Janet Yuen-Ha Wong

Hong Kong Metropolitan University | hkmu · School of Nursing and Health Studies

Background The interconnected nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be determined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to i...

Background Workplace violence has had a significant and negative psychological impact on nursing professionals worldwide. Concerted worldwide efforts to improve work environments have not yet removed nursing professionals from the threat of violence. It is highly essential to conduct comparative research in various working environments where the nu...

Background The health area being greatest impacted by coronavirus disease 2019 (COVID-19) and residents’ perspective to better prepare for future pandemic remain unknown. We aimed to assess and make cross-country and cross-region comparisons of the global impacts of COVID-19 and preparation preferences of pandemic. Methods We recruited adults in 30...

Objective: Occupational ergonomic factors (OEF) include physical exertion, demanding posture, repetitive work, hand-arm vibration, kneeling or squatting, rising, and climbing, which are risk factors for low-back pain (LBP). This study aimed to examine the prevalence, years lived with disability (YLD), healthcare costs, and productivity losses of L...

Investigating the oral care delivered by nursing staff in acute hospital setting is having a remarkable shortage within the current literature. This was provoked due to lack of previous performed investigation in the acute hospital setting besides inconsistent existence of a standardized and comprehensive oral care knowledge, attitude and practice...

Background Electronic health (eHealth) literacy may play an important role in individuals’ engagement with online mental health-related information. Aim To examine associations between eHealth literacy and psychological outcomes among Nigerians during the Coronavirus disease-2019 (COVID-19) pandemic. Methods This was a cross-sectional study among...

Objectives A partnership model in interprofessional education (IPE) is important in promoting a sense of global citizenship while preparing students for cross-sector problem-solving. However, the literature remains scant in providing useful guidance for the development of an IPE programme co-implemented by external partners. In this pioneering stud...

Background Interprofessional education (IPE) has been promoted as a breakthrough in healthcare because of the impact when professionals work as a team. However, despite its inception dating back to the 1960s, its science has taken a long time to advance. There is a need to theorize IPE to cultivate creative insights for a nuanced understanding of I...

Background Workplace violence has had a significant and negative psychological impact on nursing professionals worldwide. Concerted efforts worldwide to improve work environments have not yet removed nursing professionals from the threat of violence in East Asia. This study aimed to examine the differences in the rate, associated factors, and post-...

Background: The Cognitive Functioning Self-Assessment Scale (CFSS) was developed to allow the self-assessment of perceived cognitive functioning. It has been tested with satisfactory reliability and validity but was not available for the Chinese population. This study aimed to adapt and validate the Chinese version of the CFSS for community-dwelli...

Clinical practice guidelines support resilience training and exercise for patients with Parkinson’s disease (PD). This assessor-blinded, randomized clinical trial aimed to compare the effects of a modified mindfulness meditation program versus stretching and resistance training exercise (SRTE) in patients with mild-to-moderate PD. A total of 126 po...

Importance The degree to which health and economic outcomes of musculoskeletal disorders are attributable to high body mass index (BMI) has not been quantified on a global scale. Objective To estimate global health and economic outcomes associated with musculoskeletal disorders—low back pain (LBP), gout, and osteoarthritis attributable to high BMI...

Introduction With mobile technologies becoming more advanced and accessible, mobile health (mHealth) has been incorporated in delivering timely and convenient breastfeeding support. However, its feasibility and potential efficacy remain to be examined. Therefore, the primary objective of this study is to assess the feasibility and acceptability of...

This study compared the effectiveness of tai chi (TC) muscle power training (MPT), TC alone, MPT alone, and no training for improving the limits of stability (LOS) and motor and leg muscular performance and decreasing falls in children with developmental coordination disorder (DCD). One hundred and twenty-one children with DCD were randomly assigne...

BACKGROUND The prevention of sexually transmitted infections (STIs) in China particularly among young adults, and Chlamydia trachomatis (CT) infections are the most common STIs in young women. One of the most effective ways to prevent STIs is the consistent use of condoms during sexual intercourse. There has been no economic evaluation for an inter...

