Development and Validation of a Cross-Cultural Heart Failure-Specific Quality of Life Questionnaire

Objectives: Heart failure (HF) is a common clinical syndrome with an enormous impact on prognosis and lifestyle. Accordingly, rehabilitation measures need to be patient-specific and consider various sociocultural factors so as to improve the patient’s quality of life (QOL). This study aimed to develop and validate a HF-specific QOL (HFQOL) questionnaire within a multicultural setting. Methods: This study took place at the National Heart Institute and Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia, between March 2013 and March 2014. A self-administered 75-item HFQOL questionnaire was designed and administrated to 164 multi-ethnic Malaysian HF patients. Exploratory factor analysis was performed to assess the instrument’s construct validity. Cronbach’s alpha coefficients were used to determine internal consistency. Results: A total of 33 out of 75 items were retained in the final tool. The HFQOL questionnaire had three common factors—psychological, physical-social and spiritual wellbeing—resulting in a cumulative percentage of total variance of 44.3%. The factor loading ranges were 0.450–0.718 for psychological wellbeing (12 items), 0.394–0.740 for physical-social wellbeing (14 items) and 0.449–0.727 for spiritual wellbeing (seven items). The overall Cronbach’s alpha coefficient of the questionnaire was 0.82, with coefficients of 0.86, 0.88 and 0.79 for the psychological, physical-social and spiritual wellbeing subdomains, respectively. Conclusion: The HFQOL questionnaire was found to be a valid and reliable measure of QOL among Malaysian HF patients from various ethnic groups. Such tools may facilitate cardiac care management planning among multi-ethnic patients with HF

The prevalence of internet gaming disorders and the associated psychosocial risk factors among adolescents in Malaysian secondary schools

Internet Gaming Disorder (IGD) has been placed under the conditions for further study segment in DSM-5. The purpose of the current study was to develop a preliminary psychosocial model as a reference for providing appropriate intervention, particularly for adolescents with IGD. A total of 5290 adolescents from secondary schools in seven states in Malaysia were recruited by using proportionate random sampling. A standardized set of validated questionnaires such as DASS-21, BIS-11, and IGDS9-SF were distributed to participants that fulfilled the inclusion criteria. The prevalence of IGD among Malaysian adolescents was 3.5%. The bivariate analysis summarized that factors such as stress, impulsivity, gender, time spent using the internet, and relationship with parents and friends; have statistically significant associations with IGD. The logistic regression model revealed that adolescents with IGD were 9 times more likely to experience extremely severe stress (p < 0.001). Several psychosocial factors were associated strongly with IGD in the current study, however, mental health shows the most significant issues among adolescents with IGD. Immediate intervention through a psychological approach to internet gaming is needed from parents, schools, and also respective stakeholders. IGD may become one of the addictions diseases that cause deterioration in many aspects of an adolescent’s future life without serious intervention

The Relationship between Internet Addiction, Mental Health and Suicidal Behavior among Undergraduate Students in Malaysia

The aim of this study is to determine the relationship between internet addiction, mental health and suicidal behavior among undergraduate students in Malaysia. Online survey method is used in this study. 150 undergraduate students were recruited through convenience sampling. There were three instruments used in this study which were The Internet Addiction Test (IAT), Mental Health Inventory-18 (MHI-18) and The Suicide Behavior Questionnaire Revised (SBQ-R). Descriptive analysis is conducted to determine the prevalence of university students with internet addiction. The results showed that undergraduate students with severe internet addiction was 5.3 %, while 51.3 % of the undergraduate student had moderate level of internet addiction, 28.7% of them had mild level of internet addiction and the rest were normal users of internet. Next, Pearson’s Correlation analysis showed that there is a low negative correlation between internet addiction and mental health (r_150 = -.27, p &lt; 0.01). Furthermore, the Pearson’s Correlation analysis also showed that there is a weak positive correlation between internet addiction and suicidal behavior (r_150 = .23, p &lt; 0.01). In conclusion, we can observe that internet addiction is significantly related to mental health and suicidal behavior. We need to take this issue more seriously as mental health is an important aspect in our life. &nbsp; Keywords: Internet addiction, Mental health, Suicidal behavior, Undergraduate&nbsp;student

