Janet W H Sit

The Chinese University of Hong Kong, Hong Kong, Hong Kong

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Publications (43)104.85 Total impact

  • Huilin Cheng · Janet W. H. Sit · Winnie K. W. So

    No preview · Article · Jan 2016 · Current Breast Cancer Reports
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    ABSTRACT: Objective: This study examined the attitudes of Chinese patients with coronary heart disease (CHD) toward the outpatient cardiac rehabilitation program (OCRP), as well as their exercise behavior, intention, maintenance and related factors. Method: A qualitative descriptive study design was used, and 22 CHD patients were recruited in Hong Kong in 2014. In-depth interviews and content analyses were conducted. The tripartite model of attitudes was adopted as research framework. Result: Two themes were identified: (1) informant attitude (perception, affection, and practice) toward the OCRP and (2) Exercise Behavior - intention, maintenance and its related factors. Most informants showed positive perception and affection regarding the outpatient rehabilitation program, leading to regular practice of exercise in the program and at home. Peer, group dynamic, social support and Chinese culture influences on exercise behavior may serve as major facilitators to maintain exercise behavior. Conclusion: Positive attitude toward the OCRP enhanced the participation rate, whereas peer and social support from the family and workplace were useful to improve the maintenance of exercise behavior. Overall, this study provides insights into strategic planning for the OCRP and continual support for CHD patients in the community.
    No preview · Article · Nov 2015 · Psychology Health and Medicine
  • Huilin Cheng · Janet W H Sit · Karis K F Cheng
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    ABSTRACT: Although we acknowledge the negative and positive aspects of the cancer survivorship experience, we have little information on this issue from the perspective of Chinese breast cancer survivors. This study aimed to explore the perceptions of negative and positive life changes following treatment completion among this population. Using purposive sampling, 29 breast cancer survivors were selected from the attendees of a local cancer self-help organization in middle China and proceeded with semi-structured in-depth interviews. Each interview was transcribed verbatim and analyzed using directed content analysis. Two predetermined categories were identified to represent participant perception of the breast cancer survivorship experience, namely, negative life changes and positive life changes. The first category included fear of recurrence, symptom experience, poor body image, altered sexuality and intimacy, and financial burden. The second category consisted of new life perspective, personal growth, and enhanced relationships with family. Our findings contribute to the emerging evidence on the duality of breast cancer survivorship. This enhanced understanding of the specific negative and positive changes experienced by Chinese breast cancer survivors can assist health professionals in addressing survivorship issues by designing appropriate interventions to minimize negative consequences and enhance positive growth.
    No preview · Article · Jul 2015 · Supportive Care in Cancer
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    ABSTRACT: PurposeTo examine the potential value of a creative art-based activity as a caring modality for promoting holistic well-being among chronic stroke patients, and to explore the feelings and meanings that stroke patients derived from their experience in leisure art-based creative engagement (LACE).DesignQualitative design.Method Participants were recruited through purposive and snowball sampling. Individual semi-structured interviews were conducted. Qualitative content analysis was performed. The design and implementation of LACE was guided by Watson's theory of caring.FindingsTwenty-four participants completed the study. Four themes emerged from participants' account of experiences with the LACE: (1) appreciation of opportunities, (2) appreciation of self, (3) appreciation of others, and (4) appreciation of life.Conclusion From the perspective of the participants, engaging in LACE enhances their sense of enjoyment and self-expression. Furthermore, they perceived LACE as an affirmation of life and an empowering process strengthening their connection and appreciation with the self and others.Clinical RelevanceThis study adds evidence to existing literature on Watson's theory-guided design and implementation of caring initiatives for community rehabilitation and has laid the groundwork for developing further evidence-based research in leisure art-based caring occasions for promoting holistic well-being in stroke rehabilitation.
    No preview · Article · Sep 2014
  • Li-Xia Zhu · Shuk-Ching Ho · Janet Wing Hung Sit · Hong-Gu He
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    ABSTRACT: Objective To determine whether a transtheoretical model-based exercise stage-matched intervention (ESMI) has positive effects on the exercise behavior of sedentary patients with coronary heart disease (CHD). Methods The study was a randomized controlled trial with a repeated measures design. Participants (N = 196) were randomly allocated to either a Conventional (C) group, a Patient Education (PE) group, or an ESMI group. Exercise behavior was measured by exercise stages of change, exercise self-efficacy, exercise decisional balance, and duration of moderate exercise at baseline, immediate post-intervention, and at 3- and 6-month follow-up. Results Our results showed that the ESMI group demonstrated a more positive shift in exercise stages of change (p < 0.01), higher exercise self-efficacy (p < 0.01), greater exercise benefits (p < 0.01), fewer exercise barriers (p < 0.01), and longer moderate exercise duration (minutes/week) (p < 0.01) after completion of the 8-week intervention compared with the C and PE groups. These significantly positive effects were maintained at 3- and 6-month follow-up. Conclusion The transtheoretical model-based ESMI had significantly positive effects on the exercise behavior of sedentary CHD patients. Practice implications It is important to provide a structured education program for CHD patients, preferably guided by the transtheoretical model.
    No preview · Article · Jun 2014 · Patient Education and Counseling
  • Li‐Xia Zhu · Shuk‐Ching Ho · Janet Wing Hung Sit · Hong‐Gu He
