Publications by authors named "Agnes Yuen Kwan Lai"

Promoting COVID-19 prevention is key to pandemic control and innovative interventions can help communicate reliable science to the public. Under the Hong Kong Jockey Club SMART Family-Link Project, we developed and evaluated a pilot intervention for promoting COVID-19 prevention through a web-based family game, guided by the Theory of Planned Behavior and a strength-based approach. The "SMART Epidemic prevention" pilot theme was launched to the public on September 21, 2020 for 4 weeks.

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Background: Cognitive behavioral therapy for insomnia (CBT-I) as a first-line treatment may improve insomnia in pregnant women. The efficacy of the components, modalities, doses, and effectiveness of CBT-I in pregnant women at follow-up remains unclear.

Objectives: To assess the effectiveness of CBT-I in pregnant women and identify effective intervention components, modalities, and doses.

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Article Synopsis
  • The study investigates how perceived benefits and harms of COVID-19 impact mental health and confidence in coping with the pandemic among Hong Kong adults.
  • A survey of 7,535 participants identified three groups based on their perceptions: benefit, harm, and ambivalent, showing distinct mental health outcomes and coping confidence levels.
  • The results indicate that those who perceived more benefits reported better mental health and higher confidence, while those who perceived more harms experienced increased loneliness, anxiety, and depression.
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Background: The COVID-19 pandemic drives psychological distress. Previous studies have mostly focused on individual determinants but overlooked family factors. The present study aimed to examine the associations of individual and family factors with psychological distress, and the mediating effect of individual fear and the moderating role of household income on the above associations.

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This study applied self-determination theory (SDT) as a psychological framework to examine whether psychological need support and autonomous motivation are predictive of sports injury preventive behaviors and the incidence of sports injuries. 2042 secondary school students (mean age = 14.33, male = 44.

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Objective: Family services are open to the community at large as well as vulnerable groups; however, little is known about the willingness of communities to attend such services. We investigated the willingness and preferences to attend family services and their associated factors (including sociodemographic characteristics, family wellbeing, and family communication quality) in Hong Kong.

Methods: A population-based survey was conducted on residents aged over 18 years from February to March 2021.

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Introduction: We examined information and communications technology (ICT) use in family services and its perceived benefits and barriers amid the COVID-19 pandemic in Hong Kong.

Methods: We invited all family service social workers of 12 NGOs to complete an anonymous online questionnaire in May 2020 (Part A) and a management representative from each NGO to provide written feedback on ICT use in January 2021 (Part B).

Results: In Part A, of 255 respondents (response rate: 67.

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Background: We have reported both perceived benefits and harms of the COVID-19 outbreak and their socioeconomic disparities amid the pandemic in Hong Kong. We further investigated whether such perceptions and disparities had changed after 10 months.

Methods: Under the Hong Kong Jockey Club SMART Family-Link Project, we conducted two cross-sectional surveys online on perceived personal and family benefits and harms of the COVID-19 outbreak in Hong Kong adults in May 2020 (after Wave 2 was under control; = 4,891) and in February and March 2021 (after Wave 4 was under control; = 6,013).

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Background: The acceleration of population aging calls for simple and effective interventions catered for older people. Gerontechnology, the combination of gerontology and technology, can promote quality of life in older adults. However, public health-related events incorporating information communication technology (ICT) for older people have seldom been evaluated.

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Mindfulness-based art therapy has shown to improve psychological well-being. Zentangle is an easy-to-learn, mindfulness-based art therapy suitable for everyone. We reported the transition from face-to-face to online Zentangle workshops in family social services during COVID-19.

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Objective: We assessed the associations of family wellbeing with verifying and subsequently forwarding COVID-19-related information to family members and the mediating effect of the quality of family communication on these associations among Chinese adults in Hong Kong.

Methods: Under the Jockey Club SMART Family-Link Project, we conducted an online population-based survey, using Family wellbeing Scale and questions related to the family communication quality and forwarding and verifying COVID-19 information. Data were collected from 4,891 adults in May 2020.

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Background: Adversity coping capability (ACC) is important amid the COVID-19 pandemic. We examined the associations of ACC as measured by our one-item ACC scale (ACC-1) with mental health, family well-being and validity of ACC-1 in Hong Kong.

Methods: A cross-sectional survey was conducted on Hong Kong Chinese adults aged ≥ 18 years by landline, mobile phone, and online survey from February to March 2021, when the fourth wave of COVID-19 was under control.

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Objectives: To explore associations of screen time (total, mobile gaming) with sleep problems in Chinese young adults.

