Transitional, Supportive & Palliative Care
Transitional, Supportive & Palliative Care
- Symptom management in cancer, palliative care and life-limiting illnesses
- Traditional Chinese medicine and complementary therapies
- Models of care delivery with a focus on transitional care and community-based chronic disease management.
Research Theme Leader
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Frequent hospital readmissions disrupt patients’ life and add burden to the already over-strained hospital system. The 30-day readmission rate ranges from 15% to 35%, with chronically ill patients at the higher end. We tested transitional care programmes for different patient groups, and proved that they are effective at controlling readmission rates, enhancing patients’ self-efficacy and quality of life, and reducing costs. The model has been translated into practice and generated tremendous impacts related to research, service, society and policy, in both local and international settings. Team members include Arkers Wong, Candy Wu, Katherine Chang, Shaoling Wang and PhD graduates.
The research work involved accumulative stages of constructing and testing models in transitional care. The key researcher (PI) is Professor Frances Kam Yuet WONG, working with a team of academic members and doctorate students.
I. Telephone follow-ups (2002 – 2005)
A randomized control trial (RCT) using telephone follow-ups was conducted among diabetic patients to support needs of patients discharged early. A greater decrease in HbA1c level, better adherence, and more savings in hospital expenses were found in the intervention group.
Pivotal findings:
Early discharge of diabetic patients can be effectively supported with nurse telephone follow-up and potentially cost savings for the hospital.
II. Home visits and/or telephone calls (2006 – 2009)
The use of telephone calls was generally effective but it has its limitations. The research team introduced home visits in this phase of intervention. Positive results including reduced hospital use and improved health-related lifestyle behavior were found.
Pivotal findings:
Nurse home visits were effective in supporting patients discharged home with cardiac diseases and general medical conditions with the model tested in Mainland China as well as Hong Kong.
III. Multidisciplinary and mixed skills approach (2010 – 2012)
Previous studies used the nurse as the sole interventionist. The current model adopts a mixed skills and health-social partnership approach, with the nurse case manager supported by volunteers, social workers and physicians. The evidence generated showed that the model was not only clinically effective but cost-effective.
Pivotal findings:
A health-social partnership model using the nurse as case manager is effective in bringing significant results in quality of life, self-efficacy measures and reduced hospital use. The model was cost-effective up to 90% using National Institute Health and Clinical Excellence (NICE) reference. Knowledge transfer took place where the postdischarge services were sustained in the Hong Kong study hospital and the hypertension nurse clinic continued to operate in the community centre in Mainland China.
IV. Patients with palliative care needs (2013 – 2017)
This phase of research asked if the model worked among patients with complex needs. A nurse-led multi-disciplinary transitional care incorporating a palliative care approach was tested among a group of end-stage heart failure (ESHF) patients in their last year of life. Significant results in reduced hospitalization, increased quality of life, better symptom management and more cost-effective were found in the intervention group compared to the control group.
Pivotal findings:
The ESHF patients in the intervention group reached minimal clinically important difference in their symptom control and the model was proven to have cost-effectiveness with 85% and 100% at 1- and 3-months respectively using the thresholds recommended by both the NICE and World Health Organization threshold.
V. Community-owned model (2017- )
The model tested so far is hospital-based. The relatively healthy individuals should be owned and supported in the community instead of the hospital. This phase of study endeavors to establish and test empirically a primarily community-owned model.
Pivotal findings:
Evidence showed that there is significant improvement in systolic blood pressure, self-efficacy and reduced use of medical services in the intervention group with an aging-in-place community program.
• Wong, F.K.Y. & Chung, L.C. (2006). Establishing a definition for a nurse-led clinic: structure, process and outcome.Journal of Advanced Nursing, 53(3):358-369.
• Wong, F.K.Y., Ho, M. M., Yeung, S.Y., Tam, S.K. & Chow, S.K. (2011). Effects of a health-social partnership transitional program on hospital readmission: A randomized controlled trial.Social Science & Medicine, 73(7):960-969. doi: 10.1016/j.socscimed.2011.06.036.
• Wong, F.KY., Chau, J., So, C., Tam, S.K. & McGhee, S. (2012). Cost-effectiveness of a health-social partnership transitional program for post-discharge medical patients.BMC Health Services Research, 12:479. doi: 10.1186/1472-6963-12-479.
• Wong, F.K.Y., Ng, A.Y., Lee, P.H., Lam, P.T., Ng, J.S., Ng, N.H. & Sham, M.M. (2016). Effects of a transitional palliative care model on patients with end-stage heart failure: a randomised controlled trial.Heart, 102(14):1100-1108. doi: 10.1136/heartjnl-2015-308638.
• Wong, F.K.Y., Chow. S.K., Chan, M.F., & Tam, S.K. (2014). Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomized controlled trial.Age and Ageing, 43(1): 91-97. doi:10.1093/ageing/aft123.
• Wong, F. K. Y., So, C., Ng, A. Y. M., Lam, P. T., Ng, J. S. C., Ng, N. H. Y., . . . Sham, M. M. K. (2018). Cost-effectiveness of a transitional home-based palliative care program for patients with end-stage heart failure.Palliative Medicine, 32(2), 476-484.
Key research grants in support of the work, all granted to Frances Kam Yuet WONG as PI:
• Exploring The Phenomenon Of Hospital Readmission: A System Approach. Amount: $711,108. Funded by a Research Grants Council (RGC) Competitive Earmarked Research Grant (CERG) 2002-2003 (B-Q632). Grant Period: 2003-2006.
• Effectiveness of a Case Management Approach among Renal Patients Undergoing Peritoneal Dialysis: A Randomized Controlled Trial. Amount: HK$ 473,324.00. Funded by a Central Research Grant, University Grants Council, Hong Kong (B-Q974). Grant Period: 2006-2009.
• Effects of a health-social partnership transitional care model for post-discharged elderly. Amount: HK$4,241,000 [Project led by the Salvation Army; an amount of HK$1,008,000 was designated to Professor Frances Wong to undertake the project evaluation using a randomized control trial] (Duration 36 months, completed on December 2010). Funded by CADENZA: A Jockey Club Initiative for Seniors (ZH60). Grant Period: 2008-2010.
• Effects of an enhanced transitional care programme on hospital readmission: A randomized controlled trial. Amount: HK$1,143,146 Funded by Research Grants Council, General Research Fund 2009-2010 (PolyU5479/09H) Grant Period: 2009-2012.
• Effects of a transitional palliative care model on patients with end-stage heart failure. Amount: HK$596,020. Funded by the Research Grants Council, General Research Fund 2012-2013 (PolyU5492/12H). Grant Period: 2013 – 2016.
• Effects of an aging-in-place health-social partnership program among community-dwelling older people: a randomized controlled trial. Amount: HK$990.952 Funded by Research Grants Council, General Research Fund 2015-2016 (PolyU156042/15H) Grant Period: 2016 – 2019
• An enhanced post-discharge home-based care program (EHP) to improve the quality of life for stroke survivors in Harbin China: a randomized controlled trial. Amount: HK$250,000 Funded by The T. S. Lo Foundation (5-ZH2Q) Grant Period 2017 – 2020
• Economic evaluation on an enhanced post-discharge home-based care program (EHP) to improve the quality of life for stroke survivors in Harbin China Amount: HK$160,000 Funded by Hong Kong Nurses Training & Education Foundation Ltd. (5-ZH2S) Grant Period 2018 - 2021
The work on transitional care has demonstrated impacts detailed below.
1.Research-related impacts
The work contributed to generation and dissemination of new knowledge, with 62 English and 19 Chinese referred articles published amounting to respectively 750 and 980 sum of times cited in the subject area. Five PhD graduates were educated and 3 still are in training. The impacts are local and international. The research published in Heart received an editorial recommendation appealing clinicians to ‘investigate opportunities for upstreaming and normalizing palliative care’ based on our findings (Reference 1). A research report commissioned by the Law Commission of Ontario, Canada included the same study to make recommendations for improving end-of-life care setting transitions (Reference 2). A guideline in consultation developed by NICE compiling evidence on the service delivery and organization for emergency and acute medical care also included our studies (Reference 3).
The knowledge transfer is evidenced by the numerous consultancy projects, amounting to over HK$2.5 million in Mainland China, Macau, and Singapore. The study protocols and findings also attracted commercial interest to translate the research protocols into practice operation formats. Two Foundations have donated an amount of HK$410,000 in 2018 to ask the research team to implement and test the model in Harbin among stroke patients.
2.Service impacts
As a result of the research findings, the practice in the study hospitals has been changed. Many of the study clinical sites sustained the service models and turned them into routine practices. As denoted in the appreciation letter from the Cluster General Manager Nursing of the Kowloon Central Cluster, the program introduced in the hospital was proven to be cost-saving and was awarded distinction point in the Hospital Accreditation exercise because of this initiative. In Mainland China, we have received reports from the First Affiliated Hospital of Guangzhou Medical University (FAH-GMU) and the Guangzhou Community Centre at Yuexie District (GCC-YD) updating us on the sustained impacts with our randomized controlled trials. The FAH-GMU, at the completion of our RCT, established two specialty nurse positions to continue with the work in respiratory rehabilitation. Fourteen new research projects were generated to extend the transitional care model in different disease groups. The study nurses now become leaders and educators providing role models and training for nurses all over the country in respiratory rehabilitation and case management. Members of the team have received multiple awards for their work based on the foundation that our team have built for them. At GCC-YD, the hypertension control rate reaches 40.6% supported by nurse clinic and family physician contractual services. The standardized management protocol is adapted from the original research protocol and continued in their service, bringing benefits to residents in the community.
3.Societal impacts
This model of transitional care has proven to have enhanced quality of life of patients with better symptom control and reduced use of hospital services. In Canada, our study on nurse clinics resulting in increasing access to care for people is referenced to appeal for similar practice for the Ontarians in Canada (Reference 4). In Hong Kong, wide media coverage is reported with the PI advocating nurse clinics in the hospital and community settings to provide responsive care to people in need.
4.Policy impacts
The PI with her substantial research work in the area, is a pioneer in establishing the accreditation criteria for nurse clinic, a mode of service to support transitional care. Her research findings are adopted as accreditation criteria for the Nurse Clinics at the Hospital Authority since 2006 and she serves as an advisor of the Accreditation Panel of Nurse Clinics at the Hospital Authority. The PI at present is also an expert member of the Kowloon West Hospital Cluster advisory group advising on the strategic development of the cluster with a total of 4,707 hospital beds and 16 general out-patient clinics.
At the government level, the PI is one of the Members of the Primary Health Care Steering Committee under the Bureau of Food and Health to shape primary healthcare policies in Hong Kong. The participation adds strength as she is also the elected President of the Hong Kong Academy of Nursing representing 3000 Advanced Practicing Nurses practicing in different specialty areas of the public and private healthcare sectors in Hong Kong.
Sources / References to substantiate the claims made in Section 4:
1. Editorial, Kavalieratos D, Rollman BL, Arnold RM. Heart Published Online First. doi:10.1136/heartjnl-2016-309385. (Original paper –Wong, F.K.Y., Ng, A.Y., Lee, P.H., Lam, P.T., Ng, J.S., Ng, N.H. & Sham, M.M. (2016). Effects of a transitional palliative care model on patients with end-stage heart failure: a randomised controlled trial.Heart. Published Online First. doi: 10.1136/heartjnl-2015-308638.)
2. Wilson, D.M. & Birch, S.B. (2016) Improving end-of-life care setting transitions: a mixed-methods research report. Ontario, Canada: Law Commission of Ontario.
3. National Institute for the Health Care Excellence (2018) Emergency and acute medical care in over 16s: service delivery and organization (In consultation) accessible at https://www.nice.org.uk/guidance/ng94/resources/emergency-and-acute-medical-care-in-over-16s-service-delivery-and-organisation-pdf-1837755160261
4. Registered Nurses Association of Ontario (2009). Briefing note: increasing Ontarians’ access to health care services by fully deploying registered nurses. Accessible at http://rnao.ca/sites/rnao-ca/files/storage/related/5172_Briefing_note_NP_clinics_RN_roles_2009.pdf
Integrative Medicine (IM) fills therapeutic gaps in existing healthcare practices; treats the whole person; and increases healthcare choices. We have demonstrated the clinical benefits of IM practice (namely, exercise, acupoints interventions and auriculotherapy) on improving health conditions and self-management of chronic diseases. The findings have supported the use of IM to achieve symptomatic relief and prevention of major chronic diseases in a substantial segment of patients including elderly, insomnia and cancer patients. Our research has influenced government health care policy, clinical practice in Hospital Authority in Hong Kong and non-governmental organisations (NGOs) with improved services offered, and health professional training.
Key researchers:
Prof. Alex Molasiotis (Chair Professor of Nursing and Head)
Dr Lorna Suen (Associate Professor)
Dr Jerry Yeung (Associate Professor)
IM brings closer together western medicine and traditional approaches to care to provide complementary effect and improve the illness experience and quality of life of patients with chronic illnesses. As western medical approaches do not fully improve chronic symptoms and have limitations, more holistic and culturally-relevant approaches can enhance the patients’ ill-health trajectory. There are few high quality trials in the field and there is an urgent need to improve the evidence-base of the field both for clinical and public/safety reasons. Our research effort in trials on traditional exercises and acupoints interventions (i.e., acupuncture, acupressure, auriculotherapy) have provided much needed evidence for our promotion of East and West practice on elderly/frail elderly, insomnia and cancer patients.