Background Sexually transmitted infections (STIs) remain a significant public health concern, particularly among young adults, and Chlamydia trachomatis (CT) infections are the most common STIs in young women. One of the most effective ways to prevent STIs is the consistent use of condoms during sexual intercourse. There has been no economic evalua...

This cohort study assesses the incidence of emergency department (ED) visits in Hong Kong, China, for sexual abuse among youth before and during the COVID-19 pandemic.

Aim: The first scoping review is to map and synthesize the stressors, problems and coping strategies surrounding the health issues of migrant domestic workers. Design: Scoping review using Arksey and O'Malley's five-stage framework. Methods: Ten electronic databases were systematically searched by keywords for literature published between Janu...

The management of chronic wounds in the elderly such as pressure injury (also known as bedsore or pressure ulcer) is increasingly important in an ageing population. Accurate classification of the stage of pressure injury is important for wound care planning. Nonetheless, the expertise required for staging is often not available in a residential car...

BACKGROUND Healthcare avoidance in the COVID-19 Pandemic has been widely reported. Yet few studies have investigated the dynamics of hospital avoidance behaviour during pandemic waves and inferred its impact on excess non-COVID-19 death toll. OBJECTIVE To measure the impact of hospital avoidance behaviour on excess mortality using emergency depart...

Aim: This study aimed to understand the perceptions and experiences of sexual violence among Chinese men who have sex with men (MSM) in Hong Kong. Design: The study adopted a qualitative descriptive design with thematic analysis. Methods: Thirty-one Chinese MSM were recruited in Hong Kong from May to June 2019 using purposive sampling. Individ...

Background Engaging students in interprofessional education for higher order thinking and collaborative problem-solving skills is challenging. This study reports the development of Virtual ER, a serious game played on a virtual platform, and how it can be an innovative way for delivering interprofessional education to medical and nursing undergradu...

Objectives To explore associations of screen time (total, mobile gaming) with sleep problems in Chinese young adults. Methods This was a 4-week daily morning (completion rate=82.1%, 909/1107) and evening (completion rate=92.4%, 1061/1148) assessment study in 41 university students (22 female, mean age=22.3 [SD 4.2] years). Short sleep duration<7 h...

Background Disability and medical expenses caused by musculoskeletal disorders in China had a great impact on the global health and economy. Rehabilitation is essential for dealing with musculoskeletal disorders. However, China's musculoskeletal rehabilitation needs remain unknown. This study aimed to examine the secular trends for musculoskeletal...

Studies have consistently showed that informal caregivers have worse health, more medical consultations, anxiety and depression, and lower quality of life than those who do not provide such care. Positive outcomes of psychoeducation interventions have been found, but many of them are relatively long in duration, making them less cost-effective in i...

Background Mobile health, the use of mobile technology in delivering health care, has been found to be effective in changing health behaviors, including improving breastfeeding practices in postpartum women. With the widespread use of smartphones and instant messaging apps in Hong Kong, instant messaging groups could be a useful channel for deliver...

Objective To evaluate the psychometric properties of the traditional Chinese version of the Childbirth Experience Questionnaire (CEQ 2.0) and assess the childbirth experiences of Chinese women. Methods A cross-sectional survey was conducted in Hong Kong from July 2020 to February 2021. In total, 975 mothers, who could read traditional Chinese and...

Intimate partner violence (IPV) has recently been recognised as a global public health issue that can cause various kinds of long‐lasting physical, sexual and psychological health problems. Limited studies are available concerning the relationship between objective and subjective socioeconomic status (SES) and IPV, and the impact of experiencing IP...

Importance: It is hard for policy makers and health professionals to develop musculoskeletal rehabilitation strategies because secular trends for musculoskeletal rehabilitation by region and country remain unknown. Objective: To evaluate the secular trends in global musculoskeletal rehabilitation needs by sex, age, region, country, and health co...

