Chirk Jenn Ng

Chirk Jenn Ng
University of Malaya | UM · Department of Primary Care Medicine

MBBS, MMed (Family Medicine), PhD

About

270
Publications
63,091
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
3,678
Citations
Additional affiliations
June 2000 - present
University of Malaya
Position
  • Professor (Full)

Publications

Publications (270)
Article
Full-text available
Background Effective knowledge transfer of eLearning objects can hasten the adoption and dissemination of technology in teaching and learning. However, challenges exist which hinder inter-organisational knowledge transfer, particularly across continents. The ACoRD project aimed to transfer knowledge on digital learning development from UK/EU (provi...
Article
Full-text available
Background: Shared decision-making has been shown to improve the quality of life in metastatic breast cancer patients in high-literacy and high-resource settings. However, limited studies have examined the cultural preferences of metastatic breast cancer patients with shared decision-making implementation and the barriers encountered in an Asian s...
Article
Full-text available
Background The evidence of the impact of online health information-seeking (OHIS) on health outcomes has been conflicting. OHIS is increasingly recognised as a factor influencing health behaviour but the impact of OHIS on medication adherence remains unclear. Objectives We conducted a systematic review and meta-analysis to examine the associations...
Article
PURPOSE In Malaysia, breast and cervical are the most common and third most common cancers respectively. They are associated with high morbidity and mortality in women. With the rapid development of information communication technology and widespread adoption of mobile devices in low to middle-income countries, online web applications (app) could b...
Article
Shared decision making (SDM) activities in Malaysia began around 2010. The rise in the numbers of patients with chronic disease in Malaysia underscores a growing need for doctors to practice patient-centred care and SDM as more Malaysians come into regular contact with health decision-making scenarios. Recent guidelines for medical professionalism...
Article
Background Doctors may struggle to identify patient agendas during busy primary care consultations. Therefore, an online patient agenda tool (the Values in Shared Interactions Tool- VISIT) was developed which allowed patients to enter their agenda items pre-consultation for doctors to view on their electronic medical records (EMR). This study aimed...
Article
Full-text available
Background This study explored the user experiences of paediatric postgraduate trainees in Malaysia and Thailand in using a 2 h and 15 min online module for breastfeeding developed for Southeast Asia, which was adapted from existing European online modules for European and German Continuing Medical Education (CME) credits. Methods A qualitative st...
Article
Objective Delays in seeking health care for dengue are associated with poor health outcomes. Despite this, the factors influencing such delays remain unclear, rendering interventions to improve health care-seeking for dengue ineffective. This systematic review aimed to synthesise the factors influencing health care-seeking of patients with dengue a...
Article
Full-text available
Introduction: A compulsory research component is becoming increasingly common for clinical residents. However, integrating research into a busy clinical training schedule can be challenging. This study aimed to explore barriers to research supervision in specialist training programmes from the perspectives of clinical supervisors and trainees at a...
Article
Full-text available
Purpose To determine the prevalence of crude herbs’ use in the self-management of hypertension and the health-related quality of life (HRQOL) in patients with hypertension. Methods This cross-sectional study was performed among patients with hypertension attending a government health clinic. Socio-demographic characteristics, lifestyle modificatio...
Article
This study aims to test the psychometric properties of the Malay, English, and Chinese 9-Item Shared Decision Making Questionnaire (SDM-Q-9) in breast cancer patients making treatment decisions. The original German SDM-Q-9 was translated to Malay using the back-translation method. A total of 222 newly diagnosed breast cancer patients making treatme...
Article
Background COVID-19 telemonitoring applications have been developed and used in primary care to monitor patients quarantined at home. There is a lack of evidence on the utility and usability of telemonitoring applications from end-users’ perspective. Objectives This study aimed to evaluate the feasibility of a COVID-19 symptom monitoring system (C...
Article
Background The internet has become a common source of health information; however, little is known about online health information-seeking behaviour (HISB) among patients in low- and middle-income countries (LMICs). Objectives This study aimed to determine the prevalence of online health information-seeking and its associated factors among patient...
Article
Full-text available
Background Engaging students in the e-learning development process enhances the effective implementation of e-learning, however, students’ priority on the topics for e-learning may differ from that of the educators. This study aims to compare the differences between the students and their educators in prioritising the topics in three healthcare cur...
Article
Background and Objectives: Men's health has been acknowledged as a broad field that comprises not only of male specific diseases, but involves widely differing disciplines. While a significant number of studies have looked into the definition of men's health, there is a lack of concerted attempts to collectively review the theories, models and framewor...
Article
Making healthcare decisions collaboratively between patients and doctors can be challenging in primary care, as clinical encounters are often short. Conflicts between patients and doctors during the decision-making process may affect both patient and doctor satisfaction and result in medicolegal consequences. With the increasing recognition of the...
Article
Full-text available
Background Many patient decision aids (PDAs) are developed in academic settings by academic researchers. Academic settings are different from public health clinics where the focus is on clinical work. Thus, research on implementation in public health settings will provide insights to effective implementation of PDA in real-world settings. This stud...
Article
Full-text available