A systematic review synthesized the evidence of the effects of acupuncture on pain in adults [Ref:1] in 2015 and found that acupuncture can significantly improve pain in the post-operative period. The first large multisite trial in managing a complex symptom, cancer-related fatigue, for which we have very limited therapeutic options, with acupuncture, has been conducted in 2010-2012 [Ref:2]. Sleep studies is a common focus of our team’s research since 2002 (Ref 3). One such study found that auriculotherapy and acupuncture improved quality of sleep [Ref:3]. Our team has demonstrated the use of magnetic pellets for auricular therapy (auriculotherapy) to manage sleep problems among the elderly in terms of shortening sleep latency, decreasing the number of mid-sleep awakenings and improving overall sleep efficiency. This therapy is a hygienic, cheap, painless and safe treatment approach compared with other traditional TCM treatment modalities, such as ear acupuncture. Moreover, auriculotherapy does not involve the use of needles. The standardised treatment protocol is demonstrated to be equally effective in either ‘excessive’ or ‘deficient’ syndrome of insomnia.
1. Liu XL, Tan JY, Molassiotis A, Suen LKP, Shi Y. Acupuncture-point stimulation for postoperative pain control: a systematic review and meta-analysis of randomized controlled trials.Evid Based Complement Alternat Med.2015;2015:657809 doi: 10.1155/2015/657809.
2. Molassiotis A, Russell W, Hughes J, Breckons M, Lloyd-Williams M, Richardson J, Hulme C, Brearley SG, Campbell M, Garrow A, Ryder WD. The effectiveness of acupressure for the control and management of chemotherapy-related acute and delayed nausea: a randomized controlled trial.J Pain Symptom Manag.2014;47(1):12-25
3. Suen LKP, Wong TKS & Leung AWN . Effectiveness of auricular therapy using magnetic pearls on sleep promotion in the elderly.Am J Chin Med.2002; 30(4): 429–449.
Impact on clinical practice
As a result of our clinical trials of acupuncture (ie. ref.2 and two others from the team) have been included in the clinical guidelines of the international (29 countries) Society for Integrative Oncology [S1] reaching more than 1,000 society members and a large number through the open-access publication. Ref 2 is further included in National Comprehensive Cancer Network (NCCN) antiemetic guidelines [S2], reaching its >50,000 members and a strong advocacy service-user group, as well as USA’s National Guideline Clearing House, Agency of Healthcare Research & Quality. Also, work from Molassiotis and Suen have been incorporated in patient information websites [S3] and professional websites such as that of the USA Oncology Nursing Society accessed by >10,000 members [S3]. The National Cancer Institute in USA has cited our work in its Physician Data Query series on ‘Acupuncture’, a comprehensive source of cancer information available to clinicians and patients worldwide through its open-access document [S4].
Reference 1 was used as part of the evidence submitted by the Academic Consortium for Integrative Medicine & Health in the USA to the USA’s Department of Health & Human Services, on the latter’s consultation for the management of pain in adults [S5]. Since then key recommendations were adopted in all hospitals in the US.
Impact on community and primary health care
Our team has been invited by a number of NGOs as a consultant (including the Hong Kong Society for the Aged [SAGE], Evangelical Lutheran Church Social Service-Hong Kong [ELCHK] and the Neighbourhood Advice-Action Council) to offer ‘train the trainers’ workshops on auriculotherapy and sleep management for NGO staff, based on our trials’ findings. A total of 602 staff from over 130 non-governmental organizations have received training via the workshops on auriculotherapy by our team. Nearly 1500 clients (either through individualized or group therapy) have received the therapy, and 70%-85% of them expressed that their sleep problems improved after the therapy. Three different audio-visual or printed materials related to the use of auriculotherapy for sleep disturbances have been produced and distributed to NGOs by SAGE over the years, and have been put in 29 public libraries in Hong Kong. These include 1000’s DVDs, 1200’s booklets, and 2000s books on promoting sleep for elders. One of the NGO staff who has received training via the ‘train the trainers’ workshop on auriculotherapy was interviewed by the press for her successful application of the therapy to manage the sleep problems of her clients.
Impact to Professional training and curriculum
The research team shaped and reformed the curriculum of professional training by introducing IM courses in bachelor and master studies for the first time. Over 250 students, in each academic year, receive the training in IM. In addition, advanced training programs for practicing professionals in the Hospital Authority are also provided, often as consultancy to Hospital Authority.
S1: Clinical Practice Guidelines on Integrative Therapies in Cancer, where our work is cited. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411539/
S2: National Comprehensive Cancer Network clinical guidelines where our work is cited, reaching >50,00 members https://www.nccn.org/professionals/physician_gls/default.aspx#antiemesis
S3: research findings from the team cited in international patient websites https://www.asbestos.com/blog/2015/05/27/acupressure-points-for-cancer/ and professional websites (such as from the Oncology Nursing Society) https://www.ons.org/node/1311?topic=761
S4: National Cancer Institute’s in USA citing our work in its Physician Data Query series on ‘Acupuncture’, a comprehensive source of cancer information available to clinicians and patients worldwide through its open-access document https://www.cancer.gov/about-cancer/treatment/cam/hp/acupuncture-pdq
S5. Evidence submitted by the Academic Consortium for Integrative Medicine & Health in the USA to the USA’s Department of Health & Human Services, on the latter’s consultation for the management of pain in adults where are work (ref 3) is cited https://s3.amazonaws.com/imconsortium/wp-content/uploads/2019/04/01194647/HHS-Comments-from-The-Consortium-April-1-2019.pdf
Our research has a) produced precise radiotherapy protocols to deliver effective dosage to patients while minimising side-effects of radiotherapy, which are often severe and debilitating, and b) highlighted key issues in cancer symptom management for improved patient support and enhanced quality of life. Our findings have been incorporated into international clinical guidelines (e.g. Multinational Association of Supportive Care in Cancer, 2016; American College of Chest Physicians, 2017) reaching thousands of specialist oncology professionals and influencing patient care. A service model has been developed and this changed practice in several hospitals in Hong Kong and one in China.
Key researchers:
Prof. Alex Molassiotis (Chair Professor of Nursing and Head)
Prof. Frances Wong (Professor)
Dr Shirley Ching (Associate Professor)
Dr E Angela Chan (Associate Professor)
Dr Eileen Cheng (Assistant Professor)
Dr Choi wan Chan (Assistant Professor)
Dr Joyce Chung (Assistant Professor)
Dr Eva Ho (Assistant Professor)
Dr Katherine Lam (Research Assistant Professor)
Dr Doris Y.P. Leung (Research Assistant Professor)
Cancer is a major cause of death worldwide, and is the leading cause of death in Hong Kong. There are about 32,000 new cases of cancer each year in Hong Kong, and it is estimated that in 2019 there are more than 150,000 people living with cancer. Our integrated research platform into cancer incorporates the study of different research needs related to improved, non-invasive diagnostic and monitoring methods, more effective radiotherapy, reduced side-effects of radiotherapy and chemotherapy, and the design of supportive strategies for cancer patients through novel methods to alleviate mental and physical distress, thereby improving quality of life (QoL) of cancer patients and lowering treatment costs associated with hospital readmission.
In relation to cancer diagnostics, early diagnosis is crucial, and effective monitoring is needed for appropriate clinical decision making. Results of our randomized controlled trial (led by Ching in 2015-17) showed that a structured, nurse-led symptom management programme effectively reduced side effects and enhanced QoL of patients undergoing chemotherapy [1]. Several studies (led by Molassiotis from 2005 onwards) focused on specific cancer symptoms and identified key risk factors that place patients at higher risk of chemotherapy-related nausea and vomiting calling for a more personalized approach in antiemetic management [2], and contributed to new data that were incorporated into international clinical guidelines for standards of care in most parts of the world (2015). Work with malignant melanoma patients, the first large study internationally on their supportive care needs done in 2011-2013 has identified key informational and psychological unmet needs [3]. Extensive work (by Molassiotis) has been done in cough in lung cancer, a very distressing and under-reported symptom, starting with a Cochrane systematic review in 2010 and updated more recently [4] and extending to other observational or trial work during the past decade. Unfortunately treatments can fail, and cancer recurs. Based on previous research in transitional care modelling (led by Wong) a cancer survivor model was introduced. This is based on a palliative model for end-stage heart failure patients, who share similar symptom complaints and psychosocial needs towards their end stage of life. The model was tested using a RCT (led by Wong, 2013-2015) and was shown to bring about significant improvements in clinical outcomes related to symptom distress, QoL in patients at the end stage of life and lowered cost due to reduced readmissions to hospital [5].
1.Lai, X. B., Ching, S. S. Y., Wong, F. K. Y.,Leung, C. W. Y., Lee, L. H., Wong, J. S. Y., & Lo, Y. F. (2019). A nurse-led care program for Chinese breast cancer patients in a chemotherapy day centre: a randomized controlled trial.Cancer Nursing, 42(1), 20-34. doi: 10.1097/NCC.0000000000000539.
2.Molassiotis,A., Aapro, M., Dicato, M., Gascon, P., Novoa, S.A., Isambert, N., Burke, T.A., Gu, A., & Roila, F. (2014). Evaluation of risk factors predicting chemotherapy-related nausea and vomiting: results from a European prospective observational study.Journal of Pain and Symptom Management, 47(5), 839-848. doi: 10.1016/j.jpainsymman.2013.06.012
3.Molassiotis,A., Brunton, L., Hodgetts, J., Green, A.C., Beesley, V.L., Mulatero, C., Newton-Bishop, J.A., & Lorigan, P. (2014). Prevalence and correlates of unmet supportive care needs in patients with resected invasive cutaneous melanoma.Annals of Oncology,25(10), 2052-8. doi: 10.1093/annonc/mdu366
4.Molassiotis,A., Bailey, C., Caress, A., &Tan,J.Y. (2015). Interventions for cough in cancer.Cochrane Database of Systematic Reviews. 2015(5), 1-54.doi: 10.1002/14651858.CD007881.pub3.
5.Wong, F.K.Y., Ng, A.Y.,Lee, P.H., Lam, P.T.,Ng, J.S., Ng, N.H. & Sham, M.M. (2016). Effects of a transitional palliative care model on patients with end-stage heart failure: a randomised controlled trial.Heart, 102(14):1100-1108. doi: 10.1136/heartjnl-2015-308638
Our cancer-related research is shaping diagnostic services, guiding clinical practice in cancer treatment, improving early detection of recurrence, enhancing patient safety and well-being during treatment, and improving QoL of those living with cancer. Therefore, significance and reach are high. The main users and beneficiaries are health care regulators and providers and cancer patients.
The risk prediction model study for chemotherapy-induced nausea and vomiting (CINV) led to the development of a website and application for use by clinicians to calculate CINV risk in patients before chemotherapy begins (www.riskcinv.org) and is hosted by an industry partner (Helsinn Pharma; released in late 2018). Usability data of this new online tool show that on average 137 clinicians (new users) in 10 countries are using this each month (data from February-March 2019). Further to this online risk assessment tool, our team developed a number of symptom management tools including the antiemesis scale (MAT) which is now available on Apple store as an app (https://itunes.apple.com/us/app/mascc-antiemesis-tool-mat/id536500719?mt=8), and as an android app in Google Play by Merck & Co. These apps are available free-of-charge for use by clinicians to aid clinical decision-making and improve communication with patients. The MAT is also used as a primary outcome measure in a large number of international antiemetic trials and observational studies (as perwww.clinicaltrials.gov, including currently USA, France, Italy and international trials, being translated in 16 languages (https://www.mascc.org/mat). The research on anticipatory nausea in chemotherapy patients and the risk factor research (reported in section 2) have also been used in the Antiemetic Guidelines of the Multinational Association of Supportive Care in Cancer (MASCC) and the European Society of Medical Oncology (ESMO) in 2016 (societies with a combined membership of >5,000 clinicians) [S1]. Use/uptake of antiemetic guidelines according to several studies is around 30%, suggesting that at least one-third of chemotherapy patients in western countries have improved antiemetic control as a result of these guidelines.
Our work [S2] has been incorporated in the UK’s NICE guidance on ‘Melanoma: assessment and treatment’ (2015). In addition, our work on cough related to lung cancer has been embedded into the 2017 guidelines on lung cancer of the American College of Chest Physicians (ACCP), which has been highly cited [S3]. Cough is present in 85% and is a distressing symptom in 65% of the 2 million people diagnosed with lung cancer in the world each year. These CHEST guidelines have wide reach, not only to the 50,000 chest physicians receiving the Chest Journal and the CHEST guidelines open-access website where this is also listed, but also by endorsement (as stated in the journal website) by the following societies: American College of Allergy, Asthma and Immunology; American Thoracic Society; Asian Pacific Society of Respirology; Canadian Thoracic Society; Irish Thoracic Society.
Continuity of care in supporting cancer survivors returning home to lead a life with quality is important. Wong & team showed empirical evidence of a well-structured nurse-led transitional home-based palliative care model. The General Manager (Nursing) of one of the study hospitals (>2,000 beds, serving a population of 900,000 encompassing one-third of all cancer patients in Hong Kong) confirmed the value of the work in enhancing clinical and patient outcomes and cost control leading to the hospital cluster receiving ‘Excellent’ rating by the Australian Hospital Accreditation Team on the service. Wong & team’s work is now incorporated in the NICE guideline 94 on Community Palliative Care, highlighting the effects of home-based transitional care in reducing hospital readmissions and enhancing patient QoL (S4).
Our research has supported cancer survivors to improve their lives, particularly during debilitating cancer treatments. The Hospital Authority adopted Wong’s work for nurse clinic accreditation (S4) for following up discharged patients in the community. Based on the work in transitional care, the use of community-based nurse clinics aroused wide media coverage advocating the use of nurse clinics to support health maintenance and individual well-being. The discussion was raised to the level of Government support with the need for resources and policy planning. Educationally, the American Society of Clinical Oncology (ASCO) has created a series of online materials in 2015-2018 related to the work of the team, with Molassiotis leading on some of the online clips, with access to over 50,000 oncology health professionals [S5].
