DEPT OF NURSING STUDIES



Researcher : Chan SSC

Project Title:A randomised controlled trial of a nurse delivered staged-matched smoking cessation intervention to promote heart health of cardiac patients
Investigator(s):Chan SSC, Lau CP, Lam TH
Department:Nursing Studies
Source(s) of Funding:Competitive Earmarked Research Grants (CERG)
Start Date:09/2001
Abstract:
(a) To study the baseline of cardiac patients regarding: (1) current and previous smoking status, (2) quitting history, (3) knowledge and attitudes towards smoking, (4) willingness to quit, (5) motivation to quit, (6) stages of readiness to quit, (7) stress level, (8) self-efficacy, and (8) nicotine dependence; (b) to study the effectiveness of the staged matched intervention provided by nurses in motivating Chinese cardiac patients to : (1) quit smoking, (2) reduce the amount of cigarettes smoked, and (3) progress to a higher stagge of readiness in quitting; and (c) to analyse other predictive factors for the success of the outcomes.


Project Title:A one year surveillance study of nurses' preventive measures and health status in relation to the Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong
Investigator(s):Chan SSC, Tiwari AFY, Leung GM, Leung SSK, Lam TH, Salili F, Wong A., Lai A.S.F.
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2003
Abstract:
To prevent the spread of the infectious agent from its reservoir to susceptible host, breaking the chain of infection.


Project Title:A randomised controlled trial of a smoking hygiene intervention to reduce second hand smoking (SHS) exposure and improve respiratory health of infants: a pilot study
Investigator(s):Chan SSC, Leung GM, Lam TH, Leung AYM, Leung SSL, Emmons KM
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2004
Abstract:
To study the baseline of (a) household SHS exposure of infants, (b) family smoking hygiene status, (c) health status of infants, and (d) smoking status and behaviour of the father; to determine the effectiveness of a nurse-delivered smoking hygiene intervention to (a) reduce household SHS exposure, (b) improve the smoking behaviour of the fathers, (c) reduce illness incidence, and (d) reduce health care utilisation; to examine factors associate with the adoption and maintenance of household smoking hygiene.


Project Title:Implementing clinical problem based learning (PBL) in undergraduate nursing students: the assessment of needs, difficulties, and learning resources
Investigator(s):Chan SSC, Tiwari AFY, Wong E, Lam W
Department:Nursing Studies
Source(s) of Funding:Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants
Start Date:02/2005
Abstract:
To (1) enhance the clinical instructors' knowledge, skills and competency to implement clinical problem based learning (PBL); (2) evaluate the effectiveness of clinical PBL in promoting students' critical thinking and a deeper approach to learning; and (3) develop and evaluate a set of manuals and learning resources (website) to promote effective implementation of clinical PBL.


Project Title:Cost-effectiveness analysis of a nurse delivered stage-matched smoking cessation intervention to promote heart health of cardiac patients
Investigator(s):Chan SSC, Lam TH, Leung GM, Chong SY, WONG
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:03/2006
Abstract:
Smoking is the single most preventable cause of death in our society. In Hong Kong, about 6000 deaths in 1998 were attributable to smoking (1). Heart disease is one of the most common smoking related causes of death in high-income countries (2). Smoking is an addictive behavior and quitting is difficult and slow. According to Prochaska & Goldstein (1991)(3), the process of smoking cessation involves progression through five stages of change (Transtheoretial Model of Change): pre-contemplation, contemplation, preparation, action, and maintenance. Previous evidence indicated that stage-matched intervention seems to be promising (4-7), however, its effectiveness in Chinese cardiac patients is yet to be investigated. The Principal Investigator (PI) of this application was funded by the Research Grants Council (RGC) 2002-03, grant number #HKU7224/01M to undertake a project to train nurse smoking cessation counselors and to carry out a multi-site randomized controlled trial (RCT) of a nurse delivered stage-matched smoking cessation intervention to promote heart health of cardiac patients in 10 hospitals in Hong Kong (Appendix 1). The study aims to: 1. study the baseline of cardiac patients regarding: (a) current and previous smoking status,, (b) quitting history, (c) knowledge and attitudes towards smoking, (d) willingness to quit, (e) motivation to quit, (f) stage of readiness to quit, (g) stress level, (h) self-efficacy, and (i) nicotine dependence; 2. study the effectiveness of the stage-matched intervention provided by nurses in motivating Chinese cardiac patients to: (a) quit smoking, (b) reduce the amount of cigarettes smoked, and (c) progress to a higher stage of readiness in quitting; 3. analyze the other predictive factors for the success of the outcomes. Preliminary results from the RCT showed that the 6-month quit rate among the intervention group was significantly higher than the control group (19.7% vs. 13.3%; p<0.01) (Appendix 2). Interventions for smoking cessation are consistently among the most cost-effective interventions in heart disease (8). However, the reported cost-effectiveness ratios from other studies should be interpreted very carefully, because the transfer of results from economic studies between countries is difficult (9). Hence, the objectives of this project are: (a) to estimate the cost-effectiveness of a stage-matched intervention provided by nurses in helping Chinese cardiac patients to quit smoking; (b) to evaluate health service utilization among cardiac patients with different smoking cessation intervention offered. Reference: 1. Lam TH, Ho SY, Hedley AJ, Mak KH, Peto R. (2001) Mortality and smoking in Hong Kong: case-control study of all adult deaths in 1998. British Medical Journal, 323, 1-6. 2. World Bank (1999). Curbing the Epidemic: Governments and the Economic of Tobacco Control. Washington DC: The World Bank. 3. Prochaska JO, & Goldstein MG. (1991). Process of smoking cessation. Implications for clinicians. Clinics in Chest Medicine, 12(4), 727-735. 4. DiClemente CC, Prochaska JO, Fairhurst SK, Velicer WF, Velasquez MM & Rossi JS. (1991) The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59(2), 295-304. 5. Prochaska JO, DiClemente CC & Norross JC. (1992) In search of how people change: Application to addictive behaviours. American Psychologist, 47(9), 1102-1114. 6. Miller MH, Smith PM, DeBusk RF, Sobel DS & Talyor CB. (1997) Smoking cessation in hospitalized patients. Results of a randomized trial. Arch Intern Med, 157(4), 409-15. 7. Chan SSC. (1999) A randomized controlled trial of a health education intervention provided by nurses to mothers of sick children in Hong Kong. Unpublished PhD thesis, The University of Hong Kong, Hong Kong. 8. Kupersmith J, Holmes-Rovner M, Hogan A, Rovner D, Gardiner J. (1995) Cost-effectiveness analysis in heart disease, Part II: Preventive therapies. Progress in Cardiovascular Diseases, 37(4), 243-271. 9. Feenstra TL, Reenen HHH, Hoogenveen RT, Mölken MPMHR. (2005). Cost-effectiveness of face-to-face smoking cessation interventions: A dynamic modeling study. Value in Health, 8, 178-190.


Project Title:Promoting women's health: a gender specific smoking cessation program for female smokers in Hong Kong
Investigator(s):Chan SSC, Chong SY, Lam TH, Wong EMY, Leung GM
Department:Nursing Studies
Source(s) of Funding:Health Care and Promotion Fund - Research Grant Projects
Start Date:04/2006
Abstract:
To publicize quitting among female smokers, and provide gender-specific smoking cessation counselling to women who want to quit smoking