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    ABSTRACT: AimTo examine the effects of a transtheoretical model–based exercise stage–matched intervention on exercise behaviour and quality of life in patients with coronary heart disease.Background Exercise-based cardiac rehabilitation has been shown to be beneficial to quality of life for patients with coronary heart disease. However, patients' participation in rehabilitation programmes is poor. The transtheoretical model has been found to be an effective model for changing exercise behaviour in various populations; however, few studies have examined its effects on patients with coronary heart disease.DesignRandomized controlled trial.MethodsA total of 196 eligible patients were recruited from September 2009–January 2011 and randomly allocated to the control, ‘sham’ or experimental group. Outcome measures including exercise behaviour and quality of life were assessed at baseline, immediate postintervention and at 3- and 6-month follow-ups. The chi-square test and Kruskal–Wallis test were used to analyse data.ResultsFindings showed that, compared with the other two groups, patients in the Experimental group were more likely to be at the action and maintenance stages according to the exercise stages of change scale. They also showed longer moderate-intensity exercise duration as recorded by a logbook and significantly greater improvements in physical functioning, general health, vitality, social functioning, mental health, physical component summary and mental component summary of SF-36 after the 8-week intervention and up to 3- and 6-month follow-ups.Conclusion The transtheoretical model–based exercise stage–matched intervention has positive effects on exercise behaviour and quality of life in patients with coronary heart disease.
    No preview · Article · Jun 2014 · Journal of Advanced Nursing
  • Li-Xia Zhu · Shuk-Ching Ho · Janet Wing Hung Sit · Hong-Gu He
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    ABSTRACT: Angina is one of the most common complaints among patients with coronary heart disease (CHD). Evidence has shown that regular exercise is beneficial for angina management. However, poor adherence to exercise prescription may limit its effect on angina symptoms and rehabilitation outcomes. The transtheoretical model (TTM) is an effective model for changing exercise behavior in various populations. However, few studies have examined its effects on changing exercise behavior and angina in patients with CHD. This study aimed to examine the effects of a TTM-based stage-matched exercise intervention (SMEI) on exercise behavior and angina in sedentary patients with CHD. A randomized controlled trial with repeated-measures design was adopted. A total of 196 patients were recruited and randomly assigned into a conventional group, a patient education group, or an SMEI group, with stratification of their exercise stages of change. Outcome measures included exercise behavior and angina at baseline, immediately after intervention, and at 3- and 6-month follow-up. Our findings showed that the SMEI group demonstrated more positive shifts in exercise stages of change (P < 0.01) and better improvement in physical limitation (P < 0.01), treatment satisfaction (P < 0.01), and disease perception (P < 0.01) measured by the Seattle Angina Questionnaire than the other 2 groups up to 6-month follow-up periods. No significant differences were found among the 3 groups at each time point in angina stability and angina frequency measured by the Seattle Angina Questionnaire and in the frequency, severity, and duration of anginal attacks according to a logbook kept by the participants. The TTM-based SMEI has positive effects on patients' exercise behavior and partially positive effects on their angina.
    No preview · Article · May 2014 · The Journal of cardiovascular nursing
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    ABSTRACT: AimTo explore factors associated with health-related quality of life of patients with implantable cardioverter defibrillators.Background Substantial evidence indicates that implantable cardioverter defibrillator is proven to increase survival rate by terminating life-threatening arrhythmia. However, this device can negatively affect health-related quality of life. Little is known about factors associated with health-related quality of life of patients with implantable cardioverter defibrillators, particularly in Asian population.DesignA transversal descriptive design was used.Methods Data were collected from a convenience sample of 139 adult patients with implantable cardioverter defibrillators from 4 January–30 April 2012 using the structured questionnaires administered by the researcher and medical record reviews. The Short Form-36 Health Survey version 2 was used to measure health-related quality of life.ResultsA total of 139 Chinese patients, including 107 (77·0%) males with a mean age of 63·0 (14·6) years, were selected. The physical component summary was relatively lower, whereas the mental component summary was relatively higher than that of the general Hong Kong Chinese population. Multivariable regression analysis revealed gender, self-care dependence, educational level, atrial fibrillation, diabetes mellitus, anxiety and depression significantly associated with physical or mental quality of life.Conclusions Depression was a common factor affecting physical and mental quality of life. Self-care dependence, atrial fibrillation, diabetes mellitus, depression and anxiety could be improved. Our findings expand existing knowledge on identifying at-risk patients for having lower quality of life, thus allowing development of appropriate interventions targeting risk factors for improving health-related quality of life of patients with implantable cardioverter defibrillator.
    No preview · Article · Apr 2014 · Journal of Advanced Nursing
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    ABSTRACT: Objectives. To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month. Background. COPD affects both physical and emotional aspects of life. Measures to minimize patients' suffering need to be implemented. Methods. 206 COPD patients were randomly assigned into three groups: TCQ group, exercise group, and control group. The TCQ group completed a three-month TCQ program, the exercise group practiced breathing and walking exercise, and the control group received usual care. Results. Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted. Improvements were observed in the TCQ group only. Conclusions. TCQ has sustaining effects in improving psychosocial health; it is also a useful and appropriate exercise for COPD patients.
    Full-text · Article · Oct 2013 · The Scientific World Journal