The Role of Perceived Social Support on Psychological Well-Being of University Students During the COVID-19 Pandemic

Past research revealed concerns over the depressive symptoms and psychological well-being of university students. The present study utilizes a stratified random sampling to examine the role of perceived social support on psychological well-being between depressed and non-depressed university students during the COVID-19 pandemic in Malaysia. This study recruited a total  of 244 university students from different universities across Malaysia from November 2021 to July 2022 through social media such as Facebook, Instagram, and WhatsApp. A prevalence rate of 50.4% of university students was found to present significant depressive symptoms. There is a significant correlation between perceived social support and psychological wellbeing (r = 0.769, p &lt; 0.05). Non-depressed university students reported significantly higher on their perceived social support and psychological well-being than university students with significant depressive symptoms with values of p&lt;0.001 and p&lt;0.043. Among depressed university students, perceived social support from friends and significant others was reported to be significantly lower than non-depressed university students with a value of p&lt;0.001 and p&lt;0.023. Overall, the present study discovered that a higher level of perceived social support could predict greater psychological well-being and reduced depressive symptoms among university students. Hence, perceived social support should be promoted as an effective intervention for university students due to its accessibility and cost. Future research should look into the effectiveness of perceived social support and other psychological resources for university students with different mental health concerns

Reliability Testing of Self-Care of Heart Failure Index v6.2 Chinese Instrument Among Heart Failure Patients

Objective: Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese is an instrument used to assess the ability of self-care behaviour among heart failure patients. It has been validated in Taiwan, however, it is yet to be validated in Malaysia. As a multi-ethnic country, Chinese language has been one of the major languages in Malaysia. Therefore, this study was conducted to examine the reliability of Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese among Malaysian population. Design: A successive independent sample design was used throughout a 4-months data collection period. Setting: Eighty heart failure patients from University of Malaya Medical Centre and National Heart Institute were recruited through purposive sampling. The two hospitals were chosen because they have specialized heart clinics that eased the data collection. The out-patients were screened by the cardiologists for their eligibility to participate in this study. Measures: The samples were administered with SCHFI v6.2 Chinese. The item endorsement index, internal consistency and item-total correlation of SCHFI v6.2 Chinese were examined. Results: The maintenance subscale of SCHFI showed a low internal consistency (Cronbach α = .52) while the management and confidence subscales showed an acceptable internal consistency (Cronbach α = .67 and .90 respectively). Conclusion: SCHFI v6.2 Chinese is a reliable instrument to be used among the Malaysian population

Reducing intervention- and research-induced inequalities to tackle the digital divide in health promotion

Abstract Social inequalities are an important contributor to the global burden of disease within and between countries. Using digital technology in health promotion and healthcare is seen by some as a potential lever to reduce these inequalities; however, research suggests that digital technology risks re-enacting or evening widening disparities. Most research on this digital health divide focuses on a small number of social inequality indicators and stems from Western, educated, industrialized, rich, and democratic (WEIRD) countries. There is a need for systematic, international, and interdisciplinary contextualized research on the impact of social inequality indicators in digital health as well as the underlying mechanisms of this digital divide across the globe to reduce health disparities. In June 2023, eighteen multi-disciplinary researchers representing thirteen countries from six continents came together to discuss current issues in the field of digital health promotion and healthcare contributing to the digital divide. Ways that current practices in research contribute to the digital health divide were explored, including intervention development, testing, and implementation. Based on the dialogue, we provide suggestions for overcoming barriers and improving practices across disciplines, countries, and sectors. The research community must actively advocate for system-level changes regarding policy and research to reduce the digital divide and so improve digital health for all