Tuo Yu Chen

Tuo Yu Chen
Taipei Medical University | TMU · College of Public Health

Ph.D.

About

55
Publications
2,443
Reads
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282
Citations
Additional affiliations
June 2015 - June 2017
Duke-NUS Medical School
Position
  • Professor
August 2014 - May 2015
Albany College of Pharmacy and Health Sciences
Position
  • Professor (Assistant)
Education
August 2009 - December 2013
University of South Florida
Field of study
  • Aging Studies
August 2007 - April 2008
University of Pittsburgh
Field of study
  • Occupational Therapy
July 2000 - May 2004
Chung Shan Medical University
Field of study
  • Occupational Therapy

Publications

Publications (55)
Article
Study objectives: Cross-sectional studies suggest that insomnia symptoms are associated with falls in later life. This longitudinal study examines the independent and interactive effects of the extent of insomnia symptoms (i.e., multiple co-existing insomnia symptoms) and sleep medications on fall risk over a 2-year follow-up among community-dwell...
Article
Full-text available
Although individual sleep characteristics are related to frailty, these characteristics do not occur separately. A multidimensional measure of sleep might provide a better estimation of frailty compared to isolated sleep characteristics. This study investigated the association of a multidimensional measure of sleep health with frailty and examined...
Article
Objective The relationships between different insomnia symptom subtypes and the onset of depression among older adults are inconsistent. It may be that each subtype has a distinct temporal effect on depression not easily captured by the different follow-up intervals used in past studies. We systemically investigated the temporal effects by examinin...
Article
Background Sleep problems are common among working individuals. A growing body of research has documented that effort-reward imbalance (ERI) predicts poor sleep outcomes. Objective Extending this literature, we investigated the bidirectional relationship between ERI and sleep problems; for each direction, we tested predictor’s baseline level and i...
Article
Full-text available
The association of sleep with pain is well documented among adult populations. Even though both sleep problems and pain are prevalent in older adults, the longitudinal and bidirectional relationship between sleep deficiency (i.e., insufficient and poor sleep) and pain is less well established. This study investigated the association between sleep d...
Article
The measures against the coronavirus disease (COVID-19) pandemic, such as lockdown, pose a major challenge to those who manage work and caregiving demands. Drawing on social cognitive theory, which emphasizes the critical role of self-referent thought and human agency in overcoming obstacles and striving toward goals, the present longitudinal study...
Chapter
Full-text available
It cannot be deniable that smartphone apps have grown exponentially and are playing a crucial role in the response to the COVID-19 pandemic in many countries. This paper aims to investigate data privacy, regulations and legal issues on COVID-19 tracking apps. A literature search will be followed the PRISMA guidelines extension for a scoping review....
Chapter
Full-text available
Non-communicable diseases (NCDs) become one of serious health issues globally including Thailand. The Wellness Center was introduced by the Ministry of Public Health (MOPH) in public hospitals since 2018 for both healthy people and people who at risk for NCDs. It incorporates risk evaluation, health assessment, health behaviors changing, health pro...
Article
Full-text available
Falls are a major public health issues globally. However, no study with nationally representative samples, previously, had been done to understand falls among older adults in the Philippines and Vietnam. Using a biopsychosocial perspective, this study investigated the prevalence of falls and their associated factors among community-dwelling older a...
Article
Full-text available
Research suggests that the effects of fear of falling on falls may differ by race/ethnicity. We investigated whether race/ethnicity (White, Black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. We used data from 2011-2018 of the Nation...
Conference Paper
Full-text available
It cannot be deniable that smartphone apps have grown exponentially and are playing a crucial role in the response to the COVID-19 pandemic in many countries. This paper aims to investigate data privacy, regulations and legal issues on COVID-19 tracking apps. A literature search will be followed the PRISMA guidelines extension for a scoping review....
Conference Paper
Full-text available
Non-communicable diseases (NCDs) become one of serious health issues globally including Thailand. The Wellness Center was introduced by the Ministry of Public Health (MOPH) in public hospitals since 2018 for both healthy people and people who at risk for NCDs. It incorporates risk evaluation, health assessment, health behaviors changing, health pro...
Article
Introduction: Recent evidence suggests that the effects of fear of falling on falls may differ by race/ethnicity. This study investigated whether race/ethnicity (white, black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. Methods:...
Article
With the graying workforce worldwide, identifying factors that facilitate older workers’ health is critically important. We examined whether gardening mitigates the relationship of work–family conflict with disability, chronic conditions, depressive symptoms, and self-rated health among older workers. We drew a subsample of older workers aged 55 ye...
Article
Background Many studies have been conducted to investigate risk factors of falls in older people, but little is known about falls among centenarians. We analyzed the cross-sectional data from the 5-COOP to investigate the prevalence and correlates of falls among centenarians. Methods Data collection was carried out in 2011- 2014 in Japan, France,...
Article
Falls among older adults can lead to severe physical and psychological consequences. However, whether leisure participation changes after falling is not clear. We investigated whether falls resulted in reduced leisure participation in terms of duration, number, and intensity among older adults. Secondary data from the Health and Retirement Study an...
Article
Full-text available
