experiences and perceptions on the sexuality care they receive is warranted. This study aimed to examine the perceptions of Chinese patients treated for GC regarding the effects of cancer treatment on their sexual function and femininity, their relationships with their partners, and the adequacy of the sexual information received from healthcare professionals during treatment. Individual, semi-structured interviews were conducted with 21 Chinese patients treated for GC, collecting data on their perceptions regarding the effects of cancer treatment on their sexual lives, femininity, and relationships with partners; and their views about the quality of sexuality care received. Data were analysed using content analysis. Participants experienced impaired sexual function, reduced sex drive, and expressed dissatisfaction with their sex lives. They perceived a loss of femininity and poor body image. They desired more information about how to address sexual problems and opted to receive this information from female healthcare professionals in individual counselling sessions during which the professionals could initiate such discussions. Overall, Chinese patients treated for GC have concerns about multiple sexual issues and a strong desire for information about strategies to address these issues. Nurse-led interventions should be implemented via a shared care approach to enhance patients’ awareness about managing their sexual and psychological symptoms.
Ka Chow; Carmen Chan; Bernard Law. Perceptions of Chinese Patients Treated for Gynaecological Cancer about Sexual Health and Sexual Information Provided by Healthcare Professionals: A Qualitative Study. Cancers 2021, 13, 1654 .
AMA StyleKa Chow, Carmen Chan, Bernard Law. Perceptions of Chinese Patients Treated for Gynaecological Cancer about Sexual Health and Sexual Information Provided by Healthcare Professionals: A Qualitative Study. Cancers. 2021; 13 (7):1654.
Chicago/Turabian StyleKa Chow; Carmen Chan; Bernard Law. 2021. "Perceptions of Chinese Patients Treated for Gynaecological Cancer about Sexual Health and Sexual Information Provided by Healthcare Professionals: A Qualitative Study." Cancers 13, no. 7: 1654.
Ka Ming Chow. A culturally-adapted Women’s Wellness after Cancer Program for Chinese women treated for gynecological cancer. 2021, 1 .
AMA StyleKa Ming Chow. A culturally-adapted Women’s Wellness after Cancer Program for Chinese women treated for gynecological cancer. . 2021; ():1.
Chicago/Turabian StyleKa Ming Chow. 2021. "A culturally-adapted Women’s Wellness after Cancer Program for Chinese women treated for gynecological cancer." , no. : 1.
In nursing students, resilience is recognised as a critical quality that will enable them to face and solve the challenges encountered in their studies and future careers. This mixed-methods study aimed to develop a resilience-building module for university nursing students and evaluate its effects on resilience, well-being and mindfulness. We recruited a convenience sample of 195 nursing students and delivered a resilience-building module comprising three 90-minute workshops on the following topics: resilience and emotion regulation, stress management and mindfulness, and burnout and depression. The participants' views and perceptions of the module were explored using pre-test and post-test questionnaires and focus group interviews. No significant changes in outcomes were observed from the pre-test to the post-test. However, a multivariable linear regression analysis indicated that mindfulness was significantly associated with resilience. A qualitative data analysis revealed that the resilience-building module evoked the participants' awareness of resilience and was considered an enjoyable learning experience. In conclusion, although the quantitative results demonstrated no significant changes in outcomes after the module, the qualitative results suggested that the resilience-building module could have beneficial effects if included in the undergraduate nursing curricula. Finally, better mindfulness was identified as important for enhancing resilience among undergraduate nursing students.
Ka Ming Chow; Fiona W.K. Tang; Winnie P.Y. Tang; Alice W.Y. Leung. Resilience-building module for undergraduate nursing students: A mixed-methods evaluation. Nurse Education in Practice 2020, 49, 102912 .
AMA StyleKa Ming Chow, Fiona W.K. Tang, Winnie P.Y. Tang, Alice W.Y. Leung. Resilience-building module for undergraduate nursing students: A mixed-methods evaluation. Nurse Education in Practice. 2020; 49 ():102912.
Chicago/Turabian StyleKa Ming Chow; Fiona W.K. Tang; Winnie P.Y. Tang; Alice W.Y. Leung. 2020. "Resilience-building module for undergraduate nursing students: A mixed-methods evaluation." Nurse Education in Practice 49, no. : 102912.