List of Research Outputs

Abdullah A.S.M., Lam T.H., Hedley A.J. and Chan S.S.C., Project "Establishment of a pilot anti-smoking telephone hotline for persons who want to quit or to ask questions about smoking and health" (powerpoint presentation on 22 May 2006), Outstanding Health Promotion Project Award. Hong Kong, Health, Welfare and Food Bureau, 2006.
Abdullah A.S.M., Lam T.H., Chan S.S.C. and Hedley A.J., Smoking cessation among Chinese young smokers: Does gender and age difference matters and what are the predictors?, Addictive Behaviors. 2006, 31: 913-921.
Chan K.K., Leung G.M., Chan S.S.C., Woo P.S., Chi I., Lam T.H. and Johnston J.M., Effectiveness of an elderly smoking cessation counselling training programme for social workers: A longitudinal study (Abstract), 17th IEA World Congress of Epidemiology, 21-25 August 2005, Bangkok, Thailand. Bangkok, Thailand, International Epidemiological Association, 2005, 421.
Chan S.S.C., A randomized controlled trial of a nurse-delivered stage-matched intervention in helping cardiac patients quit smoking., School of Nursing, The University of Toronto, Canada. 15 May. 2006.
Chan S.S.C., Lam T.H., Salili F., Leung G.M., Wong C.N., Botelho R.J., Lo S.L. and Lau Y.L., A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study, In: Chan SS, Lam TH, Salili F, Leung GM, Wong DC, Botelho RJ, Lo SL, Lau YL, Applied Nursing Research. 2005, 18: 178-181.
Chan S.S.C., Leung D.Y.K., Wong E.M.Y., Tiwari A.F.Y., Wong C.N., Lo S.L. and Lau Y.L., Balancing infection control practices and family-centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong, Journal of Paediatrics and Child Health. Blackwell Publishing Ltd, 2006, 42 (1-2): 20-27.
Chan S.S.C., Building science in smoking cessation across the life span, Frontiers in Biomedical Research: Achieving Excellence through Multi-disciplinary Research. Hong Kong, 2005, p.78.
Chan S.S.C., Building science in smoking cessation in Hong Kong: What's next?, Centre for Community Based Research, Dana Farber Cancer Institute, Harvard School of Public Health, Boston, USA. 13 February. 2006.
Chan S.S.C., Creating science in smoking cessation in Hong Kong, Hartford Centre of Geriatric Nursing Excellence, School of Nursing, University of Pennsylvania, USA. 2005.
Chan S.S.C., Development nursing interventions in smoking cessation, School of Nursing, University fo Pennsylvania, USA. 2005.
Chan S.S.C., Develping evidence-based smoking cessation initiatives in Hong Kong, American Cancer Society University, Beijing, China. 2005.
Chan S.S.C., Editorial Board Member and Reviewer, Family and Community Health (International). 2006.
Chan S.S.C., Editorial Board Member and Reviewer, Health Education Research (International). 2006.
Chan S.S.C., Executive Editor, Editorial Board, Asian Journal of Gerontology and Geriatrics. 2006.
Chan S.S.C., Faculty Teaching Medal, Faculty of Medicine, The University of Hong Kong. 2005.
Chan S.S.C., Emmons K.M., Leung A.Y.M., Leung G.M., Leung S.S.L. and Lam T.H., Implementing smoking hygiene policies in household with infants exposed to secondhand smoke: intervention targeted at non-smoking mothers., The 12th Annual Meeting of the Society for Research on Nicotine and Tobacco's . 2006.
Chan S.S.C., Overview of smoking cessation treatment plan for pharmacist, Smoking Cessation Seminar, The Practising Pharmacist Association of Hong Kong. 2005.
Chan S.S.C., Leung G.M., Tiwari A.F.Y., Salili F., Leung S.S.K., Wong A.S.F., Lai A. and Lam T.H., Post-SARS impact on nurses? Preventive measures in Hong Kong, Book of Abstract. The XVIIth IEA World Congress of Epidemiology (WCE2005), Bangkok, Thailand. 2005, p.387.
Chan S.S.C., Wong E.M.Y., Lam T.H. and Leung G.M., Promoting Women's Health: A Gender Specific Smoking Cessation Program for Female Smokers in Hong Kong., Health Promotion Project Expo 2006. 22 May.. 2006.
Chan S.S.C. and Lam T.H., Protecting sick children from exposure to passive smoking through mothers' actons: a randomized controlled trial of a nursing intervention, Journal of Advanced Nursing. Blackwell Publishing Ltd, 2006, 54(4): 440-449.
Chan S.S.C. and Lam T.H., Research perspectives on the nurse practitioner's role in smoking cessation therapy, 4th Annual Conference of the International Society for the Prevention of Tobacco Induced Diseases: Biologic Effects & Public Health Impact of Tobacco, Athens, Greece. 2005.
Chan S.S.C., Smoking cessation interventions in medial settings: Two randomized controlled trials., Tobacco Research and Treatment Centre, Massachusettes General Hospital, Harvard Medical School, Boston, USA. 7 February. 2006.
Chan S.S.C., The effectiveness of a stage-matched intervention in helping cardiac patients quit smoking: A randomized controlled trial., Beth Israel Deaconess Medical Centre, Harvard School of Public Health, Boston, USA. 9 March. 2006.
Chan S.S.C., The role of nurses in smoking cessation, Towards the success of health promotion. Thailand, Faculty of Nursing, Chiang Mai University, 2005, 201-213.
Chan S.S.C., Lam T.H., Abdullah A.S.M., Leung A.Y.M. and Lam D.O.B., Youth Quitline: An Accessible Telephone-based Smoking Cessation Hotline for Youth., Health Promotion Project Expo 2006, Health, Welfare and Food Bureau of the HKSAR Government and Health Care and Promotion Fund.. 2006.
Cheung J., Kwan A., Ngan R., Leung A., Chan S.S.C., Lau A. and Ng S. .H., Strength building and need fulfillment in services to promote older adults' quality of life, Quality of Life in Social Service and Rehabilitation Sympsoim, Pok Oi Hospital Social Service Department/Hong Kong Society for Quality of Life. Hong Kong, 2005.
Johnston J.M., Chan S.S.C., Chan K.K., Lam T.H., Chi I. and Leung G.M., Training nurses and social workers in smoking cessation counselling: A population needs assessment in Hong Kong (Abstract), 17th IEA World Congress of Epidemiology, 21-25 August 2005, Bangkok, Thailand. Bangkok, Thailand, International Epidemiological Association, 2005, 63.
Kwan A., Chan S.S.C., Cheung J., Ngan R., Leung A., Lau A. and Ng S.H., Quality of life in older adults: A health perspective, Quality of Life in Social Service and Rehabilitation Symposium, Pok Oi Hospital Social Service Department/Hong Kong Society for Quality of Life. Hong Kong, 2005.
Kwan Y.H.A., Cheung C.K.J., Ng S.H., Ngan M.H.R., Lau A., Leung M.F.E., Chan S.S.C. and Chan K.K., Effectiveness of the continuum of care to promote older people's quality of life in Hong Kong, Asian Journal of Gerontology and Geriatrics. 2006, Vol.1(2): 5-13.
Lam D.W.C., Chan S.S.C., Abdullah A.S.M., Lo S.T., Kok W.M., Yip W.C., Leung L.S., De Castro S., Sabate E., Leung G.M., Ho D.S.Y., Ho L.M. and Lam T.H., A randomized controlled trial on smoking cessation and adherence intervention on patients with erectile dysfunction: preliminary results, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.86.
Lee A.C.K., Chan S.S.C., Chui Y.Y. and Chiang V.C.L., Where is the gap? Examination of registered nurses’ learning and education needs. , In: Yonsei University College of Nursing, Proceeding in Yonsei University College of Nursing Centennial International Conference, Nursing History and Leadership.. Yonsei University College of Nursing, 2006.
Leung A., Kwan A., Cheung J., Chan S.S.C., Ngan R., Lau A. and Ng S.H., Health related quality of life in older people and implications on health care delivery in Hong Kong, Quality of Life in Social Service and Rehabilitation Symposium, Pok Oi Hospital Social Service Department/Hong Kong Society for Quality of Life. Hong Kong, 2005.
Ngan R., Kwan A., Cheung J., Chan S.S.C., Leung A., Lau A. and Ng S.H., A study of quality of life among older people in Hong Kong: General profile and determinants, Quality of Life in Social Service and Rehabilitation Symposium, Pok Oi Hospital Social Service Department/Hong Kong Society for Quality of Life. Hong Kong, 2005.
So K.W., Chan S.S.C., Lee A.C.K. and Tiwari A.F.Y., Does the knowledge about SARS affect the types of precautionary measures used by older adults?, The 3rd Pan-Pacific Nursing Conference & the 5th Hong Kong Nursing Symposium on Camcer Care. 2005.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: A pilot study, Proceedings of the 10th Postgraduate Research Symposium. Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.. 2005, 88.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: a pilot study, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.88.


Researcher : Chiang VCL

List of Research Outputs

Chao M.L. and Chiang V.C.L., Experiences and Perceptions of Parents Caring for Children with a Serious Chronic Illness in Taipei, In: Dr Somchit Hanucharurnkul, Thai Journal of Nursing Research. Bangkok, Thai Nursing Council, 2005, 9(3): 193-207.
Chiang V.C.L. and Chao M.L., Experiences and perceptions of parents caring for children with a serious chronic illness in Taipei, In: Dr Somchit Hanucharurnkul Dr Diane Holditch-Davis Dr Kathleen A. Knafl Pamela A. Minarik, The International Nursing Conference on Prevention and Management of Chronic Conditions: International Perspectives. 2006.
Chiang V.C.L., Message from the Chief Editor, In: Chief: Dr Vico Chiang, HKACCN Newsletter (Hong Kong Association of Critical Care Nurses). Hong Kong, HKACCN, 2006, 7(2): 1-2.
Crickmore B. and Chiang V.C.L., Supporting ESL nurses during clinical placements in psychiatric and physical health hospitals, ATLAANZ Conference 2005, Dunedin, New Zealand. 2005.
Lee A.C.K., Chan S.S.C., Chui Y.Y. and Chiang V.C.L., Where is the gap? Examination of registered nurses’ learning and education needs. , In: Yonsei University College of Nursing, Proceeding in Yonsei University College of Nursing Centennial International Conference, Nursing History and Leadership.. Yonsei University College of Nursing, 2006.


