FEASIBILITY AND ACCEPTABILITY OF MY ELECTRONIC PERSONAL HEALTH RECORD MONITOR (MY-EPHRM)

Objectives: Smartphones could be used as a novel approach to improve medication adherence and patient's behaviour; due to constant accessibility, and the provision of a repository for health and medication information. This study aimed to assess the feasibility and acceptability of the use of My Electronic Personal Health Record Monitor (My-ePHRM), a newly-developed application (software) for personal health record monitoring as well as the factors that predict its acceptability.Methods: A cross-sectional study using structured questionnaire was conducted on 363 potential users. Statistical analyses were performed usingSPSS version 20.0. Description statistics and multiple logistic regression analysis were employed.Results: Majority of the participants were females (69.7%) with the mean age of 22 y (SD±1.7). Of the total number of the participants, 63.9% agreed that My-ePHRM was easy to operate and 50.7% thought that the language used was simple and easy to understand. Most of the participants found the features of My-ePHRM attractive (61.7%) and 52.1% would like to own it in the future. The majority agreed that My-ePHRM could increase health knowledge (57.0%), increase drug knowledge (54.0%) and could improve drug adherence (56.5%). Overall, (52.6%) believed that it was a good programme and (54.3%) would recommend it to others. Multiple logistic regression analysis revealed that ethnicity, gender and programme of the study participants did not predict My-ePHRM acceptance.Conclusion: My-ePHRM has been shown to be acceptable, simple and practical by its target users creating a huge potential in patients participation in documenting health-related activities.Â

THE APPLICATION OF COMMUNICATION TECHNOLOGY IN HOSPITAL AND COMMUNITY PHARMACIES: A BRIEF REVIEW

The use of communication technology has brought positive changes to the healthcare delivery system of today. Both healthcare professionals and patients have found a better option to access relevant health and drug information. The purpose of this review is to compile and evaluate all available investigations on the application of communication technology in hospital and community pharmacies. Pub Med, Medline and EBSCO host databases were searched using the key words: mobile phone, pharmacy and telecommunication, pharmacy and electronics, electronic record in pharmacy from the year 1994 until August 2014; whereby only full length English articles related to the review were included. Ten studies met all inclusion criteria comprising of 1124 respondents (age = 19-63, males=43%). Majority of the studies were cross-sectional in nature. Six utilized mobile phones as their means of communication of which majority (n=5) utilized text messages. Four utilized computer systems as their means of communication where they mostly work on drug-drug interaction software. Most of the reviewed studies demonstrated that incorporation of information technology in pharmaceutical care delivery and pharmacy training has improved patient satisfaction and produced better outcomes. However, several studies indicated that drug-drug interaction software had increased burden on the pharmacy staff and in some cases caused the distraction. Overall, there were positive reports on the use of communication technology which was found to help in improving pharmaceutical care

Awareness, knowledge and attitudes towards epilepsy among rural populations in East Coast Peninsular Malaysia: A preliminary exploration

AbstractThis study was carried out to gauge the preliminary insight regarding epilepsy among the rural society. The purposes of this study were: (1) to determine general level of awareness, knowledge and attitudes (AKA) towards epilepsy among rural communities, (2) to compare the AKA level based on socio-demographic characteristics and (3) to investigate rural cohort's perception of the best epilepsy treatment, preference for epilepsy information delivery and preference for mode of transportation to seek medical treatment. This prospective, cross sectional study included a sample of 615 rural residents enrolled via cluster sampling in East Coast region of Peninsular Malaysia (mean age=41.6±18.02, female=56.6%, married=65.5%, Malay=94.0%, monthly income≤RM 500=56.9%). The Total AKA level was generally low (2.66±0.7). Gender-wise no significant difference was shown regarding AKA level (p>0.05). However, respondents with higher education significantly possessed better attitudes and higher Total AKA level compared to those with lower education level (p<0.001). Employed respondents reported significantly more favourable attitudes than unemployed respondents (p=0.011). Additionally, higher income rural cohorts possessed both significantly better attitudes and better AKA. These rural communities perceived modern medicine as the best epilepsy treatment (56.60%), preferred to obtain direct epilepsy-related information from health personnel (60.4%) and chose to use their own car to seek medical treatment in hospital (76.30%). The outcomes of this preliminary study signified the need to devise a dedicated epilepsy education program for implementation among rural residents. Increased AKA level in the society could enhance the people's acceptance, reduce stigmatisation and improve health-related quality of life (HRQoL) for epilepsy patients and their family