This study assessed the knowledge, attitudes and practices (KAP) towards coronavirus disease 2019 (COVID-19) among South Asians in Hong Kong and examined the factors that affect KAP towards COVID-19 in this population. This cross-sectional descriptive study recruited participants with assistance from South Asian community centres and organisations. A total of 352 participants completed questionnaires to assess their level of KAP towards COVID-19. The mean knowledge score was 5.38/10, indicating a relatively low knowledge level. The participants expressed certain misconceptions regarding the prevention of COVID-19 infection. They perceived a mild risk related to the disease, had positive attitudes regarding its prevention and often implemented recommended disease-preventive measures, such as maintaining social distance (88.1%) and wearing masks in public (94.3%). Participants who were male, had a secondary school education or lower and who perceived a lower risk of being infected and lower self-efficacy were less likely to implement preventive measures. Culturally and linguistically appropriate health education could be developed to increase the knowledge of South Asians, especially those with lower education levels, about COVID-19 and to encourage them to implement the necessary preventive measures.
Cho Wong; Jieling Chen; Ka Chow; Bernard Law; Dorothy Chan; Winnie So; Alice Leung; Carmen Chan. Knowledge, Attitudes and Practices Towards COVID-19 Amongst Ethnic Minorities in Hong Kong. International Journal of Environmental Research and Public Health 2020, 17, 7878 .
AMA StyleCho Wong, Jieling Chen, Ka Chow, Bernard Law, Dorothy Chan, Winnie So, Alice Leung, Carmen Chan. Knowledge, Attitudes and Practices Towards COVID-19 Amongst Ethnic Minorities in Hong Kong. International Journal of Environmental Research and Public Health. 2020; 17 (21):7878.
Chicago/Turabian StyleCho Wong; Jieling Chen; Ka Chow; Bernard Law; Dorothy Chan; Winnie So; Alice Leung; Carmen Chan. 2020. "Knowledge, Attitudes and Practices Towards COVID-19 Amongst Ethnic Minorities in Hong Kong." International Journal of Environmental Research and Public Health 17, no. 21: 7878.
Eczema is a multifactorial skin disease that affects 20% of children worldwide and has a complex relationship with microbial, nutritional, parental and environmental factors. In this study, we investigated the potential association of eczema with the gut microbiome and environmental factors. One hundred and fifty-two newborn subjects and their mothers were recruited within 10 days postnatally at the Prince of Wales Hospital in Hong Kong, China and asked to complete questionnaires on allergies, maternal diet and environmental assessment at enrolment. Then, the participants were classified as with or without eczema at four months after birth based on the Comprehensive Early Childhood Allergy Questionnaire (CECAQ) and SCORing Atopic Dermatitis (SCORAD) index (n = 48, with 24 in each group). Stool samples were collected from both groups at the same time. Microbial DNA was extracted from each stool sample, and 16S rRNA sequencing was performed to analyze the gut microbiome profiles of the subjects. Our results indicated that the abundance of Bifidobacterium was significantly higher in the eczema group than in the control group (p = 0.04). A multivariable logistic regression analysis was conducted, and the results showed that the father’s education level and maternal intake of cereal products and nutritional supplements during pregnancy were associated with the development of eczema (p = 0.008, 0.032 and 0.015, respectively). In conclusion, this study provided preliminary information about the potential risk factors of eczema development in Hong Kong infants in support of a future full study.
Carmen Wing Han Chan; Judy Yuet Wa Chan; Ting Fan Leung; Kai Chow Choi; Stephen Kwok Wing Tsui; Cho Lee Wong; Ka Ming Chow. Altered Gut Microbiome and Environmental Factors Associated with Development of Eczema in Hong Kong Infants: A 4-Month Pilot Study. International Journal of Environmental Research and Public Health 2020, 17, 7634 .
AMA StyleCarmen Wing Han Chan, Judy Yuet Wa Chan, Ting Fan Leung, Kai Chow Choi, Stephen Kwok Wing Tsui, Cho Lee Wong, Ka Ming Chow. Altered Gut Microbiome and Environmental Factors Associated with Development of Eczema in Hong Kong Infants: A 4-Month Pilot Study. International Journal of Environmental Research and Public Health. 2020; 17 (20):7634.