Objective Limited health literacy in patients with type 2 diabetes mellitus (T2DM) led to poorer diabetes knowledge, less medication adherence and increased healthcare cost. The purpose of this paper was to report the prevalence of limited health literacy in patients with T2DM and to identify factors that are associated with it. Design A cross-sec...
Article
Full-text available
Family history has long been recognised as a non-invasive and inexpensive tool to identify individuals at risk of genetic conditions. Even in the era of evolving genetic and genomic technology, the role of family history in predicting individual risk for genetic testing and guiding in preventive interventions is still relevant, especially in low-re...
Article
Background: mHealth apps potentially improve health care delivery and patient outcomes, but the uptake of mHealth in primary care is challenging, especially in low-middle-income countries. Objective: To measure factors associated with mHealth adoption among primary care physicians (PCPs) in Malaysia. Methods: A cross-sectional study using a se...
Article
Background: There was an urgent need to develop an automated COVID-19 symptoms monitoring system during the COVID-19 pandemic to reduce the burden of the healthcare system and provide better self-monitoring at home. Objective: This paper aims to describe the development process of CoSMoS (COVID-19 Symptoms Monitoring System), which consists of a...
Preprint
BACKGROUND During the COVID-19 pandemic, there was an urgent need to develop an automated COVID-19 symptom monitoring system to reduce the burden on the health care system and to provide better self-monitoring at home. OBJECTIVE This paper aimed to describe the development process of the COVID-19 Symptom Monitoring System (CoSMoS), which consists...
Article
Full-text available
Primary health care is essential for equitable, cost-effective and sustainable health care. It is the cornerstone to achieving universal health coverage against a backdrop of rising health expenditure and aging populations. Implementing strong primary health care requires grassroots understanding of health system performance. Comparing successes an...
Article
Full-text available
Background Patients with type 2 diabetes mellitus (T2DM) require adequate health literacy to understand the disease and learn self‐management skills to optimize their health. However, the prevalence of limited health literacy is high in patients with T2DM, especially in Asian countries. Objective This study aimed to explore experiences related to...
Preprint
BACKGROUND Doctors may struggle to identify patient agendas during consultations. Patients who fail to discuss their agenda with their doctor feel dissatisfied. Therefore, an online patient agenda tool (the Values in Shared Interactions Tool- VISIT) was developed which allowed patients to enter their agenda items pre-consultation for doctors to vie...
Article
Full-text available
There are several treatment options for localized prostate cancer with very similar outcome but vary in terms of technique and side effect profiles and risks. Considering the potential difficulty in choosing the best treatment, a patient decision aid (PDA) is used to help patients in their decision-making process. However, the use and applicability...
Article
There are several treatment options for localized prostate cancer with very similar outcome but vary in terms of technique and side effect profiles and risks. Considering the potential difficulty in choosing the best treatment, a patient decision aid (PDA) is used to help patients in their decision-making process. However, the use and applicability...
Article
Full-text available
Introduction Patient decision-aids (PDAs) support patients in selecting evidence-based treatment options. PDA is useful only if the user understands the content to make personalised decisions. Cultural adaptation is a process of adjusting health messages so that the information is accurate, relevant and understandable to users from a different popu...
Article
Full-text available
Objective: To determine patient experience and perception following a diagnosis of non-muscle invasive bladder cancer (NMIBC). Patient and methods: Patients were part of a prospective multi-centre observational study recruiting patients with NMIBC for a urine biomarker study (DETECT II; ClinicalTrials.gov: NCT02781428). A mix methods approach co...
Article
Full-text available
Background: Mobile health applications (mHealth apps) are increasingly being used to perform tasks that are conventionally performed by general practitioners (GPs), such as those involved in promoting health, preventing disease, diagnosis, treatment, monitoring, and support for health services. This raises an important question: can mobile apps re...
Article
Background Recent studies on barriers and facilitators to implementation of falls prevention education interventions (FPEIs) are conducted in the developed countries. Hence, the findings may limit its transferability when implementing FPEI for elderlies in countries of different culture and healthcare systems. This study explored barriers and facil...
Article
Objective: To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country. Methods: A cross-sectional study was conducted in an urban, public primary care clinic. Convenience sampling was used to recruit participants, and audio-recorded consultations were scored f...
Article
Background Connected devices that allow people with diabetes to monitor their blood glucose levels remotely with data visualization have been shown to improve self-care behavior in diabetes management. However, their effectiveness and usability for a low-middle-income, racially diverse population are unknown. Objective This study aims to evaluate...
Preprint
Full-text available
This is a bibliography of primary care research publications from Malaysia
Article
Full-text available
Objective. To explore and compare the influences of individual-level cultural values and personal attitudinal values on the desire for medical information and self-involvement in decision making in Australia and China. Methods. A total of 288 and 291 middle-aged adults from Australia and China, respectively, completed an online survey examining cul...
Preprint
BACKGROUND To date, several medication adherence applications have been developed. However, existing applications have been developed without involving relevant stakeholders and were not subjected to mobile health application guidelines. The usability and utility of these applications have also not been tested with end-users. OBJECTIVE To describe...
Article
