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Author: Claudia Lai (59)


Dec
1969

Vitamin D deficiency is reportedly common, but we lack data from young adults. Such data are of interest because epidemiological data support vitamin D as a possible risk modulator for diabetes and cardiovascular ('cardiometabolic') disease. Our objectives were to assess vitamin D status (as plasma 25(OH)D concentration) and investigate associations between this and biomarkers of cardiometabolic disease risk in a group of still-healthy young adults in Hong Kong.

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Nov
2017

To determine the survival time and predictors of survival of residents in a nursing home.
Nursing home residents admitted from June 2008 (when the nursing home started operating) to December 2012 (n = 230) to a new nursing home in Hong Kong were prospectively followed. The predictors of survival in the residents were assessed annually, with the exception of those who did not want to continue with the study, or were hospitalized, discharged from the nursing home or died, to compare changes occurring from 2008 to 2012.

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Dec
1969

Music has been found to improve sleep and reduce anxiety.
This article reports a 78-year-old Chinese female who had been diagnosed with early dementia underwent an 8-week music-with-movement intervention delivered by her husband at home after being trained in a day care center.
Both the patient and the husband's data were collected through repeated interviews and regular observations.

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Dec
2017

Negative effects of restraint use have been well-documented. However, the prevalence of restraints use has been high in long-term care facilities in Hong Kong compared with other countries and this goes against the basic principles of ethical and compassionate care for older people. The present study aimed to review the change in the prevalence of physical and chemical restraint use in long-term care facilities (LTCFs) over a period of 11 years in Hong Kong and to identify the major factors associated with their use.

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Dec
1969

Acupressure has been used to manage agitation in people with dementia because it is safe and inexpensive. However, its effect on agitation and at the biochemical level is uncertain.
This randomized controlled trial examined the effect of acupressure on agitation, as measured by the Cohen-Mansfield Agitation Inventory (CMAI); and on salivary cortisol, as measured at baseline (T0) and in the 3rd (T1), 5th (T2), and 8th (T3) weeks.

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Dec
1969

Preliminary studies support the effect of acupressure in managing agitation in people with dementia (PWD). However, procedures for the selection of intervention ingredients and specifications of the implementation techniques are lacking. This lack of information hinders further studies on the effect of acupressure and its subsequent clinical uses.

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Jun
2017

Studies reporting prompted voiding (PV) interventions were of short duration and were delivered by research personnel rather than nursing home staff. This study examined the effectiveness of the use of PV by nursing home staff in managing urinary incontinence among residents over a 6-month period.
A randomized controlled trial.

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Mar
2017

To investigate whether the implementation of the Observational Pain Management Protocol (Protocol) can improve pain management for nursing home residents with dementia.
A two-group, single-blinded, cluster-randomized controlled trial.
Seventeen nursing homes.

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Mar
2017

Palliative care patients experience a variety of needs and perceive their quality of life as being only fair. This study adopted a single-group repeated-measure design to investigate the effect of horticultural therapy on the quality of life of palliative care patients using the Quality of Life Concern in End of Life Questionnaire. Significant differences in the domains of "existential distress" and "health care concern" were observed immediately postintervention and at 4 weeks postintervention, respectively.

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Nov
2017

We tested the mediating effect of decline in social participation on urinary incontinence (UI) and negative mood in older adults by sex and marital status.
We carried out secondary analysis of data collected from 5301 Chinese adults aged 60 years or older in Hong Kong who had completed an initial screening instrument for subsidized long-term care services in 2010. Path analysis within structural equation modeling was carried out.

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Mar
2018

The aim of this study was to examine the effects of the six-week music-with-movement (MM) intervention, as compared with music listening (ML) and social activity (SA), on the cognitive functions of people with moderate dementia over time.
A multi-center randomized controlled trial was conducted on 165 nursing home residents with moderate dementia. The MM intervention protocol was developed based on a critical literature review, and tested in three rounds of pilot studies before undergoing testing in this study.