Chicago/Turabian StyleCarmen Wing Han Chan; Judy Yuet Wa Chan; Ting Fan Leung; Kai Chow Choi; Stephen Kwok Wing Tsui; Cho Lee Wong; Ka Ming Chow. 2020. "Altered Gut Microbiome and Environmental Factors Associated with Development of Eczema in Hong Kong Infants: A 4-Month Pilot Study." International Journal of Environmental Research and Public Health 17, no. 20: 7634.
Outbreaks of severe acute respiratory syndrome (SARS) and coronavirus disease 2019 (COVID-19) have affected populations worldwide. Our literature review summarises the studies reporting psychological issues among healthcare staff and infected patients in mainland China, Hong Kong, and Taiwan during these two outbreaks and the potential strategies for addressing these issues. Our review shows that patients and healthcare staff presented similar psychological symptoms, including anxiety, fear, distress, and depression, which may lead to stress-related complications such as insomnia. In patients, these psychological impairments can be contributed to by being quarantined, perceptions of threats to life, and uncertainty about health status. Quarantine is also a factor for distress among healthcare staff, together with their heavy workload, the fear that they and their families would become infected, witnessing their patients’ poor and deteriorating conditions, and the requirement to wear protective gear. Strategies that are needed to address these factors include providing counselling services, implementing mindfulness-based therapies and optimism interventions, and providing telecommunication facilities for patients to communicate with their families. Healthcare staff should also be provided with these services, together with appropriate and flexible work shift arrangements and morale boosting. These strategies would improve not only the mental well-being of patients and healthcare staff, but also the self-efficacy and competence of the staff to provide quality healthcare services.
Ka Chow; Bernard Law; Marques Ng; Dorothy Chan; Winnie So; Cho Wong; Carmen Chan. A Review of Psychological Issues among Patients and Healthcare Staff during Two Major Coronavirus Disease Outbreaks in China: Contributory Factors and Management Strategies. International Journal of Environmental Research and Public Health 2020, 17, 6673 .
AMA StyleKa Chow, Bernard Law, Marques Ng, Dorothy Chan, Winnie So, Cho Wong, Carmen Chan. A Review of Psychological Issues among Patients and Healthcare Staff during Two Major Coronavirus Disease Outbreaks in China: Contributory Factors and Management Strategies. International Journal of Environmental Research and Public Health. 2020; 17 (18):6673.
Chicago/Turabian StyleKa Chow; Bernard Law; Marques Ng; Dorothy Chan; Winnie So; Cho Wong; Carmen Chan. 2020. "A Review of Psychological Issues among Patients and Healthcare Staff during Two Major Coronavirus Disease Outbreaks in China: Contributory Factors and Management Strategies." International Journal of Environmental Research and Public Health 17, no. 18: 6673.
As the novel coronavirus disease 2019 (COVID-19) pandemic continues, engaging the public in adherence to precautionary measures for preventing COVID-19 spread or infection becomes difficult. The present study aims to extend our understanding of how illness perceptions, coping, and self-efficacy affect adherence to precautionary measures among the public. An online survey was administered between April and June 2020 to a sample of 514 Hong Kong citizens. Variables considered were illness perceptions toward COVID-19, problem-solving, avoidance-based coping, self-efficacy, as well as adherence to precautionary measures including physical distancing, limiting unnecessary travelling, and washing hands regularly with soap and water. Adjusted structural equation model showed that illness perceptions toward COVID-19 had significant direct effect on their adherence to precautionary measures (unstandardized β = 0.50, [95% CI, 0.28, 0.80], p = 0.001), and indirect effects through avoidance-based coping (β = −0.10 [95% CI, −0.26, −0.01], p = 0.016) and self-efficacy (β = −0.10, [95% CI, −0.18, −0.01], p = 0.025). These results imply that apart from emphasizing the health hazards of a novel infectious disease, an effective public health intervention and crisis communication should address avoidance-based coping and self-efficacy of the public in adherence to precautionary measures for COVID-19.
Yuen Yu Chong; Wai Tong Chien; Ho Yu Cheng; Ka Ming Chow; Angelos P. Kassianos; Maria Karekla; Andrew Gloster. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. International Journal of Environmental Research and Public Health 2020, 17, 6540 .