Researcher : Chui YY

Project Title:Identifying the needs and quality of life of palliative care patients in Hong Kong
Investigator(s):Chui YY, Kuan HY, Liu R., Sham M.
Department:Nursing Studies
Source(s) of Funding:Seed Funding for New Staff
Start Date:07/2004
Completion Date:02/2007
Abstract:
To identify the needs of the Hong Kong Chinese people suffering from advanced cancer and their family caregivers, their perceived importance and perceived satisfaction of these needs and finally their perception of the best person meeting these needs.


List of Research Outputs

Chui Y.Y., Kuan H.Y., Liu R., Sham M., Lau K.S. and Yeung R., Identifying the Needs and Quality of Life of Palliatrive Care Patients in Hong Kong, 12th Hong Kong International Cancer Congress, 2nd Annual Meeting Centre for Cancer Research, 8-10 December 2005.
Chui Y.Y., Kuan H.Y., Liu R., Sham M. and Lau K.S., Quality of life of advanced cancer patients in Hong Kong, Conference on Quality of Life Research in Asia. May 19-21, 2006.
Chui Y.Y., Donoghue J. and Chenoweth L., Responses to advanced cancer: Chinese-Australians, Journal of Advanced Nursing. Oxford, UK, Blackwell Publishing Ltd, 2005, 52 No. 5: 498-507.
Lee A.C.K., Chan S.S.C., Chui Y.Y. and Chiang V.C.L., Where is the gap? Examination of registered nurses’ learning and education needs. , In: Yonsei University College of Nursing, Proceeding in Yonsei University College of Nursing Centennial International Conference, Nursing History and Leadership.. Yonsei University College of Nursing, 2006.
Leung S.F., French P., Arthur D. and Chui Y.Y., Poster Presentation. Computerized mental health assessment integrative health clinics of Hong Kong, International Nursing Conference Beijing China 2005, 15-17 October 2005. Beijing, China.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.


Researcher : Fong DYT

Project Title:Use of multiple imputation on linear mixed model and generalized estimating equations for longitudinal data analysis: a simulation study
Investigator(s):Fong DYT, Lam KSL
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2005
Completion Date:10/2006
Abstract:
Purpose of the proposed project: 1. To assess the performance of the mixed effects model and generalized estimating equations with and without using multiple imputation in estimating treatment effects on a continuous outcome at different time epochs. 2. To determine whether multiple imputation adds advantage to the use of mixed effects model or generalized estimating equations. Key issues and problems: 1. Missing values are frequent in clinical trials when study subjects are measured longitudinally due to many reasons, including dropouts, non-compliance, and adverse events. Common methods of longitudinal data analysis that are consistent to the intention-to-treat principle are the mixed effects model (MEM) and the generalized estimating equation (GEE) (Goldstein et al., 2002; Chan et al., 2005; Edwards, 2000; Wagner et al., 2005; Dahmen & Ziegler, 2004). Alternatively, multiple imputation (MI) emerged as a method to facilitate the use of methods that do not accommodate missing values. There has recently been an interest in examining the use of imputation methods on MEM and GEE. Several studies examined the use of GEE with and without MI on real datasets. However, it is still unclear about the performance of using MI together with MEM or GEE in a clinical trial setting when the objective is to determine the treatment effect at specific time epochs. 2. According to Rubin (1976), missing value mechanism can be classified as missing completely at random (MCAR) when the probability of having a missing value does not depend on the observed values nor the missing values had they were observed, missing at random (MAR) when the probability depends on the observed values only, and missing not at random (MNAR) when the probability depends on the missing values had they were observed. There has been no report of simulation results on the performance of using MI on MEM and GEE when missing values are missing not at random. References: 1. Rubin D. Inference and Missing Data. Biometrika 1976; 63(3):581-590. 2. Goldstein H, Browne W, Rasbash J. Multilevel modelling of medical data. Statistics in Medicine 2002; 21(21):3291-3315. 3. Chan YM, Lee PWH, Fong DYT, Fung ASM, Wu LYF, Choi AYY, Ng TY, Wong LC, Ngan HYS. The effect of psychosocial intervention in women with gynecological malignancy: A randomized controlled trial and a staff-in-service training programme. To appear in Journal of Clinical Oncology 2005. 4. Edwards LJ. Modern statistical techniques for the analysis of longitudinal data in biomedical research. Pediatric Pulmonology 2000; 30(4):330-344. 5. Wagner AK, Fabio A, Puccio AM, Hirschberg R, Li W, Zafonte RD, Marion DW. Gender associations with cerebrospinal fluid glutamate and lactate/pyruvate levels after severe traumatic brain injury. Critical Care Medicine 2005; 33(2):407-413. 6. Dahmen G, Ziegler A. Generalized estimating equations in controlled clinical trials: Hypotheses testing. Biometrical Journal 2004; 46(2):214-232.


Project Title:Cost and clinical effectiveness of the Hong Kong scoliosis
Investigator(s):Fong DYT, Cheung KMC, Luk KDK, Cheng JCY, Ng BKW, Yip PSF
Department:Nursing Studies
Source(s) of Funding:Public Policy Research
Start Date:04/2006
Abstract:
To estimate the cost of the scoliosis screening programme in Hong Kong; to examine the clinical effectiveness of the screening programme in terms of its efficacy and referral rates; to study the epidemiology of scoliosis in Hong Kong; to examine if a more discriminative screening program can be performed on the at risk age group a more selective group of children; to study the outcome of screened cases, the cost of subsequent follow up and treatment.


List of Research Outputs

Fong D.Y.T., Compliance to Qigong and Assessment Methodology, 2005 TWGHs Eddie Wang International Symposium on Integrated Chinese and Western Medicine. 2005.
Fong D.Y.T., On The Analysis Of Paired Quality Of Life Data: Was There A Change?, Conference On Quality Of Life Research In Asia. 2006.
Fong D.Y.T. and Lam K.S.L., Use of multiple imputation on linear mixed model and generalized estimating equations for longitudinal data analysis, The XVII IEA World Congress of Epidemiology. Bangkok, Thailand, 2005.
Hui L.F., Ip W.Y. and Fong D.Y.T., Linguistic Validation Of The Diabetric Foot Ucler Scale Short Form Into Hong Kong Chinese, Conference On Quality Of Life Research In Asia. Hong Kong, 2006, 62.
Khong P.L., Leung L.H.T., Fung A.S.M., Fong D.Y.T., Qiu D., Kwong D.L.W., Ooi C.G.C., McAlonan G.M., Cao G. and Chan G.C.F., White Matter Anisotropy in Post-Treatment Childhood Cancer Survivors: Preliminary Evidence of Association With Neurocognitive Function, Journal of Clinical Oncology. 2006, 24(6): 884-890.
Lam C.L.K., Tse E.Y.Y., Gandek B. and Fong D.Y.T., The SF-36 Summary Scales is Valid, Reliable, and Equivalent in a Chinese Population, Journal of Clinical Epidemiology. 2005, 58(8): 815-822.
Lam J.C.M., Lam B., Lam C.L., Fong D.Y.T., Wang J., Tse H.F., Lam K.S.L. and Ip M.S.M., Obstructive sleep apnoea and the metabolic syndrome in community based Chinese adults in Hong Kong, Respiratory Medicine. 2006, 100: 980-987.
Lam J.C.M., Lam B., Lam C.L.K., Fong D.Y.T., Wang J.K.L., Tse H.F., Lam K.S.L. and Ip M.S.M., Obstructive sleep apnoea and the metabolic syndrome in community-based, Chinese Adults in Hong Kong Resp Med . 2006, 100: 980-987.
Lin K., Fong D.Y.T., Zhu B. and Karlberg J.P.E., Environmental factors on the SARS epidemic: air temperature, passage of time and multiplicative effect of hospital infection, In: N. Noah, Epidemiology and Infection. UK, Cambridge University Press, 2006, 134: 223-230.
Tiwari A.F.Y., Chan E.K.L., Leung W.C., Fong D.Y.T. and Ho P.C., The effectiveness of the Chinese version of the Abuse Assessment Screen to identify abused women, the Hospital Authority Convention 2006: From Policy to Practice, organized by the Hospital Authority, Hong Kong. 2006.
Tiwari A.F.Y., Chan E.K.L., Leung W.C., Fong D.Y.T. and Ho P.C., The prevalence of intimate partner violence among pregnant women, the Hospital Authority Convention 2006: From Policy to Practice, organized by the Hospital Authority, Hong Kong. 2006.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: A pilot study, Proceedings of the 10th Postgraduate Research Symposium. Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.. 2005, 88.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: a pilot study, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.88.
Wong W.H.S. and Fong D.Y.T., Statistical Corner, Journal of Paediatric Respirology and Critical Care. Hong Kong, Hong Kong Society of Paediatric Respirology, 2006, 2(1): 14.
Wong W.H.S. and Fong D.Y.T., Statistical Corner, Journal of Paediatric Respirology and Critical Care. Hong Kong, Hong Kong Society of Paediatric Respirology, 2005, 1(4): 14.
Wong W.H.S. and Fong D.Y.T., Statistical Corner, In: Daniel Ng, Journal of Paediatric Respirology and Critical Care. Hong Kong, Hong Kong Society of Paediatric Respirology, 2005, 1(3): 14.


