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The presence of multimorbidity in middle-aged and older adults, which reduces their physical activity and quality of life, is a global health challenge. Exercise is one of the most important health behaviors that individuals can engage in. Previous studies have revealed that aerobic exercise training is beneficial for healthy middle-aged and older adults and those with various chronic diseases, but few studies have designed individualized aerobic exercise training for individuals with multimorbidity. Although individuals with multimorbidity are considerably less adherent to physical activity interventions, telephone-based motivational interviewing may help in strengthening motivation and promoting behavioral change for increasing physical activity and health-related physical fitness. This study aimed to examine whether a 12-week individualized aerobic exercise training in a rehabilitation center combined with telephone-based motivational interviewing is effective in promoting physical activity and health-related physical fitness among middle-aged and older adults with multimorbidity. A randomized controlled trial was conducted. Forty-three participants (aged > 40) were recruited and randomly assigned to the intervention group, comparison group, or control group. The participants’ physical activity and health-related physical fitness were assessed at baseline and at 12 weeks. The results indicated that after individualized aerobic exercise training combined with telephone-based motivational interviewing, the participants reported increased total physical activity (Fin = 481.3, p = 0.011), vigorous-intensity physical activity (Fin = 298.9, p = 0.007), dominant and nondominant hand grip (kg) (Fin = 1.96, p = 0.019; Fin = 2.19, p = 0.027, respectively), FEV1/FVC (Fin = 0.045, p = 0.043), VO2 max (mL/kg/min) (Fin = 5.30, p = 0.001), VO2 max predicted (%) (Fin = 21.6, p = 0.001), work (watts) (Fin = 22.5, p = 0.001), and anaerobic threshold (L/min) (Fin = 0.165, p = 0.011). Twelve weeks of individualized aerobic exercise training in the rehabilitation center combined with telephone-based motivational interviewing can increase the total physical activity, vigorous physical activity, and cardiorespiratory fitness of middle-aged and older adults with multimorbidity.
Yi-Pang Lo; Shang-Lin Chiang; Chia-Huei Lin; Hung-Chang Liu; Li-Chi Chiang. Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health 2020, 18, 101 .
AMA StyleYi-Pang Lo, Shang-Lin Chiang, Chia-Huei Lin, Hung-Chang Liu, Li-Chi Chiang. Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2020; 18 (1):101.
Chicago/Turabian StyleYi-Pang Lo; Shang-Lin Chiang; Chia-Huei Lin; Hung-Chang Liu; Li-Chi Chiang. 2020. "Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial." International Journal of Environmental Research and Public Health 18, no. 1: 101.
Lichi Chiang; Yipang Lo. Effects of personalized exercise training on physical activity, health-related fitness, sleep quality, and quality of life among middle-aged and older adults with multiple health problems. http://isrctn.com/ 2020, 1 .
AMA StyleLichi Chiang, Yipang Lo. Effects of personalized exercise training on physical activity, health-related fitness, sleep quality, and quality of life among middle-aged and older adults with multiple health problems. http://isrctn.com/. 2020; ():1.
Chicago/Turabian StyleLichi Chiang; Yipang Lo. 2020. "Effects of personalized exercise training on physical activity, health-related fitness, sleep quality, and quality of life among middle-aged and older adults with multiple health problems." http://isrctn.com/ , no. : 1.
In Taiwan, the steep landscape and highly vulnerable geology make it difficult to predict soil erosion and sediment transportation via variable transport conditions. In this study, we integrated the Taiwan universal soil loss equation (TUSLE) and slope stability conditions in the soil and water assessment tool (SWAT) as the SWAT-Twn model to improve sediment simulation and assess the sediment transport functions in the Chenyulan watershed, a small mountainous catchment. The results showed that the simulation of streamflow was satisfactory for calibration and validation. Before model calibration and validation for sediment, SWAT-Twn with default sediment transport method performed better in sediment simulation than the official SWAT model (version 664). The SWAT-Twn model coupled with the simplified Bagnold equation could estimate sediment export more accurately and significantly reduce the overestimated sediment yield by 65.7%, especially in highly steep areas. Furthermore, five different sediment transport methods (simplified Bagnold equation with/without routing by particle size, Kodoatie equation, Molinas and Wu equation, and Yang sand and gravel equation) were evaluated. It is suggested that modelers who conduct sediment studies in the mountainous watersheds with extreme rainfall conditions should adjust the modified universal soil loss equation (MUSLE) factors and carefully evaluate the sediment transportation equations in SWAT.
Chih-Mei Lu; Li-Chi Chiang; Lu. Assessment of Sediment Transport Functions with the Modified SWAT-Twn Model for a Taiwanese Small Mountainous Watershed. Water 2019, 11, 1749 .
AMA StyleChih-Mei Lu, Li-Chi Chiang, Lu. Assessment of Sediment Transport Functions with the Modified SWAT-Twn Model for a Taiwanese Small Mountainous Watershed. Water. 2019; 11 (9):1749.
