Terry Y Lum

Terry Y Lum
The University of Hong Kong | HKU · Department of Social Work and Social Administration

BSoSci, MSW, PhD

About

139
Publications
46,620
Reads
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2,296
Citations
Additional affiliations
July 2015 - present
The University of Hong Kong
Position
  • Head of Department
July 2015 - present
The University of Hong Kong
Position
  • Professor (Full)
July 2011 - June 2015
The University of Hong Kong
Position
  • Professor (Associate)

Publications

Publications (139)
Article
Full-text available
Background Information about the specific regulatory environment of orphan drugs is scarce and inconsistent. Uncertainties surrounding the postmarketing long-term safety of orphan drugs remain. This study aimed to evaluate the labelling changes of orphan drugs and to identify postmarketing safety-associated approval factors. Methods This retrospec...
Article
Full-text available
Background Few studies investigated the mechanisms of treatment-resistant depression (TRD) leading to the worsened survival outcome, and economic evidence was mostly restricted to short follow-ups. We aimed to examine the association and potential mediators between TRD and all-cause mortality, and estimate a longer-term associated health resource u...
Article
Objectives: Maintaining good cognition is crucial in later life. However, most existing research has focused on individual factors impacting cognition, and few studies have investigated the association between neighborhood built environment and older adults' cognition. This study examined the association between neighborhood built environment and c...
Article
BACKGROUND: Information about the specific regulatory environment of orphan drugs is scarce and inconsistent. Uncertainties surrounding the postmarketing long-term safety of orphan drugs remain. This study aimed to evaluate the labelling changes of orphan drugs and to identify postmarketing safety-associated approval factors. METHODS: This retrospe...
Article
Full-text available
Objectives To understand and assess the degree of personalisation of tailored activities for people with dementia (PWD); and to estimate the magnitude of the effects of levels of personalisation on reducing behavioural and psychological symptoms of dementia (BPSD), improving quality of life (QoL) and level of engagement. Design Systematic review w...
Article
Objectives. Whether and how symptom clusters are associated with care utilization remains understudied. This study aims to investigate the economic impact of symptom clusters. Methods. We conducted cross-sectional analyses of data collected from 3255 older adults aged 60 years and over in Hong Kong using the Patient Health Questionnaire-9 and the C...
Article
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Background: Bridging scores generated from different cognitive assessment tools is necessary to efficiently track changes in cognition across the continuum of care. This study linked scores from the Montreal Cognitive Assessment-5 min (MoCA 5-min) to the interRAI cognitive Performance Scale (CPS), commonly adopted tools in clinical and long-term ca...
Preprint
This community-based participatory research study sought to identify the cultural health assets of the Somali and Oromo communities in one Minnesota neighborhood that could be mobilized to develop culturally appropriate health interventions. Community asset mappers conducted 76 interviews with Somali and Oromo refugees in in Minnesota regarding the...
Preprint
Participatory research approaches such as community-based participatory research (CBPR) have emerged as an innovative way of conducting social work research. As social work researchers increasingly incorporate participatory approaches, they adopt and adapt research methods and procedures to fit participatory models. One such procedure, asset mappin...
Preprint
BACKGROUND Older adults were perceived as a vulnerable group under the COVID-19 pandemic due to the health and mental health challenges they faced. The pandemic was accompanied by an “infodemic” of overabundant and questionable information that has affected older adults’ mental health. As the infodemic and ageist narratives were prevalent online, m...
Article
Background Good family relationships are important for mental health. However, the mechanism linking family perceptions to mental wellness during political and social turmoil remains unclear. This study aimed to examine whether psychological and social factors could protect university students from detrimental mental health conditions in a time of...
Article
Objectives Evidence about prescribing patterns of dementia medication in China is lacking. This study aimed to examine prescribing rates of antidementia and psychotropic drugs and factors associated with drug prescription for dementia in China. Design A multicenter observational study. Setting and Participants This study employed cross-sectional...