Researcher : Hayes SSK

List of Research Outputs

Tarrant A.M., Knierim A., Hayes S.S.K. and Ware J., The frequency and impact of item writing flaws (IWFs) in multiple-choice questions (MCQs) in high stakes nursing examinations in Hong Kong., 3rd Asia-Pacific Medical Education Conference. Singapore, 2006, 131.
Tarrant A.M., Knierim A., Hayes S.S.K. and Ware J., The frequency of item writing flaws (IWFs) in multiple-choice questions (MCQs) in high stakes nursing examinations., 1st Nurse Education International Conference: Developing Collaborative Practice in Health and Social Care Education, Vancouver, BC. 2006.


Researcher : Hui Choi WH

Project Title:Do pregnant women enjoy the supports and relationships they have?
Investigator(s):Hui Choi WH
Department:Nursing Studies
Source(s) of Funding:Research Initiation Programme
Start Date:07/2002
Abstract:
To gain a multi-dimensional understanding of psychosocial stress in Chinese pregnant women through multi-dimensional measurements; to investigate the impact of relationship with husband on psychosocial stress and adjustment process during childbearing months; to investigate the impact of perceived nursing supports on psychosocial stress and adjustment process during childbearing months.


List of Research Outputs

Lee A.C.K., Tiwari A.F.Y., Hui Choi W.H., Yuen F.K.H. and Wong A., Hong Kong nurses’ perceptions of and participation in continuing education for nursing. , Journal of Continuing Education for Nursing. US, Blackwell, 2005, 36: 8.


Researcher : Kuan HY

List of Research Outputs

Chui Y.Y., Kuan H.Y., Liu R., Sham M., Lau K.S. and Yeung R., Identifying the Needs and Quality of Life of Palliatrive Care Patients in Hong Kong, 12th Hong Kong International Cancer Congress, 2nd Annual Meeting Centre for Cancer Research, 8-10 December 2005.
Chui Y.Y., Kuan H.Y., Liu R., Sham M. and Lau K.S., Quality of life of advanced cancer patients in Hong Kong, Conference on Quality of Life Research in Asia. May 19-21, 2006.


Researcher : Lam DWC

List of Research Outputs

Lam D.W.C., Chan S.S.C., Abdullah A.S.M., Lo S.T., Kok W.M., Yip W.C., Leung L.S., De Castro S., Sabate E., Leung G.M., Ho D.S.Y., Ho L.M. and Lam T.H., A randomized controlled trial on smoking cessation and adherence intervention on patients with erectile dysfunction: preliminary results, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.86.


Researcher : Lam WWT

Project Title:Optimising treatment decision making and adjustment to breast cancer in Chinese women: a two-stage intervention study
Investigator(s):Lam WWT
Department:Nursing Studies
Source(s) of Funding:Incentive Award for RGC CERG Fundable But Not Funded Projects
Start Date:07/2005
Completion Date:12/2005
Abstract:
N/A


List of Research Outputs

Chow I.P.S., Fielding R., Lam W.W.T., Byrne J. and Chan G.C.F., Association of colour with emotional state and sensation among Cantonese speaking children aged 3 - 8 years., Annual conference, Hong Kong Paediatrics Society, HKSAR, January 8th, . 2006.
Chow I.P.S., Fielding R., Lam W.W.T., Byrne J. and Chan G.C.F., Assoication of colour with emotional state and sensation among Cantonese speaking children aged 3-8 years, Joint Annual Scientific Meeting, The Hong Kong Paediatric Society and Hong Kong Paediatric Nurses Association, 7 January 2006, Queen Elizabeth Hospital. 2006, 13.
Fielding R. and Lam W.W.T., Optimizing treatment decision making and adjustment to breast cancer in Chinese women. Hong Kong, Health Care Promotion Fund, 2005.
Fielding R., Lam W.W.T., Leung G.M., Lam T.H. and Hedley A.J., Risky communications and uncertain outcomes (Abstract), Frontiers in Biomedical Research HKU 2005, 2 December 2005, Hong Kong. Hong Kong, Faculty of Medicine, University of Hong Kong, 2005, 79.
Hou W.K., Fielding R. and Lam W.W.T., Emotional experience and regulation of Chinese people with colorectal cancer: A qualitative study (Abstract), 10th Research Postgraduate Symposium, 3 December 2005, Hong Kong. Hong Kong, Faculty of Medicine, University of Hong Kong, 2005, 84.
Lam W.W.T., Fielding R., Ho E.Y.Y., Chan M. and Or A., Surgeon's recommendation, perceived operative efficiency and age dictate treatment choice by Chinese women facing breast cancer surgery., In: Holland JC, Watson M., Psycho-Oncology. Sussex, UK, Wiley, 2005, 14: 585-593.
Parker J.M., Lam W.W.T., Leung A.Y.M. and So K.W., In: Parker J., Lam WWT, Leung AYM, So WKW, Tiwari A., , NurseLetter. 2005.


Researcher : Lau AKL

Project Title:The quality of life of Chinese infertile couples undergoing assisted reproductive technology (ART) treatment
Investigator(s):Lau AKL, Fong DYT, Ng EHY
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2003
Abstract:
To compare the quality of life (QOL) of the mainland Chinese and Hong Kong Chinese couples undergoing ART treatment; to evaluate the QOL of mainland infertile Chinese couples in Shanghai who have undergone assisted reproductive technoloy (ART) treatment; to identify the gender difference in the QOL of the mainland infertile Chinese couples; to determine the changes of QOL of infertile couples at different stages of IVF treatment; to examine the psychometric properties and clinical application of the simplified Chinese versions of the SF-36.


List of Research Outputs



Researcher : Lee ACK

Project Title:Effect of early learning partnership with medical students on sense of collegiality and satisfaction in trans-disciplinary collaboration among undergraduate nursing students
Investigator(s):Lee ACK, Leung SSK, Chan SSC, Fu CY
Department:Nursing Studies
Source(s) of Funding:Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants
Start Date:04/2004
Completion Date:01/2006
Abstract:
To identify the sense of collegiality and satisfaction in trans-disciplinary collaboration towards learning in partnership with medical students in "patient care project" that is newly incorporated in year one baccalaureate nursing curriculum in year 2004.


List of Research Outputs

Lee A.C.K., Tang S.W. and Yu G.K.K., Depression After Stroke: A Triple Burden, 9 th Asian Regional Conference of CICIAMS . Hong Kong, Hong Kong Catholic Nurses Guild, 2005, 101.
Lee A.C.K., Tiwari A.F.Y., Hui Choi W.H., Yuen F.K.H. and Wong A., Hong Kong nurses’ perceptions of and participation in continuing education for nursing. , Journal of Continuing Education for Nursing. US, Blackwell, 2005, 36: 8.
Lee A.C.K., Wong K.P. and Loh E.K.Y., Score In The Palmore's Aging Quiz, Knowledge Of Community Resources And Working Pereferences Of Undergraduate Nursing Students Toward The Elderly In Hong Kong, Nurse Education Today. 276, Elsevier, 2006, 26: 269.
Lee A.C.K., Chan S.S.C., Chui Y.Y. and Chiang V.C.L., Where is the gap? Examination of registered nurses’ learning and education needs. , In: Yonsei University College of Nursing, Proceeding in Yonsei University College of Nursing Centennial International Conference, Nursing History and Leadership.. Yonsei University College of Nursing, 2006.
So K.W., Chan S.S.C., Lee A.C.K. and Tiwari A.F.Y., Does the knowledge about SARS affect the types of precautionary measures used by older adults?, The 3rd Pan-Pacific Nursing Conference & the 5th Hong Kong Nursing Symposium on Camcer Care. 2005.