Chicago/Turabian StyleChih-Mei Lu; Li-Chi Chiang; Lu. 2019. "Assessment of Sediment Transport Functions with the Modified SWAT-Twn Model for a Taiwanese Small Mountainous Watershed." Water 11, no. 9: 1749.
Metabolic syndrome (MetS), health-related quality of life (HRQL), and depression status are independently associated with cardiac health. Therefore, understanding the associations between MetS, HRQL, and depression status and determining factors related to improved HRQL and depression status in people with MetS may help in cardiovascular disease prevention. The aim of this study was to examine whether there are differences in HRQL and depression status between Taiwanese women with and without MetS and whether physical activity patterns are associated with HRQL and depression status in this population. A cross-sectional study of 326 Taiwanese middle-aged and older women (≥40 years) was conducted. Metabolic syndrome was determined based on the National Cholesterol Education Program Adult Treatment Panel III definition. Health-related quality of life and depression status were collected using the Short Form 36 Health Survey and Beck Depression Inventory. Univariate and multivariate linear regression analyses were conducted. Women with MetS had lower HRQL (P < .001) and higher depression status (P = .002) than those without MetS. Participants with active physical activity patterns had higher HRQL (P < .001) and lower depression status (P = .046) than those with sedentary patterns. Among women with MetS, those with active physical activity patterns had higher HRQL (P = .001) and lower depression status (P = .007) than those with sedentary patterns. Metabolic syndrome is related to lower HRQL and higher depression status in women 40 years and older. Active physical activity patterns are associated with better HRQL and reduced depression status in middle-aged and older women (≥40 years) with MetS.
Li-Chi Chiang; Shang-Lin Chiang; Wen-Chii Tzeng; Meei-Shyuan Lee; Yi-Jen Hung; Chia-Huei Lin. Active Physical Activity Patterns Are Associated With Improved Quality of Life and Depression Status in Taiwanese Women With Metabolic Syndrome. Journal of Cardiovascular Nursing 2019, 34, 491 -502.
AMA StyleLi-Chi Chiang, Shang-Lin Chiang, Wen-Chii Tzeng, Meei-Shyuan Lee, Yi-Jen Hung, Chia-Huei Lin. Active Physical Activity Patterns Are Associated With Improved Quality of Life and Depression Status in Taiwanese Women With Metabolic Syndrome. Journal of Cardiovascular Nursing. 2019; 34 (6):491-502.
Chicago/Turabian StyleLi-Chi Chiang; Shang-Lin Chiang; Wen-Chii Tzeng; Meei-Shyuan Lee; Yi-Jen Hung; Chia-Huei Lin. 2019. "Active Physical Activity Patterns Are Associated With Improved Quality of Life and Depression Status in Taiwanese Women With Metabolic Syndrome." Journal of Cardiovascular Nursing 34, no. 6: 491-502.
Many factories were built and scattered around the farmlands in Taiwan due to inappropriate land use planning. Illegal effluent discharge of high concentration of metals from the nearby factories has been threatening the farmlands, causing damages to agricultural production, food safety, and human health. Sampling was mostly responsible for monitoring the water quality of the agricultural environment; however, the analysis is of high cost and time consuming. Due to uneasy controlled environmental factors (i.e., illegal effluents) and time-consuming and expensive traditional analysis techniques (i.e., atomic absorption spectrometry (AAS), atomic fluorescence spectrometry (AFS), inductively coupled plasma atomic emission spectrometry (ICP-AES), inductively coupled plasma optical emission spectrometry (ICP-OES), and inductively coupled plasma mass spectrometry (ICP-MS)), we develop a fast-screening method, which is the combination of ion exchange resins and the portable X-ray fluorescence (XRF) spectroscopy to identify the source of contaminants in a mixed industrial and agricultural area in Taoyuan County, Taiwan. The time-lapse ion exchange resin sachet (TIERS) is a non-woven bag that is filled with resins and placed in the irrigation channels for continuously absorbing the metal and trace elements in water. The standardization ratios of Cu/Sr and Zn/Sr were calculated as the pollutant indicators for fast-screening the highly polluted sites of exceedance probability of 2.27% in the monitoring area. The TIERS is verified to detect the metal and trace element concentration in an efficient and sufficient way.
Po-Kang Shih; Li-Chi Chiang; Sheng-Chi Lin; Tsun-Kuo Chang; Wei-Chan Hsu. Application of Time-Lapse Ion Exchange Resin Sachets (TIERS) for Detecting Illegal Effluent Discharge in Mixed Industrial and Agricultural Areas, Taiwan. Sustainability 2019, 11, 3129 .
AMA StylePo-Kang Shih, Li-Chi Chiang, Sheng-Chi Lin, Tsun-Kuo Chang, Wei-Chan Hsu. Application of Time-Lapse Ion Exchange Resin Sachets (TIERS) for Detecting Illegal Effluent Discharge in Mixed Industrial and Agricultural Areas, Taiwan. Sustainability. 2019; 11 (11):3129.