Objective To explore factors associated with depression and COVID-19 related fear among pregnant women and new mothers. Design A cross-sectional survey was conducted in China from July 2020 to July 2021. Sample A total of 3027 pregnant and new mothers were recruited. Measurement Sociodemographic characteristics and the perceptions of the COVID-1...

Background Although social networking services (SNSs) have become popular among young people, problematic SNS use has also increased. However, little is known about SNS addiction and its association with SNS use patterns and mental health status. Objective This study aims to test the mediating role of SNS addiction between SNS use patterns and men...

BACKGROUND Engaging students in interprofessional education for higher order thinking and collaborative problem-solving skills is challenging. This study reports the development of Virtual ER, a serious game played on a virtual platform, and how it can be an innovative way for delivering interprofessional education to medical and nursing undergradu...

Objectives This study aimed to examine the psychometric properties of the traditional Chinese version of the Youth Attitude to Noise Scale (YANS) in a large representative sample. Design Cross-sectional study. Setting 15 secondary schools in Hong Kong, China. Participants 2842 adolescents aged 12–20 years participated in this study between April...

Background: The COVID-19 pandemic has been associated with excess mortality and reduced emergency department attendance. However, the effect of varying wave periods of COVID-19 on in-hospital mortality and length of stay (LOS) for non-COVID disease for non-COVID diseases remains unexplored. Methods: We examined a territory-wide observational coh...

Objective This study aims to critically review the characteristics and effectiveness of university-based intervention to promote safer sex practice. Participants and Methods The published studies were selected from 5 databases with the publication year restricted between 1974 and 2018. The data were then pooled using a random-effect meta-analysis....

PurposeSleep problems are prevalent among the general population and can cause various health problems, which may lead to decreased quality of life. However, little is known about nonrestorative sleep and its implications. This study aimed to examine the association between nonrestorative sleep and health-related quality of life (HRQL) in Chinese a...

Objective We aimed to evaluate and characterize the scale and relationships of emergency department visits and excess mortality associated with the early phase of COVID-19 pandemic for the territory of Hong Kong. Methods We conducted a territory-wide, retrospective, cohort study to compare the ED visits and related impact of the COVID-19 pandemic...

Introduction The COVID-19 pandemic has caused unprecedented disruptions around the world. Adding to the existing stress surrounding pregnancy and childbirth, the threat of infection and social isolation policies may negatively impact pregnant women and new mothers. Literature on the effect of COVID-19 on fear during pregnancy and childbirth experie...

Intimate partner violence (IPV) exists in various forms including physical, psychological, sexual, and economic. Although abundant literature documented the association between physical, psychological, or sexual violence with the associated mental well-being outcomes on survivors, the literature on economic violence, and its consequences were insuf...

Objectives This is a qualitative study which aims to understand the lived experience of dietary changes among Chinese survivors of colorectal cancer who participated in a dietary intervention. Setting The surgical and oncological departments of four public hospitals in Hong Kong. Participants Fifty-five Chinese colorectal cancer survivors who wer...

Aims and objectives This study aimed to evaluate the effect of a virtual simulation education programme with debriefing in undergraduate nursing students. Perceived clinical competence and learning needs of students in a simulation environment were also measured. Background Evidence showed virtual simulation education programmes provided better kn...

BACKGROUND Mobile health, the use of mobile technology in delivering health care, has been found to be effective in changing health behaviors, including improving breastfeeding practices in postpartum women. With the widespread use of smartphones and instant messaging apps in Hong Kong, instant messaging groups could be a useful channel for deliver...

BACKGROUND At the very beginning of the COVID-19 pandemic, information about fear of COVID-19 was very limited in Chinese populations and there was no standardised and validated scale to measure the fear associated with the pandemic. OBJECTIVE This cross-sectional study aimed to adapt and validate a fear scale to determine the levels of fear of CO...

Background: At the very beginning of the COVID-19 pandemic, information about fear of COVID-19 was very limited in Chinese populations and there was no standardised and validated scale to measure the fear associated with the pandemic. Objective: This cross-sectional study aimed to adapt and validate a fear scale to determine the levels of fear o...