Article
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Background: Children and adolescents with attention deficit hyperactivity disorder (ADHD) are at higher risk of all-cause poisoning by drugs and chemicals (intentional or accidental). Currently, there is limited data on whether medication treatment for ADHD can reduce the risk of all-cause poisoning. Methods: Patients aged 5-18 years with a meth...
Article
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Background Knowledge of how intrinsic capacity (IC) and neighbourhood physical environment shape functional ability (FA) trajectories in later life remains understudied. We investigated four-year trajectories of IC and their impact on FA trajectories and the association between neighbourhood physical environment and FA trajectories among community-...
Article
Background The relationship between sleep and frailty in older age is complex. Most previous studies focused on sleep duration, while insomnia, a common sleep problem in older adults, has not been adequately examined and the factors implicated in its association with frailty were under-explored. Methods A community-based sample of 345 prefrail and...
Article
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Objectives Data linkage of cohort-based data and electronic health records (EHRs) has been practised in many countries, but in Hong Kong there is still a lack of such research. To expand the use of multisource data, we aimed to identify a feasible way of linking two cohorts with EHRs in Hong Kong. Methods Participants in the ‘Children of 1997’ bir...
Article
Background Stroke has profound impacts on families. Often, family members, including stroke survivors and the person who takes up the role of the primary caregiver, would encounter demands on finances, rehabilitation arrangement, and even conflicts. Hence, a family-oriented intervention is expected to enable families to rebuild internal and externa...
Article
BACKGROUND: Nine years after the introduction of pneumococcal conjugate vaccine (PCV) in the United States, Hong Kong (HK) introduced the vaccine to its universal childhood immunisation programme in 2009. We aimed to assess the impact of childhood PCV immunisation on all-cause pneumonia (ACP) admissions among the overall population of HK. METHODS:...
Article
Little is known about the accumulative impacts of neighbourhood physical environments on older adults' depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focu...
Article
Studies have indicated that a sense of community may be shaped by the built environment and has potential mental wellbeing implications. However, few studies have explored this pathway empirically. Moreover, research has rarely differentiated the role of objective and perceived built environment. Based on a survey of 1,553 older adults undertaken b...
Article
This study investigates preference for ageing-in-place (AIP) among local older adults in a Chinese county with a large concentration of internal migrants. The current study was a secondary analysis of data from 755 community-dwelling elderly linked with county-level neighbourhood administrative data. We found that older adults living in neighbourho...
Article
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Residents of long-term care (LTC) homes have suffered disproportionately during the Covid-19 pandemic, from the virus itself and often from the imposition of lockdown measures. Provincial Geriatrics Leadership Ontario, in collaboration with interRAI and the International Federation on Aging, hosted a virtual Town Hall on September 25 2020. The purp...
Article
Background Nine years after the introduction of pneumococcal conjugate vaccine (PCV) in the United States, Hong Kong (HK) introduced the vaccine to its universal childhood immunisation programme in 2009. We aimed to assess the impact of childhood PCV immunisation on all-cause pneumonia (ACP) admissions among the overall population of HK. Methods I...
Article
Evidence about the association between volunteering and the mental health of older adults during COVID-19 remains underexplored. This study investigated (1) patterns of volunteering among older adults in Hong Kong during COVID-19; (2) associations between volunteering and mental health of older adults during COVID-19; and (3) associations between k...
Preprint
Knowledge on how intrinsic capacity (IC) and neighbourhood physical environment shape functional ability (FA) trajectories in later life remains understudied. We investigated the 4-year trajectories of IC and their impact on FA trajectories, and the associations between neighbourhood physical environments and FA trajectories over time among older a...
Article
Neighborhood built environments (BEs) are increasingly recognized as being associated with late-life depression. However, their pathways are still understudied. This study investigates the mediating effects of physical, social activities (PA & SA) and functional ability (FA) in the relationships between BEs and late-life depression. We conducted a...
