Angela Leung

The Hong Kong Polytechnic University | PolyU · School of Nursing; Centre for Gerontological Nursing

Background Dementia informal caregiving is a global phenomenon. It is well documented that caregivers' psychological health is often affected by busy caregiving schedules. Lawton's two-factor model indicates that caregivers' psychological wellbeing is influenced by caregiving appraisal and other caregiver factors. Our review also identified the sig...

Objective To compare the learning curve of clinicians with different levels of embryo transfer (ET) experience using the ASRM Embryo Transfer Simulator. Design Prospective cohort study Setting Single large university-affiliated IVF Center Patient(s) Participants with three levels of expertise with ET were recruited: “Group 1” (REI attendings), “...

Objectives: In 2007, the World Health Organization published a guide on age-friendly cities. However, little is known about interventions that have been implemented to promote age-friendly communities in rural and remote areas. This paper presents the findings from a scoping review undertaken to locate available evidence of interventions, strategi...

Objective: To determine the association of interpregnancy interval on perinatal outcomes and whether this was influenced by mode of conception. Design: Retrospective cohort. Setting: Centers for Disease Control and Prevention's natality national database. Patient(s): Patients who had an index singleton live birth with a preceding live birth....

Painting is a well-known method for alleviating stress, but it is uncertain whether family caregivers can use an electronic painting platform at home for this purpose. Aim: The aim in this study was to assess the feasibility and acceptability of having family caregivers of persons with dementia (FCPWD) draw electronic paintings using a mobile app...

Background: International guidelines have promoted palliative care (PC) for stroke survivors, but definition and implementation have been less than ideal. This practice gap is more prominent in China, where discussion of death remains taboo. Aim: The aim of this study was to explore the perspectives of PC among caregivers of hospitalized patient...

STUDY QUESTION Is there a relationship between endometrial compaction and live birth in euploid frozen embryo transfer (FET) cycles? SUMMARY ANSWER Live birth rates (LBRs) were similar in both patients that demonstrated endometrial compaction or no compaction in single euploid FETs. WHAT IS KNOWN ALREADY There has been increasing interest in the...

Background: A majority of persons with dementia in Sweden live in their own homes and are often cared for by family members. Caring for a family member may be a positive experience. It may, however, also be a negative experience as symptoms like disturbing behavior and delusions may be difficult to encounter. The burden of being a family caregiver...

The needs of the aging populations are putting increasing burden on healthcare particularly in the Western Pacific Region (WPR), which is the home of aging economies such as Hong Kong and Japan alongside rapid increases in older people in low- and middle-income countries (LMICs). However, little is known about the associations between sociodemograp...

PurposeThis pilot study sought to (1) validate the use of a novel technology for single-sperm-cell genome sequencing (Sperm-seq) in infertile men who may not have optimal quantity or quality of sperm for genomic analysis and (2) compare these results to fertile donors.Methods Infertile men undergoing IVF with female partners with a previous history...

(Abstracted from Fertil Steril 2021;116(1):27–35) In vitro fertilization (IVF) has represented the mainstay of infertility treatment globally for many decades and has improved significantly over this time in efficacy and efficiency. Innovation in technology and laboratory practices such as cryopreservation and vitrification in conjunction with clin...

Despite the popularity of Zumba in several countries, research is scarce about its impact on older adults. Meanwhile, the integration of cognitive tasks with physical exercises, known as dual-tasking, is an evolving strategy to facilitate activities for older people. This study investigated the perceptions of older adults regarding Zumba and the po...

Caregiving appraisal is a key driver to moderating caregiving outcomes. The caregiving appraisal of informal caregivers of people with dementia requires increased attention. This study aimed to explore the feasibility and acceptability of an evidence-based bibliotherapy protocol, and test the efficacy on improving caregiving appraisal. A two-arm pi...

The current study examined the moderating role of socioeconomic status (SES) in the association between digital health literacy (DHL) and psychological well-being of 801 university students in Hong Kong and Macao amid the coronavirus disease-2019 (COVID-19) pandemic. Results showed that DHL and SES were positively associated with psychological well...

Globally, staff, administrators, and community members have devised innovative strategies to maintain quality of life for residents while reducing spread of COVID-19. Although developed as urgent responses to a temporary situation, some innovations could address longstanding quality of life challenges and should, we suggest, be considered for perma...

Awareness is one of the first steps in a lifestyle modification process. Since older adults are at a higher risk of hypertension, maintaining low sodium intake is of utmost importance. Yet, it is uncertain if older adults have an awareness of their sodium intake. This study aimed to explore self-perceived sodium intake among older Chinese people an...

Purpose: This study aimed to examine the preliminary effect, feasibility, and acceptability of a lifestyle intervention program using a mobile application (app) versus the effect of a program using a booklet for adults with metabolic syndrome (MetS). Patients and methods: This trial was conducted in two community centers of Hong Kong. Participan...