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Dec
2017

(1) To examine the intra-rater, inter-rater and test-retest reliability of Jacket Test times with 28 people with chronic stroke. (2) To determine the correlation of Jacket Test time with stroke-specific impairments. (3) To construct the optimal cutoff time for the Jacket Test that best discriminated 28 people with stroke from 30 healthy older adults.

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Nov
2016

This study aimed to identify the acupressure effect over time, compare the efficacy in different dosages, and identify feasibility issues with saliva sample collection and acupressure implementation in agitated nursing home residents with dementia.
Time serial design with eight dosage-combination groups.
Three residential care homes (RCHs) in Hong Kong.

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Dec
2016

This article reports our experience in developing a computerized cognitive assessment method in a nurse-led clinic. The assessment and report-writing time and the accuracy of using a computer as an assessment medium were compared with assessments that use the traditional pencil-and-paper method. The attitudes of professionals and service users toward the computerized approach were also collected.

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Dec
1969

Oxidation-induced damage to DNA can cause mutations, phenotypic changes and apoptosis. Agents that oppose such damage offer potential therapies for disease prevention. Vitamin D administration reportedly lowered DNA damage in type 2 diabetic mice, and higher DNA damage was reported in mononuclear cells of severely asthmatic patients who were vitamin D deficient.

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Jul
2016

The nurse-patient communication: voices from nursing students.

Int J Adolesc Med Health 2016 Jul 2;29(6). Epub 2016 Jul 2.
Zenobia C Y Chan, Claudia K Y Lai
Effective communication skills have been found to be one of the pivotal factors in building positive interpersonal relationships. Little is known about nursing undergraduates' perspectives on communicating with patients.
This study aimed to explore nursing students' perspectives and experiences of nurse-patient communication in their clinical placement.

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Sep
2016

Many countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors and growing health care demand. The development of new nursing roles varies greatly from country to country.

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Apr
2017

To evaluate the feasibility and preliminary effects of an individualized exercise programme with and without behavioural change enhancement strategies for frail older people with fatigue.
A three-arm, single-blinded, quasi-experimental pilot study.
Community health centres.

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Mar
2016

The music-with-movement intervention is particularly suitable for people with dementia because their gross motor ability is preserved until the later stage of dementia. This study examines the effect of music-with-movement on reducing anxiety, sleep disturbances, and improving the wellbeing of people with dementia. This paper reports the first stage of the study - developing the intervention protocol that staff can use to teach family caregivers.

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Jul
2016

The aim of the present study was to explore the experiences and perceptions young adults had of family members who are caring for a relative with dementia.
An exploratory qualitative study with semi-structured interviews was carried out and data were collected from 24 young adults recruited through purposive sampling. The participants had to have a close relative who was caring for an elderly family member with dementia.

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Mar
2015

Service-learning has long been regarded as a teaching strategy that promotes student learning while simultaneously contributing to the community. This article reports the service-learning experience of undergraduate nursing students who participated in a project with two nongovernmental organizations that enabled students to visit disadvantaged older adults on a regular basis. Fifty-two students were recruited to join the study.

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Jul
2015

To explore the reasons why older Chinese people decline to tell their life stories.
Promoting the telling of life stories by older people, as part of healthy ageing, may develop their sense of unity and meaning in life. However, not all older adults seem to review their past and tell others about it.

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Dec
2014

This paper reports a cluster analysis of a sample recruited from a randomized controlled trial that explored the effect of using a life story work approach to improve the psychological outcomes of older people in the community.
238 subjects from community centers were included in this analysis. After statistical testing, 169 seniors were assigned to the active ageing (AG) cluster and 69 to the inactive ageing (IG) cluster.

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Oct
2015

There is accumulating evidence for the efficacy of nonpharmacological multimodal stimulation interventions in maintaining cognition and improving quality of life in people with mild-to-moderate dementia. However, the complex nature of these interventions limits their application in practice and research. We report here the design and development of a culturally appropriate framework, the Six Arts, to guide delivery of multimodal interventions in a Chinese community.