AMA StyleYuen Yu Chong, Wai Tong Chien, Ho Yu Cheng, Ka Ming Chow, Angelos P. Kassianos, Maria Karekla, Andrew Gloster. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. International Journal of Environmental Research and Public Health. 2020; 17 (18):6540.
Chicago/Turabian StyleYuen Yu Chong; Wai Tong Chien; Ho Yu Cheng; Ka Ming Chow; Angelos P. Kassianos; Maria Karekla; Andrew Gloster. 2020. "The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19." International Journal of Environmental Research and Public Health 17, no. 18: 6540.
The aim of this study is to develop a practice model to enhance the provision of sexuality nursing care for patients with gynaecological cancers. A concept mapping approach with three phases was adopted, with phase I involving individual interviews, phase II producing a concept map, and phase III evaluating the applicability of the concept map to clinical practice. A sample of 80 participants, consisting of patients with gynaecological cancers, their spouses/partners, and registered nurses and physicians, was recruited from the gynaecological oncology unit of two acute hospitals in Hong Kong. The participants were involved in all three phases. In phase I, 50 statements were generated from the interviews. In phase II, we applied statistical techniques to produce a concept map illustrating the relationships and clustering between the statements. The map depicted seven clusters of statements in descending level of importance: discussion about sexual impact of treatment, organisational support, information-giving, attitude towards sexuality care, personnel involved in sexuality care delivery, timing of sexuality care delivery, and mode of sexuality care delivery. Finally, in phase III, the concept map was used to inform the development of a practice model which is adapted from the extended PLISSIT model. The feedback from participants supported the acceptability and appropriateness of the newly developed practice model to guide the delivery of sexuality care in the local clinical context. The newly developed practice model could serve as a reference point for other countries with Chinese populations in matters concerning sexuality care.
Ka Ming Chow; Carmen Wing Han Chan; Kai Chow Choi; Isabel D. White; Ka Yi Siu; Wai Ha Sin. A practice model of sexuality nursing care: a concept mapping approach. Supportive Care in Cancer 2020, 29, 1663 -1673.
AMA StyleKa Ming Chow, Carmen Wing Han Chan, Kai Chow Choi, Isabel D. White, Ka Yi Siu, Wai Ha Sin. A practice model of sexuality nursing care: a concept mapping approach. Supportive Care in Cancer. 2020; 29 (3):1663-1673.
Chicago/Turabian StyleKa Ming Chow; Carmen Wing Han Chan; Kai Chow Choi; Isabel D. White; Ka Yi Siu; Wai Ha Sin. 2020. "A practice model of sexuality nursing care: a concept mapping approach." Supportive Care in Cancer 29, no. 3: 1663-1673.
Oral mucositis is a painful and distressing complication of chemotherapy‐induced toxicity in cancer patients that can develop early during the treatment regimen. Previous studies have demonstrated that both oxidative stress and inflammation play a role in the development of the ulceration that is a characteristic of oral mucositis. To date, a few studies have investigated the effect of this complication on the well‐being of patients, demonstrating its negative impact on patients’ functional ability and quality of life. This effect may entail chemotherapeutic drug dose reduction among patients, in turn reducing their cancer survival rates. Therefore, interventions to address the detrimental effects of oral mucositis on the well‐being of cancer patients are required. This review provides an overview of the studies that have examined the negative effects of oral mucositis on Chinese cancer patients undergoing chemotherapy, as well as the interventions shown to be effective in treating this complication, with a focus on interventions utilizing traditional Chinese medicine. Overall, both traditional Chinese medicine‐based interventions and interventions involving patient education about effective oral care led by trained nurses were found to be useful in reducing the incidence and severity of oral mucositis among Chinese patients undergoing chemotherapy. Future oral mucositis management plans aiming at effective oral care among cancer patients undergoing chemotherapy should incorporate these types of interventions as integral components to enhance the well‐being of these patients.
Carmen W. H. Chan; Bernard M. H. Law; Martin M. H. Wong; Dorothy N. S. Chan; Marques S. N. Ng; Winnie K. W. So; Cho Lee Wong; Ka Ming Chow. Oral mucositis among Chinese cancer patients receiving chemotherapy: Effects and management strategies. Asia-Pacific Journal of Clinical Oncology 2020, 17, 1 .