Background APOE ε4 is the best-known risk factor for late-onset Alzheimer’s disease (AD). Population studies have demonstrated a relatively low prevalence of APOE ε4 among Chinese population, implying additional risk factors that are Chinese-specific may exist. Apart from ε-alleles, genetic variation profile along the full-length APOE has rarely be...

Sense of community may be shaped by the quality of the physical environment and has potential health implications. Based on a survey of 2,247 community-dwelling middle-aged and older adults living in Hong Kong, we tested the mediation effect of sense of community on the relationship between the quality of the built environment and physical and ment...

Objective To study the impact of routine ketorolac administration during oocyte retrieval on the proportion of patients requiring post-operative narcotics for analgesia. Design Retrospective cohort study Setting Single, university-affiliated infertility clinic Patients All women undergoing oocyte retrieval between July-November 2016 (non-ketorol...

Background: Digital communication technologies are playing an important role in the health communication strategies of governments and public health authorities during the COVID-19 pandemic. The internet and social media have become important sources of health-related information on COVID-19 and on protective behaviors. In addition, the COVID-19 in...

Objectives: During the COVID-19 pandemic, older adults experience various challenges, including information uncertainties, financial pressure, and visit restrictions, which may lead to anxiety about the future. As a protective factor, sense of coherence (SOC) may play a role to reduce some psychological discomfort. This study aimed to analyze the r...

This study examines student and practising nurses’ health literacy knowledge, and its correlates in Ghana. It is underpinned by an adapted version of the Institute of Medicine’s (IOM) conceptual framework of health literacy. We used convenience and snowball sampling techniques to collect data from 876 nurses (477 student nurses and 399 practising n...

Aims: To assess the overall relative risk of diabetes in individuals with prediabetes based on updated diagnostic criteria, as compared with individuals with normoglycaemia; and to identify the study characteristics associated with the heterogeneity between studies. Design: Meta-analysis, meta-regression. Data sources: PubMed, CINAHL, British Nursi...

Objectives The World Health Organization developed the Risk Factor Model for Falls to describe fall risks in a comprehensive manner. However, there was a lack of study adopting such framework in quantifying falls risk from different factors in a single model. Therefore, this study examined the risk factors from four domains in the Risk Factor Model...

Multisensory stimulation interventions are commonly used to support people with dementia (PWD). Major attention has only been paid to their beneficial effects on PWD. This study examined the preliminary effects of a home‐based, dyadic, multisensory stimulation intervention on both PWD and family caregivers (CG). In this quasi‐experimental study, 72...

The number of people with dementia is increasing worldwide, and the majority are cared for by informal caregivers in home settings. Both positive and negative caregiving outcomes have been found among informal caregivers, the essential determinant was caregiving appraisal. Improving their caregiving appraisal is important for both the caregiver and...

Introduction: This study aimed to develop and validate a brief practitioner-friendly health literacy screening tool, called Rapid Estimate of Inadequate Health Literacy (REIHL), that estimates patients' health literacy inadequacy in demanding clinical settings. Methods: This is a methodological study of 304 community-dwelling older adults recrui...

BACKGROUND Digital communication technologies play an important role in the health communication strategy of governments and public health authorities during the COVID-19 pandemic. The internet and social media have become important sources of health information on coronavirus and protective behaviours. In addition, the COVID-19 infodemic spreads f...

Background: Globally, family members account for the main source of caregiving of persons with dementia living at home. Providing care to family members with dementia often has negative health consequences for caregivers such as stress, depression and low quality of life. Yet, formal support for family caregivers (FCs) is limited. Telehealth techn...

This study aims to investigate the relationship between body measures and the presence of two frailty‐related phenotypes, and the moderating effect of age on this relationship. This is a secondary data analysis of the baseline data of an interventional study. The participants were residents of seven districts in Hong Kong, aged 55 or older, able to...

Objectives: This systematic review examined whether the general public are aware of the influence of modifiable cardiovascular risk factors (CVRFs) on dementia. Methods: Following PRISMA guidelines, five electronic databases (PubMed, Medline, CINAHL, ProQuest, and Scopus) were searched for studies published from 2009–2019, using the key terms “kno...

Background and Objectives: To investigate the health literacy (HL) among older adults in Taiwan, we referenced an existing integrated model of HL to confirm the influencing factors of HL in older adults. We propose this study to examine the personal, situational, and socioenvironmental factors influencing HL among older adults. Materials and Method...

Aims and objectives To identify factors associated with the caregiving appraisal of informal caregivers. Background Caregiving appraisal, the cognitive evaluation of the caregiving situation, is an essential factor in determining positive or negative caregiving outcomes. Identifying factors associated with appraisal is fundamental for designing ef...

Background Social network sites (SNSs) are widely exploited in health education and communication by the general public, including patients with various conditions. Nevertheless, there is an absence of evidence evaluating SNSs in connecting health professionals for professional purposes. Objective This pilot randomized controlled trial was designed...