Clinical Study A 10-Week Multimodal Nutrition Education Intervention Improves Dietary Intake among University Students: Cluster Randomised Controlled Trial

The aim of the study was to evaluate the effectiveness of implementing multimodal nutrition education intervention (NEI) to improve dietary intake among university students. The design of study used was cluster randomised controlled design at four public universities in East Coast of Malaysia. A total of 417 university students participated in the study. They were randomly selected and assigned into two arms, that is, intervention group (IG) or control group (CG) according to their cluster. The IG received 10-week multimodal intervention using three modes (conventional lecture, brochures, and text messages) while CG did not receive any intervention. Dietary intake was assessed before and after intervention and outcomes reported as nutrient intakes as well as average daily servings of food intake. Analysis of covariance (ANCOVA) and adjusted effect size were used to determine difference in dietary changes between groups and time. Results showed that, compared to CG, participants in IG significantly improved their dietary intake by increasing their energy intake, carbohydrate, calcium, vitamin C and thiamine, fruits and 100% fruit juice, fish, egg, milk, and dairy products while at the same time significantly decreased their processed food intake. In conclusion, multimodal NEI focusing on healthy eating promotion is an effective approach to improve dietary intakes among university students

Food safety knowledge, attitude, and practice toward compliance with abattoir laws among the abattoir workers in Malaysia

Purpose: Foodborne diseases are common in the developing countries due to the predominant poor food handling and sanitation practices, particularly as a result of inadequate food safety laws, weak regulatory structures, and inadequate funding as well as a lack of appropriate education for food-handlers. The most frequently involved foods in disease outbreaks are of animal origin. However, in spite of the adequate legislation and laws governing the abattoir operation in Malaysia, compliance with food safety requirements during meat processing and waste disposal is inadequate. Therefore, the present study was designed to assess the food safety knowledge, attitude, and practice toward compliance with abattoir laws among the workers in Terengganu, Malaysia. Materials and methods: A cross-sectional survey was conducted using simple random sampling technique in the six districts of Terengganu: two districts were used for the pilot study and the remaining four were used for the main study. One hundred sixty-five abattoir workers from the selected districts were interviewed using a structured questionnaire. Results: The mean and standard deviation of knowledge, attitude, and practice scores of the workers were 6.02 and 1.954, 45.16 and 4.496, and 18.03 and 3.186, respectively. The majority of the workers (38.8%) had a low level of knowledge and 91.7% had a positive attitude, while 77.7% had a good practice of compliance. Sex had a significant association with the level of knowledge (P,0.001) and practice (P=0.044) among the workers. The females had a higher level of knowledge than the males, while the males had a better practice of compliance than females. Similarly, knowledge also had a significant (P=0.009) association with the level of practice toward compliance with abattoir laws among the workers. Conclusion: The abattoir workers had a positive attitude and good practice, but a low level of knowledge toward compliance with the abattoir laws. Therefore, public awareness, workshops, and seminars relevant to the abattoir operations should be encouraged

A comparison of the characteristics of volunteers and non-volunteers in Sabah

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Changes in health‑related lifestyles and food insecurity and its association with quality of life during the COVID‑19 lockdown in Malaysia

Background: The pandemic of SARS CoV2 virus has severely impacted the entire world population. The lockdown imposed during the pandemic has created enormous challenges particularly on the health, economic and social life of most individuals. This study aimed to investigate the changes in health-related lifestyle and food security during the lockdown and how they influenced the quality of life (QoL) of Malaysian adults. Methods: An online survey using a structured questionnaire consisting of sociodemographic, body weight, diet quality, physical activity, sleep quality, food insecurity, and QoL was conducted among adult respondents across Malaysia. Multivariate linear regression analyses were conducted to assess the associations between the changes in each component and QoL based on the total score before and during the lockdown. Results: A total of 759 valid responses were included in the final analysis (75% female and 24.5% male). There was a significant improvement in diet quality during the lockdown while sleep quality and food insecurity worsened significantly. As for physical activity, metabolic equivalents (METs) in moderate activity increased significantly, whilst there was a significant decrease in the METs in walking and total minutes spent on physical activity during the lockdown. Overall, independent of age, gender, ethnicity, and religion, there were significant associations between QoL during lockdown and changes in BMI, METs of moderate activity, sleep quality, and food insecurity. Conclusions: The unprecedented COVID-19 outbreak and the lockdown measure during the pandemic have caused significant negative changes in health-related lifestyles and affected the QoL of Malaysian adults. Despite the new norms and rules to prevent disease transmission, efforts to maintain a healthy lifestyle and food security among the population must be rolled out to improve the QoL and prevent further adverse mental and physical health outcomes

