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Author: Alice Yuen Loke (69)


Jan
2018

This is a feasibility study to examine the effects of a partnership and coping enhancement program (PCEP) on improving the psychological well-being and marital functions of couples undergoing in vitro fertilization treatment. A total of 100 couples were recruited consecutively and assigned to a PCEP intervention group or a routine care control group. The couples in the PCEP group received an additional face-to-face, couple-based, 90-minute session on enhancing partnership and coping on the day of the embryo transfer (ET).

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Dec
2017

A diagnosis of cancer and its treatment affect couples as a unit, and they must cope and give each other mutual support as dyads. Few studies have focused explicitly on understanding mutual support among couples coping with colorectal cancer (CRC).
The aim of this study was to explore the mutual support of couples in their journey of coping together with CRC.

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Oct
2017

The purpose of this review was to explore the uptake of the human papillomavirus (HPV) vaccination, its associated factors, and the facilitators of and barriers to HPV vaccination among adolescents.
A comprehensive literature search was conducted through 5 electronic databases, including PubMed, CINAHL, Cochrane Library, Medline, and PsycInfo from January 2006 to March 2015 for studies examining the uptake, awareness, knowledge, acceptability, and intention of adolescents with regard to HPV vaccination.
Twenty-eight studies were identified and included.

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Aug
2017

The aim of this study is to examine knowledge and attitude as facilitators and barriers to the acceptance of HPV vaccination for adolescent girls by mothers and adolescent girls.
A cross-sectional survey conducted in Hong Kong in January 2010. Adolescent girls aged 12-18, together with their mothers, were recruited to complete two separate questionnaires with similar questions.

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Jun
2017

To review literature on identifying the risk factors associated with early sexual coerced debut with the aim to facilitate the healthcare workers' planning of relevant health services to improve intervention strategies for delaying of early coerced sexual debut or forced sexual debut (CSD/FSD) in the communities.
Identifying the risk factors associated with coercion at first sex is crucial for developing appropriate sexual and reproductive health information and health promotion in response. However, current knowledge about the risk factors associated with coercion, sexual debut (SD) and delayed SD among young people is limited.

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Aug
2017

Inequities in accessing health care persist among sex workers. The purpose of the review is to understand the health-seeking behaviours of sex workers and their access to health care services with socio-ecological model. Of 3852 citations screened, 30 met the inclusion criteria for this review.

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May
2017

A literature review.
To identify the factors and concerns that influence the decision of patients to undergo spinal surgery.
Electronic databases MEDLINE, PsycINFO, CINAHL plus, and Embase were searched for relevant studies published from 2000 to 2015.

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Dec
1969

The rapid development of technology has made enormous volumes of data available and achievable anytime and anywhere around the world. Data scientists call this change a data era and have introduced the term "Big Data", which has drawn the attention of nursing scholars. Nevertheless, the concept of Big Data is quite fuzzy and there is no agreement on its definition among researchers of different disciplines.

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Jan
2017

Couples as dyads suffer from the diagnosis of infertility and related treatment. These couples commonly experience emotional and physical pain and tension in their marital lives. The purpose of this study is to report on the process of developing a potentially feasible and effective complex intervention for couples undergoing in vitro fertilization treatment in China.

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Aug
2016

Cancer and its treatment have a major impact on the lives of patients and their intimate partners, such as on their health-related quality of life (HRQOL). The aims of this study are to: (i) assess the HRQOL of advanced cancer patients and spousal caregivers, and explore the relationship between the HRQOL of cancer patients and that of their spousal caregivers; (ii) detect factors influencing the HRQOL of cancer patients and spousal caregivers; and (iii) explore the impact of anxiety and depression on the HRQOL of couples.
A total of 131 couples where one of the partners was hospitalized for advanced cancer were invited to complete a survey to assess their demographic and background information, HRQOL, and anxiety and depression.

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Jun
2016

The purpose of this study was to examine the effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization (IVF), as determined through RCT studies.
Using the electronic databases PubMed, EMBase, Cochrane Library, CINAHL, PsycInfo, and CAJ, a systematic literature search was conducted in July 2015. MeSH terms, key words, and free words such as "infertility," "fertilization in vitro," "psychotherapy," "intervention," "anxiety," "depression," and "marital satisfaction" were used to identify all potential studies.

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Feb
2016

The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders.
Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014.