Methods: This was a 4-week daily morning (completion rate = 82.1%, 909/1107) and evening (completion rate = 92.

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Background: Information and communication technology (ICT) use may enhance social work practice and continuous professional development. Under the Hong Kong Jockey Club SMART Family-Link Project, we developed an innovative web-based training, learning, and sharing platform (i-TLS) to support not only ICT and other learning needs of Hong Kong social workers but also their practice.

Objective: We developed i-TLS with 3 major components (i-Training, i-Learning, and i-Sharing) and assessed its acceptability and impact on facilitating ICT use in family services.

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Background: Both face-to-face and instant messaging (IM) communication are important for families, but face-to-face communication has reduced amidst the COVID-19 pandemic. We examined the use and contents of both communication methods amidst the pandemic, their associations with family wellbeing and personal happiness, and the mediation effects of communication quality in Hong Kong Chinese adults.

Methods: This population-based online survey enrolled 4,921 respondents in May 2020, who reported (i) any face-to-face or IM family communication when the pandemic was severe; (ii) communication contents being classified as neutral, positive, supportive, and negative; and (iii) communication quality, family wellbeing and personal happiness (score 0-10).

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Article Synopsis
  • - The study investigated the patterns of perceived harms and benefits of the COVID-19 pandemic among Hong Kong adults, revealing three distinct groups: indifferent (66.37%), harm (13.28%), and benefit (20.35%).
  • - The harm subgroup was found to be younger, less happy, and increased their drinking habits, indicating a higher risk profile compared to the indifferent group, while the benefit subgroup demonstrated higher happiness and decreased drinking.
  • - Future research should focus on the harm subgroup to support their positive adjustments during the ongoing impacts of the pandemic.
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Article Synopsis
  • Family support and information sharing during COVID-19 play a critical role in shaping health and behavior, though research on how families share this information remains limited.
  • A study of 4,852 respondents in Hong Kong found that instant messaging was the most common method for sharing COVID-19 information, with sociodemographic factors influencing usage patterns among different groups.
  • The research indicated that using various communication methods improved family communication quality and well-being, suggesting that digital training could enhance connectivity and support among families during the pandemic.
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Delaying doctor consultation is harmful. Fear of COVID-19 leads to delays in seeking medical care at a time when pandemic information overflows. However, little is known about the role of COVID-19 related fear, attention to information, and fact-checking in such delay.

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The COVID-19 pandemic has caused distress in students globally. The mental health of international students studying abroad has been neglected during the COVID-19 pandemic, especially Chinese students who have been unfairly targeted. To explore and document the positive and negative experiences of a group of Hong Kong Chinese international students studying in the U.

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Article Synopsis
  • Instant messaging (IM) saw a spike in usage for family communication during the COVID-19 pandemic, with a study involving 4,890 adults exploring how e-chat groups impacted family and individual wellbeing in May 2020.
  • Text messaging was the most common form of communication, with more non-text functions (like video calls and sending photos) utilized by women and older individuals.
  • Higher family wellbeing and personal happiness were linked to having more e-chat groups and a wider variety of IM functions, with family communication quality playing a significant role in these associations; thus highlighting the need for support for those with limited family communication during social distancing.
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Objective: To investigate the effects of rehabilitation either before or after operation for lung cancer on postoperative pulmonary complications and the length of hospital stay.

Data Sources: MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL Plus, SPORTDiscus, PsycInfo and Embase were searched from inception until June 2021.

Review Methods: Inclusion criteria were patients scheduled to undergo or had undergone operation for lung cancer, randomised controlled trials comparing rehabilitative interventions initiated before hospital discharge to usual care control.

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The mental health of international students studying abroad has been neglected during the COVID-19 pandemic. This mixed-method study examined perceived public attitudes, personal beliefs, practice and stress toward facemask wearing as a preventive measure against COVID-19 among international University students from Hong Kong studying in the United Kingdom (UK) in the early stage (January-March 2020) of the pandemic. Our study included 2 parts: (i) an exponential, non-discriminative snowball sampling strategy was used to recruit 91 Chinese students studying in the UK to complete an online questionnaire survey, and (ii) online Zoom focus group interviews were conducted with 16 students who completed the online survey to gain an in-depth understanding of their experiences and coping methods during the pandemic.

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The outbreak of the pandemic coronavirus disease 2019 (COVID-19) has now become a global pandemic spreading throughout the world. Unfortunately, due to the high infectiousness of the novel -coronavirus, it is very likely to become an ordinary epidemic. The development of dietary supplements and functional foods might provide a strategy for the prevention and management of COVID-19.

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