Chicago/Turabian StylePo-Kang Shih; Li-Chi Chiang; Sheng-Chi Lin; Tsun-Kuo Chang; Wei-Chan Hsu. 2019. "Application of Time-Lapse Ion Exchange Resin Sachets (TIERS) for Detecting Illegal Effluent Discharge in Mixed Industrial and Agricultural Areas, Taiwan." Sustainability 11, no. 11: 3129.
Soil erosion and landslide triggered by heavy rainfall are serious problems that have threatened water resources in Taiwan watersheds. This study investigated the relationship among streamflow, sediment load, sediment concentration and typhoon characteristics (path and rainfall amount) during 2000–2017 for nine gauging stations in five basins (Tamshui River basin, Zhuoshui River basin, Zengwen River basin, Gaoping River basin, and Hualien River basin) representing the diverse geomorphologic conditions in Taiwan. The results showed that streamflow and sediment load were positively correlated, and the correlation was improved when the sediment load data were grouped by sediment concentration. Among these basins, the Zhuoshui River basin has the highest unit-discharge sediment load and unit-area sediment load. The soil in the upstream was more erodible than the downstream soil during the normal discharge conditions, indicating its unique geological characteristics and how typhoons magnified sediment export. The spatiotemporal variation in sediment loads from different watersheds was further categorized by typhoons of different paths. Although typhoon path types matter, the Zhuoshui and Hualien River basin were usually impacted by typhoons of any path type. The results indicated that sediment concentration, the watershed soil characteristics, and typhoons paths were the key factors for sediment loads. This study can be useful for developing strategies of soil and water conservation implementation for sustainable watershed management.
Li-Chi Chiang; Yung-Chieh Wang; Ci-Jyun Liao. Spatiotemporal Variation of Sediment Export from Multiple Taiwan Watersheds. International Journal of Environmental Research and Public Health 2019, 16, 1610 .
AMA StyleLi-Chi Chiang, Yung-Chieh Wang, Ci-Jyun Liao. Spatiotemporal Variation of Sediment Export from Multiple Taiwan Watersheds. International Journal of Environmental Research and Public Health. 2019; 16 (9):1610.
Chicago/Turabian StyleLi-Chi Chiang; Yung-Chieh Wang; Ci-Jyun Liao. 2019. "Spatiotemporal Variation of Sediment Export from Multiple Taiwan Watersheds." International Journal of Environmental Research and Public Health 16, no. 9: 1610.
Motivational interviewing, as a counseling approach, could promote not only behavioral changes but also individuals' psychological adaptation. Previous studies provide evidence that motivational interviewing focused on increasing physical activity decreases the risk of metabolic syndrome in women. Its effects on sedentary behaviors, depressive symptoms, and health-related quality of life (HRQL) remain unknown. The aim of this study was to evaluate whether a 12-week motivational counseling program reduces sedentary behaviors and depressive symptoms and improves HRQL in Taiwanese women. A randomized controlled study was conducted. Participants (n = 115) were randomly assigned into 3 groups: experimental group (received a brochure on lifestyle modification combined with 12 weeks of motivational counseling), comparison group (received a lifestyle modification brochure), and usual care group (UCG). Outcome variables were measured at baseline and at 12 weeks post intervention by the International Physical Activity Questionnaire, Beck Depression Inventory, and Medical Outcomes Short Form-36 Health Survey. Generalized estimating equations were applied to analyze the intervention effects of groups by interaction of group and time. Women in the experimental group not only reduced (P P Motivational counseling that incorporates behavioral change principles is effective in reducing sedentary behaviors and depressive symptoms and improving HRQL for women with metabolic syndrome. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
Li-Chi Chiang; Margaret McLean Heitkemper; Shang-Lin Chiang; Wen-Chii Tzeng; Meei-Shyuan Lee; Yi-Jen Hung; Chia-Huei Lin. Motivational Counseling to Reduce Sedentary Behaviors and Depressive Symptoms and Improve Health-Related Quality of Life Among Women With Metabolic Syndrome. Journal of Cardiovascular Nursing 2019, 34, 327 -335.
AMA StyleLi-Chi Chiang, Margaret McLean Heitkemper, Shang-Lin Chiang, Wen-Chii Tzeng, Meei-Shyuan Lee, Yi-Jen Hung, Chia-Huei Lin. Motivational Counseling to Reduce Sedentary Behaviors and Depressive Symptoms and Improve Health-Related Quality of Life Among Women With Metabolic Syndrome. Journal of Cardiovascular Nursing. 2019; 34 (4):327-335.
Chicago/Turabian StyleLi-Chi Chiang; Margaret McLean Heitkemper; Shang-Lin Chiang; Wen-Chii Tzeng; Meei-Shyuan Lee; Yi-Jen Hung; Chia-Huei Lin. 2019. "Motivational Counseling to Reduce Sedentary Behaviors and Depressive Symptoms and Improve Health-Related Quality of Life Among Women With Metabolic Syndrome." Journal of Cardiovascular Nursing 34, no. 4: 327-335.
