Sek Ying Chair's research while affiliated with The University of Hong Kong and other places

Publications (43)

Article
Background To improve cardiovascular risk factors modification and effects of cardiac rehabilitation (CR), electronic applications on CR are suggested in the literature for patients after percutaneous coronary intervention (PCI). Methods A sequential qualitative study, embedded in a quantitative experimental trial for mHealth application on CR (mC...
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IntroductionDespite evidence suggesting an association between influenza infection and increased risk of acute myocardial infarction (AMI) in the older adult population (aged 65 years or above), little is known about its near-term risks in middle-aged adults (aged 45 to 64 years). This study aims to estimate the risks of and association between sev...
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Introduction Lifestyle modifications are the first-line interventions for metabolic syndrome (MetS) management. The effectiveness of lifestyle interventions depends mostly on participants' adherence to the interventions. The current study was to explore the experiences of MetS patients in attending lifestyle intervention program (LIP) and the facto...
Article
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Objective Pneumoconiosis, encompassing coal workers’ pneumoconiosis (CWP), silicosis and asbestosis, is one of the most common occupational diseases in China. Previous studies revealed significant associations between genetic variations and pneumoconiosis risk among individuals in different countries. With the known variability of genetic makeup be...
Article
Vasomotor symptoms are frequently reported by postmenopausal women and linked with unfavorable changes in cardiovascular risk factors, suggesting a likely association with cardiovascular disease (CVD) risk. This study aimed to investigate the characteristics of and associations between vasomotor symptoms, cardiovascular risk factors, and CVD risk a...
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A career ladder for nurses, including several levels of nursing practice and specific roles for advanced practice nurses, was introduced in Hong Kong around the turn of the century. To date no studies have distinguished the practices of advanced practice nurses in Hong Kong. This cross‐sectional study, conducted between November 2020 and March 2021...
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Background Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. Methods A cross-sectional onli...
Article
Background: Older people with multimorbidity are usually required to manage multiple medications and complex medication regimens. However, clinical guidelines for medication management almost entirely focus on a single disease. Further research is needed to assess the efficacy of medication self-management interventions for older people with multi...
Article
Background and Objectives Suboptimal medication adherence is prevalent in older adults with multimorbidity. However, intervention programs for enhancing adherence in this population are limited. This study describes the development process of a medication self-management program for older adults with multimorbidity. Research Design and Methods We...
Article
Funding Acknowledgements Type of funding sources: None. Background As COVID-19 pandemic continues, using technologies within cardiac rehabilitation facilitates access to care and reduces the frequency of direct contact with vulnerable cardiac patients. We aimed to assess the feasibility of technology-assisted interventions in hybrid cardiac rehabi...
Article
Background Insufficient self-care behaviors, low self-efficacy, depression, and poor illness perceptions are obstacles to the management of people with heart failure, leading to adverse patient outcomes. Self-care interventions are strategies used to support individuals in self-care. Currently, evidence on the effects of nurse-led self-care interve...
Article
Aims and objectives: To develop and psychometrically test a food frequency questionnaire for adults at risk of coronary heart disease (Cardio-FFQ). Background: Comprehensive dietary assessment is critical for the prevention of cardiovascular disease, but appropriate instruments to perform this work are lacking. Design: A sequential mixed-metho...
Article
Background: Intermittent fasting is an effective approach to promote weight loss. The optimal model of intermittent fasting in achieving weight management and cardiometabolic risk reduction is an underexplored but important issue. Purpose: This study was designed to examine the effects of alternate-day fasting (ADF) and 16/8 time-restricted fast...
Article
Aims: Tai Chi is a promising exercise option in cardiac rehabilitation to manage coronary heart disease (CHD). Increasing attention was paid on home-based cardiac rehabilitation to improve participation rate, but no study has yet emphasized the effect of home-based Tai Chi. A single-blinded randomized controlled trial is used to examine the effect...
Article
Background Multimorbidity is highly prevalent amongst older people. Compared with those with a single disease, older people with multimorbidity are more susceptible to medication nonadherence, which causes adverse health outcomes and increased health care costs. The effectiveness of interventions for improving medication adherence in this populatio...
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Cancer patients suffer from a repertoire of symptoms, including such psychological and psychiatric symptoms as anxiety, depression and posttraumatic stress. Exploration of genetic factors that modify the risk and severity of these symptoms may facilitate the development of personalised care plans for managing these symptoms. This review aims to pro...
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The COVID-19 pandemic contributed to potential adverse effects on the mental health status of a wide range of people. This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Hong Kong. A cross-sectional online survey was conducted among general population in Hong Kong....