'Energy-Dense, High-SFA and low-fiber’ dietary pattern lowered Adiponectin but not leptin concentration of breast cancer survivors

Dietary pattern (DP) and its relationship with disease biomarkers have received recognition in nutritional epidemiology investigations. However, DP relationships with adipokines (i.e., adiponectin and leptin) among breast cancer survivors remain unclear. Therefore, we assessed relationships between DP and high-molecular weight (HMW) adiponectin and leptin concentration among breast cancer survivors. This cross-sectional study involved 128 breast cancer survivors who attended the oncology outpatient clinic at two main government hospitals in the East Coast of Peninsular Malaysia. The serum concentration of HMW adiponectin and leptin were measured using enzyme-linked immunosorbent assay (ELISA) kits. A reduced rank regression method was used to analyze DP. Relationships between DP with HMW adiponectin and leptin were examined using regression models. The findings show that with every 1-unit increase in the ‘energy-dense, high-SFA, low-fiber’ DP z-score, there was a reduction by 0.41 μg/mL in HMW adiponectin which was independent of age, BMI, education level, occupation status, cancer stage, and duration since diagnosis. A similar relationship with leptin concentration was not observed. In conclusion, the ‘energy-dense, high-saturated fat and low-fiber’ DP, which is characterized by high intake levels of sugar-sweetened drinks and fat-based spreads but low intake of fruits and vegetables, is an unhealthy dietary pattern and unfavorable for HMW adiponectin concentration, but not for leptin. These findings could serve as a basis in developing specific preventive strategies that are tailored to the growing population of breast cancer survivors

Mental Health-Related Experiences And Challenges Of Informal HIV/AIDS Caregivers: A Brief Review And Analysis

Objectives: This paper mainly intended to review the experiences and challenges encountered particularly in mental health issues and to additionally analyze the methodologies used in studies involving HIV/AIDS informal caregivers. Methods: Four electronic databases; Science Direct, EBSCOhost, Ovid and Springer Link were searched for articles published in the past 10 years (2002 – 2012). Only full-text English articles related to research on care giving of HIV-infected adult patients were selected. Results: Twenty two out of 293 articles (7.5%) were reviewed, involving 2,765 caregivers in the USA (n=1,610), Africa (n=253), Asia (n=838) and Oceania (n=64) regions. A variety of age categories was involved in care giving with the youngest carer being 12 years old and the oldest, 60 years on average. Females and whites appeared to be dominant and 603 caregivers themselves were HIV-positive. The main outcomes measured were care giving burden, challenges and coping. Stress and depression, stigma and discrimination, insufficient support, role overload and extreme poverty were the main challenges experienced in care giving. Both qualitative (n=11) and quantitative (n=9) were the equally preferred types of study. Purposive sampling emerged as the most preferred sampling technique. Various instruments were utilized, but the Beck Depression Inventory (BDI) was the most popular particularly in quantitative studies. Conclusion: A variety of life aspects were negatively affected in the process of care giving for HIV/AIDS patients and studies of such nature commonly focused on caregivers’ psychosocial burden. ASEAN Journal of Psychiatry, Vol. 13 (2): July – December 2012: XX XX

Breast Cancer and Chemotherapy Knowledge among Undergraduates of Health Sciences: Which Traits Predict Good Knowledge?

Objectives: Accurate medical information is essential among health care professionals to aid dissemination of information to the public. This study aimed to determine the level of knowledge about breast cancer and to identify related factors among undergraduate health sciences students in a public university in Terengganu, Malaysia. Methods: The respondents included students aged 18 years old or older who were enrolled in nursing, medical laboratory technician (MLT) and radiography diploma programmes. A Breast Cancer and Chemotherapy Questionnaire (BCCQ) was administered; higher scores on it indicated better knowledge. The reliability and validity of the BCCQ was considered adequate. Descriptive statistics, independent t test, one-way analysis of variance (ANOVA) and multiple logistic regressions were employed (SPSS 16). Results: A total of 239 respondents participated (mean age = 19.8 ± 0.1 years; females = 83.7%). The knowledge level was moderate. Females, nursing, and final-year students possessed significantly better knowledge. After adjusting for covariates, significant factors determining good breast cancer knowledge include being in the nursing discipline and years of study. Conclusion: This study has generally ascertained that knowledge related to breast cancer and chemotherapy among this sample population remains moderate and is not uniformly disseminated. An increase in knowledge is required to ensure an optimal level of knowledge, particularly for the junior students and those from courses other than nursing