Désirée Schliemann

Désirée Schliemann
Queen's University Belfast | QUB · Centre for Public Health

PhD

About

36
Publications
7,200
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447
Citations
Additional affiliations
October 2013 - September 2016
Queen's University Belfast
Position
  • PhD Student

Publications

Publications (36)
Article
Full-text available
Introduction The school food system varies widely between schools and across the UK. There is a need to understand evidence gaps in school food research to allow the development, implementation and evaluation of policies and interventions to support children’s healthy eating at school. This study aimed to conduct a priority setting exercise to co-p...
Article
Full-text available
Introduction Breast cancer (BC) screening uptake in Malaysia is low and a high number of cases present at a late stage. Community navigation and mobile health (mHealth) may increase screening attendance, particularly by women from rural communities. This randomized controlled study evaluated an intervention that used mHealth and community health wo...
Article
Full-text available
Objective To conduct a cultural adaptation and validation of the Champion Health Belief Model Scale (CHBMS) for colorectal cancer (CRC) screening (CHBMS-CRC-M) in order to assess and investigate perceptions and beliefs about CRC screening in Malaysia. Designs and participants The results from an evidence synthesis and the outcomes from an expert p...
Article
Full-text available
Objectives The 2020–2022 research project ‘Colorectal Cancer Screening Intervention for Malaysia’ (CRC-SIM) evaluated the implementation of a home-based CRC screening pilot in Segamat District. This budget impact analysis (BIA) assessed the expected changes in health expenditure of the Malaysian Ministry of Health budget in the scenario where the p...
Article
Full-text available
Introduction: The Colorectal Cancer Screening Intervention for Malaysia (CRC-SIM) was a CRC study of home-based testing designed to improve low screening uptake using the immunochemical fecal occult blood test (iFOBT) in Malaysia. Methods: This quasi-experimental study was informed by the Implementation Research Logic Model and evaluated with th...
Article
Full-text available
Background Colorectal cancer (CRC) incidence in Malaysia is increasing, and most CRC patients are diagnosed at a late stage. This study investigated participant awareness of CRC and their perceptions and views about CRC screening, barriers, benefits, and facilitators towards CRC screening participation as well as health-seeking behaviour and the us...
Article
Full-text available
Introduction Colorectal cancer (CRC) is the second most common cancer in Malaysia and cases are often detected late. Improving screening uptake is key in down-staging cancer and improving patient outcomes. The aim of this study is to develop, implement and evaluate an intervention to improve CRC screening uptake in Malaysia in the context of the CO...
Article
Abstract Objectives This study investigated women's health beliefs, the use of breast cancer (BC) screening services, and the factors that potentially influence uptake of screening. Methods Face-to-face interviews were conducted with a randomly selected community sample of 992 women (>40 years old) in Selangor State, Malaysia. Results Approximate...
Article
Full-text available
Introduction Breast cancer patients in low- and middle-income countries often present at an advanced stage. This qualitative study elicited views regarding the challenges and opportunities for breast cancer screening and early detection among women in a low-income semi-rural community in Segamat district, Malaysia. Methods Individual semi-structur...
Preprint
Full-text available
Background Breast cancer (BC) and colorectal cancer (CRC) are considered primary cancers that affect both male and females globally. In Malaysia, BC is the most commonly diagnosed cancer among women of all ethnic groups and CRC is the second most common cancer in males and the second most common cancer in females. This systematic review was carried...
Article
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This study evaluated the impact of the ‘Be Cancer Alert’ mass media campaign for breast cancer (BCAC-BC) in terms of changes to women’s health beliefs regarding BC susceptibility and the benefits and barriers of breast cancer screening in Malaysia. Pre- and post-campaign surveys evaluated changes in health beliefs among women aged 40 years and abov...
Chapter
Coronary heart disease (CHD) is a leading cause of morbidity and mortality. Evidence suggests that replacing saturated fat with polyunsaturated fats (PUFA) may reduce risk. Other aspects of the diet that are associated with lower risk of CHD include increased consumption of fatty fish and of n-3 polyunsaturated fats (n-3 PUFA), as well as of fruit,...
Article
Full-text available
Breast cancer (BC) is the commonest cancer in Malaysia. Delayed diagnosis is a significant cause of BC mortality in the country. Early diagnosis and screening are vital strategies in mortality reduction. This study assessed the level of utilisation and barriers for breast self-examination (BSE), clinical breast examination (CBE) and mammogram in a...
Article
Full-text available
Background Low- and middle-income countries (LMICs) experienced increasing rates of colorectal cancer (CRC) incidence in the last decade and lower 5-year survival rates compared to high-income countries (HICs) where the implementation of screening and treatment services have advanced. This review scoped and mapped the literature regarding the conte...
Article
Full-text available
Breast cancer (BC) is the most common cancer among women globally, including in Malaysia. There is a need to assess women’s beliefs about BC and screening in different cultural settings. This study aimed to translate and validate an adapted version of the United States (US) Champion Health Belief Model Scale (CHBMS) for an investigation of predicto...
Article
Full-text available
Background: Breast cancer is the leading cause of cancer among Malaysian women. The implementation of prevention measures including screening has the potential to reduce the burden of breast cancer which caused by late presentation. Aims: This paper aimed to review the public health policy relating to breast cancer screening in Malaysia that was...
Article
Background To investigate the relationship between anticipated delay in help-seeking and cancer symptom recognition and the extent to which this relationship varied according to socio-demographic and health-related characteristics. Methods A cross-sectional telephone survey was conducted of 1895 adults aged ≥40 years who were randomly selected acr...
