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Translational Medical Research Commons

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Full-Text Articles in Translational Medical Research

Effectiveness Of A Patient Self- Management Program For Breast Cancer As A Chronic Illness: A Non- Randomised Controlled Clinical Trial, Siew Yim Loh Assoc Prof, Tanya Packer Prof, Karunthan Chinna Assoc Prof, Kia Fatt Quek Assoc Prof Jan 2013

Effectiveness Of A Patient Self- Management Program For Breast Cancer As A Chronic Illness: A Non- Randomised Controlled Clinical Trial, Siew Yim Loh Assoc Prof, Tanya Packer Prof, Karunthan Chinna Assoc Prof, Kia Fatt Quek Assoc Prof

Siew Yim Loh

Purpose Patient self-management enables living with a chronic disease effectively. This study examines the effectiveness of a 4-week self-management programme to enable self-management of the numerous after-effects and with breast cancer as a chronic disease. Methods Upon ethical approval, 147 multiethnic survivors (stages I–III breast cancer) received either a 4-week self-management intervention (n=68) or usual care (n=78) on a controlled clinical trial in a medical centre. The facilitator led group intervention provides self-management support and skills for managing the medical, emotional and role tasks. Survivors completed the pre- and post-intervention measures on quality of life, distress and participation inventory. Results …


Improving Cancer Survivorships: Targeting Physical Activity And Inactivity At Teachable Moments, Siew Yim Loh Assoc Prof Jan 2012

Improving Cancer Survivorships: Targeting Physical Activity And Inactivity At Teachable Moments, Siew Yim Loh Assoc Prof

Siew Yim Loh

This article presents a brief overview on the importance of adopting healthy behavior during and after the completion of primary cancer treatment. Increasing evidences are advocating physical activity engagement in cancer survivors due to its convincing beneficial outcomes. Today, outcomes from numerous trials confirmed the need to examine beyond physical activity engagement, into physical inactivity as an independent factor for cancer recurrences. Reducing cancer-risk related behaviors via increase physical activity and reduce inactivity is now receiving much attention in the field of cancer survivorship. Both realms of activity and inactivity are now acknowledged as influential independent factors contributing to better …


Barriers To Participation In A Randomized Controlled Trial Of, Siew Yim Loh Assoc Prof Jan 2012

Barriers To Participation In A Randomized Controlled Trial Of, Siew Yim Loh Assoc Prof

Siew Yim Loh

range from patient-related, through institutional-related to staff-related factors. This paper highlights the low response rate and the recruitment barriers faced in our Qigong exercises trial. Materials and Method: The Qigong trial is a three-arm trial with a priori power size of 114 patients for 80% power. The University Malaya Medical Centre database showed a total of 1,933 patients from 2006-2010 and 751 patients met our inclusion criteria. These patients were approached via telephone interview. 131 out of 197 patients attended the trial and the final response rate was 48% (n=95/197). Results: Multiple barriers were identified, and were regrouped as patientrelated, …


Barriers To Exercise: Perspectives From Multiethnic Cancer, Siew Yim Loh Assoc Prof Jan 2011

Barriers To Exercise: Perspectives From Multiethnic Cancer, Siew Yim Loh Assoc Prof

Siew Yim Loh

Background: Many cancer survivors are still not active enough to reap the benefits of physical activity. This study aimed to explore the correlation between perceived barriers and participation in exercise among multiethnic Malaysian women with breast cancer. Methods: A cross-sectional study using a pre-post questionnaire and a media-clip as a cancer control strategy was conducted on a random sample of women with breast cancer. The tools were structured questionnaires to collect socio-medical demographic and physical activity data (e.g. barriers, exercise self-efficacy). Results: A statistically significant relationship between level of physical activity before and after diagnosis of breast cancer (n=51, χ2=70.14, …


Self Management Pilot Study On Women With Breast Cancer:, Siew Yim Loh Assoc Prof Jan 2010

Self Management Pilot Study On Women With Breast Cancer:, Siew Yim Loh Assoc Prof

Siew Yim Loh

Objective: With increasing survival rates, breast cancer is now considered a chronic condition necessitating innovative care to meet the long-term needs of survivors. This paper presents the findings of a pilot study on self-management for women diagnosed with breast cancer and their implications for Asian health care providers. Methods: A pre-test/ post-test pilot study was conducted to gain preliminary insights into program feasibility and barriers to participation, and to provide justification for a larger trial. Results: The study found the 4 week self management program feasible and acceptable, with a favourable trend in quality of life. The recruitment barriers ranged …