A5000493555- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Digital Mental Health Interventions
- Medication Adherence and Compliance
- Diabetes Management and Education
- Social Media in Health Education
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Blood Pressure and Hypertension Studies
- Chronic Disease Management Strategies
- COVID-19 and Mental Health
- Patient-Provider Communication in Healthcare
- Health Policy Implementation Science
- COVID-19 diagnosis using AI
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health, Environment, Cognitive Aging
- Public Health and Nutrition
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- COVID-19 Pandemic Impacts
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Technology
- Palliative Care and End-of-Life Issues
University of Malaya
2014-2024
University Malaya Medical Centre
2024
Universiti Putra Malaysia
2015-2023
University of Kuala Lumpur
2021
eHealth Initiative
2020
Primary Health Care
2016
Abstract Primary diabetes care and diabetic retinopathy (DR) screening persist as major public health challenges due to a shortage of trained primary physicians (PCPs), particularly in low-resource settings. Here, bridge the gaps, we developed an integrated image–language system (DeepDR-LLM), combining large language model (LLM module) image-based deep learning (DeepDR-Transformer), provide individualized management recommendations PCPs. In retrospective evaluation, LLM module demonstrated...
Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease with repeated exacerbations resulting in gradual debilitation. The quality of life has been shown to be poor patients COPD despite efforts improve self-management. However, the evidence on benefit self-management conflicting. Whether this could due other unmet needs have not investigated. Therefore, we aimed explore from both and doctors managing COPD. Methods We conducted qualitative study Malaysia. used...
Background During the COVID-19 pandemic, there was an urgent need to develop automated symptom monitoring system reduce burden on health care and provide better self-monitoring at home. Objective This paper aimed describe development process of Symptom Monitoring System (CoSMoS), which consists a self-monitoring, algorithm-based Telegram bot teleconsultation system. We all essential steps from clinical perspective our technical approach in designing, developing, integrating into practice...
Background The quality of online health information (OHI) on cardiovascular is highly variable. Trusting poor OHI can lead to poorer decisions. This study examined characteristics associated with appropriate trust in among patients high risk. Methods a secondary analysis from cohort 270 participants risk primary care clinic Malaysia. Participants recorded entries and their levels over 2 months using digital diary. Overall, 1194 were included categorised by platform, commercial status,...
Telemonitoring of home blood pressure (BP) is found to have a positive effect on BP control. Delivering telemonitoring service in primary care offers physicians an innovative approach toward management their patients with hypertension. However, little known about patients' acceptance such routine clinical care.This study aimed explore delivered based the technology model (TAM).A qualitative design was used. Primary uncontrolled office who fulfilled inclusion criteria were enrolled into...
Home blood pressure monitoring (HBPM) is gaining popularity among hypertensive patients. This study aimed to explore the influence of self-initiated HBPM on primary care patients with hypertension. Six in-depth interviews and two focus group discussions were conducted, taking into consideration experiences 24 These had been using as part their hypertension management. The overriding influences grouped under themes which emerged from analyzing data grounded theory approach. There are both...
Introduction Most studies have reported barriers to guideline usage mainly from doctors' perspective; few the perspective of other stakeholders. This study aimed determine views and adherence a national clinical practice (CPG) on management hypertension perspectives policymakers, doctors allied healthcare professionals. Methods used qualitative approach with purposive sampling. Seven in depth interviews six focus group discussions were conducted 35 professionals (policy makers, doctors,...
mHealth apps potentially improve health care delivery and patient outcomes, but the uptake of in primary is challenging, especially low-middle-income countries.To measure factors associated with adoption among physicians (PCPs) Malaysia.A cross-sectional study using a self-administered questionnaire was conducted PCPs. The usage by PCPs has divided into use to support PCPs' clinical work recommendation for patient's use. Factors were analysed multivariable logistic regression.Among 217...
The survival outcomes for women presenting with early breast cancer are influenced by treatment decisions. In Malaysia, outcome is generally poor due to late presentation. Of those who present early, many refuse complementary therapy.This study aimed explore the decision making experiences of cancer.A qualitative using individual in-depth interviews was conducted capture process in Malaysia. We used purposive sampling recruit yet undergo surgical treatment. A total eight participants...
Introduction The participation of general practitioners (GPs) in primary care research is variable and often poor. We aimed to develop a substantive empirical theoretical framework explain GPs' decision-making process participate research. Methods used the grounded theory approach construct GPs activities. Five in-depth interviews four focus group discussions were conducted among 21 GPs. Purposeful sampling followed by attempt saturation core category. Data collected using semi-structured...
The internet has become a common source of health information; however, little is known about online information-seeking behaviour (HISB) among patients in low- and middle-income countries (LMICs).This study aimed to determine the prevalence its associated factors primary care Malaysia. We also examined reasons for, sources of, information-seeking, patients' level trust information found what was used for.A cross-sectional using self-administered questionnaire conducted on who attended...
Abstract Introduction: The study objective was to determine the levels of self-care and health literacy (HL) their associations among patients with chronic kidney disease (CKD). Methods: This a cross-sectional, questionnaire-based conducted in public primary care setting Singapore. A total 289 participants aged 21–80 years hypertension were recruited. Self-care profiles measured using Hypertension Self-Care Profile (HTN-SCP; range 0–240, domain 0–80). Health Short-Form Literacy Scale...
The aim of this study was to explore the experience community palliative care nurses providing home children.A qualitative conducted at 3 provider organizations in greater Kuala Lumpur from August October 2014. Data were collected with semistructured interviews 16 who have provided children and analyzed using thematic analysis. Two categories identified: (1) challenges faced (2) coping strategies. themes identified are communication challenges, inadequate training knowledge, (3) personal...
Objective Limited health literacy in patients with type 2 diabetes mellitus (T2DM) led to poorer knowledge, less medication adherence and increased healthcare cost. The purpose of this paper was report the prevalence limited T2DM identify factors that are associated it. Design A cross-sectional study conducted from January March 2018; data on patients’ sociodemographic characteristics, perceived social support level were collected. Health measured using European Literacy Survey Questionnaire...
People are overloaded with online health information (OHI) of variable quality. eHealth literacy is important for people to acquire and appraise reliable make health-related decisions. While widely studied in developed countries, few studies have been conducted among patients low- middle-income countries (LMICs).We aimed determine the level attending a primary care clinic Malaysia its associated factors.A cross-sectional study using self-administered questionnaire was an urban clinic. We...
Abstract Objectives Online health information (OHI) has been shown to influence patients’ decisions and behaviours. OHI about statins created confusion among healthcare professionals the public. This study explored views experiences of patients with high cardiovascular risk on OHI-seeking how influenced their decision. Design was a qualitative using semi-structured in-depth interviews. An interpretive description approach thematic analysis used for data analysis. Setting urban primary care...
A Feedforward Deep Neural Network (FDNN) model contains densely connected layers where backpropagation is applied to calculate the loss function gradients.Optimising network weights important minimise value, hence decreasing prediction errors and increasing accuracy rate.Optimisers are used update weight values or learning rate for each weight.Recent studies show that, although Adaptive Moment Estimation (Adam) produces better results in terms of optimising parameters FDNN model, it might...
Continuity of care is an important quality outcome patient care. This study aimed to investigate the relationship between personal continuity and blood pressure (BP) control among patients with hypertension in academic primary centre. Between January May 2012, we conducted a retrospective review medical records who had been followed up for at least 1 year Primary Care Clinic, University Malaya Medical Centre, Malaysia. In this setting, doctors provided included postgraduate family medicine...