Sustainable conservation aims to ensure the sustained conservation of landscape multi-functionality which in turn requires ensuring ecosystem service (ES) and habitat quality (HQ) sustainability with inclusive landscape-scale conservation planning. This study proposes a landscape conservation planning (LCP) framework for landscape-scale ES-HQ conservation and sustainability. Spatially explicit hotspots for five ESs and HQs are identified via InVEST and LISA software. Spatiotemporal changes in ES-HQ hotspots, in terms of stability and resilience, are delineated. The Zonation technique is applied to prioritize areas for conservation based on ES-HQ hotspot stability and resilience maps. High priority conservation areas are identified and are used as reserve area inputs for land use modeling with CLUE-S software to simulate future land use change under climate change scenarios. This study reports that varied rainfall and climate are major driving factors of ES-HQ sustainability disturbance in the study area. Furthermore, our proposed conservation Strategy 2 demonstrates that a larger extent of landscape multi-functionality can be sustained when the existing conservation area includes the total area of identified ES-HQ resilient hotspots. This study effectively identifies the stability and resiliency of ES-HQ hotspot areas affected by disturbances for high priority landscape conservation requirements to ensure ES-HQ sustainability and landscape multi-functionality in the study area.
Yu-Pin Lin; Chi-Ju Chen; Wan-Yu Lien; Wen-Hao Chang; Joy R. Petway; Li-Chi Chiang. Landscape Conservation Planning to Sustain Ecosystem Services under Climate Change. Sustainability 2019, 11, 1393 .
AMA StyleYu-Pin Lin, Chi-Ju Chen, Wan-Yu Lien, Wen-Hao Chang, Joy R. Petway, Li-Chi Chiang. Landscape Conservation Planning to Sustain Ecosystem Services under Climate Change. Sustainability. 2019; 11 (5):1393.
Chicago/Turabian StyleYu-Pin Lin; Chi-Ju Chen; Wan-Yu Lien; Wen-Hao Chang; Joy R. Petway; Li-Chi Chiang. 2019. "Landscape Conservation Planning to Sustain Ecosystem Services under Climate Change." Sustainability 11, no. 5: 1393.
The Chenyulan watershed, located in the central mountain area of Taiwan, has been suffering from earthquakes, typhoons, and heavy rainfalls in recent decades. These sequential natural disturbances have a cumulative impact on the watershed, leading to more fragile and fragmented land cover and loss of capacity of soil water conservation. In this study, the Soil and Water Assessment Tool (SWAT) and a landscape metrics tool (FRAGSTATS) were used to assess the direct impact (e.g., by annual rainfall) and indirect impact (e.g., by landscape configuration and composition) of natural disturbances on the ecohydrological processes of the Chenyulan watershed. Six SPOT satellite images from 2008 to 2013 were analyzed by using the nearest feature line embedding (NFLE) approach and reclassified into six land cover types: forest, cultivated land, grassland, river, landslide, and built-up. Forest was found to have the largest patch size, indicating that it is more resilient to disturbances, while agricultural land tended to expand from the river side toward the hill. Two land cover change scenarios were compared in the SWAT model. The results showed that there was no significant difference in simulated streamflow during 2004–2015 and sediment loading during 2004–2009; however, the model performed better for sediment loading during 2010–2015 with dynamic land cover change (coefficient of determination (R2) = 0.66, Nash-Sutcliffe efficiency coefficient (NSE) = 0.62, percent bias (PBIAS) = 10.5%, root mean square error observation standard deviation ratio (RSR) = 0.62) than with constant land cover (R2 = 0.61, NSE = 0.54, PBIAS = −17.3%, RSR = 0.68), indicating that long-term land cover change should be considered in hydrologic modeling. Changes in landslides during 2008–2013 were found to significantly affect ecohydrological processes, especially after 2011. In general, annual precipitation plays a dominant role, and landscape composition had by far the strongest influence on water yield and sediment yield compared to landscape configuration. The results can be useful for understanding the effects of land cover change on ecohydrological processes in the Chenyulan watershed and the potential impact of ecohydrological changes on the environment and public health.
Li-Chi Chiang; Yi-Ting Chuang; Chin-Chuan Han. Integrating Landscape Metrics and Hydrologic Modeling to Assess the Impact of Natural Disturbances on Ecohydrological Processes in the Chenyulan Watershed, Taiwan. International Journal of Environmental Research and Public Health 2019, 16, 266 .
AMA StyleLi-Chi Chiang, Yi-Ting Chuang, Chin-Chuan Han. Integrating Landscape Metrics and Hydrologic Modeling to Assess the Impact of Natural Disturbances on Ecohydrological Processes in the Chenyulan Watershed, Taiwan. International Journal of Environmental Research and Public Health. 2019; 16 (2):266.
Chicago/Turabian StyleLi-Chi Chiang; Yi-Ting Chuang; Chin-Chuan Han. 2019. "Integrating Landscape Metrics and Hydrologic Modeling to Assess the Impact of Natural Disturbances on Ecohydrological Processes in the Chenyulan Watershed, Taiwan." International Journal of Environmental Research and Public Health 16, no. 2: 266.