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Dec
2015

Little is known about factors that influence participation in smoking cessation trials among Chinese populations. The aim of this study is to explore the characteristics of individuals who chose to participate and those who chose not to participate in a proactive telephone-based acceptance and commitment therapy program for smoking cessation within a Chinese sample, and to identify predictors of program participation. Understanding the factors that predict participation in smoking cessation trials may allow researchers and healthcare professionals to target their recruitment efforts to increase the enrollment of smokers in smoking cessation programs.

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Nov
2015

A community-wide school health project for the promotion of smoke-free homes was launched in June 2010 with the aim of promoting the benefits of smoke-free homes to all school-aged children (aged 6-18), and indirectly to their parents and family members. The 1-year project included health talks on a smoke-free life; the distribution of educational leaflets; slogan and visual art competitions; and a health fair held in June 2011. Two sets of questionnaires were developed to solicit a resolution and action from the participants regarding the establishment of a smoke-free home, and their decision to stay smoke-free.

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Nov
2015

As the primary informal caregiver for cancer patients, spousal caregivers are a population at a high risk of hidden morbidity. The factors impacting couples coping with cancer are complex, and within spousal caregiver-patient dyads the impact is mutual. The aim of this study is to explain the process that led to the development of an acceptable, feasible, and potentially effective 'Caring for Couples Coping with Cancer "4Cs" Programme' to support couples coping with cancer as the unit of intervention in China.

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Feb
2016

The relational dynamics of couples may be under great strain due to the diagnosis and treatment of cancer. A complex "Caring for Couples Coping with Cancer" (4Cs) intervention program, guided by a Preliminary Live with Love Conceptual Framework (P-LLCF) for Cancer Couple Dyads, was developed to support couples going through such hardship. The purpose of this paper is to present a re-analysis of the results of the 4Cs intervention program to determine whether the findings provide evidence to support the constructs in the P-LLCF.

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Dec
1969

Couples undergoing In Vitro Fertilization (IVF) Treatment suffer as dyads from the stressful experience of the painful treatment and the fear that the IVF cycle will fail. They are likely to report that their marital relationship has become unstable due to the prolonged period of treatment.
This is a qualitative study that was conducted to explore the experiences that Chinese couples have had with IVF treatment, especially their perceptions of the process and the support between couples.

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Aug
2016

The purpose of this systematic review is to explore the types, content, and outcomes of different psychosocial approaches used in existing interventions for infertile individuals or couples. Relevant intervention studies published in English between 2000 and 2014 were searched using the electronic databases MEDLINE, PsycINFO, and CINHAL Plus. A total of 23 articles were identified and included in this review.

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Jul
2015

Childbirth is regarded as an important life event for women, and growing numbers of them are making the choice to give birth by Caesarean Delivery. The aim of this study was to identify the factors influencing the decision that women make on their mode of delivery, underpinned by the Health Belief Model.
This was a cross-sectional study.

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Oct
2015

It has been widely recognized that infertility and its treatment affects a couple as a dyad. Given biomedical differences and differences in socialization processes and gender-role expectations, it is reasonable to suspect that females and males may experience and respond to infertility in different ways.
To explore gender differences among infertile couples with regard to experiences with and adjustments to infertility.

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Dec
2015

The purpose of this study was to test the previous proposed Preliminary Live with Love Conceptual Framework (P-LLCF) that focuses on spousal caregiver-patient couples in their journey of coping with cancer as dyads.
A mixed-methods study that included qualitative and quantitative approaches was conducted. Methods of concept and theory analysis, and structural equation modeling (SEM) were applied in testing the P-LLCF.

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Feb
2015

Access to effective smoking cessation programs is crucial to reducing smoking-related morbidity and mortality. Several studies have shown promising results for the application of Acceptance and Commitment Therapy (ACT) in managing psychological or behavioral health problems. However, to date, only one study has examined the feasibility of a telephone-based ACT for smoking cessation and it was conducted among a Western population, in the United States.

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Nov
2015

Guided by the Preliminary Live with Love Conceptual Framework (P-LLCF) for Cancer Couple Dyads, a Caring for Couples Coping with Cancer (4Cs) program was developed to support couples coping with cancer as a unit. This study examined the acceptability, feasibility, and the preliminary effect of the 4Cs program.
A pre- and post-intervention study design with no control group was conducted among Chinese cancer patients and their spousal caregivers.

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Dec
1969

The elements of a partnership in the couples undergoing infertility treatment are not well understood. This article aims to fill the gap by using Rodger's evolutionary method of concept analysis. The attributes of the concept partnership that were identified are a process of joint hardship, sharing, intracouple communication, and mutual support.