Article
Objectives The objectives of this review were to identify different technology-assisted interventions in cardiac rehabilitation, to explore and examine the effectiveness of technology-assisted cardiac rehabilitation. Design A systematic review and meta-analysis. Methods A systematic search was performed on six electronic databases: CINALH Complet...
Article
Funding Acknowledgements None. Background Psychological stress is associated with high incidence of coronary heart disease and increases the risk of mortality and poor health status. Although a few studies have investigated psychological stress in this population, this problem is usually unrecognized and untreated in most Chinese patients with acu...
Preprint
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Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify associated factors of psychological distress, fear of COVID-19, and coping. Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psycho...
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Patients with heart failure (HF) often present with signs and symptoms that are often nonspecific and with a wide differential diagnosis, making diagnosis and prognosis of HF by clinical presentation alone challenging. Our knowledge on genetic diversity is rapidly evolving with high-throughput DNA sequencing technology, which makes a great potentia...
Article
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Objective The outbreak of COVID-19 has major impacts on the psychological health of the public. This study aimed to investigate the anxiety and depression levels of the general population during the rapid progressing stage of COVID-19 pandemic in China and to explore the associated factors. Design and setting A cross-sectional online survey. Part...
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Aims To assess the effects of mindfulness‐based interventions for patients with coronary heart disease. Design A systematic review with meta‐analysis. Data sources Eight mainstream databases, including Ovid MEDLINE, Embase, Ovid Emcare, PsycInfo, CINAHL complete, Web of Science, CENTRAL and PubMed, were searched from January 1979–March 2020. Rev...
Article
Background Solid fuel use for cooking is a main source of household air pollution, particularly in rural China. Evidence on the association between household air pollution and sleep quality remains limited. This study aimed to examine the association between household solid fuels used for cooking and sleep disturbance. Methods The data of 283,170...
Article
This study aimed to evaluate the impact of a social service project for disadvantaged students through pretest–posttest study design and qualitative interviews. All students joining the service project were invited to participate in this study. Data on personal growth and academic performance (exam scores and class ranks) before and after joining t...
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Background Older patients suffering from multimorbidity are at high risk of medication nonadherence. It has been well established that self-management support is an effective strategy to enhance medication adherence for patients with chronic conditions. However, little is known about the effect of the medication self-management intervention in olde...
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Background The Western Pacific region constitutes one-quarter of the world’s population and has diverse health needs. While dialogue on and promotion of advanced practice nurses are ongoing, this study investigated the current responsibilities of nurses in advanced roles, future healthcare needs, and the implications of these components for nurses’...
Article
Abstract Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels...
Article
Little is known about the risk of hospitalization for cardiovascular disease after influenza infection in younger adults. This Hong Kong territory-wide study using clinical registry data between 1997 and 2017 examined the association between influenza-associated hospitalizations and the risk of subsequent hospitalization for heart failure (HHF) in...
Article
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Aims To investigate the willingness of Chinese nurses to practice in Hubei combating the coronavirus disease 2019 and to explore the associated factors. Design A cross‐sectional survey. Methods Clinical nurses were conveniently recruited by an online link in three provinces out of Hubei, including Hunan (Central south), Chongqing (Southwest) and...
Preprint
Full-text available
Purpose: This study investigated the current responsibilities of nurses in advanced roles (NARs), future healthcare needs, and the implications of these components for professional development of nurses. Design: This study employed a descriptive survey on the current status of NARs in the Western Pacific region (WPR), followed by a Delphi survey an...
Article
Full-text available
Background Metabolic syndrome is a cluster of cardio-metabolic risk factors and a major burden for public health due to its increasing prevalence and adverse effects on cardiovascular health. Lifestyle modification is the first-line intervention for metabolic syndrome management. However, adopting healthy behaviours is challenging among patients wi...
Article
Background: Despite the positive effect of physical activity on reducing depressive symptoms among patients with coronary heart disease (CHD), the effect of physical activity on depressive symptoms is poorly understood. Aims: To examine the mediating role of physical activity self-efficacy in the relationship between leisure-time physical activi...
Article
Introduction: Substantial evidences demonstrate impaired physical health and decreased psychosocial well-being among patients with coronary heart disease (CHD). Tai Chi is an effective exercise option in cardiac rehabilitation to manage CHDs. There has been an increasing focus on home-based cardiac rehabilitation to improve participation rate, whil...
Conference Paper
Background An increasing number of people are living with coronary heart disease (CHD) globally. Psychological conditions such as stress, depression, and anxiety are prevalent for people with CHD, which impose a great challenge for secondary prevention of CHD. Mindfulness-based interventions (MBIs), which incorporate mindfulness skills and cognitiv...
Article
Objective: The uptake of cervical cancer screening among South Asian ethnic minorities is low, rendering them at higher risk of developing cervical cancer. Interventions should, therefore, be developed to enhance their knowledge of this disease and its prevention. We developed and implemented a Health-Belief-Model-based and culturally sensitive mul...