A valid and reliable instrument for assessing exercise self-regulatory efficacy (Ex-SRE) is lacking in Taiwan.To develop and validate a Chinese-version of the Ex-SRE scale (Ex-SRES-Chinese).Published guidelines were followed for cross-cultural adaptation of Ex-SRES-Chinese. Psychometric testing was conducted in 76 subjects with chronic obstructive pulmonary diseases (COPD).Ex-SRES-Chinese achieved clarity, culture appropriateness, and functional equivalence for measuring Ex-SRE. The scale-level content validity index of the Ex-SRES-Chinese was 0.99. The internal consistency reliability (Cronbach's α) was 0.925. Factor analysis identified a single factor with a high eigenvalue of 7.6 accounting for 47.5% of the total variance. The construct validity of Ex-SRES-Chinese was supported by higher Ex-SRE in subjects who exercise regularly in the past than those who did not (p = 0.033). In addition, Ex-SRE was positively associated with weekly exercise time (r = 0.58; p < 0.0001).Ex-SRES-Chinese is a useful cross-culturally adapted instrument with good psychometric properties for measuring Ex-SRE in COPD patients in Taiwan.
Yu-Han Tsai; Jyu-Lin Chen; Amy H.T. Davis; Wen-Jiuan Yen; Yen-Ju Lin; Li-Chi Chiang; Yu-Ju Chen. Development of the Chinese-version of the exercise self-regulatory efficacy scale for patients with chronic obstructive pulmonary disease. Heart & Lung 2018, 47, 16 -23.
AMA StyleYu-Han Tsai, Jyu-Lin Chen, Amy H.T. Davis, Wen-Jiuan Yen, Yen-Ju Lin, Li-Chi Chiang, Yu-Ju Chen. Development of the Chinese-version of the exercise self-regulatory efficacy scale for patients with chronic obstructive pulmonary disease. Heart & Lung. 2018; 47 (1):16-23.
Chicago/Turabian StyleYu-Han Tsai; Jyu-Lin Chen; Amy H.T. Davis; Wen-Jiuan Yen; Yen-Ju Lin; Li-Chi Chiang; Yu-Ju Chen. 2018. "Development of the Chinese-version of the exercise self-regulatory efficacy scale for patients with chronic obstructive pulmonary disease." Heart & Lung 47, no. 1: 16-23.
Socioeconomic status and perceived barriers are associated with PA and its intensity level. Some specific barriers provide insights into the key factors that contribute to low PA in middle-aged and older women. These findings can be considered in future interventions to design PA promotion programs for this population to protect against cardiovascular diseases.
Chia-Huei Lin; Shang-Lin Chiang; Patsy Yates; Wen-Chii Tzeng; Meei-Shyuan Lee; Li-Chi Chiang. Influence of Socioeconomic Status and Perceived Barriers on Physical Activity Among Taiwanese Middle-Aged and Older Women. Journal of Cardiovascular Nursing 2017, 32, 321 -330.
AMA StyleChia-Huei Lin, Shang-Lin Chiang, Patsy Yates, Wen-Chii Tzeng, Meei-Shyuan Lee, Li-Chi Chiang. Influence of Socioeconomic Status and Perceived Barriers on Physical Activity Among Taiwanese Middle-Aged and Older Women. Journal of Cardiovascular Nursing. 2017; 32 (4):321-330.
Chicago/Turabian StyleChia-Huei Lin; Shang-Lin Chiang; Patsy Yates; Wen-Chii Tzeng; Meei-Shyuan Lee; Li-Chi Chiang. 2017. "Influence of Socioeconomic Status and Perceived Barriers on Physical Activity Among Taiwanese Middle-Aged and Older Women." Journal of Cardiovascular Nursing 32, no. 4: 321-330.
Relatively few studies have addressed predictors of first-attempt outcomes (pass-fail) on the National Council Licensure Examination-Registered Nurses (NCLEX-RN) for accelerated BSN programs. The purpose of this study was to compare potential predictors of NCLEX outcomes in graduates of first-degree accelerated (FDA; n=62) and second-degree accelerated (SDA; n=173) BSN programs sharing a common nursing curriculum. In this retrospective study, bivariate analyses and multiple logistic regression assessed significance of selected demographic and academic characteristics as predictors of NCLEX-RN outcomes. FDA graduates were more likely than SDA graduates to fail the NCLEX-RN (P=.0013). FDA graduates were more likely to speak English as a second or additional language (P<.0001), have lower end-of-program GPA and HESI Exit Exam scores (both P<.0001), and have a higher proportions of grades ≤ C (P=.0023). All four variables were significant predictors of NCLEX-RN outcomes within both FDA and SDA programs. The only significant predictors in adjusted logistic regression of NCLEX-RN outcome for the pooled FDA+SDA graduate sample were proportion of grades ≤ C (a predictor of NCLEX-RN failure) and HESI Exit Exam score (a predictor of passing NCLEX-RN). Grades of C or lower on any course may indicate inadequate mastery of critical NCLEX-RN content and increased risk of NCLEX-RN failure.