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Feb
2015

Factors associated with atopy in toddlers: a case-control study.

Int J Environ Res Public Health 2015 Feb 25;12(3):2501-20. Epub 2015 Feb 25.
Jolene Yung, John W M Yuen, Yvonne Ou, Alice Yuen Loke
In this case-control study the association between the approaches used to feed infants, together with known family and environmental factors, and the occurrence of atopic illness in toddlers between the ages of 4 months to 3 years in Hong Kong was examined. A total of 206 subjects were recruited from April to June of 2014. The results obtained by binary logistic regression indicated that atopy is associated with boys (OR 2.

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May
2015

While the benefits of hearing aids among older adults with presbycusis have been well documented, there is limited research on hearing-aid usage. The aim of this review is to synthesize current evidence to identify the determinants of hearing-aid adoption and use among the elderly.
Systematic review.

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Dec
2014

Teenagers are unprepared to face or to deal with an unexpected pregnancy. Adolescents do not necessarily possess the cognitive ability needed to clearly evaluate such a situation or to determine how to resolve their pregnancy. This study seeks to shed light on what pregnant adolescents consider when coming to a decision about what to do about their pregnancy.

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Oct
2014

Substance use among adolescents has caused worldwide public health concern in recent years. Overseas studies have demonstrated an association between adolescent self-esteem and substance use, but studies within a Chinese context are limited. A study was therefore initiated to: (1) explore the 30 days prevalence of substance use (smoking, drinking, and drugs) among male and female adolescents in Hong Kong; (2) identify the significant associations between multidimensional self-esteem and gender; and (3) examine the relationship between multi-dimensional self-esteem and substance use.

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Dec
1969

The purpose of this systematic review was to identify, with supporting evidence, the effect of infertility on couples. MEDLINE, PsycINFO, and CINHAL Plus articles were searched for relevant studies (2000-2014) published in English. Twenty articles were included in this review.

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Dec
1969

With the research focus on family caregiving shifting from the individual to the dyadic level, there is a need to explore cancer dyads' concerns and needs and to understand their experiences of coping together with cancer.
To objectives of this study were to gain a better understanding of the experience of couples living with cancer and to explore cancer couples' concerns and needs related to the caring role and experience of spousal caregivers.
The focus group study design with a purposeful sampling strategy was adopted.

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May
2014

Young children are using digital technology (DT) devices anytime and anywhere, especially with the invention of smart phones and the replacement of desktop computers with digital tablets. Although research has shown that parents play an important role in fostering and supporting preschoolers' developing maturity and decisions about DT use, and in protecting them from potential risk due to excessive DT exposure, there have been limited studies conducted in Hong Kong focusing on parent-child DT use. This study had three objectives: 1) to explore parental use of DTs with their preschool children; 2) to identify the DT content that associated with child behavioral problems; and 3) to investigate the relationships between approaches adopted by parents to control children's DT use and related preschooler behavioral problems.

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Jul
2014

With the research focus on family caregiving shifting from the individual to the dyadic level, it is suggested that the caregiver-patient dyad as a unit be the focus and direction of caregiving interventions for families coping with cancer. The objectives in conducting this review were to explore the existing interventions for spousal couples coping with cancer in terms of type of intervention, contents, approach, and outcome measurements; and to identify directions for the development of interventions.
A systematic search of four databases was conducted to identify articles published in English or Chinese from the launch of the databases to March 2013.

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Mar
2014

The purpose of this study was to explore Hong Kong nurses' perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses' perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing.

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Dec
1969

A cross-sectional study among a convenience sample of nurses in China was conducted to understand the factors affecting Chinese nurses' willingness to report to work in a disaster. A total of 946 questionnaires were collected. Nearly 90 percent of nurses regarded disaster self-help information, an evacuation plan, and contingency measures a must in preparing for disaster care.

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Jan
2014

Early onset and increasing proliferation of illicit adolescent drug-use poses a global health concern. This study aimed to examine the correlation between Protective Motivation Theory (PMT) measures and the intention to use drugs among adolescents. An exploratory quantitative correlation design and convenience sampling were adopted.

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Jan
2014

A cross-sectional study among a convenience sample of nurses in China was conducted to understand the factors affecting Chinese nurses' willingness to report to work in a disaster. A total of 946 questionnaires were collected. Nearly 90 percent of nurses regarded disaster self-help information, an evacuation plan, and contingency measures a must in preparing for disaster care.