S1. MASCC/ESMO International clinical guidelines where our research is cited, reaching >5,000 clinician members and a large (but unknown) number through its free availability/access of the guidelines https://www.esmo.org/Guidelines/Supportive-and-Palliative-Care/MASCC-and-ESMO-Consensus-Guidelines-for-the-Prevention-of-Chemotherapy-and-Radiotherapy-Induced-Nausea-and-Vomiting
S2. NICE guidance. Melanoma: assessment and treatment (2015). Citations in p54 and p.56 from our research. Influencing relevant section of standards of care. https://www.nice.org.uk/guidance/ng14/evidence/full-guideline-pdf-250314589
S3. American College of Chest Physicians (ACCP), CHEST clinical guidelines on cough in lung cancer. Used as standard of care. https://journal.chestnet.org/article/S0012-3692(17)30022-3/fulltext
S4. NICE guideline 94 on Community Palliative Care - https://www.nice.org.uk/guidance/ng94/evidence/14.community-palliative-care-pdf-172397464601
S5. American Society of Clinical Oncology (ASCO) webcasts disseminating information on our studies and sharing key results of our work, with findings reaching >50,000 ASCO members http://www.ascopost.com/issues/august-10-2016/more-focus-needed-on-chemotherapy-induced-nausea-as-a-cluster-of-symptoms/
Ongoing Research Students
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PhD Student
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PhD Student (Part-time)
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Externally Funded Projects
Effects of mHealth on promoting self-care health management among older adults in the community: A 3-arm randomized controlled trial
Investigators Name:
PI: Dr Kwan Ching WONG
Co-I: Mr Siu Man WONG, Ms Kit Sum Karen CHOW, Prof. Kam Yuet WONG
Funding Scheme/ Source of Funding: NICHE Research Grant
Total Grant: HK$137,844
Commencement Date: 4-Jan-21
Background: The use of mobile health (mHealth) has become common in recent years and is regarded as one of the most effective interventions for developing disease-specific management skills and establishing confidence in making preventive health behavior changes and accomplishing health-related goals among community-dwelling older adults. Most mHealth designs adopt a reactive care approach whereby health care professionals do not respond until they receive abnormal assessment results from the database or a message or signal from the client. The purpose of this study is to determine the effectiveness of a proactive mobile health application program with the support of a community health-social care team for older adults dwelling in the community on improving their self-care health management.
Methods: This is a three-armed, randomized controlled trial. The study will be conducted in 7 community centers with an estimated sample size of 282 participants. The participants will be randomly assigned to mHealth with interactivity, mHealth, and control groups when they are (1) aged 60 or above, (2) complaining chiefly of pain, hypertension, or diabetes mellitus, (3) living within the service areas, and (4) smartphone users. Subjects in the mHealth with interactivity group will receive 2 main elements, the mHealth application and nurse case management supported by a social service team. The mHealth group will receive the mHealth application only. The primary outcome measure will be self-efficacy, and secondary outcomes will include self-management outcomes (pain score, blood pressure, capillary blood glucose), client outcomes (quality of life, depression), and health service utilization outcomes (institutionalization and health service utilization [general practitioner, outpatient clinic, emergency room, hospital admission]). Data will be collected before intervention, after intervention, and 3 months after intervention.
Discussion: The incremental benefits of adding interactivity in the mHealth program have not been confirmed. This present study will add valuable information to the knowledge gap of whether mHealth with nurse interaction supported by a health-social partnership can improve self-care management among community-dwelling older adults.
Exploring the feasibility of simulation-based education on undergraduate students’ palliative care communication: Innovating a practice-based theory approach
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Dr Ka Pik Katherine CHANG, Dr Pui Man CHUNG, Dr Siouta ELENI, Dr Yuen Man SIU, Ms Ping Kit Kitty WONG, Prof. Marie Ann RAFFERTY, Prof. Slade DIANA
Funding Scheme/ Source of Funding: General Research Fund
Total Grant: HK$631,984
Commencement Date: 1-Jan-21
Background: The future practice of our graduates is no longer stable and predictable. Graduates are required to be not only knowledgeable and skillful, but also adaptive to the changing demands of work . The increasing use of simulation-based education (SBE) is to prepare nursing students for their practice. However, the standardized approaches with pre-determined outcomes only allow students to learn what is planned and delivered. The individualist and cognitive perspectives adopted in simulation are also insufficient to understand the process of how learning takes place in the complex professional practice. This understanding has an important implication for fidelity/realness in simulation since such scenarios cannot capture the full range of behaviours and interactions, most significantly within the embodied and material world of the nurse, notably the interface with physical tools, monitoring equipment, protocols, which shape and engineer practice. Hence emphasizing only the human or the social and the intended learning over the material and the unintended learning in SBE will undoubtedly limit our understanding of how knowledge is developed through SBE.
Purpose: The purpose of this study is to explore an innovative approach to student learning on palliative care communication through SBE, based on the sociomaterial perspective. Globally, palliative care is becoming increasingly complex, with ever more sophisticated treatment options and education needs for advanced care planning. This reality, combined with the tension and high emotions of patients, families, and nurses, is a clarion call to the importance of preparing nursing students through SBE to develop better communication with this population and their families prior to their clinical practice.
Method: An ethnographic approach will be adopted to examine SBE for nursing students' palliative care communication based on sociomaterial perspectives. In addition to a document review, data will be collected from field observations before simulations, video-recordings during simulations, focus group interviews through debriefings, and interviews with students after their subsequent clinical practice. There will be a collaborative analysis of data from field notes and videotapes; a content analysis of the focus group debriefings and follow-ups of students in practice, and a document and artifact analysis to determine how nurse-patient palliative care communication can be enhanced using the sociomaterial approach.
Relevance to simulation/clinical practice: The sociomaterial approach in SBE will help to attune us to the multiple ways in which human and non-human elements relate, which might otherwise go unnoticed during the simulation learning of palliative care communication.
Effects of a Video-based mHealth Program for the Homebound Older Adults: A Pilot Randomized Controlled Trial
Investigators Name:
PI: Dr Kwan Ching WONG
Co-I: Ms Kit Sum Karen CHOW, Prof. Kam Yuet WONG, Mr Siu Man WONG
Funding Scheme/ Source of Funding: NICHE Research Grant
Total Grant: HK$119,865
Commencement Date: 1-Jan-20
Background: Although homebound older adults are among the highest users in hospital services, the existing health and social services that provided to them in the community are limited and fragmented. This study tries to bring this group of older adults to the providers’ attention and design a health-social oriented self-care mobile Health (mHealth) program and subject it to empirical testing.
Methods: This is a randomized controlled trial. The study is supported by five community centers with an estimated sample size of 68 subjects. The subjects will be randomly assigned to video-based mHealth and control groups when they are (1) aged 60 or above, (2) going outdoor less than once per week in current six months, (3) living within the service areas, and (4) using smartphone. Subjects in the video-based mHealth group will receive two main elements, which include nurse case management that supported by a social service team and an individual-specific video messages covering self-care topics that delivered via smartphone. The control group will receive usual care only. Data will be collected at two time points—pre-intervention (T1) and post-intervention (T2). The primary outcome measure will be activity of daily living and secondary outcomes will include health outcomes (blood pressure, capillary blood glucose, instrumental activities of daily living, medication adherence), perceived well-being outcomes (quality of life, self-efficacy, depression), and health service utilization outcomes (outpatient clinic, emergency room, hospital admission).
Discussion: The current study will add to the knowledge gap in using mHealth supported by a health-social team in enhancing quality of life and self-care and meeting the needs of these particularly vulnerable older adults.
Zero-time Exercise - Integrating Exercise into Daily Life Activity at No Extra Time and Cost to Improve Sleep in Physically Inactive Adults with Insomnia Disorder: a Randomized Controlled Trial with Mixed-method Process Evaluation
Investigators Name:
PI: Dr Wai Fai YEUNG
Co-I: Dr Ka Fai CHUNG, Prof. Tai Hing LAM, Dr Yuen Kwan LAI, Dr Lai-ming HO, Prof. Yan-Yee HO, Dr Yuen Shan HO, Dr Kwai Ping Lorna SUEN
Funding Scheme/ Source of Funding: General Research Fund
Total Grant: HK$827,372
Commencement Date: 1-Jan-20
This is a randomized controlled trial embedded with a longitudinal mixed-method process evaluation which aims to (1) examine the effectiveness of ZTEx, a lifestyle-integrated physical activity programme, in inactive adults with insomnia disorder; (2) collect pilot evidence on the effect of WhatsApp Anti-inertia Reminders on exercise adherence. The process evaluation will identify the facilitators and barriers of subjects’ exercise adherence and explore the possible mechanisms of impact on the study outcomes.
This study consists of two phases. In the first phase (baseline to week 8), 136 subjects will be randomly allocated to the ZTEx intervention group or the sleep hygiene education (SHE) comparison group. They will receive two two-hour ZTEx training or SHE lessons and practice ZTEx or follow the sleep hygiene instruction for 24 weeks. After assessment at week 8, for the second phase of the study (weeks 9-24) which is a proof-of-concept pilot, subjects in the ZTEx group will be randomly divided into ZTEx with WhatsApp reminder (ZTEx+R) or ZTEx without WhatsApp reminder (ZTEx alone) subgroup to evaluate the effects of WhatsApp reminders on exercise adherence. Post-training and post-follow-up qualitative focus group interviews will be conducted for process evaluation.
The primary outcome measure is the severity of insomnia symptoms and daytime impairments by the Insomnia Severity Index (ISI) at week 8, 16, and 24. The secondary outcomes include subjective sleep diary and objective actigraphy; objective cognitive functioning, anxiety and depressive symptoms, fatigue level, and quality of life; objective physical activity level and exercise adherence will be assessed by waist-worn accelerometers. ZTEx and SHE groups will be compared using a mixed-effects model. Exercise adherence in the ZTEx+R and ZTEx alone subgroups will be compared.
This study will be the world’s first randomized controlled trial to provide rigorous scientific evidence on the effectiveness of lifestyle-integrated exercise for insomnia disorder. ZTEx is a brief intervention that can be easily disseminated in the community by briefly trained healthcare professionals to help people to relieve their insomnia and prevent the negative consequences of physical inactivity.
Electromoxibustion and Knee Health Education for Knee Osteoarthritis in Older Adults
Investigators Name:
PI: Dr Wing Fai YEUNG
Co-I: Dr Cheuk Chi Teris CHEUNG, Dr Yuen Shan HO, Dr Doris Y LEUNG, Dr Chun Lung SO, Dr Kwai Ping Lorna SUEN
Funding Scheme/ Source of Funding: Yan Chai Hospital (Collaborative)
Total Grant: HK $77,080
Commencement Date: 15-Sep-19
ObjectiveThis pilot RCT will preliminary examine the effects of an electromoxibustion device and knee health education on reliving knee osteoarthritis pain.
Method Design-This pilot RCT will embed a two-arm randomized control trial. The project will recruit 48 participants with knee OA. Eligible participants will be randomized into 2 groups – (1) Electromoxibustion, or (2) knee health education at 1:1 ratio. Major assessments will be performed at baseline and 4.
Participants- A total of 48 participants aged 60 years or more with knee pain will be recruited from the community through the Neighborhood Elderly Centres of Yan Chai Hospital.
Interventions- Participants in the intervention group will receive electromoxibustion using a knee-brace-like device which produces thermal stimulation with a moxa pad inside. The treatment will be delivered by a registered Chinese medicine practitioner 3 times per week for 4 weeks.
Control- Participants in the control group will attend 2 sessions (120 minutes each, 1-week apart) of health education related to knee osteoarthritis symptom management. The instructor will be a registered physiotherapist or nurse.
Outcome measures- (1) Pain severity numerical rating scale, NRS (Primary outcome); (2) Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for pain, physical function, and stiffness related to knee osteoarthritis; (3) Short Form-6D for quality of life; (4) Timed Up & Go Test (TUG); (5) Fast Gait Speed (FGS) for knee functioning.
Self-Administered Acupressure for Knee Osteoarthritis in Middle- and Older-aged Adults: A Randomized Controlled Trial
Investigators Name:
PI: Dr Wing Fai YEUNG
Co-I: Dr Shuk-ting Denise CHEUNG, Mr Tsz-chung CHONG, Dr Lai-ming HO, Dr Yuen Shan HO, Prof Li-xing LAO, Dr Kwai Ping Lorna SUEN, Dr King-ho Carlos WONG
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $1,194,640
Commencement Date: 1-Sep-19
Objectives: To evaluate the short- and medium-term effectiveness of self-administered acupressure taught by a short training course on reducing knee osteoarthritis (OA) pain in middle-aged and older adults.
Hypothesis: The self-administered acupressure group would have a greater pain relief compared to the knee health education (KHE) control in subjects with knee OA at week 4 (short-term) and 12 (medium-term).
Design and subjects: In this fully-powered randomized controlled trial, 314 participants with knee OA recruited from the community will be randomized to self-administered acupressure or KHE group in a 1: 1 ratio.
Study instrument: Numerical rating scale (NRS) will be used to assess pain intensity in the knee.
Interventions: Participants in the self-administered acupressure will attend two 2-hour training sessions (1 week apart) to learn self-administered acupressure and practice twice daily for 12 weeks. Participants in the control group will receive knee health education of the same schedule and duration.