Health and wellness coaching (HWC) has emerged as an important vocation that complements traditional primary care and caregiving services. Although prior studies have reviewed HWC scientific literature, there is an apparent lack of literature on the global HWC training programmes. In this paper, we attempt to address this gap by analysing data pert...
Article
We investigated the longitudinal relationship between sleep health and a spectrum of pain outcomes among community-dwelling older adults. Data came from the Nihon University Japanese Longitudinal Study of Aging (N=2888) and the Panel on Health and Aging of Singaporean Elderly (N=2111). Poor sleep health was operationalized as having insufficient sl...
Article
With the rapidly aging workforce worldwide, the need to retain healthy older workers is greater than ever. To promote health among older workers, a better understanding of the factors that contribute to their health is crucial. With this in mind, we investigated the impact of work–family conflict and work–family enrichment on older workers’ health....
Article
Objectives: Maintaining offline social participation (i.e. face-to-face social interaction) is key for healthy aging, but older adults who experience pain tend to restrict their social activity outside of the home. The onset of pain may set off a downward spiral where lowered social participation increases the risk of depression and vice versa. Th...
Poster
The role of ethnicity in predicting future falls among community-dwelling older Singaporeans.
Research
Full-text available
"The more likely a person has difficulty sleeping, the more likely they are going to be up and walking around in the dark at night," said Orfeu Buxton, associate professor of biobehavioral health, Penn State. "You might think that if they have a physician-prescribed sleep medication that risk of falling might go down because they would stay in bed,...
Article
Full-text available
Aim: The present study examined whether ethnicity independently predicted future falls among community-dwelling older Singaporeans, and whether ethnicity moderated the relationships between falls risk factors at baseline and falls at follow up. Methods: Data from a longitudinal survey of older Singaporeans were used. Baseline assessment included...
Presentation
Full-text available
We conducted a cross-lagged mediation analysis to examine the casual link between insomnia symptoms and falls among older adults using data from three waves of the Health and Retirement Study (2006[Time1], 2010[Time2], and 2014[Time3]; n=2755). We hypothesized that, through the development of poor health (Time2), insomnia symptoms (Time1) would lea...
Article
This current study investigated the construct validity and reliability of the Geriatric Fear of Falling Measure (GFFM) among community-dwelling older adults in the United States. Eighty-eight participants were assessed on the GFFM together with demographics, falls, and fear of falling and falls-efficacy measures at baseline and an 8-week follow-up...
Presentation
Full-text available
Prevalence and associated factors of falls among centenarians: The results from the 5-COOP study
Presentation
Full-text available
Insomnia symptoms as a predictor of single and recurrent falls
Poster
Measuring fear of falling among older adults in Florida: The Modified Falls Efficacy Scale-International Florida (mFES-IF)
Poster
The effects of a multicomponent cognitive behavioral group intervention on falls and physical risk of falls.
Poster
Severe pain is not associated with elevated risk of falling among Chinese older adults: Results from a longitudinal panel study in Singapore
Poster
Would older adults fall less if they receive help from caregivers? It depends!
Chapter
Disablement can be described as the process of moving from ability to inability to perform tasks and activities as a result of a physical or mental health condition. Several conceptual models have been proposed to explain the disablement process. This entry reviews the Nagi scheme; the International Classification of Impairment, Disability, and Han...
Poster
The effects of the A Matter of Balance program on falls and physical risk of falls.
Poster
Does receiving help for daily activities protect older adults from falling?
Article
Full-text available
Introduction: This study investigated the effects of the A Matter of Balance (MOB) program on falls and physical risk factors of falling among community-dwelling older adults living in Tampa, Florida, in 2013. Methods: A total of 110 adults (52 MOB, 58 comparison) were enrolled in this prospective cohort study. Data on falls, physical risk of fa...
Article
Cancer symptoms and the side effects of its treatment can increase the risk of falling among older adults with cancer. This study aimed to identify predictors of falling and recurrent falls among community-dwelling older adults with cancer over a 2-year period. Data from the Health and Retirement Study were used (N = 1,630) in this study. The sampl...
Poster
The effects of the A Matter of Balance program on the measures of psychological consequences of falling
Thesis
Can be downloaded: http://scholarcommons.usf.edu/cgi/viewcontent.cgi?article=6004&context=etd
Poster
Prospective predictors of falls and recurrent falls among community-dwelling older adults with cancer: Results from the Health and Retirement Study
Poster
Tai Chi: Moving for Better Balance (TCMBB) as an intervention for improving postural control
Article
Full-text available
Objective: This study examined speed of processing, executive functioning, and psychomotor speed as independent prospective predictors of falls and recurrent falls across 3 years. Method: The participants were 509 community-dwelling older adults. Measures of speed of processing, executive function, psychomotor speed, and known risk factors of fa...
Article
This study examines whether participation in gardening predicts reduced fall risk and performance on balance and gait-speed measures in older adults. Data on adults age 65 and older (N = 3,237) from the Health and Retirement Study and Consumption and Activities Mail Survey were analyzed. Participants who spent 1 hr or more gardening in the past wee...
Poster
Change in leisure involvement among older adults after falling
Article
Parkinson's disease (PD) patients develop progressive cognitive decline. The degree to which such decline impacts instrumental activities of daily living (IADL) among individuals in the early stages of PD without dementia is not well documented. The Everyday Cognitive Battery Reasoning subtest (ECB) was used to assess ability to solve everyday reas...

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