Article
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Background: COVID-19-related information on social media is overabundant and sometimes questionable, resulting in an “infodemic” during the pandemic. While previous studies suggest social media usage increases the risk of developing anxiety symptoms, how induced anxiety affects attitudes and behaviors is less discussed, let alone during a global pa...
Article
Objectives: Despite known benefits of productive aging, it is unclear what explains time allocation in productive activities. We investigated whether productive engagement in older people can be explained by their age, health, socioeconomic status, and perceived life expectancy in Hong Kong. Methods: We interviewed 390 community-dwelling older p...
Article
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...
Article
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Aims: Late-life depression has substantial impacts on individuals, families and society. Knowledge gaps remain in estimating the economic impacts associated with late-life depression by symptom severity, which has implications for resource prioritisation and research design (such as in modelling). This study examined the incremental health and soci...
Preprint
BACKGROUND COVID-19-related information on social media is overabundant and sometimes questionable, resulting in an “infodemic” during the pandemic. While previous studies suggest social media usage increases the risk of developing anxiety symptoms, how induced anxiety affects attitudes and behaviours is less discussed in the literature, let alone...
Conference Paper
Full-text available
Depression is a multidimensional construct consists of different symptom clusters. This paper aims to investigate if the impact of a stepped-care model, JC JoyAge, differs for older adults with different baseline depressive symptom clusters. Data came from 702 older people aged 65 and over who completed the JoyAge program. Their depression (measure...
Article
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Objectives Although studies have documented the effects of grandparenting, little is known about grandparents’ long-term health outcomes in terms of optimal engagement with grandchildren, and whether age, gender, or location make a difference. This study explores the longitudinal impacts of grandparenting on health, with considerations for subgroup...
Article
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Objectives Three hundred million people living with rare diseases worldwide are disproportionately deprived of in-time diagnosis and treatment compared with other patients. This review provides an overview of global policies that optimize development, licensing, pricing, and reimbursement of orphan drugs. Methods Pharmaceutical legislation and pol...
Article
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Objective Loneliness is a significant and independent risk factor for depression in later life. Particularly in Asian culture, older people may find it less stigmatising to express loneliness than depression. This study aimed to adapt a simple loneliness screen for use in older Chinese, and to ascertain its relevance in detecting depressive symptom...
Article
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In many countries, residential care for older people was not prepared for a public health crisis: although it was very clear that frail older people were most vulnerable to COVID-19, these places, with the highest concentration of this population, did not have the necessary resources, had no plan, and became the focus of attention too late. As a co...
Book
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Known for a tradition of Confucian filial piety, East Asian societies have some of the oldest and most rapidly aging populations on earth. Today these societies are experiencing unprecedented social challenges to the filial tradition of adult children caring for aging parents at home. Marshalling mixed methods data, this volume explores the complex...
Article
Neurological and psychiatric (mental health) disorders have a large impact on health burden globally. Cognitive disorders (including dementia) and stroke are leading causes of disability. Mental health disorders, including depression, contribute up to one-third of total years lived with disability. The Neurological and mental health Global Epidemio...
Article
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Hong Kong is a major international travel hub and a densely populated city geographically adjacent to Mainland China. Despite these risk factors, it has managed to contain the COVID-19 epidemic without a total lockdown of the city. Three months on since the outbreak, the city reported slightly more than 1,000 infected people, only four deaths and n...
Article
Full-text available
Objectives: Three hundred million people living with rare diseases worldwide are disproportionately deprived of in-time diagnosis and treatment compared with other patients. This review provides an overview of global policies that optimize development, licensing, pricing, and reimbursement of orphan drugs. Methods: Pharmaceutical legislation and po...
Article
Objective: To test whether self-administered acupressure reduces stress and stress-related symptoms in caregivers of older family members. Design: In this randomized, assessor-blind, controlled trial, 207 participants were randomized (1:1) to an acupressure intervention or a wait-list control group. Setting: Community centers in Hong Kong, Chi...
Article
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Objectives: To describe the mortality patterns, comorbidities, and attendance at accident and emergency departments among children with Down syndrome in Hong Kong. Study design: This is a population-based, retrospective cohort study of live births of children with Down syndrome delivered between 1995 and 2014, as identified from territory-wide h...