Main outcome measures: The primary outcome measure is the NRS score at 12 weeks. Other outcomes include Western Ontario and McMaster University Osteoarthritis Index, Short Form Six Dimensions, Timed Up & Go Test, Fast Gait Speed, pain medication usage. Compliance of self-administered acupressure will also be evaluated.
Data Analysis: Differences in the scale scores and test parameters will be examined using a linear mixed-effects model.
Expected results: Subjects in the self-administered acupressure group will have greater improvement in NRS and other related parameters compared to those in the KHE group at week 4 and 12.
Understanding Needs of Paediatric Patients with Life-Limiting Diseases: Towards a Model of Paediatric Palliative Care
Investigators Name:
PI: Prof. Kam Yuet WONG
Co-I: Dr Cheong-wai Stephen CHAN, Dr Chi-hang Assunta HO, Ms Mei Chi Jacqueline HO, Dr Po-yee Lilian LEE, Ms Wai-yee Susanna LEE, Dr Chak-ho Rever LI, Prof Chi-kong LI, Dr Kwing-wan TSUI
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK$565,725
Commencement Date: 15-Jun-19
Objectives Children with life-limiting diseases (LLD) and their families face enormous challenges. While the disease is non-curative, the children and families have tremendous needs requiring physical-psycho-social-spiritual support. It is recommended that pediatric palliative care (PPC) should be initiated once diagnosis is made. There is a paucity of knowledge of the essential elements that should be included in the PPC model that suits local needs. Our study aims to explore the needs of pediatric patients with LLD from the perspectives of the children, parents and the healthcare providers, as the exploratory phase towards the building of a PPC model.
Methods A multiple-case study research design. Purposive sampling of 25 sets of cases, with each case comprises of 3 informants, i.e. the child, family and the healthcare provider, that result in 75 individual interviews in total. Inclusion criteria are LLD children aged from 8 to 19, their parents and key healthcare providers. Data will be collected through in-depth semi-structured interview with the interview guide constructed to solicit the perceived needs on physical-psychosocial-spiritual support, informational support and the views on palliative care approach. Inductive thematic analysis will be used to analyze the data. Within-case and cross-case comparison will be executed to denote patterns, similarities and differences.
Expected result: This study will help inform healthcare policy makers and providers to build a palliative care model for the LLD children and their families to receive help that is coordinated and proactive for patients’ quality of life and potentially reduce unnecessary use of hospital services.
Validation and Acceptability of the Carer Support Needs Assessment Tool: A Holistic Needs Screening Scale for Routine use in Hong Kong Palliative Care Settings
Investigators Name:
PI: Dr Huilin CHENG
Co-I: Dr Ching LAM, Dr Yin Ping LEUNG, Dr Andrew Luk LEUNG, Ms Ko Po SHAN
Funding Scheme/ Source of Funding: Nethersole Institute of Continuing Holistic Health Education (NICHE)
Total Grant: HK$101,464
Commencement Date: 1-Jul-19
Could Graduating Nurses of the Undergraduate Programme Embrace Caring Communication in Palliative Care? A Mixed-methods Study
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Dr Ka Pik Katherine CHANG, Dr Pui Man CHUNG, Ms Ko Po SHAN, Ms Ping Kit Kitty WONG
Funding Scheme/ Source of Funding: Nethersole Institute of Continuing Holistic Health Education (NICHE)
Total Grant: HK$120,000
Commencement Date: 1-May-19
Purpose: The primary purpose of this study is to explore the impacts of SBE on caring communication in helping nursing students’ development of the knowledge, skills, and attitude to work in palliative care. The secondary purpose is to discern whether or not communication education using simulation enhance nursing students’ perceived self-efficacy in caring communication in palliative care.
Method: This is a mixed-method concurrent triagulation design with four phases. Phase 1 consists of students’ reflective value clarification with a pre and post questionnaire survey. Phase 2 included observations of nurse experts in real clinical settings and debriefing with nurse experts. Phase 3 refers to students’ demonstration of their communication skills through simulations with standardized patients, and the last phase consists of focus groups for students’ reflections on the simulated performances and the overall process. While quantitative data will be analysed through descriptive statistics and paired sample T-tests, the qualitative data will be evaluated by a content analysis.
Conclusion: The findings of this study will facilitate the learning of valued-based caring communication and the use of the various assessments in this study. This, in turn, will further our understanding of the best way for the students to learn holistic caring communication based on the concepts of trust, knowing, and presence as laid out in caring theories.
Self-administered Acupressure for Insomnia Disorder: A Randomized Controlled Trial
Investigators Name:
PI: Dr Wing Fai YEUNG
Co-I: Dr Ka-Fai CHUNG, Dr Fiona Yan-Yee HO, Dr Lai-Ming HO, Dr Kwai Ping Lorna SUEN, Prof Li-Xing LAO, Prof Zhang-Jin ZHANG
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $836,360
Commencement Date: 1-Aug-18
Investigating the Effects of Electroacupuncture on Postoperative Cognitive Dysfunction: A Preclinical Study
Investigators Name:
PI: Dr Yuen Shan HO
Co-I: Dr Raymond Chuen-Chung CHANG, Dr Gordon Tin Chun WONG, Dr Wing Fai YEUNG, Prof Hong Qi
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $1,198,000
Commencement Date: 2-May-18
Economic Evaluation on an Enhanced Post-discharge Home-based Care Program (EHP) to Improve the Quality of Life for Stroke Survivors in Harbin China
Investigators Name:
PI: Prof. Kam Yuet WONG
Co-PI: Dr Shao Ling WANG
Co-I: Li Jie WU
Funding Scheme/ Source of Funding: Hong Kong Nurses Training & Education Foundation Limited
Total Grant: HK $160,000
Commencement Date: 1-Mar-18
An Enhanced Post-discharge Home-based Care Program (EHP) to Improve the Quality of Life for Stroke Survivors in Harbin China: a Randomized Controlled Trial
Investigators Name:
Rep Co-PI: Prof. Kam Yuet WONG
Co-PI: Dr Shao Ling WANG
Co-I: Li Jie WU
Funding Scheme/ Source of Funding: T.S. Lo Foundation
Total Grant: HK $250,000
Commencement Date: 3-Jan-18
Determining the Role of Acupuncture in the Modulation of Peripheral Oxidative Stress in Patients with Insomnia: A Randomized Placebo-Controlled Trial
Investigators Name:
PI: Dr Wing Fai YEUNG
Funding Scheme/ Source of Funding: RGC Early Career Scheme
Total Grant: HK $735,971
Commencement Date: 1-Jan-18
Temporal Association Between Objectively-Measured Smartphone Usage, Sleeping Quality, and Physical Activity in Hong Kong Adolescents and Young Adults
Investigators Name:
PI: Dr Hong LEE
Funding Scheme/ Source of Funding: RGC Early Career Scheme
Total Grant: HK $513,340
Commencement Date: 1-Jan-17
A Language Analysis of Speak-up Strategies in an Intensive Care Unit Using Existing Data of Audio-recorded Clinician-to-clinician Interactions
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Dr Kang Yiu LAI, Dr Wing Yiu George NG, Dr Hang Kwong Eric SO
Funding Scheme/ Source of Funding: Hong Kong Hospital Authority
Total Grant: HK $184,000
Commencement Date: 14-Nov-16
Uncovering the Meanings of Psychosocial Care Experience of Cancer Patients and/or their Informal Care-givers at Maggie's Cancer Caring Centre
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Dr Siu Yin CHING, Mrs Helen LUI, Ms Jacobi SHING
Funding Scheme/ Source of Funding: Maggie’s Cancer Caring Centre
Total Grant: HK $388,088
Commencement Date: 3-May-16
Effectiveness Of Auriculotherapy On Older People With Insomnia
Investigators Name:
PI: Dr Kwai Ping Lorna SUEN
Co-I: Dr Chao Hsing YEH, Prof. Alexandros MOLASIOTIS
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $1,016,414
Commencement Date: 3-May-16
Smart Device Usage, Lifestyles Behaviors, Physical Fitness, and Eye Problems: A Prospective Study in Hong Kong Adolescents
Investigators Name:
PI: Dr Hong LEE
Co-I: Dr Chi Wai DO, Dr Regina Lai Tong LEE, Dr Chun Lung SO, Dr Pui Yuk Grace SZETO
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $1,166,500
Commencement Date: 1-Apr-16
Speaking Up for Patient Safety in ICU - A Pilot Study
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Ms Ka Wai Christina CHAN, Dr Lap Yin HO, Dr Man Kit Marvin LAM, Dr Wing Yiu NG, Dr Hang Kwong Eric SO, Prof. Diana SLADE, Prof. Martin Christian Mat MATTHIESSEN
Funding Scheme/ Source of Funding: Hong Kong Hospital Authority
Total Grant: HK $95,400
Commencement Date: 1-Feb-16
Effects of an Aging-in-Place Health-Social Partnership Program Among Community-Dwelling Older People: A Randomized Controlled Trial
Investigators Name:
PI: Prof. Kam Yuet WONG
Co-I: Dr Choi Wan CHAN, Dr Ka Pik Katherine CHANG, Dr Ka Yee Susan CHOW, Dr Hong LEE, Dr Lai Har WU, Mr Yick Hay CHOW, Mr Hon Fat WONG, Ms Adela Shuet Fun LAI
Funding Scheme/ Source of Funding: General Research Fund
Total Grant: HK $1,309,142
Commencement Date: 1-Jan-16
A Contextualized Understanding of Nurse-Patient Communication and its Impact on Nurses' Learning and Patient Satisfaction
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Prof. Martin Christian Mat MATTHIESSEN, Prof. Diana SLADE, Dr Siu Yin CHING, Dr Wah Kun TONG, Dr Fiona Yan Yan WONG, Miss Yuk Yin LAM
Funding Scheme/ Source of Funding: General Research Fund
Total Grant: HK $646,008
Commencement Date: 1-Jan-16
Improving Continuity of Care for Patient Safety through Effective Nursing Handover Communication
Investigators Name:
PI: Dr Engle Angela CHAN
Co-I: Prof. Diana SLADE, Dr Man Kit Marvin LAM, Ms Manbo MAN
Funding Scheme/ Source of Funding: Hong Kong Sanatorium & Hospital Nurses Alumni Association
Total Grant: HK $20,000
Commencement Date: 1-Dec-15
Electroacupuncture for Tapering Off Long-Term Benzodiazepine Use: A Randomized Controlled Trial
Investigators Name:
PI: Dr Wing Fai YEUNG
Co-I: Dr Wai Chi CHAN, Dr Ka Fai CHUNG, Dr Lai Ming HO, Dr Lixing LAO, Dr Shi Ping ZHANG, Dr Zhang Jin ZHANG
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $756,607
Commencement Date: 1-Jul-15
Building Resilience in the Nursing Student Workforce: Qualitative Study among Nursing Students in Hong Kong
Investigators Name:
PI: Dr Siu Yin CHING
Co-I: Dr Kin CHEUNG
Funding Scheme/ Source of Funding: Sigma Theta Tau International
Total Grant: HK $38,773
Commencement Date: 1-Jun-15
Setting: The study was conducted in a university. Participants: Twenty-four final year baccalaureate nursing students, who were identified in the quantitative phase of the study as having scores indicating the following: a) low resilience and high burnout; b) high resilience and low burnout. Method: Ten focus group interviews were conducted using a semi-structured interview guide. The interviews were digitally recorded and transcribed verbatim in Chinese for a thematic analysis. Results: Two main themes were identified from the interviews: a) stressors arising from students’ expectations of the clinical placement (i.e., the practice demands of busy wards, striving for learning opportunities, and discovering the social rules), and b) coping as a process of fitting into the ward culture. While the students all reported similar stressors, the coping mechanisms that they used to deal with these stressors differed between the two groups. Those students with high resilience and low burnout scores had a self-directed goal and used self-regulation strategies. Students with high burnout and low resilience adopted external orientation and self-blame strategies. Conclusions: The resilience and burnout scores of the student nurses provide insight into the way that nursing students deal with stressors. To build and maintain resilience in the students, the following are recommended: interventions to enable the students to actively fit into the clinical environment; encourage engagement in reflection to facilitate self-awareness; and encourage flexible use of personal and external resources.
The effectiveness of a pressure ulcer prevention programme for older people in for-profit private nursing homes: A cluster randomised controlled trail
Investigators Name:
PI: Dr Hong LEE
Co-I: Dr Wai Yung KWONG, Dr Kwan Mo YEUNG, Ms Siu Ming Susan LAW, Mr Yiu Cho KWAN
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $875,000
Commencement Date: 15-May-15
Interventions: The PU prevention programme includes a staff training course tailor-made to non-professional care staff and a prevention protocol guiding them to assess the PU risk and provide preventive interventions accordingly. The protocol will be implemented for 12 weeks. The control group will receive usual pressure ulcer prevention care. Main outcome measures: PU prevalence, incidence and risk of residents. Data analysis: Chi-square test will be performed to compare PU prevalence and incidence between the two groups. Mixed between-within subjects ANOVA will be performed to compare PU risk between the two groups and over time. Expected results: The PU prevention programme will significantly reduce PU prevalence, incidence and risk at the 6th week and the end of protocol implementation.