  • No preview · Article · Apr 2013 · International Journal of Cardiology
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    ABSTRACT: BACKGROUND: Social support has been identified as a significant factor positively influencing quality of life (QOL) in breast cancer survivors. However, less is known about whether and how social support remains important among cancer survivors over the course of the survivorship trajectory. AIM: To explore social support and its relationship with QOL in breast cancer survivors in China. METHODS: This was a sequential mixed methods study. In Phase I, 100 breast cancer survivors were surveyed using standardized questionnaires. A multivariate regression analysis was performed to examine the relationship between social support and QOL after controlling for annual household income and length of survivorship. In Phase II, individual in-depth interviews were conducted to understand social support experience from 29 survivors selected from Phase I. Interview data were transcribed and analyzed using qualitative content analysis. RESULTS: Survivors reported a median support network size of 2.2 persons (interquartile range = 1.2-3.8) and a median support satisfaction score of 5.5 (interquartile range = 5-6). While support satisfaction was found to be associated with QOL, no association was found between support network size and QOL. Interview findings revealed that close family members and peer survivors constituted the major source of breast cancer survivors' support, especially in emotional and informational support aspects. Cultural factors played a role in the perception and utilization of support of the breast cancer survivors. CONCLUSIONS: This study has indicated that support satisfaction is more critical than support network size in influencing various aspects of survivors' QOL through the underlying different types of situation-specific support.
    No preview · Article · Apr 2013 · European journal of oncology nursing: the official journal of European Oncology Nursing Society