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Oct
2014

Agitation is prevalent among people with dementia (PWD) in nursing homes. It frustrates both the PWD and their caregivers. Acupressure is a non-pharmacological intervention whose effectiveness is supported by preliminary studies.

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Oct
2014

Help-seeking (HS) for dementia presents a great challenge, especially because a timely and appropriate HS process might be associated with better outcomes for the person with dementia, their caregivers, and society. A clear understanding of the HS concept and its measurement in the area of dementia might improve the effectiveness of the process.
The aims of our systematic review were: (1) to systematically obtain and evaluate the relevant literature on HS and dementia; and (2) to summarize current research findings and draw conclusions for future research and clinical care in this area.

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Sep
2014

Stroke, a common cerebrovascular accident, usually results in various extents of functional disability. Extensive studies have shown that ocular and visual problems are common in patients with stroke. Unfortunately, current stroke rehabilitation programs rarely address stroke-related ocular and visual problems in Hong Kong.

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Dec
1969

The Neuropsychiatric Inventory (NPI) is one of the most commonly used assessment scales for assessing symptoms in people with dementia and other neurological disorders. This paper analyzes its conceptual framework, measurement mode, psychometric properties, and merits and problems.
All articles discussing the psychometric properties and factor structure of the NPI were searched for in Medline via Ovid.

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Dec
1969

The purpose of this study was to determine the influence of clean dressing technique in a home-care setting following a patient education program and telephone follow-up in a group of adult patients to wound healing in patients managed by sterile dressing changes by professional nurses in a general care outpatient clinic.
Randomized controlled trial.
The sample comprised adult patients with clean wounds who attended a general outpatient clinic in the Kowloon East district, a densely populated urban area in Hong Kong.

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Mar
2014

Systematic use of observational pain tools has been advocated as a means to improve pain management for care home residents with dementia. Pain experts suggest that any observational tool should be used as part of a comprehensive pain management protocol, which should include score interpretation and verification with appropriately suggested treatments. The Observational Pain Management Protocol (Protocol) was therefore developed.

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Aug
2014

The purpose of this study was to determine the reliability and validity of the Chinese interRAI Mental Health (MH) among people with psychiatric illnesses.
Study participants were 157 individuals with psychiatric illnesses living in a psychiatric long-term care facility or halfway house in Hong Kong. The authors prepared the Chinese interRAI MH.

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Dec
2013

Can smartphones enhance telephone-based cognitive assessment (TBCA)?

Int J Environ Res Public Health 2013 Dec 12;10(12):7110-25. Epub 2013 Dec 12.
Rick Yiu-Cho Kwan, Claudia Kam-Yuk Lai
TBCA has emerged to solve the limitations of administering cognitive assessments face-to-face. The recent development of telephones and knowledge advances in the area of cognitive impairment may affect the development of TBCA. The purpose of this paper is to discuss how smartphones can be used to enhance the applicability of TBCA, which has previously been administered by conventional telephone.

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Sep
2012

Physical restraints are often used to prevent falls and to secure medical devices in older people in hospitals. Restraint reduction has been advocated on the grounds that physical restraints have negative psychological effects and are not effective in preventing falls. The potential effect of restraint reduction on length of hospital stay (LOS) has not been investigated.

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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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Dec
1969

Background. In view of the adverse effects of using restraints, studies examining the use of restraint reduction programs (RRPs) are needed. Objectives.

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Jun
2011

This aim of this study is to propose a conceptual framework for guiding interventions to enhance the cognitive function of people with dementia.
Few studies have been published on non-pharmacological approaches with a conceptual framework for an intervention to enhance cognitive function. The Progressive Lowered Stress Threshold model is one of the useful theoretical models for predicting the occurrence of dysfunctional behaviour in people with dementia.

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Dec
2010

The aim of this study is to investigate student nurses' perception, knowledge and awareness of elder abuse.
It is evidential that elder abuse tends to be unrecognized and is often hidden from public awareness. Nurses who work with older people are expected to be knowledgeable of the causes and detection of elder abuse.