Researcher : Leung AYM

Project Title:Learning in later life: Hong Kong SAR Chinese soon-to-be old adults' learning aspiration
Investigator(s):Leung AYM, Chow NWS, Salili F
Department:Nursing Studies
Source(s) of Funding:Seed Funding Programme for Basic Research
Start Date:11/2004
Abstract:
To identify factors leading to the Hong Kong SAR Chinese soon-to-be old adults' learning aspiration in later life and develop a model to present the phenomenon of LLL in Chinese population.


List of Research Outputs

Chan S.S.C., Emmons K.M., Leung A.Y.M., Leung G.M., Leung S.S.L. and Lam T.H., Implementing smoking hygiene policies in household with infants exposed to secondhand smoke: intervention targeted at non-smoking mothers., The 12th Annual Meeting of the Society for Research on Nicotine and Tobacco's . 2006.
Chan S.S.C., Lam T.H., Abdullah A.S.M., Leung A.Y.M. and Lam D.O.B., Youth Quitline: An Accessible Telephone-based Smoking Cessation Hotline for Youth., Health Promotion Project Expo 2006, Health, Welfare and Food Bureau of the HKSAR Government and Health Care and Promotion Fund.. 2006.
Leung A.Y.M., Chi I. and Chow N.W.S., A Study on Health-related Learning: Factors affecting Chinese Soon-to-be-aged Adults’ Engagement. , The 8th Global Conference of the International Federation of Aging (IFA).. 2006.
Leung A.Y.M., Health-related learning among soon-to-be-aged adults: Factors associated with their engagement, International Symposium on Healthy Aging: A Global Challenge for the 21st Century, Research Centre of Heart, Brain, Hormone & Healthy Aging, The University of Hong Kong Li Ka Shing Faculty of Medicine. Hong Kong, 2006.
Leung A.Y.M., Yu Y.H. and Chi I., Later life learning experience among Chinese elderly in Hong Kong, Gerontology & Geriatrics Education. USA, The Haworth Press, Inc., 2005, 26(2): 1-15.
Parker J.M., Lam W.W.T., Leung A.Y.M. and So K.W., In: Parker J., Lam WWT, Leung AYM, So WKW, Tiwari A., , NurseLetter. 2005.


Researcher : Leung SSK

List of Research Outputs

Chan S.S.C., Leung G.M., Tiwari A.F.Y., Salili F., Leung S.S.K., Wong A.S.F., Lai A. and Lam T.H., Post-SARS impact on nurses? Preventive measures in Hong Kong, Book of Abstract. The XVIIth IEA World Congress of Epidemiology (WCE2005), Bangkok, Thailand. 2005, p.387.
Leung S.S.K. and Wong E.M.Y., Premenstrual syndrome and associated psychosocial variables among Chinese young adults in Hong Kong., 16th International Nursing Research Congress. Hawaii, USA.. 2005.
Leung S.S.K., Arthur D.G. and Martinson I.M., Stress in women with postpartum depression: a phenomenological study, In: Alison J. Tierney, Christine Webb, Andrea Baumann, Dinah Gould, Debbie Kralik, Kader Parahoo, Jacqueline Fawcett , Journal of Advanced Nursing. Blackwell Publishing Ltd, 2005, 51: 353-360.


Researcher : Li WHC

List of Research Outputs

Li W.H.C. and Lopez V.I.O.L.E.T.A., Assessing Emotional Responses of Children to Surgery: A Multidimensional Approach, Journal of Advanced Nursing. 2006, 53(5): 543-550.


Researcher : Loh EKY

List of Research Outputs

Lee A.C.K., Wong K.P. and Loh E.K.Y., Score In The Palmore's Aging Quiz, Knowledge Of Community Resources And Working Pereferences Of Undergraduate Nursing Students Toward The Elderly In Hong Kong, Nurse Education Today. 276, Elsevier, 2006, 26: 269.


Researcher : Mak YW

List of Research Outputs

Abdullah A.S.M., Mak Y.W., Loke A.Y. and Lam T.H., Smoking cessation intervention in parents of young children: A randomised controlled trial, Addiction. 2005, 100: 1731-1740.


Researcher : Parker JM

List of Research Outputs

Parker J.M., Lam W.W.T., Leung A.Y.M. and So K.W., In: Parker J., Lam WWT, Leung AYM, So WKW, Tiwari A., , NurseLetter. 2005.


Researcher : Salili F

List of Research Outputs

Chan S.S.C., Lam T.H., Salili F., Leung G.M., Wong C.N., Botelho R.J., Lo S.L. and Lau Y.L., A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study, In: Chan SS, Lam TH, Salili F, Leung GM, Wong DC, Botelho RJ, Lo SL, Lau YL, Applied Nursing Research. 2005, 18: 178-181.
Chan S.S.C., Leung G.M., Tiwari A.F.Y., Salili F., Leung S.S.K., Wong A.S.F., Lai A. and Lam T.H., Post-SARS impact on nurses? Preventive measures in Hong Kong, Book of Abstract. The XVIIth IEA World Congress of Epidemiology (WCE2005), Bangkok, Thailand. 2005, p.387.
Lam T.H., Stewart S.M., Ho D.S.Y., Lai M.K., Mak K.H., Chau K.V., Rao U. and Salili F., Depressive symptoms and smoking among Hong Kong Chinese adolescents, Addiction. 2005, 100: 1003-1011.
Tiwari A.F.Y., Salili F. and Tang D., The impact of intimate partner violence on the mental health of a group of Chinese women at a shelter for abused women in Hong Kong, 9th International Family Violence Research Conference, University of New Hampshire, Durham. 2005.
Wong P.S.J., Salili F., Ho D.S.Y., Mak K.H., Lai M.K. and Lam T.H., The perceptions of adolescents, parents and teachers on the same adolescent health issues, School Psychology International. 2005, 26(3): 371-384.


Researcher : So KW

Project Title:The lived experience of women after diagnosing uterine cervical cancer
Investigator(s):So KW, Lam WWT, Yuen JKT
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2004
Abstract:
To explore the experience of living with uterine cervical cancer from the women's perspective.


Project Title:The symptom cluster and quality of life in patients with breast cancer undergoing cancer treatment
Investigator(s):So KW
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:01/2006
Abstract:
The purposes of this study are: 1) to describe the meaning of the symptom experience among patients with breast cancer during the course of chemotherapy and / or radiotherapy; and 2) to examine the impact of the symptom experience of fatigue, pain and psychological distress on the quality of life in patients with breast cancer during the course of chemotherapy and / or radiotherapy. Research problem Breast cancer is the most common cancer in the female population in Hong Kong. (Cancer Registry, 2002) In general, patients who are diagnosed with breast cancer are advised to receive cancer treatment to inhibit / eliminate the growth of cancer cell. However, cancer or cancer treatment-related symptoms are often the most distressful experience for the cancer patients during and after the treatment. Increased demand of needs from this group of patients draws much concern from health professionals to provide better quality of care to these patients. Fatigue, pain and psychological distress are the most prevalence symptoms experienced by patients with cancer (National Institutes of Health State-of-the-Science Panel, 2004). These symptoms are also commonly reported by patients with breast cancer (deJong, Courtens, Abu-Saad, Schouten, 2002; Miaskowski & Dibble, 1995; Schain, d’Angelo, Dunn, Lichter, Pierce, 1994). In fact, patients with cancer often experience multiple symptoms concurrently. However, the majority of clinical studies focused on the experience of a single symptom (Baider et al., 2003; Schulz, 2001; Woo, Dibble, Piper, Keating & Weiss, 1998). Although this approach has advanced the understanding of some symptoms, it may not be helpful to health care professionals in guiding practice when the patient has several concurrent symptoms that are related to one another.