Conference Paper
Full-text available
Loneliness is a significant and independent risk factor for later life depression. This study aimed to validate the Chinese version of the UCLA 3-item Loneliness Scale and to ascertain the cut-off point in detecting depression in community-dwelling older adults. The English version of the UCLA was translated into Chinese by six experienced social w...
Article
Full-text available
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...
Conference Paper
Full-text available
Volunteering provides sense of meaning in life. The impact of volunteering on different dimensions of meaning in life and the mechanisms explaining the effects have been rarely researched. This study examined the effects and the mechanism of a formal volunteering program for mental health in older persons, including training, service provision, and...
Conference Paper
Full-text available
Late-life depression is a burden on society because it is costly and have a significant adverse effect on the quality of life. The aim of this study is to evaluate the cost-effectiveness of the collaborative stepped care intervention for depression among community-dwelling older adults compared to care as usual from a societal perspective. The inte...
Conference Paper
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Background: Depression is common among older adults and creates a substantial burden on individuals, caregivers, and healthcare system. This paper presents an innovative collaborative stepped care intervention that promotes the coordination between elderly center and community mental health center to provide nonpharmacological intervention to elder...
Article
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Background Cognitive stimulation therapy (CST), a 14-session themed groupwork for people with cognitive impairment, shows effectiveness in maintaining cognitive functioning, quality of life and communication. However, its mechanism of optimizing individual cognitive benefits is little known. Engagement, a state of being occupied by meaningful exter...
Preprint
BACKGROUND Stroke brings about abrupt and immense changes to stroke families’ dynamics and responsibilities. Adaptation to new family roles is challenging, as support for caregivers of stoke survivors is minimal, presenting a major obstacle towards restoring family functioning and maximizing care capacity. OBJECTIVE This study aims to implement an...
Article
Background Orphaned because of low prevalence and barely recoverable medical costs, patients with rare diseases are disproportionately deprived of life-saving treatment. In China, an estimated 16·8 million patients suffer from rare diseases. This substantial burden could potentially be addressed through policies that optimise research and developme...
Article
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Objectives: Mentally stimulating leisure activities and cognitive interventions are associated with delayed cognitive decline, although evidence has not been unequivocal, possibly due to differential contribution of the two types of activities. This study aimed to examine the respective contributions of mentally active lifestyle and structured cogn...
Article
Social and civic participation are important tenets for both the age-friendly city and active aging frameworks promoted by the World Health Organization. Yet older adults are often under-represented in civic affairs. This study examines the effects of using photo-voice as a method in facilitating older adults’ civic participation. Specifically, an...
Article
Full-text available
Background While accelerated ageing is recognised among individuals with Down syndrome (DS), the trajectory of their bone health across adulthood remains poorly understood. Methods This study aimed to determine the age‐related loss of bone mineral density (BMD) of the lumbar spine in 128 adults with DS aged 18 to 54 years compared with 723 counter...
Article
Background: The association between participation in activities and the improvement of the elders’ quality of life(Qol) are well researched. However, little known about what factors in activity participation can optimize their Qol on different domains(physical, psychological, social and environment). The study is aiming at investigating those poten...
Article
Full-text available
Objectives: Despite known benefits of productive aging, it is unclear what predicts time allocation in productive activities. Most research did not consider multiple role engagement and time investment. Theoretically, perceived life expectancy may mediate the effects of age and health to predict productive engagement. We investigated whether produc...
Article
Full-text available
Background and Objective: Every year, around 22,000 people who suffer from stroke discharge to home or institutional care in Hong Kong. Existing evidence-based services targeting stroke patients are mostly patient-oriented. Family-oriented intervention is under-developed. Stroke causes profound impacts not only on the patient but also on the whole...