AMA StyleCarmen W. H. Chan, Bernard M. H. Law, Martin M. H. Wong, Dorothy N. S. Chan, Marques S. N. Ng, Winnie K. W. So, Cho Lee Wong, Ka Ming Chow. Oral mucositis among Chinese cancer patients receiving chemotherapy: Effects and management strategies. Asia-Pacific Journal of Clinical Oncology. 2020; 17 (2):1.
Chicago/Turabian StyleCarmen W. H. Chan; Bernard M. H. Law; Martin M. H. Wong; Dorothy N. S. Chan; Marques S. N. Ng; Winnie K. W. So; Cho Lee Wong; Ka Ming Chow. 2020. "Oral mucositis among Chinese cancer patients receiving chemotherapy: Effects and management strategies." Asia-Pacific Journal of Clinical Oncology 17, no. 2: 1.
Breast cancer survivors need to undergo adjuvant endocrine therapy after completion of curative treatments to prevent disease recurrence. These individuals often experience symptoms which are detrimental to their quality of life (QOL). Implementation of interventions for effective symptom management among these survivors is warranted. This review provides an overview of studies on the effectiveness of the previously developed interventions for breast cancer survivors undergoing adjuvant endocrine therapy on symptom alleviation and enhancement of QOL or health-related QOL (HRQOL). Five electronic databases were employed in the literature search. Study selection, data extraction and critical appraisal of the included studies were conducted by three authors independently. Twenty-four studies were included. Both pharmacological and non-pharmacological interventions are effective in addressing the symptoms associated with adjuvant endocrine therapy among the breast cancer survivors, and in improving their QOL, although discrepancies were noted between the studies in terms of the significance of these effects. Pharmacological and non-pharmacological interventions can be effective for symptom management among breast cancer survivors. Their implementation is recommended for effective survivorship care for these individuals. Further research on intervention development for breast cancer survivors is recommended to provide further evidence for the utility of the explored interventions in survivorship care for these patients.
Carmen W.H. Chan; Daria Tai; Stephanie Kwong; Ka Ming Chow; Dorothy N.S. Chan; Bernard M.H. Law. The Effects of Pharmacological and Non-Pharmacological Interventions on Symptom Management and Quality of Life among Breast Cancer Survivors Undergoing Adjuvant Endocrine Therapy: A Systematic Review. International Journal of Environmental Research and Public Health 2020, 17, 2950 .
AMA StyleCarmen W.H. Chan, Daria Tai, Stephanie Kwong, Ka Ming Chow, Dorothy N.S. Chan, Bernard M.H. Law. The Effects of Pharmacological and Non-Pharmacological Interventions on Symptom Management and Quality of Life among Breast Cancer Survivors Undergoing Adjuvant Endocrine Therapy: A Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17 (8):2950.
Chicago/Turabian StyleCarmen W.H. Chan; Daria Tai; Stephanie Kwong; Ka Ming Chow; Dorothy N.S. Chan; Bernard M.H. Law. 2020. "The Effects of Pharmacological and Non-Pharmacological Interventions on Symptom Management and Quality of Life among Breast Cancer Survivors Undergoing Adjuvant Endocrine Therapy: A Systematic Review." International Journal of Environmental Research and Public Health 17, no. 8: 2950.
To review recent pharmacogenomics studies on breast cancer patients undergoing tamoxifen therapy, highlighting how our knowledge on cytochrome P450 2D6 (CYP2D6) can help to guide the development of adjuvant therapies for these patients. A comprehensive literature search was conducted. Articles reporting findings pertaining to the effect of CYP2D6 on the therapeutic efficacy of tamoxifen, those reporting how targeting CYP2D6 could inform tamoxifen-based therapy development, and those on the tamoxifen effects on cell lines and animal models were included in the review. With CYP2D6 being the primary enzyme for tamoxifen metabolism, single-nucleotide polymorphisms (SNPs) in this gene were one of the determinants in the rate of tamoxifen metabolism, thereby potentially having an effect on the efficacy of tamoxifen-based therapies. Our review indicates the potential effectiveness of targeting these SNPs, including those for the CYP2D6*10 allele (c. 100C > T), in modifying the level of tamoxifen metabolism. These findings suggest the importance of pharmacogenomics research in our understanding of the efficacy of adjuvant therapies. However, the involvement of multiple enzymes in tamoxifen metabolism, dietary factors, ethnic differences in gene frequencies, and patients’ compliance to tamoxifen therapies in studies do present challenges in pharmacogenomics research. Pharmacogenomics could play important roles in mediating the advancement of tamoxifen-based adjuvant therapies. Research efforts should be directed towards the exploration of further SNPs of CYP2D6 that affect tamoxifen metabolism, as well as epigenetic changes in CYP2D6, enabling the design of precision medicine and confirming clinical validity in the use of pharmacogenomics for tamoxifen.