Assessment of In-use Reliability of N95 Respirators for Respiratory Protection of Health Care Workers
Investigators Name:
PI: Dr Kwai Ping Lorna SUEN
Co-I: Dr Maureen Valerie BOOST, Dr Margaret May O'DONOGHUE, Dr Lin YANG, Mr Hin Kee Keith FUNG, Ms Suk Ki HO
Funding Scheme/ Source of Funding: Hong Kong Infection Control Nurses' Association
Total Grant: HK $93,500
Commencement Date: 1-Apr-15
A Randomised Controlled Trial to Assess the Effectiveness and Cost Effectiveness of Acupuncture in the Management of Chemotherapy-induced Peripheral Neuropathy
Investigators Name:
PI: Prof. Alexandros MOLASIOTIS
Co-I: Prof. Tony MOK, Prof. Winnie YEO, Dr Howan LEUNG, Dr Kwai Ping Lorna SUEN
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $969,700
Commencement Date: 16-Mar-15
Objective: to test the effectiveness and the cost impact of an 8-week course of acupuncture in the management of chemotherapy-induced peripheral neuropathy (CIPN) in cancer patients receiving neurotoxic chemotherapy.
Hypothesis: Acupuncture is more effective than non-penetrating sham acupuncture or standard care alone in patients experiencing CIPN-related pain.
Design & subjects: Randomised placebo-controlled trial with three groups. 108 lung, breast or gynaecological cancer patients with CIPN-related symptoms. Intervention: Subjects will be randomized to receive a) acupuncture twice weekly for 8 weeks needling 8 specific points, b) placebo non-penetrating acupuncture in non-acupuncture points and c) only standard care. Study instruments: Primary outcome will be pain intensity over the past week.
Secondary measures: CTC grading and WHO scale for neuropathy, and the FACT-COG-Ntx quality of life scale, assessed at baseline, end of treatment (8 weeks), week 14 and week 20 from the beginning of treatment, sensory examination and health economics assessment.
Data Analysis: Intention to treat analysis will be used. Analyses will include analysis of variance to assess between-groups differences, regression analysis and 95% CIs.
Expected Results: New information about the delivery and outcomes of acupuncture in the management of a debilitating symptom/side effect of cancer therapies in order to inform decision-making, policy-making, providers and consumers, contributing to the evidence base for the treatment of chemotherapy-induced peripheral neuropathy. We will provide information that can lead to improvements in the care of cancer patients, have a positive impact on quality of life and may increase the number of patients successfully completing neurotoxic treatments.
Can the wActiSleep-BT Accelerometer Accurately Measure Total Sleep Time, Awake Time After Sleep, and Sleep Efficiency?
Investigators Name:
PI: Dr Hong LEE
Co-I: Dr Kwai Ping Lorna SUEN
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $80,000
Commencement Date: 1-Mar-15
2). Hypothesis to be tested: The wActiSleep-BT can assess sleep parameters including total sleep time, wake after sleep onset (awake time after sleep), and sleep efficiency.
Design and subject: A random sample of 50 adults aged 18-64 will be invited to wear both accelerometers on their non-dominant wrist for 7 consecutive days. Study instruments: Sleep parameters will be measured using wActiSleep-BT and Actiwatch 2. The presence of sleeping disorder will be measured by the Chinese version of the Pittsburgh’s Sleeping Quality Index.
Main outcome measures: Total sleeping time, wake after sleep onset, and sleep efficacy. Data analysis: Epochs from both accelerometers will be classified as either sleep or awake using established algorithms (Cole-Kripke, Sadeh, Sazonov), and these data will be transformed to total sleeping time, wake after sleep onset, and sleep efficacy. The agreement of the two accelerometers will be compared using correlations and accuracy by t-test / Wilcoxon signed-rank test. The predictive power of the wActiSleep-BT to monitor sleep/wake status will be evaluated by sensitivity, specificity, accuracy, and ROC analyses. Expect results: The wActiSleep-BT can accurately assess sleep parameters.
Adoption of Health Promoting Lifestyle among Chinese Breast and Colorectal Cancer Survivors during the First 5 Years after Completion of Treatment
Investigators Name:
PI: Dr Siu Yin CHING
Co-I: Prof. Esther MOK
Funding Scheme/ Source of Funding: Health and Medical Research Fund (HMRF)
Total Grant: HK $80,000
Commencement Date: 20-Jan-14
Design: Combining cross-sectional quantitative survey and focus group interviews.Subjects and setting: 197 adult Chinese breast! coloreclal cancer survivors who have completed treatment within the past five years will be recruited from hospitalsl community organizations in Hong Kong. Twenty four breast and colorectal cancer survivors will be invited to join focus group interviews through purposive sampling.
Study instruments: Demographic and medical data sheets, modified Health Promoting Lifestyle Questionnaire, Perceived Self-efficacy and Multidimensional Health Locus of Control Scale (MHLOCS) will be adopted in quantitative survey. Interview guide will be used in focus group interview. Interventions: No intervention will be delivered.
Main outcome measures: Questionnaires will be used to collect data on breast and colorectal cancer survivors' perceived locus of control, perceived self-efficacy, and adoption of health promoting lifestyle behaviors. The subjects' adoption of health promoting lifestyles, the influencing factors, and their comments on the serv·lces required will be explored in focus group interview.
Data analysis: Pearson's r correlation will be used to test the existence of relationships between the perceived self-efficacy, perceived locus of control, and health promoting lifestyle. The relationships among all the independent variables and the dependent variable (I.e. health promoting lifestyle) will be evaluated by path analysis. Qualitative content analysis will be used to analyze interview data.
Expected results: Health promoting lifestyle of breast and colorectal cancer survivors may be affected by personal, medical and cultural factors.
Effects of a Transitional Palliative Care Model on Patients with End-stage Heart Failure
Investigators Name:
PI: Prof. Kam Yuet WONG
Co-I: Dr Moon Fai CHAN, Dr Ka Yee Susan CHOW, Dr Po Tin LAM, Dr Sheung Ching Jeffrey NG, Dr Mau Kwong Michael SHUM, Miss Po Shan KO, Miss Man Wai LEUNG, Ms Faith LIU, Prof. Sarah MCGHEE
Funding Scheme/ Source of Funding: General Research Fund
Total Grant: HK $597,812
Commencement Date: 1-Jan-13
Publications
| Asano, R., Mathai, S.C., Macdonald, P.S., Newton, P.J., Currow, D.C., Phillips, J., Yeung, J. & Davidson, P.M. (2019). Oxygen use in chronic heart failure to relieve breathlessness: A systematic review. Heart Failure Reviews, 1-11. |
| Chan, K. , Wong, F.K.Y., Chan, L.K. & Ganotice, F.A. (2019). Interprofessional Team-Based Learning: A Revealing Process for Cultivating Professional Identity among Nursing Students. Open Journal of Nursing, 9(3), 249-267. |
| Chan, K. , Wong, F.K.Y. & Lee, P.H. (2019). A brief hope intervention to increase hope level and improve well-being in rehabilitating cancer patients: a feasibility test. SAGE Open Nursing, 5, 1-13. |
| Chen, H., Yang, M., Ning, Z., Lam, W.L., Zhao, Y.K., Yeung, J., Ng, B.F.L., Ziea, E.T.C. & Lao, L. (2019). A Guideline for Randomized Controlled Trials of Acupuncture. The American Journal of Chinese Medicine, 47(1), 1-18. |
| Chen, S. , Yu, Y.M.B., Suen, L.K.P., Yu, J., Ho, F.Y.Y., Yang, J.J. & Yeung, J. (2019). Massage therapy for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents: A systematic review and meta-analysis. Complementary Therapies in Medicine, 42, 389-399. |
| Cheung, K. , Ching, S.S.Y., Cheng, S.H.N. & Ho, S.S.M. (2019). Prevalence and impact of clinical violence towards nursing students in Hong Kong: a cross-sectional study. BMJ Open, 9(5), 27385. |
| Ching, S.S.Y. & Mok, E.S.B. (2019). Adoption of healthy lifestyles among Chinese cancer survivors during the first five years after completion of treatment. Ethnicity & Health, 1-20. |
| Chung, K.F., Yeung, J., Yu, Y.M.B., Zhang, S.P. & Zhang, Z.J. (2019). Combined electroacupuncture and auricular acupuncture for primary insomnia: a randomised controlled trial of dose-response effect. Hong Kong Medical Journal, 25(1), 28-33. |
| Eriksson, A.P. , Kumlien, C., Ching, S.S.Y., Carlson, E. & Molasiotis, A. (2019). Impact on Quality of Life of Men with Screening-Detected Abdominal Aortic Aneurysms Attending Regular Follow ups: A Narrative Literature Review. European Journal of Vascular and Endovascular Surgery, 57(4), 589-596. |
| Han, L. , Ran, J., Mak, Y.W., Suen, L.K.P., Lee, P.H., Peiris, J.S.M. & Yang, L. (2019). Smoking and Influenza-associated Morbidity and Mortality: A Systematic Review and Meta-analysis. Epidemiology, 30(3), 405-417. |
| Ko, S.Y., Leung, D.Y.P. & Wong, E.M.L. (2019). Effects of easy listening music intervention on satisfaction, anxiety, and pain in patients undergoing colonoscopy: a pilot randomized controlled trial. Clinical Interventions in Aging, 14, 977-986. |
| Lee, P.H. (2019). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature, 569, 260-264. |
| Lee, R.L.T., Brown, M., Leung, C., Chen, H., Louie, L., Chen, J.L. & Lee, P.H. (2019). Family carers’ experiences of participating in a weight management programme for overweight children and adolescents with intellectual disabilities: An exploratory study. Journal of Advanced Nursing, 75(2), 388-399. |
| Leung, A.Y.M. , Chau, P.H., Leung, S.H.I., Tse, M., Wong, P.L.C., Tam, W.M. & Leung, D.Y.P. (2019). Motivating Diabetic and Hypertensive Patients to Engage in Regular Physical Activity: A Multi-Component Intervention Derived from the Concept of Photovoice. International Journal of Environmental Research and Public Health, 7 (16), 1219. |
| Leung, D.Y.P. , Chan, H.Y.L., Yau, S.Z.M., Chiu, P.K.C., Tang, F.W.K. & Kwan, J.S.K. (2019). A video‐supported nurse‐led advance care planning on end‐of‐life decision‐making among frail older patients: Protocol for a randomized controlled trial. Journal of Advanced Nursing, 75(6), 1360-1369. |
| Liu, Y., Yan, T., Chu, J.M.T., Chen, Y., Dunnett, S., Ho, Y.S., Wong, G.T.C. & Chang, R.C.C. (2019). The beneficial effects of physical exercise in the brain and related pathophysiological mechanisms in neurodegenerative diseases. Laboratory Investigation, 99(7), 943-957. |
| Lyu, Q.Y., Wong, F.K.Y., You, L.M. & Zhou, X.Z. (2019). Unmet Family Needs Concerning Healthcare Services in the Setting of Childhood Hospitalization for Cancer Treatment in Mainland China: A Qualitative Study. Journal of Pediatric Nursing, 44, 66-71. |
| Molasiotis, A. , Cheng, H., Leung, K.T., Li, Y.C., Wong, K.H., Au, J.S.K., Sundar, R., Chan, A., Ng, T.R.D., Suen, L.K.P., Chan, C.W., Yorke, J. & Lopez, V. (2019). Risk factors for chemotherapy‐induced peripheral neuropathy in patients receiving taxane‐ and platinum‐based chemotherapy. Brain and Behavior, 9(6), 1-10. |
| Molasiotis, A. , Cheng, H., Lopez, V., Au, J.S.K., Chan, A., Bandla, A., Leung, K.T., Li, Y.C., Wong, K.H., Suen, L.K.P., Chan, C.W., Yorke, J., Farrell, C. & Sundar, R. (2019). Are we mis-estimating chemotherapy-induced peripheral neuropathy? Analysis of assessment methodologies from a prospective, multinational, longitudinal cohort study of patients receiving neurotoxic chemotherapy. BMC Cancer, 19(1), 132-150. |
| Molasiotis, A. , Suen, L.K.P., Cheng, H., Mok, T.S.K., Lee, S.C.Y., Wang, C.H., Lee, P.H., Leung, H., Chan, V., Lau, T.K.H. & Yeo, W. (2019). A Randomized Assessor-Blinded Wait-List-Controlled Trial to Assess the Effectiveness of Acupuncture in the Management of Chemotherapy-Induced Peripheral Neuropathy. Integrative Cancer Therapies, 18, 1-12. |
| Molasiotis, A. , Suen, L.K.P., Lai, C.K.Y., Chan, B., Wat, K.H.Y., Tang, J., To, K.L., Leung, C.O., Lee, S., Lee, P.H. & Chien, W.T. (2019). The effectiveness of acupressure in the management of depressive symptoms and in improving quality of life in older people living in the community: a randomised sham-controlled trial. Aging & Mental Health, 1-9. |
| Naghavi, M. on behalf of the Global Burden of Disease Self-Harm Collaborators (2019). Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ: British medical journal, 94. |
| Seto Nielsen, L., Goldstein, Z., Leung, D.Y., Lee, C. & Buick, C. (2019). A Scoping Review of Undocumented Immigrants and Palliative Care: Implications for the Canadian Context. Journal of Immigrant and Minority Health, 1-12. |
| Siouta, E., Farrell, C., Chan, E.A., Walshe, C. & Molasiotis, A. (2019). Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. European Journal of Oncology Nursing, 40, 10-21. |
| Suen, L.K.P. , Molasiotis, A., Yeung, K.W. & Yeh, C.H. (2019). Comparison of Magnetic Auriculotherapy, Laser Auriculotherapy and Their Combination for Treatment of Insomnia in the Elderly: A Double-Blinded Randomised Trial. Evidence-Based Complementary and Alternative Medicine, 2019, 1-19. |
| Suen, L.K.P. , Siu, G.K., Guo, Y.P., Yeung, K.W., Lo, Y.K. & O'donoghue, M.M. (2019). The public washroom - friend or foe? An observational study of washroom cleanliness combined with microbiological investigation of hand hygiene facilities. Antimicrobial Resistance & Infection Control, 8, 47-52. |
| Suen, L.K.P. , So, Z.Y.Y., Yeung, K.W., Lo, Y.K. & Lam, S.C. (2019). Epidemiological investigation on hand hygiene knowledge and behaviour: a cross-sectional study on gender disparity. BMC Public Health, 19(1), 401-414. |
| Suen, L.K.P. , Wang, W., Cheng, K.K.Y., Chua, M.C.H., Yeung, J., Koh, W.K., Yeung, K.W. & Ho, Y.S. (2019). Self-Administered Auricular Acupressure Integrated with a Smartphone App for Weight Reduction: Randomized Feasibility Trial. Journal of Medical Internet Research (JMIR) mhealth and uhealth, 7 (5), 14386. |