Article
Introduction: Older stroke survivors often experience difficulties managing stroke due to coexistent nature of stroke related neurological deficits and age related physical changes. Identifying effective strategies for enhancing stroke self-management in older survivors is needed. Objective: Using a mixed methods inquiry approach, this secondary da...

Citations

... The responses were translated back to English again under the supervision of local team leaders of each country, where responses were obtained and recorded for analyses in the current study. The study tools were described in prior published studies (Rahman et al., 2020(Rahman et al., , 2021a(Rahman et al., , 2021bBahar Moni et al., 2021;Chair et al., 2021), and their reliability was also assessed (Rahman et al., 2021c). The Kessler Psychological Distress Scale (K-10), the Fear of , and the Brief Resilient Coping Scale (BRCS) were used to assess psychological distress, fear, and coping of HCWs, respectively (Furukawa et al., 2003;Sinclair and Wallston, 2004;Ahorsu et al., 2020). ...
... Psychological parameters, such as anxiety and depression, were evaluated by only three studies in this review and the implementation of wearable-sensors-assisted CR interventions showed no significant effects [33,37,38]. These findings are supported by a recent meta-analysis that revealed comparable effectiveness in psychological outcomes between technologyassisted HBCR and CBCR [50]. Moreover, in this review, adherence rates were comparable between HBCR and CBCR, with two studies reporting favorable effects in participation percentages for the intervention groups [30,32]. ...
... Heart failure affects more than 64 million people globally [1], with its prevalence ranging from 0.12 to 6.70% [2]. It is a complication of other diseases such as diabetes mellitus [3], ischemic heart disease, or long-standing hypertension [4], or primarily due to genetic and idiopathic conditions [5]. These conditions can give rise to the development of cardiomyopathy. ...
... Specifically, our work, lives, social roles and functions had been affected that in turn caused a series of psychological problems related to COVID-19, including anxiety, depression, stress, and insomnia, which had caught the attention in caused social and medical circles. Shi et al. (6) collected 2651 chinese people, they investigated the anxiety and depression levels of the general population during the COVID-19 pandemic in China. They found that lower knowledge poorer health perceiving higher risks of infections unstable working condition presented higher anxiety and depression levels, while female married lived alone were more anxious; living areas was not related to anxiety and depression. ...
... In terms of sleep quality, increasing studies have shown that exposure to air pollution has detrimental effects on sleep quality [19,20], but limited studies have investigated the relationship between indoor air pollution from household solid fuels use and sleep quality, and most study subjects are adults or children [21,22], lack attention to the older adults who are more likely to develop sleeping health problems. To our knowledge, in China, there is only one study that investigated the relationship between sleep quality and household solid fuels use in the older adults, it was conducted on 1,725 older adults aged 80 years and above in Hainan Province, China [23]. ...
... Discussions should also involve high decision-making levels and address aspects of legislative protection, remuneration systems, evaluation mechanisms, and strategies to support and strengthen this professional practice (19) . ...
... The intervention was a six-week group intervention based on the principles of Mindfulness-Based Stress Reduction [23,24,42]. Kabat Zinn's research has had a great impact on the development of mindfulness programs applied to different settings, with solid evidence regarding their effectiveness [43,44]. Our intervention was based on his teachings and combines elements of MBCT [45]. ...
... Older adults living alone are more likely to feel lonely, isolated, and depressed. These negative emotions probably reduce their appetite and dietary intake 6 . Poor appetite, measured by the Simplified Nutritional Appetite Questionnaire, was correlated with skeletal muscle mass index, which is recognised as an important measure of muscle quantity 30 . ...
... The details of the search process are illustrated in the PRISMA diagram ( Figure 1). [24] The final sample consisted of eight crosssectional studies [9], [18], [26], [27], [28], [29], [30], [31] and one randomized controlled trial (RCT) study [32] on the HPL of older adults during the COVID-19 pandemic. Three studies (33.33%) were conducted in China [29], [31], [32]; two in Thailand [9], [27]; two in South Korea [18], [28]; one in Jordan [30]; and one in Saudi Arabia [26] (Table 1). ...
... Wuhan, in which the earliest and most stringent measures to reduce people's exposure to COVID-19 were taken, exhibits a different situation compared to the other three cities, especially for residence and traffic facilities ( Figure 6b). Given traffic facilities, the contribution has a larger value in stage IV, when many healthcare professionals all over the country were sent (Gan et al., 2020) and large quantities of socially donated emergency supplies continue to be delivered to Wuhan. Compared to the other three cities, the contribution of residence increased when confirmed cases appeared and peaked at stage IV. ...