  • No preview · Article · Apr 2013 · International Journal of Cardiology
  • F.M.F. Wong · J.W.H. Sit · E.M.L. Wong · K.C. Choi

    No preview · Article · Apr 2013 · International Journal of Cardiology
  • L.X. Zhu · S.C. Ho · J.W.H. Sit

    No preview · Article · Apr 2013 · International Journal of Cardiology

  • No preview · Article · Apr 2013 · International Journal of Cardiology
  • F.M.F. Wong · J.W.H. Sit · E.M.L. Wong

    No preview · Article · Apr 2013 · International Journal of Cardiology
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    ABSTRACT: Background: There is little in the literature exploring the inter-relationship of social support, prevalent symptoms and health-related quality of life (HRQoL) among breast cancer patients. This study examines the inter-relationships among the three variables using the 'Theory of Unpleasant Symptoms' as a framework. Methods: 279 Chinese breast cancer patients undergoing treatment were recruited for face-to-face interviews. The instruments used were Chinese versions of the Brief Fatigue Inventory, Brief Pain Inventory, Hospital Anxiety and Depression Scales, Medical Outcomes Study Social Support Survey and Functional Assessment of Cancer Therapy for Breast Cancer. Results: Goodness-of-fit and misfit indices were obtained for the final model (SRMR = 0.034, robust RMSEA = 0.051 and robust CFI = 0.981), and the results showed that social support had large total effects on social/family (total effect = 0.704, P < 0.05) and functional well-being (total effect = 0.450, P < 0.05), but a minimal effect on the breast cancer scale (total effect = 0.036, P > 0.05). Conclusions: The inter-relationships among the three variables give us a better understanding of breast cancer patients' experience and provide guidance for developing effective strategies to improve their HRQoL and relieving unpleasant symptoms.
    No preview · Article · Dec 2012 · European journal of oncology nursing: the official journal of European Oncology Nursing Society
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    ABSTRACT: BACKGROUND:: The existing knowledge on fatalism in the field of cancer has arisen largely from the cancer prevention and screening literature. Little is known about the role of fatalism in cancer survivorship, particularly within Chinese population. OBJECTIVE:: This study aimed to explore the role of fatalism in coping with breast cancer survivorship in Chinese women. METHODS:: In-depth interviews were conducted on 29 participants selected from those who attended a local cancer self-help organization in China. Interview transcripts were transcribed and analyzed using qualitative content analysis. RESULTS:: Although they actively engaged in emotional regulation and self-care management to cope with survivorship, participants believed in fatalism and accepted their inability to change the final outcome of cancer. Such contradictory behavioral and cognitive aspects of coping reported by participants highlighted the role of a complex belief system involving Ming in positively influencing the interpretation of fatalism and the actual coping efforts taken. CONCLUSIONS:: Findings suggest that fatalism related to coping in the Chinese context combined 2 elements: fatalistic belief in and acceptance of the way things are as well as the exertion of personal efforts over the situation. As such, it seems more effectively depicted in terms of the emerging concept "fatalistic voluntarism." IMPLICATIONS FOR PRACTICE:: When planning intervention for Chinese population, incorporating fatalistic voluntarism as a cognitive belief system in the process of adaptation to survivorship may be more culturally relevant for facilitating their coping behaviors.
    No preview · Article · Sep 2012 · Cancer nursing
  • Cheng E H L · Janet W H Sit · Twinn S F · Chow K M · Carmen W H Chan

    No preview · Article · Jun 2012 · Supportive Care Cancer
  • Cheng E H L · Janet W H Sit · Twinn S F · Chow K M · Carmen W H Chan

    No preview · Article · Jun 2012 · Supportive Care in Cancer