| Suen, L.K.P. , Wong, J.W.S., Lo, Y.K. & Lai, T.K.H. (2019). The use of hand scanner to enhance hand hygiene practice among nursing students: A single-blinded feasibility study. Nurse Education Today, 76, 137-147. |
| Suen, L.K.P. , Yeh, C.H., Yeung, K.W. & Yeung, J. (2019). Is the combined auriculotherapy approach superior to magneto-auriculotherapy alone in aging males with lower urinary tract symptoms? A randomized controlled trial. The Aging Male, 1-12. |
| Yeung, J. , Chung, K.F., Zhang, Z.J., Zhang, S.P., Chan, W.C., Ng, R.M.K., Chan, C.L.W., Ho, L.M., Yu, B.Y.M., Chau, J.C.S., Lau, N.C.L. & Lao, L.X. (2019). Electroacupuncture for tapering off long-term benzodiazepine use: A randomized controlled trial. Journal of Psychiatric Research, 109, 59-67. |
| Yuen, J.W.M. , Chang, K.K.P., Wong, F.K.Y., Wong, F.Y., Siu, J.Y.M., Ho, H.C., Wong, M.S., Ho, J.Y.S., Chan, K.L. & Yang, L. (2019). Influence of Urban Green Space and Facility Accessibility on Exercise and Healthy Diet in Hong Kong. International Journal of Environmental Research and Public Health, 16 (9), 1514. |
| Chan, A.W.K., Chair, S.Y., Lee, D.T.F., Leung, D.Y.P., Sit, J.W.H., Cheng, H.Y. & Taylor-Piliae, R.E. (2018). Tai Chi exercise is more effective than brisk walking in reducing cardiovascular disease risk factors among adults with hypertension: A randomised controlled trial. International Journal of Nursing Studies, 88, 44-52. |
| Chan, C.W. , Cheng, H., Au, S.K., Leung, K.T., Li, Y.C., Wong, K.H. & Molasiotis, A. (2018). Living with chemotherapy-induced peripheral neuropathy: Uncovering the symptom experience and self-management of neuropathic symptoms among cancer survivors. European Journal of Oncology Nursing, 36, 135-141. |
| Chan, E.A. , Ching, S.S.Y. & Li, M. (2018). An ethnographic inquiry into the psychosocial care for oncology patients in the community: Healing from the 4Es. European Journal of Oncology Nursing, 36, 40-47. |
| Chan, E.A. , Liu, J.Y.W., Fung, H.K.K., Tsang, P.L. & Yuen, J.W.M. (2018). Pre-departure preparation and co-curricular activities for Students' intercultural exchange: A mixed-methods study. Nurse Education Today, 63, 43-49. |
| Chan, H.Y.L., Ng, J.S.C., Chan, K.S., Ko, P.S., Leung, D.Y.P., Chan, C.W.H., Chan, L.N., Lee, I.F.K. & Lee, D.T.F. (2018). Effects of a nurse-led post-discharge advance care planning programme for community-dwelling patients nearing the end of life and their family members: A randomised controlled trial. International Journal of Nursing Studies, 87, 26-33. |
| Chang, K.K.P. & Wong, F.K.Y. (2018). Content analyses of telephone follow-up of older people with chronic heart problems using the omaha system. SM Gerontology and Geriatric Research, 2(2), 1017. |
| Cheung, C.C.T. , Lau, J.T.F., Wang, J.Z., Mo, P.K.H. & Ho, Y.S. (2018). Acceptability of HPV vaccines and associations with perceptions related to HPV and HPV vaccines among male baccalaureate students in Hong Kong. PLOS ONE, 13(6), 198615-198615. |
| Cheung, C.C.T. , Lee, P.H. & Yip, P.S.F. (2018). The association between workplace violence and physicians’ and nurses’ job satisfaction in Macau. PLOS ONE, 13(12), 207577. |
| Cheung, D.S.K. , Lai, C.K.Y., Wong, F.K.Y. & Leung, M.C.P. (2018). Is music-with-movement intervention better than music listening and social activities in alleviating agitation of people with moderate dementia? A randomized controlled trial. Dementia, 1. |
| Cheung, K. , Ching, S.S.Y., Ma, K.Y. & Szeto, G. (2018). Psychometric Evaluation of the Workstyle Short Form among Nursing Assistants with Work-Related Musculoskeletal Symptoms. International Journal of Environmental Research and Public Health, 15 (4), 823. |
| Cheung, K. , Szeto, G., Lai, G. & Ching, S.S.Y. (2018). Prevalence of and Factors Associated with Work-Related Musculoskeletal Symptoms in Nursing Assistants Working in Nursing Homes. International Journal of Environmental Research and Public Health, 15 (2), 265. |
| Choi, K.S. & Wong, H.F. (2018). Using Mobile Videoconferencing to Deliver Simultaneous Multi-Centre Health Education to Elderly People: A Pilot Study on Acceptance and Satisfaction. Journal of International Society of Telemedicine and eHealth, 6 (1), 1-7. |
| Chung, K.F. & Yeung, J. (2018). Insomnia with objective short sleep duration is associated with a reduced response to active or placebo acupuncture: a secondary analysis of three randomized controlled trials. Sleep and Biological Rhythms, 16(2), 197-204. |
| Chung, K.F., Yeung, J., Ho, F.Y.Y., Ho, L.M., Yung, K.P., Yu, Y.M.B. & Kwok, C.W. (2018). Predictors of Daytime Consequences of Insomnia: The Roles of Quantitative Criteria and Nonrestorative Sleep. Psychopathology, 51(4), 262-268. |
| Chung, K.F., Yeung, J., Ho, F.Y.Y. & Ng, T.K. (2018). Dysfunctional cognition regarding sleep as a mediator of outcome following acupuncture for insomnia. Acupuncture in Medicine, 36(3), 193-194. |
| Chung, K.F., Yeung, J., Leung, F.C.Y. & Yu, Y.M.B. (2018). When east meets west: Understanding the traditional Chinese medicine diagnoses on insomnia by Western medicine symptomatology. European Journal of Integrative Medicine, 17, 129-134. |
| Chung, K.F., Yeung, J., Yu, Y.M.B. & Ho, Fiona Y.Y. (2018). A population-based 2-year longitudinal study of insomnia disorder in a Chinese population in Hong Kong. Psychology, Health & Medicine, 23(5), 505-510. |
| Chung, K.F., Yeung, J., Yu, Y.M.B., Leung, F.C., Zhang, S.P., Zhang, Z.J., Ng, R.M.K. & Yiu, G.C. (2018). Acupuncture with or without combined auricular acupuncture for insomnia: a randomised, waitlist-controlled trial. Acupuncture in Medicine, 36(1), 2-13. |
| Chung, P.M.B. , Leung, D.Y., Leung, S.M. & Loke, A.Y. (2018). Beyond death and dying: how Chinese spouses navigate the final days with their loved ones suffering from terminal cancer. Supportive Care in Cancer, 26(1), 261-267. |
| Ho, G.W.K. , Bressington, D., Leung, S.F.,Lam, K.K.C., Leung, A.Y.M.,Molasiotis, A., Ligot, J., Ranoco, C., Sophal, C. & Valimaki, M. (2018). Depression literacy and health-seeking attitudes in the Western Pacific region: a mixed-methods study. Social Psychiatry and Psychiatric Epidemiology, 53(10), 1039-1049. |
| Hung, C.H.L., Cheng, S.S.Y., Cheung, Y.T., Wuwongse, S., Zhang, N.Q., Ho, Y.S., Lee, S.M.Y. & Chang, R.C.C. (2018). A reciprocal relationship between reactive oxygen species and mitochondrial dynamics in neurodegeneration. Redox Biology, 14, 7-19. |
| Lam, W. , Fowler, C. & Dawson, A. (2018). The role of culture in relation to the seasonal influenza prevention practices of Hong Kong Chinese parents with preschool children. International Journal of Health Promotion and Education, 56(1), 3-16. |
| Lai, X.B., Ching, S.S.Y., Wong, F.K.Y., Leung, C.W.Y., Lee, L.H., Wong, J.S.Y. & Lo, Y.F. (2018). The cost-effectiveness of a nurse-led care program for breast cancer patients undergoing outpatient-based chemotherapy – A feasibility trial. European Journal of Oncology Nursing, 36, 16-25. |
| Lai, X.B., Wong, F.K.Y. & Ching, S.S.Y. (2018). The experience of caring for patients at the end-of-life stage in non-palliative care settings: a qualitative study. BMC Palliative Care, 17(1), 116. |
| Lam, T.H., Chung, K.F., Lee, C.T., Yeung, J. & Yu, B.Y.M. (2018). Hypnotherapy for insomnia: A randomized controlled trial comparing generic and disease-specific suggestions. Complementary Therapies in Medicine, 41, 231-239. |
| Lam, W.L., Yeung, J., Wong, M.K., Cheung, C.W., Chan, K.K.L., Ngan, H.Y.S., Wong, C.K.H., Chen, H.Y. & Lao, L. (2018). Combined electroacupuncture and auricular acupuncture for postoperative pain after abdominal surgery for gynecological diseases: study protocol for a randomized controlled trial. Trials, 19(1), 1-8. |
| Lam, W.Y.Y. , Wong, F.Y. & Chan, E.A. (2018). Factors Affecting the Levels of Satisfaction with Nurse-Patient Communication Among Oncology Patients. Cancer Nursing, 1-11. |
| Lee, P.H. , Fu, B., Cai, W., Chen, J., Yuan, Z., Zhang, L. & Ying, X. (2018). The effectiveness of an on-line training program for improving knowledge of fire prevention and evacuation of healthcare workers: A randomized controlled trial. PLOS ONE, 13(7), 199747. |
| Mak, Y.W. , Kao, A.H.F., Tam, L.W.Y., Tse, V.W.C., Tse, D.T.H. & Leung, D.Y.P. (2018). Health-promoting lifestyle and quality of life among Chinese nursing students. Primary Health Care Research & Development, 1-8. |
| Mak, Y.W. , Loke, A.Y. & Wong, F.K.Y. (2018). Nursing Intervention Practices for Smoking Cessation: A Large Survey in Hong Kong. International Journal of Environmental Research and Public Health, 15 (5), 1046. |
| Ng, Y.M.A. & Wong, F.K.Y. (2018). Effects of a Home-Based Palliative Heart Failure Program on Quality of Life, Symptom Burden, Satisfaction and Caregiver Burden: A Randomized Controlled Trial. Journal of Pain and Symptom Management, 55(1), 1-11. |
| Poon, Y.P.Y.P., Kan, C.K., Yeung, J. & Chung, K.F. (2018). Delayed sleep-wake phase disorder and delayed sleep-wake phase in schizophrenia: Clinical and functional correlates. Schizophrenia Research, 202, 412-413. |
| Pun, J.K.H., Chan, E.A., Wang, S. & Slade, D. (2018). Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China. Patient Education and Counseling, 101(7), 1193-1206. |
| Suen, L.K.P. , Guo, Y.P., Tong, D.W.K., Leung, P., Lung, D., Ng, M.S.P., Lai, T.K.H., Lo, Y.K., Au-Yeung, C.H. & Yu, W. (2018). Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission. Antimicrobial Resistance & Infection Control, 7(1), 1-9. |
| Supriya, R., Tam, B.T., Yu, A.P., Lee, P.H., Lai, C.W.K., Cheng, K.K.Y., Yau, S.Y., Chan, L.W.C., Yung, B.Y., Sheridan, S. & Siu, P.M. (2018). Adipokines demonstrate the interacting influence of central obesity with other cardiometabolic risk factors of metabolic syndrome in Hong Kong Chinese adults. PLOS ONE, 13(8), 201585. |
| Supriya, R., Yung, B.Y., Yu, A.P., Lee, P.H., Lai, C.W.K., Cheng, K.Y., Yau, S.Y., Chan, L.W.C., Sheridan, S. & Siu, P.M. (2018). Adipokine Profiling in Adult Women With Central Obesity and Hypertension. Frontiers in Physiology, 9, 294. |
| Supriya, R., Yu, A.P., Lee, P.H., Lai, C.W.K., Cheng, K.Y., Yau, S.Y., Chan, L.W., Yung, M.C. & Siu, P.M. (2018). Yoga training modulates adipokines in adults with high-normal blood pressure and metabolic syndrome. Scandinavian Journal of Medicine & Science in Sports, 28(3), 1130-1138. |
| Tse, A.C.Y., Lee, P.H., Zhang, J. & Lai, E.W.H. (2018). Study protocol for a randomised controlled trial examining the association between physical activity and sleep quality in children with autism spectrum disorder based on the melatonin-mediated mechanism model. BMJ Open, 8(4), 1-7. |
| Tse, C.Y.A., Pang, C.L. & Lee, P.H. (2018). Choosing an Appropriate Physical Exercise to Reduce Stereotypic Behavior in Children with Autism Spectrum Disorders: A Non-randomized Crossover Study. Journal of Autism and Developmental Disorders, 48(5), 1666-1672. |
| Wang, T. , Molasiotis, A., Chung, P.M.B. & Tan, J.Y. (2018). Current Research Status of Palliative Care in Mainland China. Journal of Palliative Care, 1-27. |
| Wong, E.M.L. , Chair, S.Y., Leung, D.Y.P., Sit, J.W.H. & Leung, K.P. (2018). Home-based interactive e-health educational intervention for middle-aged adults to improve total exercise, adherence rate, exercise efficacy, and outcome: a randomised controlled trial. Hong Kong Medical Journal, 24(1), 34-38. |
| Wong, F.K.Y. , So, C., Ng, Y.M.A., Lam, P.T., Ng, J.S.C., Ng, N.H.Y., Chau, J. & Sham, M.M.K. (2018). Cost-effectiveness of a transitional home-based palliative care program for patients with end-stage heart failure. Palliative Medicine, 32(2), 476-484. |
| Wong, F.Y., Yang, L., Yuen, J.W.M., Chang, K.K.P. & Wong, F.K.Y. (2018). Assessing quality of life using WHOQOL-BREF: a cross-sectional study on the association between quality of life and neighborhood environmental satisfaction, and the mediating effect of health-related behaviors. BMC Public Health, 18(1), 1113. |
| Wong, K.C. , Wong, F.K.Y., Yeung, J. & Chang, K.K.P. (2018). The effect of complex interventions on supporting self-care among community-dwelling older adults: a systematic review and meta-analysis. Age and Ageing, 47(2), 185-193. |
| Yang, L. , Tan, J.Y., Ma, H., Zhao, H., Lai, J., Chen, J. & Suen, L.K.P. (2018). Warm-needle moxibustion for spasticity after stroke: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 82, 129-138. |
| Yeung, J. , Ho, F.Y.Y., Chung, K.F., Zhang , Z.J., Yu, Y.M.B., Suen, L.K.P., Chan, Y.T., Chen, H.Y., Ho, L.M. & Lao, L. (2018). Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial. Journal of Sleep Research, 27(2), 220-231. |
| Yeung, J. , Lai, A.Y.K., Ho, F.Y.Y., Suen, L.K.P., Chung, K.F., Ho, Y.S., Ho, L.M., Yu, Y.M.B., Chan, L.Y.T. & Lam, T.H. (2018). Effects of Zero-time Exercise on inactive adults with insomnia disorder: a pilot randomized controlled trial. Sleep Medicine, 52, 118-127. |
| Ying, L., Wu, L.H., Wu, X., Shu, J. & Loke, A.Y. (2018). Endurance with partnership: a preliminary conceptual framework for couples undergoing in vitro fertilisation treatment. Journal of Reproductive and Infant Psychology, 36(2), 144-157. |
| Yu, A.P., Ugwu, F.N., Tam, B.T., Lee, P.H., Lai, C.W.K., Wong, C.S., Lam, W.W., Sheridan, S. & Siu, P.M. (2018). One Year of Yoga Training Alters Ghrelin Axis in Centrally Obese Adults with Metabolic Syndrome. Frontiers in Physiology, 9, 1321. |
| Yu, A.P., Ugwu, F.N., Tam, B.T., Lee, P.H., Lai, C.W.K., Wong, C.S. & Siu, P.M. (2018). Ghrelin Axis Reveals the Interacting Influence of Central Obesity and Hypertension. Frontiers in Endocrinology, 9, 534. |
| Zhu, X., Wong, F.K.Y. & Wu, L.H. (2018). Development and evaluation of a nurse-led hypertension management model: A randomized controlled trial. International Journal of Nursing Studies, 77, 171-178. |
|
Butcon, J.V. & Chan, E.A. (2017).