BACKGROUND At the very beginning of the COVID-19 pandemic, information about fear of COVID-19 was very limited in Chinese populations and there was no standardised and validated scale to measure the fear associated with the pandemic. OBJECTIVE Therefore, this cross-sectional study aimed to adapt and validate a fear scale to determine the levels of...

Most psychiatric nurses do not implement cognitive behavioral therapy (CBT) after training. We examined the experience of psychiatric nurses from Hong Kong (HK) in learning and implementing CBT in clinical practice and elucidated the reasons for discontinuing and continuing CBT using a qualitative interview and evaluation survey. We interviewed 13...

Using information communication technologies as information sources of COVID-19 was associated with psychological problems, but mechanisms remain uncertain. We examined associations of COVID-19 information sources and information overload with psychological distress symptoms and explored the mediating effect of information overload in Hong Kong. A...

Migrant domestic workers have become a major international target population for issues of human rights. However, little is known about the stressors, problems, and coping strategies surrounding their health issues internationally. A scoping review identified 26 sources matching selection criteria through a systematic search on 10 databases with pu...

Background: The COVID-19 pandemic has led to an increasing mental health burden. We examined the factors associated with mental health symptoms in Chinese general adults in Hong Kong. Methods: We conducted a dual-frame (landline and mobile) survey on Chinese adults aged 18 years or older in April 2020. Shortage of preventive materials, perceptions...

Introduction COVID-19, caused by the SARS-CoV-2, has been one of the most highly contagious and rapidly spreading virus outbreaks. The pandemic not only has catastrophic impacts on physical health and economy around the world, but also the psychological well-being of individuals, communities, and society. The psychological and social impacts of the...

Introduction: COVID-19, caused by the SARS-CoV-2, has been one of the most highly contagious and rapidly spreading virus outbreak. The pandemic not only has catastrophic impacts on physical health and economy around the world, but also the psychological well-being of individuals, communities and society. The psychological and social impacts of the...

ABSTRACT Introduction COVID-19, caused by the SARS-CoV-2, has been one of the most highly contagious and rapidly spreading virus outbreak. The pandemic not only has catastrophic impacts on physical health and economy around the world, but also the psychological well-being of individuals, communities and society. The psychological and social impacts...

Introduction: The demanding nature of medical and health sciences studies can cause stress among students in these disciplines affecting their wellbeing and academic performance. The Perceived Stress Scale (PSS-10) is a widely used measure of perceived stress among medical students and healthcare professionals that has not yet been validated among...

Background: Although vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most desired solution to end the coronavirus disease (COVID-19) pandemic, there are growing concerns that vaccine hesitancy would undermine its potential. We examined the intention to receive vaccination against SARS-CoV-2 and the associated...

Abstract Background Studies have demonstrated that noise is associated with various health problems, such as obesity and hypertension. Although the evidence of the associations of noise with obesity and hypertension is inconsistent, there seems to be a stronger association of the latter. This study aimed to investigate the associations of noise wit...

Background Nonrestorative sleep is a common sleep disorder with a prevalence ranging from 1.4 to 35%, and is associated with various psychological and physical health issues. Noise exposure and noise sensitivity have been proposed to contribute to nonrestorative sleep. This study aimed to examine the relationships among noise, noise sensitivity, no...

Introduction Despite the high prevalence of patient‐perpetrated violence against Korean nurses globally, reliable and valid measures of patient aggression are lacking in Korean. Aim We translated the 12‐item Perception of Aggression Scale (POAS) into Korean and psychometrically assessed its utility in measuring nurses’ attitudes towards aggression...

This study aimed to assess the measurement properties of a simplified Chinese version of the Nonrestorative Sleep Scale (NRSS) among adolescents. We obtained a simplified Chinese NRSS by the standard forward‐backward translation procedures and administered it to 486 students who were attending Grade 7–11 in Nanjing, China. Furthermore, Pittsburgh S...

Men who have sex with men (MSM) use dating applications (apps) to explore various romantic and sexual relationships. This qualitative study aimed to describe HIV-negative MSM's experiences with app usage, the sexual activities arranged accordingly and their experiences in using dating apps to arrange sexual encounters. Thirty-one MSM who were sexua...

