A5076240914- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Cancer survivorship and care
- Patient Dignity and Privacy
- Health Systems, Economic Evaluations, Quality of Life
- Geriatric Care and Nursing Homes
- Childhood Cancer Survivors' Quality of Life
- Dementia and Cognitive Impairment Research
- Family Support in Illness
- Grief, Bereavement, and Mental Health
- Family and Patient Care in Intensive Care Units
- Health disparities and outcomes
- Intergenerational Family Dynamics and Caregiving
- Heart Failure Treatment and Management
- Religion, Spirituality, and Psychology
- Frailty in Older Adults
- Economic and Environmental Valuation
- Migration, Aging, and Tourism Studies
- Economic and Financial Impacts of Cancer
- Health and Wellbeing Research
- Pain Management and Opioid Use
- Family Caregiving in Mental Illness
- Clinical Nutrition and Gastroenterology
- Emergency and Acute Care Studies
- Dialysis and Renal Disease Management
Duke-NUS Medical School
2016-2025
National University of Singapore
2010-2025
SingHealth
2023-2025
National University Health System
2025
Helmholtz Zentrum München
2024
National Cancer Centre Singapore
2024
Signature Research (United States)
2022
National Council for Palliative Care
2021-2022
Institute of Health Services and Policy Research
2021-2022
All India Institute of Medical Sciences
2021
Objectives To examine the association of living arrangements and social networks outside household with depressive symptoms among older men women, ascertain if these relationships differ between investigate whether varies by strength networks. Methods Data for 4489 community-dwelling Singaporeans, aged 60 years older, from a recent nationally representative survey were analyzed. Depressive assessed using 11-item CES-D (Center Epidemiologic Studies) scale, through Lubben's revised network...
The juxtaposition of a young city-state showing relative maturity as rapidly aging society suffuses the population narrative in Singapore and places "little red dot" on spotlight international aging. We first describe Singapore, including characteristic events that shaped this demographic transition. then detail health care socioeconomic ramifications rapid significant shift to an society, followed by overview main research areas selected population-based data sets thrust leading...
Understanding goals of care for terminally ill patients at the end life is crucial to ensure that receive consistent with their preferences.
Objective To assess the magnitude of socio-economic disparities in health system responsiveness India after correcting for potential reporting heterogeneity by characteristics (education and wealth). Methods Data from Wave 1 Study on Global Ageing Adult Health (2007–2008) involving six Indian states were used. Seven domains considered a respondent’s last visit to an outpatient service 12 months: prompt attention, dignity, clarity information, autonomy, confidentiality, choice quality basic...
To assess the instrumental support from a foreign domestic worker (FDW) as moderator of association 4 types impairments (physical function, memory, behavior, and mood) among older persons (OPs) with caregiving-related outcomes their informal caregivers (CGs). Data national survey 1,190 Singaporeans aged 75 receiving human assistance for functional limitations CGs were used. Severity scores four OP calculated. A modified version Caregiver Reaction Assessment (CRA) assessed impact caregiving...
Background: Patients with advanced cancer often have to make difficult decisions, such as how much spend on moderately life-extending treatments. This and other end-of-life decisions are also influenced by their informal caregivers. Understanding the relative value that patients caregivers place various aspects of care can help clinicians tailor treatments best meet preferences patients. Aim: To quantify willingness pay extend patients’ life 1 year compare this result for improvements....
Abstract Background Cancer can impact the psychological well‐being of both patients and their informal caregivers. We investigated joint trajectories distress among Singaporean advanced cancer patients–caregiver dyads. also examined predictors trajectory group membership. Methods This study utilised data from 299 with solid caregivers over 33 months (12 times points). Group‐based modelling was used to examine patient anxiety, depression, caregiver anxiety depression scores using Hospital...
ABSTRACT Background: This paper determines care recipient and caregiver characteristics caregiving dimensions – associated with depression among caregivers of older adults, using path analysis assesses whether the identified model differs between spousal adult child caregivers. Methods: Data from 1,190 dyads comprising recipients (community-dwelling adults aged ≥75 years at least one activity daily living (ADL) limitation) (family member/friend most involved in providing care/ensuring...
To estimate the causal effect of coresidence with an adult child on depressive symptoms among older widowed women in South Korea. Data from first (2006) and second (2008) waves Korea Longitudinal Study Ageing were used. The analysis was restricted to aged ≥65 years at least one living (N = 2,446). We used instrumental variables (IVs) estimation exploiting two characteristics as IVs (the number sons whether eldest is a daughter). Specification tests for showed that these instruments predict...
Abstract Previous studies evaluating the validity and reliability of Caregiver Reaction Assessment (CRA) scale (24 items; five subscales: schedule, health, finances, family support, esteem) in different countries are not fully congruent. This article assesses CRA among informal caregivers older persons Singapore. Data from a national survey 1190 primary Singaporeans aged ≥75 years with ≥1 activity daily living limitation was analyzed. Fit five-factor model tested half sample using...
Patients with advanced cancer often experience poor health-related quality-of-life (HRQoL) due to and treatment-related side-effects. With India's palliative care landscape in its infancy, there is a concern that patients, especially individuals who are from disadvantaged populations HRQoL outcomes. We aim assess of patients terms general well-being (physical, functional, emotional, social/family well-being), pain experiences, psychological state, spiritual well-being, determine the...
What is the purpose of advance care planning (ACP)? Does it facilitate goal concordant care,1, 2 improve other patient and caregiver outcomes or curtail escalating healthcare costs at end life (EOL)? In short, worth time resources spent? These are questions that have plagued researchers, clinicians, policymakers internationally,3 thus challenging increasing efforts to implement promote uptake ACP conversations its use as a metric measure quality EOL care. Recent systematic reviews shed some...
Objectives: To estimate the health impact, in terms of depression, self-rated health, and services utilization, providing care to older adults (75+) requiring human assistance at least one activity daily living (ADL) limitation. Method: Data from 1,077 caregivers 318 noncaregivers, interviewed Singapore Survey on Informal Caregiving, was used examine differences depressive symptoms, number outpatient visits last 1 month between noncaregivers. Multivariate models for outcomes, adjusting...
Introduction: The Short Portable Mental Status Questionnaire (SPMSQ) is a brief cognitive screening instrument, which easy to use by healthcare worker with little training. However, the validity of this instrument has not been established in Singapore. Thus, primary aim study was determine diagnostic performance SPMSQ for dementia among patients attending outpatient assessment clinics and assess whether appropriate cut-off score varies patient’s age education. A secondary map scores...
Abstract Objective Many patients with advanced illness are unrealistically optimistic about their prognosis. We test for the presence of several cognitive biases, including optimism bias, illusion superiority, self‐deception, misattribution, and update that could explain prognostic beliefs among cancer quantifies extent to which hope exacerbates these biases. Methods A cross‐sectional survey was administered 200 physician‐estimated prognoses one year or less. Hope measured using Herth Index...
Abstract Background Family caregivers of older adults with severe dementia have negative and positive experiences over the course caregiving. We aimed to delineate joint trajectories (patterns time) for experiences, identify risk factors associated membership trajectories, ascertain association between caregivers’ outcomes after death adult. Methods Two hundred fifteen family in Singapore were surveyed every 4 months 2 years, 6 Using group-based multi trajectory modelling, we delineated...