List of Research Outputs

Ismail Z. and So K.W., Preoperative Anxiety and Uncertainty in Gynaecological Cancer Patients, the 12th Hong Kong International Cancer Congress. 2005.
Kagan S., Sharp L., So K.W. and Puppione A., Cross national views of communication and cancer care: Hong Kong, Sweden and the United States, International ICNN Cancer Nursing News. 2005, 17(2): 8.
Lui L.Y.Y. and So K.W., The Knowledge and Attitudes Regarding Pain Management among the Medical Nursing Staff in Hong Kong, Hospital Authority Convention 2006: From Policy to Practice, 8-9 May 2006. Hong Kong.
McGuire D.B. and So K.W., In: McGuire DB, So WKW, Research column, International Cancer Nursing News (ICNN). 2005.
Parker J.M., Lam W.W.T., Leung A.Y.M. and So K.W., In: Parker J., Lam WWT, Leung AYM, So WKW, Tiwari A., , NurseLetter. 2005.
So K.W., Wang Q. and Ma S.L., Advancing cancer care in China through the ISNCC network, International ICNN Cancer Nursing News. UK, ISNCC, 2006, 18(1): 8.
So K.W. and Yuen K.T., An introduction to patient education program and follow up care for patients with uterine cervical cancer, The 12th Hong Kong International Cancer Congress. 2005.
So K.W., Lai E.T.L., Wong T.K.C. and Yip P.P.Y., Application of health assessment skills into clinical practice, The 3rd Pan-Pacific Nursing Conference & the 5th Hong Kong Nursing Symposium on Cancer Care. 2005.
So K.W., Cervical Smear Taking Course - General women’s health education, Family Planning Association of Hong Kong . 2006.
So K.W., Chan S.S.C., Lee A.C.K. and Tiwari A.F.Y., Does the knowledge about SARS affect the types of precautionary measures used by older adults?, The 3rd Pan-Pacific Nursing Conference & the 5th Hong Kong Nursing Symposium on Camcer Care. 2005.
So K.W. and Yuen J.K.T., Evaluation of an education programme for Chinese women rerceiving internal radiation for uterine cervical cancer, Journal of Clinical Nursing. Blackwell publishing limited, 2006, 15: 358-360.
So K.W., McGuire D.B. and Hilton A., ISNCC Research Committee:- What does it do?, International ICNN Cancer Nursing News. UK, ISNCC, 2005, 17(3): 8.
So K.W., Chan S.C. and Mak S.S., 香港腫瘤專科護士培訓及教育的發展, 第二屆全國腫瘤護理學術會議, 2005.
Tse K.Y. and So K.W., Hong Kong Nurses' Perception and Values on Preoperative Teaching for Ambulatory Surgical Patients, Hospital Authority Convention 2006: From Policy to Practice, 8-9 May 2006. Hong Kong.


Researcher : Sullivan PL

Project Title:The effectiveness of a psychoeducational intervention to achieve and maintain dietary calcium intake of pre-menopausal Chinese women
Investigator(s):Sullivan PL, Wong FYY
Department:Nursing Studies
Source(s) of Funding:Health Care and Promotion Fund - Research Grant Projects
Start Date:02/2002
Abstract:
To test the effectiveness of a psychoeducational intervention to achieve and maintain adequate dietary calcium intake of pre-menopausal Chinese women.


List of Research Outputs

Sullivan P.L., Divorce education: An intervention to reduce conflict and prevent domestic violence, 30th Anniversary of the Hong Kong Federation of Women Lawyers Conference on The Family: Law and Harmony. Hong Kong, 2005.
Sullivan P.L., Wong M., Hazlett C. and Chow N.W.S., The effect of a professional education program about family violence on nurses, physicians, and police officers who identify and manage family violence cases in Hong Kong, 9th International Family Violence Research Conference, Portsmouth, New Hampshire, July 11. 2005.
Sullivan P.L., Understanding the human side of divorce. Family Law Students, The University of Hong Kong, 2005.


Researcher : Tarrant AM

Project Title:The impact of a part-time post-registration nursing degree program on information synthesis and nursing practice
Investigator(s):Tarrant AM, Dodgson J.E.
Department:Nursing Studies
Source(s) of Funding:Run Run Shaw Research and Teaching Endowment Fund - Teaching Grants
Start Date:01/2003
Completion Date:12/2005
Abstract:
To determine the impact that undertaking a part-time post-registration university degree in nursing has on diploma nurses' information processing and literacy and to examine the degree to which it impacts upon nursing practice during and after the completion of tertiary nursing education.


Project Title:An investigation of the factors affecting academic performance in part-time degree programs
Investigator(s):Tarrant AM, Ware J
Department:Nursing Studies
Source(s) of Funding:Wu Jieh-Yee Research Fund
Start Date:02/2005
Abstract:
Increasingly, mature adults are returning to post-secondary institutions to pursue part-time undergraduate and post-graduate degree programs. These students usually hold full-time or part-time employmemt while they complete their study and often also have spouses and children. Because of the multiple demands on their time, they are often unable to devote as much time as they would like to their studies. This in turn can influence academic performance. Furthermore, students in part-time programs often feel that course faculty do not recognize the competing demands on their time and that the workload of such programs is too heavy. Course teachers often feel that part-time students have an unrealistically low expectation about the requirement of part-time study.


Project Title:The Frequency of Item Writing Flaws (IWFs) in High Stakes Nursing Examinatinos and The Unintended Consequences
Investigator(s):Tarrant AM, Ware J
Department:Nursing Studies
Source(s) of Funding:Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants
Start Date:02/2005
Abstract:
Undergraduate nursing enrolment is increasing in Hong Kong and is set to increase even more over the next years. Formerly, nursing assessments could use a wide range of assessment instruments to support the curricular goals of bacalaureate programmes. In the future this is unlikely to be so and already now assessment strategies are being considered for coping with the challenge of increasing student numbers. Notwithstanding this development , it is expected that a variety of instruments will still be used, but there will be a greater reliance on machine marked tests. This has been the norm in medicine for many years. Indeed medical schools have gone together to share question banks.


Project Title:Impact of Breastfeeding on Hospitalizations from Infectious Diseases in Hong Kong Chinese Children up to Eight Years of Age
Investigator(s):Tarrant AM, Leung SSL, Schooling CM, Leung GM
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2005
Abstract:
Infectious disease is one of the leading causes of morbidity and hospitalization in Hong Kong children over one year of age(1). In children up to eight years of age, the cumulative incidence of ever-hospitalization from infectious disease is 43.4%(2). During infancy, breastfeeding protects against infectious disease (3-5), primarily in the prevention of respiratory infections(3, 6-9), gastrointestinal (GI) infections(10-13), and otitis media(9, 12, 14) (OM). Breastfeeding is also associated with long-term developmental benefits in several areas, such as cardiovascular risk factors(15), intellectual capacity(16, 17), and allergy(9, 18-20). Moreover, breastfeeding is thought to provide long-term protection against infections, due to milk-mediated influences that produce a ”healthier” immune system(21). Furthermore, nutritional deficiencies at key periods in infancy can result in permanent changes in later physiological functioning(22). However, relatively little research has examined the impact of breastfeeding on infectious disease in older children, particularly in an East Asian context, where there are different patterns of some common infectious diseases, such as influenza(23). Among the available literature, breastfeeding has been found to protect against OM in children until three years of age(24-27), and protect against Haemophilus influenzae type b (Hib) infection up to 10 years of age(28, 29). The effect of breastfeeding in reducing wheezing and allergic disease during childhood is thought to be largely the result of prevention of symptom-inducing infections rather than preventing asthma(30) , which is consistent with some studies finding breast-feeding protective against childhood respiratory infections(33) (34) . There are mixed findings on whether the protective effect of breastfeeding against diarrhoeal diseases lasts beyond infancy(10, 31, 32). The majority of these studies, however, had methodological limitations including: a retrospective design(10, 26, 28, 29, 31-33); failure to adjust adequately for known confounders(29, 34); and failure to stratify children by age group to differentiate the effects of breastfeeding on infants from older children (31-33). In Hong Kong, breastfeeding has been shown to reduce both outpatient and inpatient treatment for respiratory, GI, and febrile illnesses up to 18 months of age(7). Breastfeeding, however, is associated with an overall higher hospitalization rate as a result of increased hospitalizations for jaundice in breastfed infants(7). It is hypothesized that this is a result of different metabolism of bilirubin in East Asian infants that makes them more prone to developing jaundice(35, 36). This finding was unexpected and so far unique to this population. Therefore, in older Hong Kong children it also is less clear whether breastfeeding would confer protection. A well-designed prospective study is essential in order to confirm or refute observations(37) seen in older children in other populations, with potentially different patterns of vulnerability and infectious disease. The Chinese population of Hong Kong is an excellent social laboratory in which to investigate the effect of breastfeeding on infectious-disease related hospitalizations throughout childhood because the required data is easily accessible and available as a result of an existing large cohort study of Hong Kong children, first funded by the HSRC in 1997. There are also high rates of child hospital admissions associated with some infectious diseases, such as influenza in Hong Kong(23). Furthermore, there is a relatively stable population, which permits long term follow-up and the impact of potential confounders is minimized in the population because of low maternal smoking rates(38) and small family size(39). The basis for this study, a well-established birth cohort study, has already found a wide-range of environmental impacts on health in early life(7, 38, 40-46). Extending this birth cohort to look at longitudinal effects of early infant feeding on infectious disease hospitalizations in childhood is a logical and important step in expanding the knowledge base of the impact early life factors have on later child health outcomes. Objectives: •To test the hypothesis that breastfeeding protects against subsequent hospital admission for all infectious diseases and respiratory and gastrointestinal infections in children between birth and eight years of age; •To test the hypothesis that the protective effect of breastfeeding is dose specific and therefore, will be stronger with increasing duration of exclusive breastfeeding; •To test the hypothesis that breastfeeding will inversely impact disease severity (as measured by length of stay and total bed-days consumed).