Mahmoud A. Kaddoura; Elizabeth P. Flint; Olga Van Dyke; Qing Yang; Li-Chi Chiang. Academic and Demographic Predictors of NCLEX-RN Pass Rates in First- and Second-Degree Accelerated BSN Programs. Journal of Professional Nursing 2017, 33, 229 -240.
AMA StyleMahmoud A. Kaddoura, Elizabeth P. Flint, Olga Van Dyke, Qing Yang, Li-Chi Chiang. Academic and Demographic Predictors of NCLEX-RN Pass Rates in First- and Second-Degree Accelerated BSN Programs. Journal of Professional Nursing. 2017; 33 (3):229-240.
Chicago/Turabian StyleMahmoud A. Kaddoura; Elizabeth P. Flint; Olga Van Dyke; Qing Yang; Li-Chi Chiang. 2017. "Academic and Demographic Predictors of NCLEX-RN Pass Rates in First- and Second-Degree Accelerated BSN Programs." Journal of Professional Nursing 33, no. 3: 229-240.
Wen-Chii Tzeng; Chiou-Fen Lin; Lih-Ying Lin; Meei-Shiow Lu; Li-Chi Chiang. [Development and Testing of the Taiwanese Hospital Nurses' Job Satisfaction Scale]. Hu li za zhi The journal of nursing 2017, 64, 44 -54.
AMA StyleWen-Chii Tzeng, Chiou-Fen Lin, Lih-Ying Lin, Meei-Shiow Lu, Li-Chi Chiang. [Development and Testing of the Taiwanese Hospital Nurses' Job Satisfaction Scale]. Hu li za zhi The journal of nursing. 2017; 64 (2):44-54.
Chicago/Turabian StyleWen-Chii Tzeng; Chiou-Fen Lin; Lih-Ying Lin; Meei-Shiow Lu; Li-Chi Chiang. 2017. "[Development and Testing of the Taiwanese Hospital Nurses' Job Satisfaction Scale]." Hu li za zhi The journal of nursing 64, no. 2: 44-54.
Li-Chi Chiang; Mei-Nan Liao. [Transformative Care Rooted in Evidence-Based Nursing]. Hu li za zhi The journal of nursing 2017, 64, 1 .
AMA StyleLi-Chi Chiang, Mei-Nan Liao. [Transformative Care Rooted in Evidence-Based Nursing]. Hu li za zhi The journal of nursing. 2017; 64 (1):1.
Chicago/Turabian StyleLi-Chi Chiang; Mei-Nan Liao. 2017. "[Transformative Care Rooted in Evidence-Based Nursing]." Hu li za zhi The journal of nursing 64, no. 1: 1.
Family interventions have been emphasized in the treatment of bipolar disorder (BPD) due to the bidirectional and entangled relationships between patients and the family system, and have benefits for patients’ symptoms and health; however, the effects of family interventions on family function and caregivers’ health-related outcomes have not been well investigated. This randomized, controlled trial with 47 hospitalized patients with BPD/family caregiver dyads at a medical centre in northern Taiwan compared the effects of a brief family-centred care (BFCC) programme with treatment as usual (TAU). All of the family caregivers in two groups were invited to attend a routine 60-min family discussion group about violence and suicide prevention. The TAU group without specific family interview for patient and family caregiver dyad. In the BFCC group, four 90-min BFCC programme sessions were additionally provided twice a week for each hospitalized family dyad. We hypothesized that, first, family caregivers in the BFCC group could increase their family function, and second, improve perceived health status and reduce caregiver's burdens compared to the TAU. The results showed that family caregivers in the BFCC group significant interaction effects in overall family function (P = 0.03) and subscale conflict (P = 0.04), communication (P = 0.01), and problem-solving (P = 0.04), but there were no significant interaction effects on the caregivers’ perceived health status and caregivers’ burdens. Our findings support both the feasibility of using the BFCC programme for inpatients and its specific benefits for family function. An intensive family intervention during hospitalization has been suggested in psychiatric practice to support patients with BPD and family caregivers.
Hsiu-Ju Lee; Esther Ching-Lan Lin; Mei-Bih Chen; Tung-Ping Su; Li-Chi Chiang. Randomized, controlled trial of a brief family-centred care programme for hospitalized patients with bipolar disorder and their family caregivers. International Journal of Mental Health Nursing 2016, 27, 61 -71.
AMA StyleHsiu-Ju Lee, Esther Ching-Lan Lin, Mei-Bih Chen, Tung-Ping Su, Li-Chi Chiang. Randomized, controlled trial of a brief family-centred care programme for hospitalized patients with bipolar disorder and their family caregivers. International Journal of Mental Health Nursing. 2016; 27 (1):61-71.