Carmen W. H. Chan; Bernard M. H. Law; Winnie K. W. So; Ka Ming Chow; Mary M. Y. Waye. Pharmacogenomics of breast cancer: highlighting CYP2D6 and tamoxifen. Journal of Cancer Research and Clinical Oncology 2020, 146, 1395 -1404.
AMA StyleCarmen W. H. Chan, Bernard M. H. Law, Winnie K. W. So, Ka Ming Chow, Mary M. Y. Waye. Pharmacogenomics of breast cancer: highlighting CYP2D6 and tamoxifen. Journal of Cancer Research and Clinical Oncology. 2020; 146 (6):1395-1404.
Chicago/Turabian StyleCarmen W. H. Chan; Bernard M. H. Law; Winnie K. W. So; Ka Ming Chow; Mary M. Y. Waye. 2020. "Pharmacogenomics of breast cancer: highlighting CYP2D6 and tamoxifen." Journal of Cancer Research and Clinical Oncology 146, no. 6: 1395-1404.
Aims To identify and evaluate available evidence on the effectiveness of character strengths‐based intervention on the psychological well‐being of patients with chronic illnesses. Design A systematic review with meta‐analysis. Data sources Six electronic databases, including PubMed, EMBASE, EBSCO (CINAHL® and MEDLINE), Web of Science and PsycINFO, were searched from inception to December 2018. Review methods The quality appraisal of evidence and summary of studies were undertaken following Joanna Briggs Institute critical appraisal checklists and the standard guidelines of Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement. Meta‐analysis was conducted according to Cochrane methods using RevMan 5.1. Results Clinical studies on the character strengths‐based intervention for patients with chronic illnesses are limited. Eight studies involving 692 patients were identified and critically appraised in this review. Meta‐analysis results for three comparable studies indicated that character strengths‐based intervention was effective in improving the self‐esteem of patients with chronic illnesses and it significantly enhanced their general self‐efficacy and reduced their depression. Conclusions The findings support the effectiveness of character strengths‐based intervention on improving the psychological well‐being of patients with chronic illnesses. However, caution is needed in interpreting these results due to limited studies and heterogeneity across studies. Further research is needed to provide strong evidence on the applicability of the intervention in clinical practice. Impact This rigorous review provided current evidence on using character strengths‐based intervention to improve the psychological well‐being of patients with chronic illnesses. character strengths‐based intervention provides a creative approach for patients because it may help improve their well‐being, happiness, self‐esteem and self‐efficacy, as well as reduce depression and mental symptoms. Studies in different groups of patients suffering from chronic illnesses are recommended in the future. The character strengths‐based intervention should be replicated in various inpatient facilities and include a larger and a more ethnically and socioeconomically diverse sample.
Tingting Yan; Carmen W. H. Chan; Ka Ming Chow; Wei Zheng; Meng Sun. A systematic review of the effects of character strengths‐based intervention on the psychological well‐being of patients suffering from chronic illnesses. Journal of Advanced Nursing 2020, 76, 1567 -1580.
AMA StyleTingting Yan, Carmen W. H. Chan, Ka Ming Chow, Wei Zheng, Meng Sun. A systematic review of the effects of character strengths‐based intervention on the psychological well‐being of patients suffering from chronic illnesses. Journal of Advanced Nursing. 2020; 76 (7):1567-1580.
Chicago/Turabian StyleTingting Yan; Carmen W. H. Chan; Ka Ming Chow; Wei Zheng; Meng Sun. 2020. "A systematic review of the effects of character strengths‐based intervention on the psychological well‐being of patients suffering from chronic illnesses." Journal of Advanced Nursing 76, no. 7: 1567-1580.