Findings of the association between hot weather and suicide in a subtropical city such as Hong Kong are inconsistent. This study aimed to revisit the association by identifying meteorological risk factors for older-adult suicides in Hong Kong using a time-series approach. A retrospective study was conducted on older-adult (aged ≥65) suicide deaths...

Background No study has comprehensively investigated the association between the usage of typical screen-based electronic media devices and sleep quality in a Chinese population with individuals in a wide range of ages. Objective This study aimed to understand the characteristics of television (TV) viewing, computer usage, and mobile phone usage in...

Background: The aim of this cross-sectional study was to assess the dementia literacy of community-dwelling adults in four cities (Hong Kong, Guangzhou, Macau, and Zhuhai) of the Greater Bay Area of China, and to determine their mass media preferences for receiving dementia information. Methods: The survey was completed by 787 community-dwelling ad...

Patient-Centered Assisted Reproduction - edited by Alice D. Domar March 2020

Background: There were inconsistent results in the relationship between poor sleep quality and obesity among different population in previous studies. Our study evaluated the association between sleep quality and obesity in a representative adult population of Chinese subjects living in the Macao Special Administrative Region, China. Methods: This...

The current study aims to investigate the effectiveness of behavioral activation (BA) for family dementia caregivers. A systematic literature search was conducted through PubMed, Medline, CINAHL, Cochrane, Embase and PsycINFO for studies published from March 1988 to September 2019. Standardized mean differences (SMDs) were combined to synthesize po...

BACKGROUND No study has comprehensively investigated the association between the usage of typical screen-based electronic media devices and sleep quality in a Chinese population with individuals in a wide range of ages. OBJECTIVE This study aimed to understand the characteristics of television (TV) viewing, computer usage, and mobile phone usage i...

Aims: To compare the effect of a lifestyle intervention programme using mobile application versus booklet for adults with metabolic syndrome living in the community. Design: A multi-site randomized controlled trial with three parallel arms, namely, metabolic syndrome app group, booklet group and control group. Methods: The research study has b...

Background: This study aimed to assess the dementia literacy (DL) level of community-dwelling adults in the four cities (Hong Kong, Guangzhou, Macau and Zhuhai) of the Greater Bay Area of China and to determine the preferred mass media for receiving dementia information. Methods: A multi-city cross-sectional study with 788 community-dwelling adults...

Background: As population ageing and dementia incidence continue to increase worldwide, health systems are urged to empower the public to address factors related to dementia. This study aims to assess Macau citizens’ knowledge of dementia, attitudes towards persons with dementia, and help-seeking behaviours and intention toward dementia. Methods: T...

Dementia is one of the most costly, disabling diseases associated with ageing, yet it remains underdiagnosed in primary care. In this article, we present the comprehensive approach illustrated with a classical case for diagnosing dementia which can be applied by healthcare professionals in primary care. This diagnostic approach includes history tak...

Background: few studies had investigated seasonal pattern of recurrent falls. Objective: to examine seasonal pattern of both single and recurrent falls amongst community-dwelling older adults first applying for long-term care (LTC) services. Methods: a cohort of 89,100 community-dwelling Hong Kong older adults aged 65 and over first applying f...

This experimental study aimed to investigate the sensitivity of detecting stress level with a wearable device. A total of 10 caregivers underwent a psychological stress test with a wearable sensor-based device that measured skin conductivity (Electrodermal Activity, EDA) and heart rate variability (Interbeat Interval, IBI). Two sample t-tests were...

Previous research that studies the impact of built environment on health often attribute the enabling effects of environment on physical activity participation and opportunities for social interaction. Few studies have explored how the role of subjective feeling, such as the feeling of connectedness with the community, affects the association betwe...

Behavioural activation (BA) aims to increase positive response-contingent environmental reinforcement and help caregivers to engage in pleasant and constructive activities, and therefore improve psychological and physical health among family caregivers of people with dementia (PWD). However, knowledge of the effectiveness of BA in this population r...

BACKGROUND Social network sites (SNSs) are widely exploited in health education and communication by members of the public and patients. Nevertheless, there is an absence of evidence evaluating SNSs in connecting health professionals for professional purposes. OBJECTIVE This pilot trial was designed to evaluate the feasibility of an interventional...

Background Cognitive frailty is a condition where physical frailty and mild cognitive impairment (MCI) co-exist. It is associated with increased risk of dementia and dependency. Previous studies reported that malnutrition and depression are associated with physical frailty and MCI; however, their relationships with cognitive frailty remained to be...

While health literacy influences better outcomes of mental health patients, sociocultural factors shape the nature of the relationship. On this matter, little is known about how sociocultural factors affect health literacy practices of nurses, especially in low-income countries. This paper examines how local precepts, within culture and language, s...