Chicago/Turabian StyleHsiu-Ju Lee; Esther Ching-Lan Lin; Mei-Bih Chen; Tung-Ping Su; Li-Chi Chiang. 2016. "Randomized, controlled trial of a brief family-centred care programme for hospitalized patients with bipolar disorder and their family caregivers." International Journal of Mental Health Nursing 27, no. 1: 61-71.
Li-Chi Chiang; Mei-Ling Yeh; Sui-Lung Su. [Precision Nursing: Individual-Based Knowledge Translation]. Hu li za zhi The journal of nursing 2016, 63, 1 .
AMA StyleLi-Chi Chiang, Mei-Ling Yeh, Sui-Lung Su. [Precision Nursing: Individual-Based Knowledge Translation]. Hu li za zhi The journal of nursing. 2016; 63 (6):1.
Chicago/Turabian StyleLi-Chi Chiang; Mei-Ling Yeh; Sui-Lung Su. 2016. "[Precision Nursing: Individual-Based Knowledge Translation]." Hu li za zhi The journal of nursing 63, no. 6: 1.
Land use and climate change are both important drivers for ecosystem degradation. Human-driven land use changes, such as deforestation and urbanization, reduce ecosystem resilience to disasters. The impacts of climate change include global warming and the increasing frequency of extreme weather events such as storms, flood, and drought. In order to understand how land use change and climate change affect the ecosystem services in the Chenyulan Watershed, Taiwan, we first classified the satellite images during 2008-2013 for land use maps. The impact of cumulative natural disturbances on watershed was quantified by using a hydrological model, SWAT (soil and water assessment tool) under various historical (1996-2013) land use conditions. Based on our results, we could further develop an integrated plan including ecosystem service management, land use management and climate change adaptation to increase the resilience of the ecosystem in the Chenyulan Watershed.
Li-Chi Chiang; Yi-Ting Chuang. Evaluation of the Impact of Land Use Change and Climate Change on Watershed Ecosystem Services in the Chenyulan Watershed. Geo-China 2016 2016, 1 .
AMA StyleLi-Chi Chiang, Yi-Ting Chuang. Evaluation of the Impact of Land Use Change and Climate Change on Watershed Ecosystem Services in the Chenyulan Watershed. Geo-China 2016. 2016; ():1.
Chicago/Turabian StyleLi-Chi Chiang; Yi-Ting Chuang. 2016. "Evaluation of the Impact of Land Use Change and Climate Change on Watershed Ecosystem Services in the Chenyulan Watershed." Geo-China 2016 , no. : 1.
Empowerment can be an effective strategy for changing an individual's health behaviours. However, how to empower whole families to manage their children's asthma is a challenge that requires innovative nursing intervention based on family-centred care. To evaluate the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma compared to those receiving traditional self-management only. A randomized control trial. Sixty-five families were recruited from one asthma clinic in a medical centre in Taiwan. After random assignment, 34 families in the experimental group received the family empowerment program consisting of four counselling dialogues with the child and its family. We empowered the family caregiver's ability to manage their child's asthma problems through finding the problems in the family, discovery and discussion about the way to solve problems, and enabling the family's cooperation and asthma management. The other 31 families received the traditional care in asthma clinics. The Parental Stress Index and Family Environment Scale of family caregivers, and pulmonary function, and asthma signs of children with asthma were collected at pre-test, 3-month post-test, and one-year follow-up. We utilized the linear mixed model in SPSS (18.0) to analyze the effects between groups, across time, and the interaction between group and time. The family empowerment program decreased parental stress (F=13.993, p<.0001) and increased family function (cohesion, expression, conflict solving, and independence) (F=19.848, p<.0001). Children in the experimental group had better pulmonary expiratory flow (PEF) (F=26.483, p<.0001) and forced expiratory volume in first second (FEV1) (F=7.381, p=.001) than children in the comparison group; however, no significant change in forced expiratory volume in first second (FEV1)/forced vital capacity (FVC) was found between the two groups. Sleep problems did not show significant changes but cough, wheezing, and dyspnoea were significantly reduced by family caregiver's observations. We empowered families by listening, dialogues, reflection, and taking action based on Freire's empowerment theory. Nurses could initiate the families' life changes and assist children to solve the problems by themselves, which could yield positive health outcomes.
Hsiu-Ying Yeh; Wei-Fen Ma; Jing-Long Huang; Kai-Chung Hsueh; Li-Chi Chiang. Evaluating the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma: A randomized control trial. International Journal of Nursing Studies 2016, 60, 133 -144.
AMA StyleHsiu-Ying Yeh, Wei-Fen Ma, Jing-Long Huang, Kai-Chung Hsueh, Li-Chi Chiang. Evaluating the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma: A randomized control trial. International Journal of Nursing Studies. 2016; 60 ():133-144.
Chicago/Turabian StyleHsiu-Ying Yeh; Wei-Fen Ma; Jing-Long Huang; Kai-Chung Hsueh; Li-Chi Chiang. 2016. "Evaluating the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma: A randomized control trial." International Journal of Nursing Studies 60, no. : 133-144.