Unpacking the Meaning of “Transitional
Palliative Care”: From the Lens of the Older
Persons and Their Carers. Journal
of Hospice & Palliative Nursing, 19(5),
487-497. |
| Butcon, J.V. & Chan, E.A. (2017). Certainty in Uncertainty: Our Position on Culture, Focused Ethnography, and Researching Older People. International Journal of Qualitative Methods, 16(1), 1-9. |
| Carlson, E., Stenberg, M., Chan, P.S.,Ho, S.S.K., Lai, T.K.H., Wong, K.C. & Chan, E.A. (2017). Nursing as universal and recognisable: Nursing students' perceptions of learning outcomes from intercultural peer learning webinars: A qualitative study. Nurse Education Today, 57, 54-59. |
| Chan, E.A. , Lai, T.K.H., Wong, K.C., Ho, S.S.K., Chan, P.S., Stenberg, M. & Carlson, E. (2017). Nursing Students' Intercultural Learning via Internationalization at Home: A Qualitative Descriptive Study. Nurse Education Today, 52, 34-39. |
| Chan, L.K., Ganotice, F., Wong, F.K.Y., Lau, C.S., Bridges, S.M., Chan, C.H.Y., Chan, N.K., Chan, P.W.L., Chen, H.Y., Chen, J.Y., Chu, J.K.P., Ho, C.C., Ho, M.C.J., Lam, T.P., Lam, V.S.F., Li, Q., Shen, J.G., Tanner, J.A., Tso, W.W.Y., Wong, K.C., Wong, G.T.C., Wong, J.Y.H., Wong, N.S., Worsley, A., Yu, L.K. & Yum, T.P. (2017). Implementation of an interprofessional team-based learning program involving seven undergraduate health and social care programs from two universities, and students’ evaluation of their readiness for interprofessional learning. BMC Medical Education, 17(1), 221. |
| Chan, M.S., Chung, K.F., Yung, K.P. & Yeung, J. (2017). Sleep in schizophrenia: A systematic review and meta-analysis of polysomnographic findings in case-control studies. Sleep Medicine Reviews, 32, 69-84. |
| Chen, M.L.S., Tan, J.Y. & Suen, L.K.P. (2017). Auricular therapy for lactation: A systematic review. Complementary Therapies in Clinical Practice, 29, 169-184. |
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| Chan, E.A., Lai, C.K.Y. (2015). Understanding the reasons why some elderly people do not wish to tell their life stories. Journal of Advanced Nursing, 71(7), 1661-1671. |
| Chan, E.A. , Nyback, M. (2015). A virtual caravan—A metaphor for home-internationalization through social media: A qualitative content analysis. Nurse Education Today, 35(6), 828-832. doi: 10.1016/j.nedt.2015.01.024 |
| Ching, S.S.Y. , Mak, W.C. (2015). Effect of an education program on knowledge, self-care behavior and handwashing competence on prevention of febrile neutropenia among breast cancer patients receiving Doxorubicin and Cyclophosphamide in Chemotherapy Day Centre. Asia-Pacific Journal of Oncology Nursing, 2(4), 276-288. |
| Cooper, C., Burden, S.T., Cheng, H., Molasiotis, A. (2015). Understanding and managing cancer-related weight loss and anorexia: insights from a systematic review of qualitative research: Cancer-related weight loss and anorexia.Journal of Cachexia, Sarcopenia and Muscle, 6(1), 99-111. |
| Cooper, C., Burden, S.T., Molasiotis, A. (2015). An explorative study of the views and experiences of food and weight loss in patients with operable pancreatic cancer perioperatively and following surgical intervention. Supportive Care in Cancer, 23(4), 1025-1033. |
| Ho, W.L., Leung, Y., Cheng, S.S.Y., Lok, C.K.M., Ho, Y.S., Baum, L., Yang, X., Chiu, K., Chang, R.C.C. (2015). Investigating degeneration of the retina in young and aged tau P301L mice. Life Sciences, 124, 16-23. doi: 10.1016/j.lfs.2014.12.019 |
| Huang, T.L., Chang, K. (2015). Knowledge and attitude of nutrition label use among people with type II diabetes mellitus in Hong Kong. Food Studies: An Interdisciplinary Journal, 4(3-4), 15-31. |
| Law, B., Chan, E.A. (2015). The experience of learning to speak up: A narrative inquiry on newly graduated registered nurses. Journal of Clinical Nursing, 24(13-14), 1837-1848. |
| Lee, P.H. (2015). A sensitivity analysis on the variability in accelerometer data processing for monitoring physical activity. Gait & Posture, 41(2), 516-521. doi:10.1016/j.gaitpost.2014.12.008 |
| Lee, P.H., Wong, F.K.Y. (2015). The Association Between Time Spent in Sedentary Behaviors and Blood Pressure: A Systematic Review and Meta-Analysis. Sports Medicine, 45(6), 867-880. doi: 10.1007/s40279-015-0322-y |
| Lee, R.L.T. , Leung, C., Tong, W.K., Chen, H., Lee, P.H. (2015). Comparative efficacy of a simplified hand washing program for improvement in hand hygiene and reduction of school absenteeism among children with intellectual disability. American Journal of Infection Control, 43(9), 907-912. |
| Liu, X.L., Tan, J.Y., Molassiotis, A., Suen, L.K.P., Shi, Y. (2015). Acupuncture-Point Stimulation for Postoperative Pain Control: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Evidence-Based Complementary and Alternative Medicine, 2015, 1-28. |
| Lyu, Q., Kong, S.K., Wong, F.K.Y., You, L. (2015). Validation of Hospitalization Impact Scale among families with children hospitalized for cancer treatment. Journal of Advanced Nursing, 71(8), 1958-1969. |
| Mak, Y.W., Lee, P.H., Loke, A.Y. (2015). Predictors of participation in a telephone-based Acceptance and Commitment Therapy for smoking cessation study. BMC Public Health, 15(1), 1-10. |
| Molasiotis, A. , Bailey, C., Caress, A., Tan, J.Y. (2015). Interventions for cough in cancer. Cochrane Database of Systematic Reviews, (5), 1465-1858. |
| Molasiotis, A. , Charalambous, A., Taylor, P., Stamataki, Z., Summers, Y. (2015). The effect of resistance inspiratory muscle training in the management of breathlessness in patients with thoracic malignancies: a feasibility randomised trial. Supportive Care in Cancer, 23(6), 1637-1645. |
| Molasiotis, A. , Uyterlinde, W., Hollen, P.J., Sarna, L., Palmer, P., Krishnasamy, M. (2015). Supportive Care in Lung Cancer: Milestones Over the Past 40 Years. Journal of Thoracic Oncology, 10(1), 10-18. |
| Moradian, S., Walshe, C., Shahidsales, S., Ghavam Nasiri, M.R., Pilling, M., Molasiotis, A.(2015). Nevasic audio program for the prevention of chemotherapy induced nausea and vomiting: A feasibility study using a randomized controlled trial design. European Journal of Oncology Nursing, 19 (3), 282-291. |
| Poon, D.C.H., Ho, Y.S. , Chiu, K., Wong, H.L., Chang, R.C.C. (2015). Sickness: From the focus on cytokines, prostaglandins, and complement factors to the perspectives of neurons.Neuroscience & Biobehavioral Reviews, 57, 30-45. |
| Poon, D.C.H., Ho, Y.S. , You, R., Tse, H.L., Chiu, K., Chang, R.C.C. (2015). PKR deficiency alters E. coli-induced sickness behaviors but does not exacerbate neuroimmune responses or bacterial load. Journal of Neuroinflammation, 12(1), 212. |
| Stamataki, Z., Brunton, L., Lorigan, P., Green, A.C., Newton-Bishop, J., Molasiotis, A. (2015). Assessing the impact of diagnosis and the related supportive care needs in patients with cutaneous melanoma. Supportive Care in Cancer, 23(3), 779-789. |
| Suen, L.K.P. , Yeh, C.H. (2015). To evaluate the effectiveness of a standardized protocol of auricular therapy using magnetic pellets on clients with uncontrolled hypertension. Liaoning Zhongyi Zazhi, 42(7), 1325-1326. |
| Suen, L.K.P. , Yeh, C.H., Kwan, J.Y.M., Lee, P.H., Yeung, G.S.P., Wong, E.C.Y., Lau, B.C., Tsang, S.C.H., Cheung, A.S.P., Yeung, V.T.F. (2015). Association of Auricular Reflective Points and Status of Type 2 Diabetes Mellitus: A Matched Case-Control Study. Evidence-Based Complementary and Alternative Medicine , 2015. |
| Suen, L.K.P. , Yeh, C.H., Lee, W.K., Chu, W.L., Loo, J.F.Y., Tam, W.H. (2015). Association of auricular reflective points and the status of lower urinary tract symptoms in aging males. The Aging Male, 1-8. |
| Tan, J.Y., Suen, L.K.P. , Wang, T., Molasiotis, A. (2015). Sham acupressure controls used in randomized controlled trials: A systematic review and critique. Plos One, 10(7), 1-40. |
| Tao, X.J., Chow, S.K.Y., Wong, F.K.Y. (2015). A nurse-led case management program on home exercise training for hemodialysis patients: A randomized controlled trial.International Journal of Nursing Studies, 52(6), 1029-1041. doi: 10.1016/j.ijnurstu.2015.03.013 |
| Tse, A.C.Y., Wong, T.W.L., Lee, P.H. (2015). Effect of Low-intensity Exercise on Physical and Cognitive Health in Older Adults: a Systematic Review. Sports Medicine – Open, 1(1), 37. |
| Tse, M.M.Y., Lee, P.H , Ng, S., Yeung, S. (2015). Peer-assisted pain management program for nursing home residents: Does it help to relieve chronic pain and enhance physical and psychological health?. Journal of Gerontology & Geriatric Research, 1-6. |
| Tse, M.M.Y. , Tang, S.K., Lee, P.H. (2015). The development and psychometric evaluation of the Perception of Play Questionnaire for older adults. Educational Gerontology, 2(42), 79-88. |
| Tse, M.M.Y. , Yin, H.H., Wong, K.Y. (2015). Systematic review of the predisposing, enabling, and reinforcing factors which influence nursing administration of opioids in the postoperative period: Nursing administration of opioids. Japan Journal of Nursing Science. doi: 10.1111/jjns.12075 |
| Wong, F.K.Y. , Liu, H., Wang, H., Anderson, D., Seib, C., Molasiotis, A. (2015). Global Nursing Issues and Development: Analysis of World Health Organization Documents. Journal of Nursing Scholarship, 47(6), 574-583. |
| Wong, K.C., Wong, F.K.Y., Chang, K.K.P. (2015). Health-social partnership intervention programme for community-dwelling older adults: a research protocol for a randomized controlled trial. Journal of Advanced Nursing, 71(11), 2673-2685. |
| Yang, L. , Chan, K.H., Suen, L.K.P., Chan, K.P., Wang, X., Cao, P., He, D., Malik Peiris, J.S., Wong, C.M. (2015). Age-specific epidemic waves of influenza and respiratory syncytial virus in a subtropical city. Scientific Reports, 5, 10390-10390. doi:10.1038/srep10390 |
| Yang, L. , Chan, K.H., Suen, L.K.P., Chan, K.P., Wang, X., Cao, P., He, D., Peiris, J.S.M, Wong, C.M. (2015). Impact of the 2009 H1N1 Pandemic on Age-Specific Epidemic Curves of Other Respiratory Viruses: A Comparison of Pre-Pandemic, Pandemic and Post-Pandemic Periods in a Subtropical City. Plos One, 10(4), 125447-125447. doi: 10.1371/journal.pone.0125447 |