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Jan
2014

Inadequate healthcare workforce during a disaster affects the survival and health outcome of victims. During disaster strikes, nurses may face a dilemma regarding whether or not to report for duty, facing professional duty and their personal and/or family safety that may be at stake. This is a cross-sectional descriptive study.

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Jan
2014

To explore the maternal breastfeeding self-efficacy of Chinese women, the breastfeeding behaviors of newborns, and the relationship with breastfeeding outcomes at 6 weeks postpartum.
Descriptive correlation study.
Postnatal ward of a regional maternity hospital
All postnatal Chinese women who were admitted from mid-February 2010 to mid-March 2010 with the intention of breastfeeding.

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Feb
2014

A diagnosis of cancer is the start of a journey of distress and adjustment for both the patient and his/her spouse. However, the dyadic phenomena are less conceptualised and related research is in the early stages. This review explores concepts of mutuality among spousal caregiver-cancer patient dyads and identifies directions for future research.

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Aug
2013

Family process and peer influences on substance use by adolescents.

Int J Environ Res Public Health 2013 Aug 27;10(9):3868-85. Epub 2013 Aug 27.
Alice Yuen Loke, Yim-Wah Mak
This study explores the association of family process and peer influences with risk behaviors of adolescents. A total of 805 students were recruited from secondary schools. The results showed that adolescents who have parents who are "authoritarian" (OR = 1.

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Nov
2013

Although there is a vast body of studies exploring the negative aspects of spousal caregiving for cancer patients, there have also been reports on the positive aspects. The objective of this review was to summarize and appraise the positive aspects of spousal caregiving and to identify directions for future research.
A systematic search was conducted to identity articles published in English or Chinese from January 1996 to July 2012.

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Oct
2013

To explore the spectrum of hidden morbidities and gender differences in the spousal caregiving experience with regard to cancer patients across the cancer trajectory, and to discuss directions for future research and the implications for interventions to improve the caregiving experience.
A systematic search was conducted to identity articles published in English or Chinese from January 2000 to July 2012. Studies were located using an electronic search, a manual search, and an author search.

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Jul
2013

To explore the relationship between personal characteristics and smoking initiation among adolescents in Hong Kong.
Adolescents have been initiating cigarette smoking at an increasing rate in recent years. Preventing tobacco use among young children has become one of the most effective strategies to reduce the harmful effects of tobacco use.

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Aug
2012

This study aims to gain a better understanding of the lived experience of female victims of intimate partner violence. Background.  Intimate partner violence (IPV) is a complex and prevalent social problem associated with significant impairment in the physical and psychological health of victims.

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Oct
2012

The nutritional and immunological qualities of human milk from Hong Kong mothers were profiled.
A total of 25 colostrum (≤ 3 days postpartum) and 11 mature (30-45 days postpartum) milk specimens were collected from healthy Chinese women in Hong Kong. Parameters including total protein, whey, casein, triglycerides, lactose, lysozyme, secretory immunoglobulin A, lactoferrin and antibacterial activity of human milk were quantified.

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Jul
2012

The present study aims to explore the concerns relating to disasters among the elderly in Hong Kong, as well as the extent and predictive factors of their preparedness for disasters. The elderly are considered a vulnerable population, without the ability to protect themselves during disasters. Their accurate perception and preparedness for disasters can minimize damage to their health or threats to their lives when disasters strike.

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Jul
2012

Sexuality has been recognized as an integral aspect of quality of life. Issues surrounding sexuality have also been acknowledged to have a great impact on the quality of life of gynecologic cancer patients.
The objectives of this study were to describe sexual function and sexual activity among Chinese women after gynecologic cancer and to identify significant predicting factors of women's sexuality outcome changes.

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Aug
2012

This is an exploratory study to identify the predictors that Chinese men will spontaneously quit smoking during their wives' pregnancy. Smoking husbands who accompanied their non-smoking pregnant wives to an antenatal clinic were invited to complete a questionnaire soliciting information regarding their smoking behaviours, perceptions of support received from their wives, and motivating factors for quitting smoking. A total of 74 men were recruited.

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Oct
2011

To describe and compare the lifestyle behaviours and psychosocial well-being of Chinese adolescents aged 10-19 in the two cities of Hong Kong and Guangzhou and to identify the factors that most influence adolescents' lifestyle patterns in these two cities.
Health-promoting lifestyle behaviours of adolescents are influenced by economic growth and societal changes.
A cross-sectional comparative survey.

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