Safeguarding the perceived dignity of cancer patients has been recently attracting attention, but its development is constrained by the ambiguous construct of dignity. This study aims to describe the perceived dignity of cancer patients undergoing chemotherapy on the basis of the dignity model and to provide insights into the promotion of dignity-conserving care in China. A qualitative descriptive design was conducted with face-to-face, semi-structured, and individual interviews. Consecutive sampling of cancer patients undergoing chemotherapy in a public hospital was conducted. Semi-structured interviews were performed by a registered nurse with experience in palliative care research. Data were analysed using the framework method with inductive and deductive approaches. Twenty patients aged 28–70 years old completed the interviews. Perceived dignity themes were classified into three categories, namely illness-related concerns, dignity-conserving repertoire, and social dignity inventory. In comparison with the dignity model, social dignity inventory had two added themes: communication openness and financial burden. These themes affect the perceived dignity of Chinese patients. The perceived dignity of patients can be affected by various issues, including illness, personal attitudes and practices and social environments. Culture and economics considerably affect the construct of dignity among the Chinese population. Family-oriented approaches are recommended to create an environment where patients feel valued, respected and supported. This method will help cancer patients adapt to the changes brought on by their illness and maintain dignity.
Jinnan Xiao; Ka Ming Chow; Carmen Wh Chan; Minjie Li; Ying Deng. Qualitative study on perceived dignity of cancer patients undergoing chemotherapy in China. Supportive Care in Cancer 2019, 28, 2921 -2929.
AMA StyleJinnan Xiao, Ka Ming Chow, Carmen Wh Chan, Minjie Li, Ying Deng. Qualitative study on perceived dignity of cancer patients undergoing chemotherapy in China. Supportive Care in Cancer. 2019; 28 (6):2921-2929.
Chicago/Turabian StyleJinnan Xiao; Ka Ming Chow; Carmen Wh Chan; Minjie Li; Ying Deng. 2019. "Qualitative study on perceived dignity of cancer patients undergoing chemotherapy in China." Supportive Care in Cancer 28, no. 6: 2921-2929.
Objective This study aims to evaluate the effects of a theory‐driven psycho‐educational intervention programme on uncertainty in illness, anxiety and sexual functioning in a cohort of Chinese patients with gynaecological cancer. Methods Women with newly diagnosed gynaecological cancer (n=202) received either a 4‐session, 12‐week‐long, culturally appropriate psycho‐educational intervention programme (n=102) or attention from intervener (n=100) in a two‐group randomised controlled trial. Patient‐reported measures included Chinese version of Mishel's Uncertainty in Illness Scale (C‐MUIS), Hospital Anxiety and Depression Scale (HADS) – Anxiety subscale and Sexual Function‐Vaginal Changes Questionnaire (SVQ). Data regarding uncertainty in illness and anxiety were collected at baseline and post‐intervention, while data on sexual functioning were collected post‐intervention. Results Patients receiving psycho‐educational intervention reported significantly greater reductions in ambiguity, inconsistency and overall uncertainty in illness, as measured by C‐MUIS (p<.01). They were also more likely to be sexually active (p=.037), report their partners having greater sexual interest (p=.008) and perceive a significantly greater level of intimacy (p=.001) in the SVQ. Conclusions Given the growing population of gynaecological cancer survivors and the universal side effects of the disease and its related treatments, the established design and content of the psycho‐educational intervention programme should be incorporated into routine clinical practice.
Ka Ming Chow; Carmen Wing Han Chan; Kai Chow Choi; Ka Yi Siu; Hedy K.S. Fung; Wai Man Sum. A theory‐driven psycho‐educational intervention programme for gynaecological cancer patients during treatment trajectory: A randomised controlled trial. Psycho-Oncology 2019, 29, 437 -443.
AMA StyleKa Ming Chow, Carmen Wing Han Chan, Kai Chow Choi, Ka Yi Siu, Hedy K.S. Fung, Wai Man Sum. A theory‐driven psycho‐educational intervention programme for gynaecological cancer patients during treatment trajectory: A randomised controlled trial. Psycho-Oncology. 2019; 29 (2):437-443.
Chicago/Turabian StyleKa Ming Chow; Carmen Wing Han Chan; Kai Chow Choi; Ka Yi Siu; Hedy K.S. Fung; Wai Man Sum. 2019. "A theory‐driven psycho‐educational intervention programme for gynaecological cancer patients during treatment trajectory: A randomised controlled trial." Psycho-Oncology 29, no. 2: 437-443.