Background: To date, several medication adherence apps have been developed. However, the existing apps have been developed without involving relevant stakeholders and were not subjected to mobile health app guidelines. In addition, the usability and utility of these apps have not been tested with end users. Objective: This study aimed to describ...
Article
Rationale, aims, and objectives Few studies focus on patients' views on factors influencing implementation of patient decision aids (PDAs). This study aims to explore patients' views on the factors influencing implementation of an “insulin choice” PDA in a primary care setting. Methods This study used a descriptive qualitative study design. Interv...
Article
It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and need to manage multimorbidity wit...
Article
Full-text available
Background: Health literacy (HL) skills are essential to enable self-management and shared decision-making in patients with type 2 diabetes mellitus (T2DM). Limited HL in these patients is associated with poorer outcomes. It is not clear what the burden of limited HL in patients with T2DM across countries and what factors influence it. Methods:...
Data
Search terms used in PubMed. (DOCX)
Article
Full-text available
Objective To determine the minimal accepted sensitivity (MAS) of a urine biomarker that patients are willing to accept to replace cystoscopy and to qualitatively assess their views and reasons. Patient and methods Patients were part of a prospective multi‐center observational study recruiting patients with bladder cancer for a urine biomarker stud...
Article
Full-text available
Background Population health indices such as disability adjusted life years (DALY) and quality adjusted life years (QALY) are often used in an effort to measure health of populations and identify areas of concern that require interventions. There has been an increase of number of population health indices since the last review published more than a...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To evaluate the efficacy and safety of patient-adjusted versus health professional-adjusted insulin dosing in people with type 2 diabetes mellitus.
Article
Full-text available
Objective This study aimed to compare the evidence-based practices of primary care physicians between those working in rural and in urban primary care settings. Research design Data from two previous qualitative studies, the Front-line Equitable Evidence-based Decision Making in Medicine and Creating, Synthesising and Implementing evidence-based m...
Article
Full-text available
Background: Evidence-Based Medicine (EBM) integrates best available evidence from literature and patients' values, which then informs clinical decision making. However, there is a lack of validated instruments to assess the knowledge, practice and barriers of primary care physicians in the implementation of EBM. This study aimed to develop and val...
Article
Full-text available
Introduction The participation of general practitioners (GPs) in primary care research is variable and often poor. We aimed to develop a substantive and empirical theoretical framework to explain GPs’ decision-making process to participate in research. Methods We used the grounded theory approach to construct a substantive theory to explain the de...
Data
Code list for research participation project. (XLSX)
Article
Full-text available
Background Globally, the uptake of health screening is suboptimal, especially in men and those of younger age. In view of the increasing internet access and mobile phone ownership, ScreenMen, a mobile Web app, was developed to improve health screening uptake in men. Objective This study aimed to evaluate the utility and usability of ScreenMen. Me...
Preprint
BACKGROUND Globally, the uptake of health screening is suboptimal, especially in men and those of younger age. In view of the increasing internet access and mobile phone ownership, ScreenMen, a mobile Web app, was developed to improve health screening uptake in men. OBJECTIVE This study aimed to evaluate the utility and usability of ScreenMen. ME...
Article
Context: Globally, uptake of health screening in men remains low and the effectiveness of interventions to promote screening uptake in men is not well established. This review aimed to determine the effectiveness of interventions in improving men's uptake of and intention to undergo screening, including interventions using information and communic...
Article
Full-text available
Introduction: There are limited studies conducted on the needs of cancer survivors in developing countries like Malaysia. This qualitative study aimed at exploring the post-treatment impact and needs of prostate cancer survivors. Methods: A qualitative study design was used. One in-depth interview and four focus group discussions were conducted...
Article
Full-text available
Anti-hypertensive medication guidelines are intended to improve health outcomes. We aimed to determine adherence to the Malaysian guidelines by primary care physicians regarding the prescribing of anti-hypertensive medications for hypertensive patients with diabetes mellitus, proteinuria and those aged =65 years. We retrospectively reviewed medical...
Article
Full-text available
In recent years, researchers have attempted to shift patient decision aids (PDAs) from paper-based to web-based to increase its accessibility. Insulin decision aids help diabetes patients, most of whom are elderly to make an informed decision to start insulin. However, the lack of usability guidelines applicable for such target group causes develop...
Article
Men have shorter life expectancy and higher mortality than women; however, only a few countries have dedicated men's health policies. Men's health reports can support the development of men's health policies. The 2013 Asian Men's Health Report (AMHR) systematically documents and compares the status of men's health across countries in Asia. The AMHR...
Article
Background: Research suggests that desired family involvement (FI) in medical decision making may depend on cultural values. Unfortunately, the field lacks cross-cultural studies that test this assumption. As a result, providers may be guided by incomplete information or cultural biases rather than patient preferences. Methods: Researchers devel...
Article
Rationale, aims, and objectives: Patient concerns are often neglected in consultations, especially for chronic diseases where patients and providers fall into the routine of chronic disease management in consultations. One strategy to elicit patient concerns has been to ask patients to complete agenda lists before the consultation. This study aime...