- Blood Pressure and Hypertension Studies
- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Nutritional Studies and Diet
- Medication Adherence and Compliance
- Cardiovascular Health and Risk Factors
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Systems, Economic Evaluations, Quality of Life
- Digital Mental Health Interventions
- Pharmaceutical Practices and Patient Outcomes
- Cardiac Health and Mental Health
- Health Promotion and Cardiovascular Prevention
- Sodium Intake and Health
- Health Policy Implementation Science
- Stroke Rehabilitation and Recovery
- Social Media in Health Education
- Heart Rate Variability and Autonomic Control
- Telemedicine and Telehealth Implementation
- Lipoproteins and Cardiovascular Health
- Misinformation and Its Impacts
- Acute Ischemic Stroke Management
- COVID-19 Digital Contact Tracing
- E-Learning and COVID-19
- Chronic Kidney Disease and Diabetes
- Heart Failure Treatment and Management
University of Malaya
2015-2025
University Malaya Medical Centre
2018-2023
eHealth Initiative
2020
Information Technology University
2020
Sunway University
2017
Universiti Putra Malaysia
2017
This study aims to examine the validity of Framingham general cardiovascular disease (CVD) risk chart in a primary care setting.This is 10-year retrospective cohort study.A clinic teaching hospital Malaysia.967 patients' records were randomly selected from patients who attending follow-up clinic.Baseline demographic data, history diabetes and smoking, blood pressure (BP), serum lipids captured patient 1998. Each patient's CVD score was computed these parameters. All atherosclerotic events...
The Pooled Cohort Risk Equation was introduced by the American College of Cardiology (ACC) and Heart Association (AHA) 2013 in their Blood Cholesterol Guideline to estimate 10-year atherosclerotic cardiovascular disease (ASCVD) risk. However, absence Asian ethnicity contemporary cohorts limited studies examine use risk score limit applicability equation an population. This study examines validity pooled cohort a primary care setting compares using both Framingham General Cardiovascular...
Visit-to-visit variability of systolic blood pressure (SBP) has been shown to contribute cardiovascular events and all-cause mortality. However, little is known about its long-term effect on renal function. We aim examine the relationship between visit-to-visit (BPV) decline in function patients with hypertension determine level BPV that associated significant decline.This a 15-year retrospective cohort study 825 hypertensive patients. Blood readings every 3 months were retrieved from 15...
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...
Most studies reporting prevalence of obesity use actual weight and height measurements. Self-reported have been used in epidemiological as they shown to be reliable, convenient, inexpensive alternatives However, the accuracy self-reported might vary different regions because difference health awareness social influences. This study aims determine reliability compared measured among adults Malaysia. was a cross-sectional conducted at community level during blood pressure screening campaigns....
To determine the reproducibility of visit-to-visit blood pressure variability (BPV) in clinical practice. We also determined minimum number (BP) measurements needed to estimate long-term BPV for predicting 10-year cardiovascular (CV) risk.Retrospective study SETTING: A primary care clinic a university hospital Malaysia.Random sampling 1403 patients aged 30 years and above without any CV event at baseline.The effect BP measurement calculation risk. events were defined as fatal non-fatal...
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. 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, content focus, presence...
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...
Abstract As global disruptions escalate, digital resilience (DR)—the capacity to anticipate, absorb, and adapt external shocks by leveraging Information Systems (IS)—has become crucial for individuals organisations confronting managing unprecedented crises. This research advances understanding on how develop DR, drawing insights from an Action Design Research (ADR) study conducted during the COVID‐19 pandemic. Our explores a particular facet of DR: manage exogenous through design new IS...
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...
Screening is an effective primary prevention strategy in health care, as it enables the early detection of diseases. However, uptake such screening remains low. Different delivery methods for have been developed and found to be increasing screening, including use web-based apps. Studies shown that apps are among general population. not much known about implementation real-world setting. Implementation strategies theory-based or techniques used enhance adoption, implementation, sustainability...
Introduction Self-care behaviour is fundamental in preventing hypertension the general population. According to Health Belief Model, health beliefs and perceptions influence success adopting disease prevention strategies. While factors influencing self-care have been examined previously patient populations, they not assessed community. Methods This was a cross-sectional study conducted between 12 June 2020 26 July 2021. An online survey administered via email social media Malaysians Selangor...
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...
Information regarding the knowledge on action to be taken during stroke and good recognition of symptoms is mandatory in helping plan out educational strategies deliver health education community.This a cross-sectional study adults aged 18 above attending blood pressure screening program community conjunction with May Measurement Month 2017 Malaysia. A structured self-administered questionnaire was given participants who gave verbal consent. Data analysis done using SPSS v. 23 multiple...
Abstract This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. cross‐sectional nationwide BP screening was conducted Malaysia from May October 2018. Participants self‐declared hypertension completed Hill‐Bone Compliance High Blood Pressure Therapy Scale (Hill‐Bone CHBPTS) which assesses three important domains patient behavior management namely medication taking, appointment keeping reduced salt intake....
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...
Objective Statins are effective for preventing cardiovascular disease. However, many patients decide not to take statins because of negative influences, such as online misinformation. Online health information may affect decisions on medication adherence, but measuring it is challenging. This study aimed examine the associations between behaviour and statin adherence in with high risk. Methods A prospective cohort involving 233 risk was conducted at a primary care clinic Malaysia....
Initiation of statin therapy as primary prevention particularly in those with mildly elevated cardiovascular disease risk factors is still being debated. The 2013 ACC/AHA blood cholesterol guideline recommends initiation by estimating the 10-year atherosclerotic (ASCVD) using new pooled cohort score. This paper examines use score and compares it to actual statins daily clinical practice a care setting. We examined randomly selected sample patients clinic. demographic data parameters were...