Article
Various countries across the East Asian region have witnessed the rapid proliferation of social enterprises, especially work integration social enterprises (WISEs) in the recent decade. Drawing from qualitative interviews with WISE employees and middle managers in Hong Kong, we examined what working in a WISE meant for employees with disabilities,...
Article
Background and objectives: There is little understanding about how rapid urban development has affected the extent to which communities are able to optimize health and participation opportunities for older adults in Hong Kong. Our objective was to examine what older residents perceive to be the shortcomings of their communities in meeting their ps...
Article
International discussants Terry Lum, social worker and health services researcher, Bruno Vellas, internist, geriatrician and clinical trial expert, and Desmond O’Neill, geriatrician, humanist and ethicist, will discuss the findings and their implications for future gerontological research, and cross-national as well as cross-disciplinary gerontolog...
Article
Objective: Applying MDS nursing home assessment for screening and outcome evaluation on a Pleasant Mood and Active Life (PMAL) intervention among long-term care facility residents. Method: A mixed methodology by applying secondary data analyses and cluster randomized clinical trial among 62 participants. The development of PMAL was guided by the pl...
Article
This symposium reports on Robert Kane’s survey of 360 non-US IAGG members about their views on evidence and compares them to findings from his 2016 study with 240 GSA members. Both GSA and IAGG are eclectic scientific societies, with diverse membership in terms of disciplinary affiliation (e.g., basic sciences, clinical sciences, psychology, sociol...
Article
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Funded by the Hong Kong Jockey Club Charities Trust, the baseline assessment, including a survey and focus groups, was conducted between July 2015 and February 2016 across Hong Kong. Community-dwelling adults aged 18+ were invited to respond to a structured questionnaire and give views on eight domains of age-friendliness (outdoor spaces and buildi...
Article
Full-text available
Subjective memory complaint (SMC) is common in older people and has been found to associate with depressive symptoms and future cognitive decline. However, the relationship between them is complex and still inconclusive. Understanding the respective extent SMC and depression explain and predict changes in cognitive function may provide insight. Our...
Conference Paper
This study aimed to examine of the type and intensity of activities of an ageing-in-place (AIP) Scheme that might contribute to the positive outcomes of elders. Method: A cohort of 2,081 elders from 11 AIP housing estates and 1 control estate were randomly selected within each age stratum: 65–74 years, 75–84 years, and 85 years. Elders were intervi...
Article
Physical frailty and prefrailty is common and can be intervened or prevented with structured exercise. With limited resources, however, professional exercise training programmes are of short supply. The sustainability of the benefits beyond the programme is also unclear. Nearly 80% of older adults in Hong Kong do not engage in regular exercise at m...
Article
This study was to create a simple frailty measure for nursing home residents using the Minimum Data Set (MDS). Method: MDS items comparable with the FRAIL-NH scale were extracted. Frailty status was calculated based on the following eight components: fatigue, resistance, ambulation, incontinence, polypharmacy, loss of weight, nutritional approach,...
Article
Full-text available
Cognitive stimulation therapy (CST) has been recommended as an effective intervention for improving cognitive symptoms and quality of life in people with mild-to-moderate dementia. Evidence-based protocols originally developed in Western countries may not be directly applicable in Chinese population due to different cultural and societal factors. F...
Article
Self-efficacy is an individual’s assessment of his/her ability to successfully master a specific task. This study investigated the different mediating effect of three domains of self-efficacy between stressors and caregiving burden among adult child and spousal dementia caregivers. We interviewed 195 caregivers of people with dementia (123 adult ch...
Article
Physical frailty is increasingly identified as an important intervention target in older adults. The status and impact of physical frailty in Asian populations is less well known. In this symposium, Lum and colleagues surveyed the prevalence frailty status in a random sample of 1,612 community-dwelling elders residing in public rental housing estat...
Article
Frailty is a dynamic clinical state that may influence elders’ preference for aging-in-place. Method: The study examined the prevalence of frailty in 1,612 elders living in public housing estates, where an aging-in-place scheme was introduced. We used the FRAIL scale to classify elders into three groups: frail, pre-frail, and robust before the impl...