- Spondyloarthritis Studies and Treatments
- Psoriasis: Treatment and Pathogenesis
- Autoimmune and Inflammatory Disorders Research
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Rheumatoid Arthritis Research and Therapies
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Bone and Joint Diseases
- Chronic Disease Management Strategies
- Digital Mental Health Interventions
- Bipolar Disorder and Treatment
- Clinical practice guidelines implementation
- Therapeutic Uses of Natural Elements
- HIV/AIDS Research and Interventions
- Social Media in Health Education
- Health Literacy and Information Accessibility
- Primary Care and Health Outcomes
- Asthma and respiratory diseases
- Empathy and Medical Education
- Delphi Technique in Research
- Patient-Provider Communication in Healthcare
- Medical Education and Admissions
- Acupuncture Treatment Research Studies
Singapore General Hospital
2018-2025
SingHealth
2022-2025
Duke-NUS Medical School
2018-2025
Valley Health System
2023
Regional Health
2023
Background: Poor medication adherence can lead to adverse health outcomes and increased healthcare costs. Although reasons for have been widely studied, less is explored about factors affecting patients in non-Western setting from Asian cultures. This study aimed explore cultural perspectives on influencing among with chronic diseases a multi-ethnic setting. Methods: We conducted qualitative involving in-depth interviews conditions purposively recruited community hospital Singapore until...
Diabetes is a global public health issue, causing burden on healthcare system and increasing risk of mortality. Mobile applications (apps) can be promising approach to facilitate diabetes self-management. An increasingly utilized engagement with mobile (mHealth) technology involve potential users in the creation technology.The aim this study was use co-design for type 2 mellitus (T2DM) self-management mHealth development.Three rounds iterative rapid prototyping panel sessions were conducted...
To evaluate the association between anxiety, depression and resilience with overall health functioning in axial spondyloarthritis (axSpA).Cross-sectional evaluation of baseline data from a prospective cohort study, recruitment January 2018 to March 2021.Outpatient clinic tertiary hospital Singapore.Patients aged 21 years above who were diagnosed axSpA.The Hospital Anxiety Depression Scale (HADS) was used for assessing anxiety depression, 10-item Connor Davidson Resilience (CD-RISC-10)...
Abstract Introduction: Studies have shown that patients with rheumatoid arthritis (RA) lower levels of physical activity (PA) than healthy controls, despite the benefits PA in reducing pain and stiffness. We aimed to compare RA general population identify factors associated meeting World Health Organization (WHO) recommendations for PA. Methods: Consecutive were recruited from an outpatient rheumatology clinic a tertiary hospital Singapore. Data obtained Singapore 2012 study. To obtain...
Objective To explore the acceptability of family support through an AI-enabled mobile app and identify preferences for its novel module features among patients with type 2 diabetes (T2DM) members. Methods Semi-structured interviews were conducted T2DM A mock wireframe FAMILY was created to help participants visualize features. All audio-recorded transcribed verbatim. Inductive thematic analysis using constant-comparative method performed interpret patterns within data. Results total 25...
Patients with type 2 diabetes mellitus (T2DM) experience multiple barriers to improving self-management. Evidence suggests that motivational interviewing (MI), a patient-centered communication method, can address patient and promote healthy behavior. Despite the value of MI, existing MI studies predominantly used face-to-face or phone-based interventions. With growing adoption smartphones, automated techniques powered by artificial intelligence on mobile devices may offer effective support...
Introduction Diabetes and hypertension are prevalent costly to the health system. We have developed a mobile app (EMPOWER app) which enables remote monitoring education through personalised nudges. aim study effectiveness of multi-component intervention comprising EMPOWER with coaching shared decision-making for diabetes hypertension. Methods will conduct two-arm, open-label, pragmatic randomised controlled trial (RCT). Participants comorbid enrolled from public primary care clinics be...
Abstract Introduction The Ankylosing Spondylitis Disease Activity Score with C‐reactive protein (ASDAS‐CRP) and Bath Index (BASDAI) are commonly used instruments for measuring disease activity. However, few studies have assessed their psychometric properties in patients axial spondyloarthritis (axSpA). We aimed to assess the validity reliability of ASDAS‐CRP BASDAI axSpA Singapore. Methods Cross‐sectional data from 280 a dedicated clinic Singapore tertiary referral hospital 2011 2019 were...
(1) Introduction: The ubiquity of mobile phones suggests the potential health applications to reach patients with type 2 diabetes and engage them improve self-care. This study aimed explore personal goals, barriers self-management desired application features self-care among multi-ethnic Asian diabetes. (2) Methods: We conducted semi-structured interviews (
This self-report measure is a new instrument to the extent of and reasons for medication adherence separately. However, few studies have assessed its psychometric properties in diabetic patients also Asian populations.To validate this Singapore.We collected data prospectively using questionnaire among 393 from hospitals Singapore July 2018 January 2019. Using COnsensus-based Standards selection health Measurement INstruments framework, we face validity, internal consistency, test-retest...
The importance of medical professionalism has been well documented in the literature. Cultural background affects constituents professionalism. However, few studies have explored domains an Asian context. We aim to describe views and experiences both patients faculty on urban city state.Data for this qualitative study were collected through focus group discussions (FGDs) with in-depth interviews (IDIs) members. IDIs FGDs audio-recorded transcribed verbatim. Thematic analysis was conducted by...
Introduction Type 2 diabetes mellitus (T2DM) poses huge burden and cost on the healthcare system. Mobile health (mHealth) interventions that incorporate wearables may be able to improve self-management. The aim of this randomized controlled trial (RCT) is investigate clinical cost-effectiveness personalized educational behavioral delivered through an EMPOWER mobile application (app) among patients with T2DM. Methods This a parallel two-arm (RCT). Patients T2DM recruited from primary care...
This study aims to evaluate the reliability and validity of EuroQOL-5 Dimensions-5 Levels (EQ-5D-5L) among patients with axial spondyloarthritis (SpA) in Singapore.A cross-sectional was conducted involving SpA an Asian tertiary hospital from 2017 2018. followed COnsensus-based Standards for selection health Measurement Instruments framework. Construct evaluated by testing 22 a priori hypotheses other patient-reported outcomes measures. Cronbach's alpha used estimate internal consistency...
Abstract Aim To identify the factors associated with patient–physician discordance in patients axial spondyloarthritis (axSpA) an Asian population. Methods A cross‐sectional study was conducted two tertiary referral centers Singapore. Patients axSpA who fulfilled Assessment Ankylosing Spondylitis International Working Group 2009 criteria for were included study. Socio‐demographics, clinical, laboratory and patient‐reported outcomes data collected during visits from 2014 to 2015. We performed...
Background The use of social media in health care may serve as a beneficial tool for education, information dissemination, telemedicine, research, networking, and communications. To better leverage the benefits media, it is imperative to understand patterns its potential barriers implementation care. A previous study 2016 that investigated among young clinical rheumatologists (≤45 years) basic scientists showed there was substantial them professional reasons. However, limited inquiry into...
Abstract Background The importance of medical professionalism and its assessment has been well documented in the literature. However, there is currently no culturally-adapted tool to assess Singapore. This study sets out find consensus on relevance items from Professionalism Mini Evaluation Exercise (P-MEX) for assessing Methods A two-round Delphi survey was completed by an expert panel consisting program directors, associate designated institutional officials, official ( n = 15) residency...