Article
Full-text available
Objective To evaluate the impact of a mass media campaign in terms of improving breast cancer (BC) symptoms awareness and screening uptake. Design Before—and after—study with comparator groups. Setting Selangor State, Malaysia. Participants Malaysian women aged > 40 years (n=676) from randomly selected households. Intervention A culturally adap...
Article
Full-text available
Introduction Colorectal cancer (CRC) imposes a significant global burden of disease. CRC survival rates are much lower in low-income and middle-income countries (LMICs). Screening tends to lead to an improvement in cancer detection and the uptake of available treatments and, in turn, to better chances of cancer survival. Most evidence on CRC screen...
Article
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Background: Cancer incidence in Malaysia is expected to double by 2040. Understanding cancer awareness is important in order to tailor preventative efforts and reduce the cancer burden. The objective of this research was to assess nationwide awareness about the signs and symptoms as well as risk factors for various cancers in Malaysia and identify...
Article
Full-text available
Background: Colorectal cancer (CRC) cases are detected late in Malaysia similar to most Asian countries. The Be Cancer Alert Campaign (BCAC) was a culturally adapted mass media campaign designed to improve CRC awareness and reduce late detection in Malaysia. The evaluation of the BCAC-CRC aimed to assess campaign reach, campaign impact and health...
Article
Full-text available
Background: Breast cancer is the most common cancer among women in Malaysia, and the incidence of 31.1 per 100,000 population is comparatively higher than other Southeast Asian countries. Diagnosis tends to occur at later stages which may be due, partly, to inadequate knowledge about warning signs and symptoms. Therefore, this study investigated t...
Article
Full-text available
Background: The objective of this study was to evaluate the acceptance of an employer-led free lunch initiative and its effect on health, diet, and attitudes towards health and diet amongst employees in a small workplace in Northern Ireland. Methods: This was a controlled, employer-led pilot intervention, which was evaluated through a mixed meth...
Article
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Increasingly, policy and research attention is being directed toward improving global health in low- and middle-income countries. This study investigated the cultural adaptation of a UK-designed and developed evidence-based mass media campaign with the aim of improving colorectal cancer and breast cancer awareness in Malaysia. Guided by the heurist...
Article
Dietary behaviour is influenced by a complex web of biological, psychological, physiological, social, economic and cultural factors. Understanding socio-demographic and anthropometric characteristics that influence food choice may be important in guiding dietary interventions. This study aimed to identify whether socio-demographic and anthropometri...
Article
Full-text available
PURPOSE The main objective of this systematic review was to identify whether mass and small media interventions improve knowledge and attitudes about cancer, cancer screening rates, and early detection of cancer in Asia. METHODS The review was conducted according to a predefined protocol. Medline, EMBASE, CINAHL, Web of Science, Cochrane Library,...
Article
Objective To summarise findings of systematic reviews that distinctively report dietary intervention components and their effects on diet-, health- and economic-related outcomes in the workplace setting. Design MEDLINE, Embase, CINAHL, Web of Science, Cochrane Library and Google Scholar were searched in December 2014 and the search was updated in...
Presentation
Background: Cancer presents an increasing burden for Asian countries and cancer-related deaths have been predicted to increase from 4.1 million in 2008 to 7.5 million in 2030 in Asia. Low-middle income countries are recommended to prioritize public education as a first step toward cancer prevention and early detection. Mass media campaigns have bee...
Presentation
Full-text available
Background: Colorectal cancer (CRC) is the third most common cancer and the fourth major cause of cancer deaths globally; in Malaysia, CRC is the second most common cancer in both males and females. Low awareness of cancer delays help-seeking and contributes to late presentation, poor detection and survival. Aim: We aim to investigate the level of...
Presentation
Full-text available
Background: Colorectal cancer is the most common cancers in males in Malaysia and the second most common cancer in females. Low awareness of cancer delays help-seeking and contributes to late presentation, poor detection and survival. We developed a culturally sensitive mass media campaign to increase awareness about the signs and symptoms of color...
Article
Full-text available
Background: Breast and colorectal cancer are the two most common cancers in Malaysia. Low awareness coupled with stigma and erroneous beliefs delay help-seeking behaviours, lead to late presentation and contribute to poor detection rates. Promoting cancer awareness through mass media may be effective in improving cancer-related knowledge and uptak...
Article
Full-text available
Purpose Evaluate the effect of a policy-based, multicomponent workplace diet intervention on young adult employees’ diet and health. Design A 6-month, single-armed pilot study with before and after assessments. Setting Insurance company in Belfast, Northern Ireland. Participants Employees who worked at the company throughout the intervention per...
Chapter
Coronary heart disease (CHD) is a major cause of morbidity and mortality in the Western world. Factors that are strongly associated with elevated risk of CHD are increasing age, male sex, smoking, lack of exercise, hypertension, obesity, and type 2 diabetes. In addition, blood lipid levels are strong predictors of CHD risk. A pattern of blood lipid...
Article
Background/objectives: A healthy diet is an integral component of successful diabetes management. However, the comparative importance of adopting a healthy diet for cardiovascular risk factor reduction over and above medication use among newly diagnosed diabetes patients remains unclear. Subjects/methods: We computed a dietary score consistent w...

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