Siew Hoon Lim

Dr. Siew Hoon Lim

orcid

Research Focus & Metrics

Academic Career Length

36Years (1991-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
16 January 2023 in Journal of Medical Internet Research
Verified
Journal Article
Open access
SSShefaly Shorey
Shefaly Shorey
ELEvelyn C Law
Evelyn C Law
THThilagamangai
Thilagamangai
JMJancy Mathews
Jancy Mathews
SLSiew Hoon Lim
Siew Hoon Lim
YCYap-Seng Mr. Chong
Yap-Seng Mr. Chong
Background: Adjusting to new or additional parenting responsibilities increases stress and affects parental well-being. Existing research has highlighted both parents’ desire to receive more support. It has also been found that receiving sufficient social support enhances parenting outcomes. With the increasing popularity of mobile health apps, a Supportive Parenting App (SPA) intervention was developed to fulfill the support needs of parents during the perinatal period. Objective: This study aimed to examine the effectiveness of the SPA on parental outcomes during the perinatal period. Methods: A 2-group pretest and repeated posttest randomized controlled trial was conducted wherein 200 couples (N=400 mothers and fathers) were recruited from 2 public health care institutions in Singapore. Parents were randomly assigned to intervention (100/200, 50%) or control (100/200, 50%) groups. The SPA intervention consisted of a mobile app–based psychoeducation and peer support program to support parents from pregnancy to 6 months post partum. The outcome measures included postnatal depression, anxiety, parental bonding, parental self-efficacy, perceived social support, and parenting satisfaction. Data were collected at baseline (at >24 weeks of gestation—age of viability in Singapore) and at the first, second, fourth, sixth, ninth, and 12th month post partum. Linear mixed models were used to compare parental outcomes between the groups, and a linear mixed model for repeated measures was used to examine within-group changes. Results: Parents in the intervention group mostly showed better outcomes compared with those in the control group. Parents in the intervention group had higher perceived social support than those in the control group at the first (effect size=1.59, 95% CI 0.38-2.80; Cohen standardized effect size=1.31; P=.01), second (effect size=1.98, 95% CI 1.09-2.88; Cohen standardized effect size=2.21; P=.003), and fourth (effect size=2.57, 95% CI 1.62-3.51; Cohen standardized effect size=2.72; P=.048) months post partum. However, parents in the intervention group showed significantly poorer parental bonding (effect size=1.67, 95% CI 0.24-3.11; Cohen standardized effect size=1.16; P=.02). The other parental outcomes did not differ significantly between groups. The scores of mothers and fathers also differed significantly for all outcomes except parental self-efficacy. Conclusions: Parents in the intervention group generally fared better, especially regarding perceived social support. However, the lack of statistical significance in most outcomes showed the limited effectiveness of the SPA intervention, which may be because of the COVID-19 pandemic. Parental differences in outcome scores suggest that mothers and fathers have different support needs; therefore, interventions should be tailored accordingly. Further improvements and evaluations are needed to examine the effectiveness of the SPA intervention in enhancing parental outcomes. Despite statistically insignificant results, limitations should be considered to further improve mobile health app–based interventions such as SPA, as they could serve as reliable and convenient sources of support for parents. Trial Registration: Clinicaltrails.gov NCT4706442; https://clinicaltrials.gov/ct2/show/NCT04706442

15 February 2022 in Journal of Advanced Nursing
Verified
Journal Article
Open access
PDF file
FAFazila Aloweni
Fazila Aloweni
SBStéphane L. Bouchoucha
Stéphane L. Bouchoucha
AHAna Hutchinson
Ana Hutchinson
SAShin Yuh Ang
Shin Yuh Ang
HTHui Xian Toh
Hui Xian Toh
SLSiew Hoon Lim
Siew Hoon Lim
Aim: One of the greatest challenges in responding to the COVID‐19 pandemic is preventing staff exposure and infection by ensuring consistent and effective use of personal protective equipment (PPE). This study explored health care workers' experience of prolonged PPE use in clinical practice settings and their concerns regarding PPE supply, effectiveness and training needs.Design: A descriptive cross‐sectional design was adopted in this study.Methods: Health care workers (N = 592) from an acute care hospital completed an online survey from July to September 2020 assessing: (i) usage frequencies, side effects and interference with patient care; and (ii) perceptions of access to PPE, likelihood of exposure to infection and adequacy of PPE training.Results: PPE‐related side effects were reported by 319 (53.8%) participants, the majority being nurses (88.4%) and those working in high‐risk areas such as the emergency department (39.5%), respiratory wards (acute 22.3% and non‐acute 23.8%) and COVID‐19 isolation ward (13.8%). The average time wearing PPE per shift was 6.8 h (SD0.39). The most commonly reported symptoms were from donning N95 masks and included: pressure injuries (45.5%), mask‐induced acne (40.4%) and burning/pain (24.5%). Some 31.3% expressed that PPE‐related side effects had negatively affected their work. The odds of having PPE‐associated side effects was higher in women (OR 2.10, 95% CI [1.29–03.42],p = .003) and those working in high‐risk wards (OR 3.12, 95% CI [2.17–4.60],p < .001]. Most (90.1%) agreed that PPE supplies were readily available, sufficient for all (86.1%) and there was sufficient training in correct PPE use (93.6%). Only 13.7% of participants reported being ‘highly confident’ of overall PPE protection.Conclusions: Prevention and management of PPE‐related adverse effects is vital to: preserve the integrity of PPE, improve adherence and minimize viral transmission.Impact: The high incidence of PPE‐associated pressure injuries and perception that PPE use can interfere with clinical care should inform future development of PPE products, and strategies to better equip health care workers to prevent and manage PPE‐related side effects.

10 February 2019 in Journal of Advanced Nursing
Verified
Journal Article
Closed access
PDF file
SLSiew Hoon Lim
Siew Hoon Lim
Sally Wai Chi ChanSally Wai Chi Chan
Sally Wai Chi Chan
ACAloysius Chow
Aloysius Chow
LZLixia Zhu
Lixia Zhu
JLJiunn Herng Lai
Jiunn Herng Lai
HHHonggu He
Honggu He

1 September 2020 in Geriatric Nursing
Verified
Journal Article
Closed access
SLSiew Hoon Lim
Siew Hoon Lim
SAShin Yuh Ang
Shin Yuh Ang
HOHwee Kuan Ong
Hwee Kuan Ong
TLTyrik Zhen Yuan Lee
Tyrik Zhen Yuan Lee
TLToylyn Xin Ling Lee
Toylyn Xin Ling Lee
STShamala Thilarajah
Shamala Thilarajah

2 April 2019 in Journal of Clinical Nursing
Verified
Journal Article
Closed access
PDF file
SAShin Yuh Ang
Shin Yuh Ang
MLMei Ling Lim
Mei Ling Lim
XNXin Ping Ng
Xin Ping Ng
MLMadeleine Lam
Madeleine Lam
MCMei Mei Chan
Mei Mei Chan
SLSiew Hoon Lim
Siew Hoon Lim

6 October 2024 in Journal of Clinical Nursing
Verified
Journal Article
Closed access
FAFazila Aloweni
Fazila Aloweni
SLSiew Hoon Lim
Siew Hoon Lim
NGNanthakumahrie Gunasegaran
Nanthakumahrie Gunasegaran
TOTruls Ostbye
Truls Ostbye
SAShin Yuh Ang
Shin Yuh Ang
KSKee Chen Elaine Siow
Kee Chen Elaine Siow