List of Research Outputs

Dodgson J.E., Melby C.S. and Tarrant A.M., Cross-cultural teaching: Pedagogical and ethical dilemmas., 16th Sigma Theta Tau International Nursing Research Congress, Hawaii's Big Island, HI.. 2005.
Melby C.S., Dodgson J.E. and Tarrant A.M., Cross-cultural teaching: Pedagogical and ethical dilemmas., 1st Nurse Education International Conference: Developing Collaborative Practice in Health and Social Care Education, Vancouver, BC.. 2006.
Tang S.K., Dodgson J.E. and Tarrant A.M., Immigrant parents’ knowledge of paediatric preventative health care in Hong Kong: A pilot study., Hong Kong Journal of Paediatrics. 2005, 10: 196-203.
Tarrant A.M., Dodgson J.E., Thomson J.T. and Young B., A content analysis of the Hong Kong print media’s infant feeding messages., 3rd Pan-Pacific Nursing Conference. Hong Kong, 2005, 122.
Tarrant A.M., Knierim A., Hayes S.S.K. and Ware J., The frequency and impact of item writing flaws (IWFs) in multiple-choice questions (MCQs) in high stakes nursing examinations in Hong Kong., 3rd Asia-Pacific Medical Education Conference. Singapore, 2006, 131.
Tarrant A.M., Knierim A. and Ware J., The frequency of Item Writing Flaws (IWFS) in high stakes nursing examinations. , 3rd Pan-Pacific Nursing Conference. Hong Kong, 2005, 38.
Tarrant A.M., Knierim A., Hayes S.S.K. and Ware J., The frequency of item writing flaws (IWFs) in multiple-choice questions (MCQs) in high stakes nursing examinations., 1st Nurse Education International Conference: Developing Collaborative Practice in Health and Social Care Education, Vancouver, BC. 2006.
Tarrant A.M., Why are we still promoting breast self-examination? , International Journal of Nursing Studies. Elsevier, 2006, 43: 519-520.


Researcher : Tiwari AFY

Project Title:An investigation into the needs of patients with SARS
Investigator(s):Tiwari AFY, Chan SSC, Tsang KWT, Lee PWH, Chan J., Wong A., Cheng K.C.K., Tai J.W.M.
Department:Nursing Studies
Source(s) of Funding:VCO SARS Research Fund
Start Date:07/2003
Abstract:
To identify the needs of patients with SARS; to find out if the patients' needs vary according to their background; to compare the patients' needs at different stages of recovery.


Project Title:Impact of intimate partner violence on the physical and mental health and social well-being of Chinese women at a shelter for abused women in Hong Kong
Investigator(s):Tiwari AFY, Salili F, Tang D.
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:11/2003
Abstract:
To assess the physical and mental health and the social well-being of a group of Chinese women at a local shelter for abused women; to compare the physical and mental health and the social well-being of abused women with that of non-abused women; to identify the predictors of health and well-being among abused women.


Project Title:The longitudinal effects of peer tutoring
Investigator(s):Tiwari AFY, Yuen FKH, Salili F, Chan SSC
Department:Nursing Studies
Source(s) of Funding:Leung Kau Kui Research and Teaching Endowment Fund - Teaching Grants
Start Date:04/2004
Abstract:
To assess the long-term effects of peer tutoring on nursing students' role conception, academic motivation and approaches to learning.


Project Title:An evaluation of the effectiveness of an empowerment intervention in a group of abused Chinese women
Investigator(s):Tiwari AFY, Salili F, Chan RYP, Chan EKL, Tang D
Department:Nursing Studies
Source(s) of Funding:Health and Health Services Research Fund - Full Grants
Start Date:12/2004
Abstract:
Intimate partner violence is a public helth problem with abused women reporting poor health status, poor quality of life, and higher use of health services. Effective empowerment intervention may facilitate the adoption of health promotion behaviors and early detection of health problems, thus leading to a reduction of health care costs.


Project Title:A validation of the Chinese (Hong Kong) version of the California Critical Thinking Disposition Inventory (CCTDI)
Investigator(s):Tiwari AFY, Fong DYT, Chan SSC, Yuen FKH, Lai P
Department:Nursing Studies
Source(s) of Funding:Small Project Funding
Start Date:01/2006
Abstract:
The 21st century, with its global social, economic, educational, environemntal and health challenges, demands not the teaching of soon to be obsolete facts but the fostering of critical thinking at all levels of education. Those charged with the responsibility of providing professional education have responded to the changing needs by initiating curricular reform to promote critical thinking development, for example, the General Medical Council of the United Kingdom (1), the National League for Nurisng of the United States of America (2), and the Council of Europe (3). Such an endeavour is not only confined to professional education. In a recent review of education system in the Hong Kong SAR, the Education Commission (4) states that the overall aims of education for the 21st century should be "to enable every person to attain all-round development …so that he/she is capable of life-long learning, critical and exploratory thinking…". Furthermore, the commitment to "provide a comprehensive education, developing fully the intellectual and personal strengths of its students" is clearly stated in the mission statement of this university (5). While there is consensus about the importance of critical thinking, measuring the construct was, until the last decade, a challenge to those who attempted it. Partly, this was due to the lack of a universal agreement about the definition of critical thinking. There was also a lack of valid and reliable instruments for measuring critical thinking. With the publication of the Delphi Research project on critical thinking commissioned by the American Philosophical Association (6), there now exists a cross-disciplinary consensus definition of critical thinking. A number of critical thinking measuring tools has also been constructed through robust, iterative empirical methods (7). More importantly, the new development has enabled the measurement of the disposition to think critically, which is deemed to be essential for achieving mastery over critical thinking skills (7). The California Critical Thinking Disposition Inventory (CCTDI) (7), developed from the Delphi Report (6), is designed to measure the dispositional aspect of critical thinking. It has been used extensively among high school and university students in the US with satisfactory psychometric properties (8). A Chinese version of the CCTDI, based on the translation of a Taiwanese nurse scholar (9), was used by one of the researchers (Tiwari) in a study of Chinese (Hong Kong) nursing students (10). While the internal consistency of the Chinese CCTDI was evidently satisfactory (Cronbach's alpha of 0.70), the sample on which it was used was small (n = 110) and its psychometric properties were not fully studied. Furthermore, some respondents queried the meaning of a number of the items as they were expressed in Taiwanese Chinese. Subsequently, incremental changes were made to the Chinese CCTDI by this team of researchers over the last two years with the help of the original test constructors (Noreen and Peter Facione). We also received requests from researchers in Hong Kong and China to use the modified Chinese version of the CCTDI. Even though we had to decline as we felt that the modified version had not been properly validated, the demand for a Chinese CCTDI is obvious. Recently, two members of the team (Tiwari & Yuen) met with Noreen and Peter Facione to plan a validation of the Chinese version of the CCTDI in a population of Chinese (Hong Kong) students. It is intended that the proposed study will: (a) translate the original English version of the CCTDI into Chinese; and (b) study the psychometric properties of the translated instrument in a population of Chinese (Hong Kong) students. References 1. General Medical Council. Tomorrow's Doctors: Recommendations on Undergraduate Medical Education. London: General Medical Council; 1993. 2. National League for Nursing. Accreditation Standards for Baccalaureate Degree Programs and Masters Degree Programs. New York: National League for Nursing; 1990. 3. Council of Europe. The Role and Education of Nurses. Draft Revised Agreement. Strasbourg: Council of Europe; 1995. 4. Education Commission. Review of Education System: Reform Proposals. Hong Kong: Hong Kong Special Administrative Region of the People's Republic of China Education Commission; 2000. 5. The University of Hong Kong. The University's Mission. Hong Kong: The University of Hong Kong; 2005. 6. American Philosophical Association. Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction. The Delphi Report: Research findings and recommendations prepared for the committee on pre-college philosophy. (ERIC Document Reproduction Service No. ED 315-423); 1990. 7. Facione N, Facione P. Critical thinking assessment in nursing education programs: An aggregate data analysis. Millbrae, CA: The California Academic Press; 1997. 8. Facione N, Facione P, Sanchez CA. Critical thinking disposition as a measure of competent clinical judgment: The development of the California Critical Thinking Disposition Inventory. Journal of Nursing Education 1994; 33: 345-50. 9. Ip ML. The CCTDI (Chinese translation). Millbrae, CA: The California Academic Press; 1992. 10. Tiwari A, Avery A, Lai P. Critical thinking disposition of Hong Kong Chinese and Australian nursing students. Journal of Advanced Nursing 2003; 44 (3): 298-307.