This study was a psychometric validation of a Korean version of the Anticipated Turnover Scale (ATS) involving translation, transcultural adaptation, and validation. We used data from a cross‐sectional online survey of 287 Korean practicing nurses in hospitals. Confirmatory factor analysis (CFA) assessed the validity of the one‐factor structure tha...

Introduction: Children are widely recognized as a vulnerable population during disasters and emergencies. The COVID-19 pandemic, like a natural disaster, brought uncertainties and instability to the economic development of the society and social distancing, which might lead to child maltreatment. This study aims to investigate whether job loss, inc...

Aim The aim of this study was to explore the relationship between workplace bullying and mental health, focusing on the indirect effect of posttraumatic stress responses and moderation of nurses’ perception of workplace bullying. Background Posttraumatic stress symptoms frequently result from workplace bullying, but, how nurses’ individual apprais...

This study developed a short form of the traditional Chinese version of the Weinstein Noise Sensitivity Scale (WNSS) through optimal test assembly (OTA). A total of 1069 Chinese adults (64.8% female) completed the territory-wide cross-sectional study. We first removed Items 12 and 5 which had negative factor loading and gender-related differential...

Background The high prevalence of sexual coercion against young women has become a significant public health issue in China and other regions around the world. Young women are also especially vulnerable to engage in inconsistent condom use because of low sexual control. Although the relationship between sexual coercion and condom use has been widel...

Background The Short Form 12-item Health Survey (SF-12v2) was originally developed in English, but it is also available in Hong Kong (HK) Chinese. While both language versions had their measurement properties well assessed in their respective populations, their measurement invariance in scores has not been examined. Therefore, we aimed to assess th...

BACKGROUND While social networking service (SNS) has become popular among young people, problematic SNS use also increased. However, little is known about SNS addiction and its associations with SNS use patterns and mental health status. OBJECTIVE This study aims to test the mediating role of SNS addiction between SNS use patterns and mental healt...

Objectives In response to the observations that interprofessional education (IPE) is seemingly atheoretical or under‐theorised, this quantitative research seeks to uncover students’ motivational mechanisms which could explain their behavioral and collaborative outcomes using self‐determination theory (SDT). While SDT has been studied in various con...

Objectives In response to the observations that interprofessional education (IPE) is seemingly atheoretical or under‐theorised, this quantitative research seeks to uncover students’ motivational mechanisms which could explain their behavioral and collaborative outcomes using self‐determination theory (SDT). While SDT has been studied in various con...

Effective teamwork is a critical component of maintaining patient safety. However, there is lack of clarity on the best teaching approach to interprofessional teamwork training in medical and nursing curricula. This study aimed to compare the effects of blended classroom plus clinical simulation versus clinical simulation alone on teamwork attitude...

Background: Alertness is an important part of attention which is different from the opposite of sleepiness. This study aimed to translate and assess the measurement properties of the Toronto Hospital Alertness Test (THAT) in Hong Kong Chinese population. Methods: The standard forward-backward translation procedure and cognitive debriefing were c...

The World Health Organization considered the widespread of COVID-19 over the world as a pandemic. There is still a lack of understanding of its origin, transmission, and treatment methods. Understanding the influencing factors of the COVID-19 can help mitigate its spread, but little research on the spatial factors has been conducted. Therefore, thi...

Objective: We tested a model of individual health literacy information sharing with family members, personal preventive behaviours and family well-being during the Coronavirus Disease 2019 (COVID-19) pandemic in Hong Kong. Methods: We analysed data of 1501 randomly selected Chinese adults from a cross-sectional survey in Hong Kong from 9 to 23 Apri...

Background Online misinformation proliferation during the COVID-19 pandemic has become a major public health concern. Objective We aimed to assess the prevalence of COVID-19 misinformation exposure and beliefs, associated factors including psychological distress with misinformation exposure, and the associations between COVID-19 knowledge and numb...