| Yeh, C.H., Chien, L.C., Chiang, Y.C., Ren, D., Suen, L.K.P. (2015). Auricular Point Acupressure as an Adjunct Analgesic Treatment for Cancer Patients: A Feasibility Study. Pain Management Nursing, 16(3), 285-293. doi: 10.1016/j.pmn.2014.08.005 |
| Yeh, C.H., Suen, L.K.P., Chien, L.C., Margolis, L., Liang, Z., Glick, R.M., Morone, N.E. (2015). Day-to-Day Changes of Auricular Point Acupressure to Manage Chronic Low Back Pain: A 29-day Randomized Controlled Study. Pain Medicine, 16(10), 1857-1869. |
| Ying, L., Wu, L.H., Loke, A.Y. (2015). Gender differences in experiences with and adjustments to infertility: A literature review.International Journal of Nursing Studies, 52(10), 1640-1652. |
| Ying, L., Wu, L.H., Loke, A.Y. (2015). The Experience of Chinese Couples Undergoing In Vitro Fertilization Treatment: Perception of the Treatment Process and Partner Support. Plos One, 10 (10), 1-18. |
| Zhang, J.E., Wong, F.K.Y., Zheng, M.C., Hu, A.L., Zhang, H.Q. (2015). Psychometric Evaluation of the Ostomy Adjustment Scale in Chinese Cancer Patients With Colostomies. Cancer Nursing, 38(5), 395-405. |
| Chan, C.W. (2014). Perceptions of coronary heart disease: the development and psychometric testing of a measurement scale. Psychology, Health & Medicine, 19(2), 159-168. doi: 10.1080/13548506.2013.802354 |
| Chow, S.K.Y. & Wong, F.K.Y. (2014). A randomized controlled trial of a nurse-led case management programme for hospital-discharged older adults with co-morbidities. Journal of Advanced Nursing, 70(10), 2257-2271. doi: 10.1111/jan.12375 |
| Chow, S.K.Y. & Wong, F.K.Y. (2014). The reliability and validity of the Chinese version of the Short-form Chronic Disease Self-Efficacy Scales for older adults. Journal of Clinical Nursing, 23(7-8), 1095-1104. doi: 10.1111/jocn.12298 |
| Jordan, K., Gralla, R., Jahn, F. & Molassiotis, A. (2014). International antiemetic guidelines on chemotherapy induced nausea and vomiting (CINV): Content and implementation in daily routine practice. European Journal of Pharmacology, 722, 197-202. doi: 10.1016/j.ejphar.2013.09.073 |
| Kleinpell, R., Scanlon, A., Hibbert, D., Ganz, F., East, L., Fraser, D., Wong, F. & Beauchesne, M. (2014). Addressing Issues Impacting Advanced Nursing Practice Worldwide. The Online Journal of Issues in Nursing, 19(2), Manuscript 5. doi: 10.3912/OJIN.Vol19No02Man05 |
| Lai, X., Wong, F.K.Y. , Zhang, P., Leung, C.W.Y., Lee, L.H., Wong, J.S.Y., Lo, Y.F. & Ching, S.S.Y.(2014). The Computerized OMAHA System in Microsoft Office Excel. Studies in Health Technology and Informatics, 201, 310-314. |
| Lam, W. , Dawson, A. & Fowler, C. (2014). Health promotion interventions to prevent early childhood human influenza at the household level: a realist review to identify implications for programmes in Hong Kong. Journal of Clinical Nursing. doi: 10.1111/jocn.12646 |
| Lam, W.Y.Y., Wu, C.S.T. , Fowler, C. (2014). Understanding parental participation in health promotion services for their children. Issues in Comprehensive Pediatric Nursing, 37(4), 250-264. |
| Lee, P.H. (2014). Is a Cutoff of 10% Appropriate for the Change-in-Estimate Criterion of Confounder Identification?. Journal of Epidemiology, 24(2), 161-167. doi: 10.2188/jea.JE20130062 |
| Li, M.K., Lee, T.F.D. & Suen, L.K.P. (2014). Complementary effects of auricular acupressure in relieving constipation symptoms and promoting disease-specific health-related quality of life: A randomized placebo-controlled trial. Complementary Therapies in Medicine, 22(2), 266-277. doi: 10.1016/j.ctim.2014.01.010 |
| Molasiotis, A. , Brunton, L., Hodgetts, J., Green, A.C., Beesley, V.L., Mulatero, C., Newton-Bishop, J.A., Lorigan, P. (2014). Prevalence and correlates of unmet supportive care needs in patients with resected invasive cutaneous melanoma. Annals of Oncology, 25(10), 2052-2058. |
| Molassiotis, A. & Kontopantelis, E. (2014). Response to Letter to the Editor: Risk prediction models for chemotherapy-induced nausea and vomiting: almost ready for prime time?: Dranitsaris and Clemons. Supportive Care in Cancer, 22(4), 865-866. doi: 10.1007/s00520-013-2096-9 |
| Molassiotis, A. , Aapro, M., Dicato, M., Gascon, P., Novoa, S.A., Isambert, N., Burke, T.A., Gu, A. & Roila, F. (2014). Evaluation of Risk Factors Predicting Chemotherapy-Related Nausea and Vomiting: Results From a European Prospective Observational Study. Journal of Pain and Symptom Management, 47(5), 839. doi: 10.1016/j.jpainsymman.2013.06.012 |
| Stamataki, Z., Ellis, J. E., Costello, J., Fielding, J., Burns, M. & Molassiotis, A. (2014). Chronicles of informal caregiving in cancer: using 'The Cancer Family Caregiving Experience' model as an explanatory framework. Supportive Care in Cancer, 22(2), 435-444.doi: 10.1007/s00520-013-1994-1 |
| Suen, L.K.P. & Yeh, C.H. (2014). Auricular Diagnosis in Chronic Illnesses. Medical Acupuncture, 26(2), 125-129. doi: 10.1089/acu.2014.1042 |
| Suen, L.K.P. (2014). Clinical Roundup: Selected Treatment Options for Depression - Auriculotherapy. Alternative and Complementary Therapies, 20(1), 53-54. doi: 10.1089/act.2014.20110 |
| Suen, L.K.P. , Chair, S.Y., Thompson, D.R., Yu, C.M., Lin, Z.X., Lee, P.W. & Chu, T.S.K. (2014). Traditional Auriculotherapy for Hypertension: A Pilot Randomized Trial. Journal of Cardiovascular Disease, 2 (1), 19-24. |
| Tan, J.Y., Molasiotis, A., Wang, T., Suen, K.P.L. (2014). Current Evidence on Auricular Therapy for Chemotherapy-Induced Nausea and Vomiting in Cancer Patients: A Systematic Review of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine, 2014, 1-18. |
| Tan, J.Y., Molasiotis, A., Wang, T., Suen, K.P.L. (2014). Adverse Events of Auricular Therapy: A Systematic Review. Evidence-Based Complementary and Alternative Medicine, 14 , 1-20. |
| Tse, M.M.Y., Lee, P.H. , Ng, S.M., Tsien-Wong, B.K., Yeung, S.Y. (2014). Peer volunteers in an integrative pain management program for frail older adult with chronic pain: Study protocol for a randomized controlled trial. BMC Trials , 1(15), 1-9. |
| Tse, M.M.Y., Lee, P.H. , Ng, S.S.M., Tsien Wong, B.K.T. & Yeung, S.S.Y. (2014). Peer volunteers in an integrative pain management program for frail older adults with chronic pain: study protocol for a randomized controlled trial. Trials, 15(1), 205. doi: 10.1186/1745-6215-15-205 |
| Yeh, C.H., Chien, L.C. & Suen, L.K.P. (2014). Application Of Auricular Therapy For Cancer-Related Pain In Nursing Care. Journal of Pain & Relief, 3(02), 1-5. doi: 10.4172/2167-0846.1000139 |
| Yeh, C.H., Chien, L.C., Albers, K.M., Ren, D., Huang, L.C., Cheng, B., Margolis, L., Liu, R. &Suen, L.K.P. (2014). Function of Auricular Point Acupressure in Inducing Changes in Inflammatory Cytokines During Chronic Low-Back Pain: A Pilot Study. Medical Acupuncture, 26(1), 31-39. doi: 10.1089/acu.2013.1015 |
| Yeh, C.H., Chien, L.C. & Suen, L.K.P. (2014). Application Of Auricular Therapy For Cancer-Related Pain In Nursing Care. Journal of Pain & Relief, 3(02), 1-5. doi: 10.4172/2167-0846.1000139 |
| Yeh, C.H., Chien, L.C., Albers, K.M., Ren, D., Huang, L.C., Cheng, B., Margolis, L., Liu, R. & Suen, L.K.P. (2014). Function of Auricular Point Acupressure in Inducing Changes in Inflammatory Cytokines During Chronic Low-Back Pain: A Pilot Study. Medical Acupuncture, 26(1), 31-39. doi: 10.1089/acu.2013.1015 |
| Chan, A.W.K., Lee, A., Lee, D.T.F., Suen, L.K.P., Tam, W.W.S., Chair, S.Y. & Griffiths, P. (2013). The sustaining effects of Tai chi Qigong on physiological health for COPD patients: A randomized controlled trial. Complementary Therapies in Medicine, 21 (6), 585-594. doi: 10.1016/j.ctim.2013.09.008 |
| Chan, E.A., Lam, W.Y.Y. & Lam, K.S.S. (2013). Interprofessional Competence: A Qualitative Exploration of Social Work and Nursing Students’ Experience. Journal of Nursing Education, 52(9), 509-515. doi: 10.3928/01484834-20130823-01 |
| Ho, J.K.M. & Suen, L.K.P. (2013). Effectiveness of Using the Front Door Score to Enhance the Chest Pain Triage Accuracy of Emergency Nurse Triage Decisions. The Journal of Cardiovascular Nursing, 28(6), 55-64. |
| Lai, X.B., Wong, F.K.Y. & Ching, S.Y. (2013). Review of bowel dysfunction of rectal cancer patients during the first five years after sphincter-preserving surgery: A population in need of nursing attention. European Journal of Oncology Nursing, 17 (5), 681-692. doi: 10.1016/j.ejon.2013.06.001 |
| Lam, Y.Y., Chan, E.A. & Yeung, K.S.S. (2013). Implications for school nursing through interprofessional education and practice. Journal of Clinical Nursing, 22(13-14), 1988-2001. doi: 10.1111/jocn.12163 |
| Molassiotis, A. (2013). Evidence is in the eye of the beholder. Supportive Care in Cancer, 21(12), 3259-3260. doi: 10.1007/s00520-013-1929-x |
| Molassiotis, A. , Stamataki, Z. & Kontopantelis, E. (2013). Development and preliminary validation of a risk prediction model for chemotherapy-related nausea and vomiting. Supportive Care in Cancer, 21(10), 2759-2767. doi: 10.1007/s00520-013-1843-2 |
| Moradian, S., Shahidsales, S., Ghavam Nasiri, M.R., Pilling, Molassiotis, A. & Walshe, C. (2013). Translation and psychometric assessment of the Persian version of the Rhodes Index of Nausea, Vomiting and Retching (INVR) scale for the assessment of chemotherapy-induced nausea and vomiting. European Journal of Cancer Care, 23(6), 811-818. doi: 10.1111/ecc.12147 |
| Wong, F.K.Y., Chow, S.K.Y. , Chan, T.M.F. & Tam, S.K.F. (2013). Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomised controlled trial. Age and Ageing, 43(1), 91-97. doi: 10.1093/ageing/aft123 |
| Zhang, J., Wong, F.K.Y., You, L.M., Zheng, M.C., Li, Q., Zhang, B., Huang, M., Ye, X., Liang, M. & Liu, J. (2013). Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients. Cancer Nursing, 36(6): 419-428. doi: 10.1097/NCC.0b013e31826fc8eb |
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