List of Research Outputs

Chan S.S.C., Leung D.Y.K., Wong E.M.Y., Tiwari A.F.Y., Wong C.N., Lo S.L. and Lau Y.L., Balancing infection control practices and family-centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong, Journal of Paediatrics and Child Health. Blackwell Publishing Ltd, 2006, 42 (1-2): 20-27.
Chan S.S.C., Leung G.M., Tiwari A.F.Y., Salili F., Leung S.S.K., Wong A.S.F., Lai A. and Lam T.H., Post-SARS impact on nurses? Preventive measures in Hong Kong, Book of Abstract. The XVIIth IEA World Congress of Epidemiology (WCE2005), Bangkok, Thailand. 2005, p.387.
Lee A.C.K., Tiwari A.F.Y., Hui Choi W.H., Yuen F.K.H. and Wong A., Hong Kong nurses’ perceptions of and participation in continuing education for nursing. , Journal of Continuing Education for Nursing. US, Blackwell, 2005, 36: 8.
So K.W., Chan S.S.C., Lee A.C.K. and Tiwari A.F.Y., Does the knowledge about SARS affect the types of precautionary measures used by older adults?, The 3rd Pan-Pacific Nursing Conference & the 5th Hong Kong Nursing Symposium on Camcer Care. 2005.
Tiwari A.F.Y., Lai P., So M. and Yuen F.K.H., A comparison of the effects of problem-based learning and lecturing on the development of students' critical thinking, Medical Education. Blackwell Publishing Ltd, 2006, 40: 547-554.
Tiwari A.F.Y., Leung W.C., Leung T.W., Humphreys J., Parker B. and Ho P.C., A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong, British Journal of Obstetrics & Gynaecology. 2005, 112: 1249-56.
Tiwari A.F.Y., Leung W.C., Leung T.W., Humphreys J., Parker B. and Ho P.C., A randomised trial of empowerment training for Chinese abused pregnant women in Hong Kong, Frontiers in Biomedical Research: Achieving Excellence through Multi-disciplinary Research, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.81.
Tiwari A.F.Y., Conducting clinical nursing research in Hong Kong: Callenges and strategies, International Nursing Research Conference: Approaches & Methods. The Second Military Hospital, Yantai, Shangdong, China. 23-25 September. 2005.
Tiwari A.F.Y., Conducting nursing in Hong Kong: challenges and strategies, International Nursing Research Conference: Approaches and Methods Century, Yantai, China. 2005.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.
Tiwari A.F.Y., Chan E.K.L., Leung W.C., Fong D.Y.T. and Ho P.C., The effectiveness of the Chinese version of the Abuse Assessment Screen to identify abused women, the Hospital Authority Convention 2006: From Policy to Practice, organized by the Hospital Authority, Hong Kong. 2006.
Tiwari A.F.Y., Salili F. and Tang D., The impact of intimate partner violence on the mental health of a group of Chinese women at a shelter for abused women in Hong Kong, 9th International Family Violence Research Conference, University of New Hampshire, Durham. 2005.
Tiwari A.F.Y., Chan E.K.L., Leung W.C., Fong D.Y.T. and Ho P.C., The prevalence of intimate partner violence among pregnant women, the Hospital Authority Convention 2006: From Policy to Practice, organized by the Hospital Authority, Hong Kong. 2006.


Researcher : Wong ASF

List of Research Outputs

Chan S.S.C., Leung G.M., Tiwari A.F.Y., Salili F., Leung S.S.K., Wong A.S.F., Lai A. and Lam T.H., Post-SARS impact on nurses? Preventive measures in Hong Kong, Book of Abstract. The XVIIth IEA World Congress of Epidemiology (WCE2005), Bangkok, Thailand. 2005, p.387.


Researcher : Wong CN

List of Research Outputs

Chan S.S.C., Lam T.H., Salili F., Leung G.M., Wong C.N., Botelho R.J., Lo S.L. and Lau Y.L., A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study, In: Chan SS, Lam TH, Salili F, Leung GM, Wong DC, Botelho RJ, Lo SL, Lau YL, Applied Nursing Research. 2005, 18: 178-181.
Chan S.S.C., Leung D.Y.K., Wong E.M.Y., Tiwari A.F.Y., Wong C.N., Lo S.L. and Lau Y.L., Balancing infection control practices and family-centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong, Journal of Paediatrics and Child Health. Blackwell Publishing Ltd, 2006, 42 (1-2): 20-27.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: A pilot study, Proceedings of the 10th Postgraduate Research Symposium. Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.. 2005, 88.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: a pilot study, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.88.


Researcher : Wong CN

List of Research Outputs

Chan S.S.C., Lam T.H., Salili F., Leung G.M., Wong C.N., Botelho R.J., Lo S.L. and Lau Y.L., A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study, In: Chan SS, Lam TH, Salili F, Leung GM, Wong DC, Botelho RJ, Lo SL, Lau YL, Applied Nursing Research. 2005, 18: 178-181.
Chan S.S.C., Leung D.Y.K., Wong E.M.Y., Tiwari A.F.Y., Wong C.N., Lo S.L. and Lau Y.L., Balancing infection control practices and family-centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong, Journal of Paediatrics and Child Health. Blackwell Publishing Ltd, 2006, 42 (1-2): 20-27.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: A pilot study, Proceedings of the 10th Postgraduate Research Symposium. Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.. 2005, 88.
Wong C.N., Chan S.S.C., Fong D.Y.T. and Lam T.H., A telephone-based smoking cessation hotline for youth: a pilot study, 10th Research Postgraduate Symposium, Faculty of Medicine, The University of Hong Kong. Hong Kong, 2005, p.88.


Researcher : Wong EMY

Project Title:Application of the theory of planned behaviour to predict the Chinese women's uptake of rap smear screening behaviour
Investigator(s):Wong EMY
Department:Nursing Studies
Source(s) of Funding:Seed Funding for New Staff
Start Date:06/2003
Abstract:
To determine the relationship between women's planned behaviour towards the attendance of smear screening.


List of Research Outputs

Chan S.S.C., Leung D.Y.K., Wong E.M.Y., Tiwari A.F.Y., Wong C.N., Lo S.L. and Lau Y.L., Balancing infection control practices and family-centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong, Journal of Paediatrics and Child Health. Blackwell Publishing Ltd, 2006, 42 (1-2): 20-27.
Chan S.S.C., Wong E.M.Y., Lam T.H. and Leung G.M., Promoting Women's Health: A Gender Specific Smoking Cessation Program for Female Smokers in Hong Kong., Health Promotion Project Expo 2006. 22 May.. 2006.
Leung S.S.K. and Wong E.M.Y., Premenstrual syndrome and associated psychosocial variables among Chinese young adults in Hong Kong., 16th International Nursing Research Congress. Hawaii, USA.. 2005.
Tiwari A.F.Y., Chan S.S.C., Wong E.M.Y., Wong C.N., Chui Y.Y., Wong A. and Patil N.G., The effect of problem-based learning on students' approaches to learning in the context of clinical nursing education, Nurse Education Today. Elsevier, 2006, 26: 430-438.
Wong E.M.Y., Higher Education Contribution Scheme 2000 - 2006, Australian Government. 2006.
Wong E.M.Y., Postgraduate Research Support Scheme, Faculty of Nursing and Midwifery, The University of Sydney. 2005.


Researcher : Wong KP

List of Research Outputs

Lee A.C.K., Wong K.P. and Loh E.K.Y., Score In The Palmore's Aging Quiz, Knowledge Of Community Resources And Working Pereferences Of Undergraduate Nursing Students Toward The Elderly In Hong Kong, Nurse Education Today. 276, Elsevier, 2006, 26: 269.


Researcher : Young B

List of Research Outputs

Tarrant A.M., Dodgson J.E., Thomson J.T. and Young B., A content analysis of the Hong Kong print media’s infant feeding messages., 3rd Pan-Pacific Nursing Conference. Hong Kong, 2005, 122.


Researcher : Yuen FKH

List of Research Outputs

Lee A.C.K., Tiwari A.F.Y., Hui Choi W.H., Yuen F.K.H. and Wong A., Hong Kong nurses’ perceptions of and participation in continuing education for nursing. , Journal of Continuing Education for Nursing. US, Blackwell, 2005, 36: 8.
Tiwari A.F.Y., Lai P., So M. and Yuen F.K.H., A comparison of the effects of problem-based learning and lecturing on the development of students' critical thinking, Medical Education. Blackwell Publishing Ltd, 2006, 40: 547-554.


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