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Dec
1969

We investigated how older Hong Kong people perceive the application of telecommunication technologies in products that could enhance their safety at home. The telecare devices in the present study were: (1) the Personal Emergency Link Service (PELS), a 24-hour personal emergency link service; (2) a home-based non-intrusive motion monitoring system; and (3) a wearable vital signs monitoring system. Data were collected from a convenience sample of 368 elderly persons aged 65 years or above from 15 District Elderly Community Centres in Hong Kong, through a structured questionnaire administered during face-to-face interviews by trained interviewers.

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Dec
1969

Nonpharmacological therapies (NPTs) can improve the quality of life (QoL) of people with Alzheimer's disease (AD) and their carers. The objective of this study was to evaluate the best evidence on the effects of NPTs in AD and related disorders (ADRD) by performing a systematic review and meta-analysis of the entire field.
Existing reviews and major electronic databases were searched for randomized controlled trials (RCTs).

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Oct
2010

This study is a report of the development and testing of the Satisfaction Scale for Community Nursing for measuring patient satisfaction with community nursing.
Measuring patient satisfaction with a psychometrically sound instrument is important if patient judgment is used as a quality indicator to evaluate the quality of the service.
Service users and providers participated in generating items for a questionnaire related to the concept of patient satisfaction.

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Feb
2011

Elopement among community-dwelling older adults with dementia.

Int Psychogeriatr 2011 Feb 6;23(1):65-72. Epub 2010 Jul 6.
Jenny C C Chung, Claudia K Y Lai
Adverse consequences following elopement among older people with dementia have been widely reported but the phenomenon of elopement has been under-researched. This study aimed to examine patterns of elopement incidents, search processes and subsequent prevention strategies and to explore factors that predict elopement among community-dwellers with dementia.
Twenty subjects with a recent history of elopement and 25 subjects without any history of elopement completed the study.

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Dec
1969

Increasingly, narrative and life story are being used in health and social sciences, and other disciplines. Narrative analysis assumes multiple forms in a variety of analytic practices, with no single or correct way to analyse stories. This paper explores the concepts and meanings of narrative and narrative enquiry; their ontology and epistemology, and their use as a research method will be discussed as well.

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Jun
2011

The aim of this work was to study the psychometric properties of the Chinese version of the Swallow Quality-of-Life Questionnaire (CSWAL-QOL) validated in the Hong Kong Chinese-speaking population. With convenience sampling, a cross-sectional survey was launched to evaluate the validity and reliability of the CSWAL-QOL. One hundred subjects with swallowing problems were recruited to evaluate the construct validity and internal consistency, and 20 subjects were recruited for the test-retest reliability.

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Oct
2009

The behavioural problems of people with dementia are often considered as one of the most challenging issues in caring. Special Care Units (SCUs) have flourished since the 1980s with the aim of taking care of dementia patients, usually those with Alzheimer's disease, and in particular for those with behavioural problems. Although lacking a standard definition, SCUs are usually situated within nursing homes and commonly include the features of trained staffing, special programming, a modified physical environment, and family involvement.

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Jun
2008

This paper is a report of a survey to explore Hong Kong nurses' disaster preparedness.
Increasingly frequent global disasters are posing threats to human health and life. The World Health Organization has called for countries to have detailed plans at all levels in order to be prepared for disasters that may arise.

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Feb
2008

There have been many studies on the use of restraints from health care professionals point of view. However, studies that examine the perspective of the patient or the patients family are limited. Using a survey approach, the project team investigated the perspectives of families on the use of restraints on their relatives who had been admitted to a rehabilitation facility.

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Sep
2007

This paper is a report of a study to describe the lived experiences of people with early-stage dementia and their ways of coping with the illness.
Emerging models of subjective experience and coping with early dementia have been developed in Western cultures. Understanding how Chinese people with early-stage dementia adjust and cope is an important starting point in developing interventions that can enhance their adaptive coping.

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