Lifestyle modification is often difficult for middle-aged and older women living in the community who are at high risk of physical inactivity and metabolic syndrome. To examine the effects of telephone-based motivational interviewing in a 12-week lifestyle modification program on physical activity, MetS, metabolic risks (fasting plasma glucose, blood pressure, triglyceride, high-density lipoprotein, and central obesity), and the number of metabolic risks in community-living middle-aged and older women diagnosed with metabolic syndrome. A randomized controlled trial was conducted. Recruited were 328 middle-aged and older women from a community health center in Taiwan. Eligible women medically diagnosed with metabolic syndrome (n=115) were randomly assigned to one of three groups: The experimental group received an individualized telephone delivered lifestyle modification program that included motivational interviewing delivered by an experienced nurse. The brief group received a single brief lifestyle modification counseling session with a brochure. The usual care group received standard care. Physical activity was assessed with the International Physical Activity Questionnaire and metabolic risks were determined by serum markers and anthropometric measures at pre- and post-intervention. One hundred women completed the study and an intention-to-treat analysis was performed. Generalized estimating equations were used to examine the intervention effects. Women in the experimental group increased physical activity from 1609 to 1892 MET-min/week (β=846, p=.01), reduced the percentage of diagnosed with metabolic syndrome to 81.6% (β=-0.17, p=.003), and decreased the number of metabolic risks from 4.0 to 3.6 (β=-0.50, p<.001), compared to the usual care group (4.4-4.6). There was not a reduction in the percentage of diagnosed with metabolic syndrome in the brief group, but they had fewer metabolic risks after 12 weeks (mean=4.0 vs. 4.6, β=-0.2, p=.02) compared to the usual care group. Motivational interviewing as a component of an individualized physical activity and lifestyle modification program has positive benefit in reducing metabolic risks in middle-aged and older women.
Chia-Huei Lin; Shang-Lin Chiang; Margaret McLean Heitkemper; Yi-Jen Hung; Meei-Shyuan Lee; Wen-Chii Tzeng; Li-Chi Chiang. Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial. International Journal of Nursing Studies 2016, 60, 12 -23.
AMA StyleChia-Huei Lin, Shang-Lin Chiang, Margaret McLean Heitkemper, Yi-Jen Hung, Meei-Shyuan Lee, Wen-Chii Tzeng, Li-Chi Chiang. Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial. International Journal of Nursing Studies. 2016; 60 ():12-23.
Chicago/Turabian StyleChia-Huei Lin; Shang-Lin Chiang; Margaret McLean Heitkemper; Yi-Jen Hung; Meei-Shyuan Lee; Wen-Chii Tzeng; Li-Chi Chiang. 2016. "Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle-aged and older women with metabolic syndrome: A randomized controlled trial." International Journal of Nursing Studies 60, no. : 12-23.
Because patients in disaster areas require the most critical care, mobilising hospital nurses has become a pivotal strategy. Given the importance of disaster nursing training programmes, understanding how well prepared hospital nurses are to provide disaster care is vital. This paper analyses the perceived readiness of hospital nurses for a disaster response and the factors influencing their report for work outside the hospital environment. A cross-sectional research design was used. This study was conducted at a military hospital in Taiwan. A sample of 311 registered nurses participated in this study. Data were collected on readiness for disaster responses using a 40-item researcher-designed, self-administered questionnaire found to have satisfactory reliability and validity. The questionnaire has four domains: personal preparation (16 items), self-protection (11 items), emergency response (6 items), and clinical management (7 items). Data were analysed using descriptive statistics, independent t-tests and generalised linear models. The majority of hospital nurses demonstrated poor readiness for disaster responses. Scores on the four domains were most associated with nurses' disaster-related training, experience in disaster response and emergency/intensive care experience. Our results indicate that disaster-related training should be included in undergraduate programmes and continuing education courses to help hospital nurses recognise and improve their own readiness for disaster responses outside the hospital environment. Future research is needed to improve hospital nurses' disaster-response readiness in Taiwan and other countries.
Wen-Chii Tzeng; Hsin-Pei Feng; Wei-Tung Cheng; Chia-Huei Lin; Li-Chi Chiang; Lu Pai; Chun-Lan Lee. Readiness of hospital nurses for disaster responses in Taiwan: A cross-sectional study. Nurse Education Today 2016, 47, 37 -42.
AMA StyleWen-Chii Tzeng, Hsin-Pei Feng, Wei-Tung Cheng, Chia-Huei Lin, Li-Chi Chiang, Lu Pai, Chun-Lan Lee. Readiness of hospital nurses for disaster responses in Taiwan: A cross-sectional study. Nurse Education Today. 2016; 47 ():37-42.
Chicago/Turabian StyleWen-Chii Tzeng; Hsin-Pei Feng; Wei-Tung Cheng; Chia-Huei Lin; Li-Chi Chiang; Lu Pai; Chun-Lan Lee. 2016. "Readiness of hospital nurses for disaster responses in Taiwan: A cross-sectional study." Nurse Education Today 47, no. : 37-42.