Publications by authors named "Noor Azimah Muhammad"

Digital intervention has been shown to be helpful in improving perinatal mental health. However, the design characteristics of such interventions have not been systematically reviewed. Considering that a lack of support-especially from a partner-is one of the major contributing factors to perinatal depression and anxiety, it is crucial to determine whether digital interventions have included partner participation.

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  • A study was conducted to examine the prevalence of mental health issues among pre-university students in Malaysia and how these issues relate to parenting styles.
  • The research found that significant percentages of participants experienced depression (49%), anxiety (68%), and stress (37.6%), with factors like father's education level and authoritarian parenting style linked to these mental health disorders.
  • The study highlights the urgent need for mental health screenings for pre-university students to enable early intervention, and it calls for further research to improve parental involvement in adolescent mental health management.
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Objective: The Difficulties in Emotion Regulation Scale-18 (DERS-18) is an instrument used to measure deficits in emotion regulation. However, the instrument has not been adapted to Malaysians and has never been validated in the Malay language. This study aimed to examine the psychometric properties of the Malay version of DERS-18.

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  • A study examined how erectile dysfunction (ED) in men with type 2 diabetes affects the psychological well-being of their spouses, revealing that 28.7% experienced psychological issues like depression and anxiety.
  • The study included 115 women and used questionnaires to assess their mental health alongside factors like marital history and perceptions of their husbands' ED.
  • Findings suggested that while many spouses had regular sexual activity and did not view their husbands as having ED, their own medical issues significantly increased anxiety levels.
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Substantial variability exists with regard to autism service provision around the world. Service disparities observed in many low- and middle-income countries may be driven, in part, by limited autism knowledge; however, measurement limitations have made it difficult to quantify autism knowledge across countries. The current study uses the autism stigma and knowledge questionnaire (ASK-Q) to quantify autism knowledge and stigma between different countries and demographics.

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48,XXYY syndrome is a rare condition. The presentations of impulsive and aggressive behavior have been reported in several case reports among patients with 48,XXYY syndrome. The management of the psychological impact and neuropsychiatric sequela of this condition is a significant issue faced by families, carers, and healthcare professionals.

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Introduction: Digital device helps children enhance academic, cognitive and psychomotor skills. However, prolonged use causes physical inactivity, poor interpersonal skills and communication problems. Information on digital device use among young children in Malaysia is currently limited.

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The Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) has been translated and adapted globally. This study aimed to examine the psychometric properties of the Malay version of the ERQ-CA. The ERQ-CA underwent forward and back translation twice and was tested in two separate studies, Study 1 and Study 2, with 296 and 359 students aged between 13 and 14 years old, respectively.

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Background: With the increasing prevalence of obesity in youth, behavioural interventions to alter its modifiable risk factors such as physical activity can support the management of this epidemic. Digital behaviour changes interventions (DBCI) such as mobile applications, websites and wearables have the potential to reach many adolescents to promote physical activity as its use may be more accessible, effective and engaging compared to traditional face-to-face approaches. However, there is insufficient evidence on their use at promoting physical activity amongst overweight and obese adolescents.

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Introduction: Migraine is the most common headache affecting young people that impairs their functional ability. This study aimed to determine the frequency of migraines among Malaysian medical students, the association between migraines, stress level, and functional disability among these students, and describe their self-management practices.

Methods: A cross-sectional study was conducted among medical students in a private medical school in Penang state.

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Background: The Attitude to Ageing Questionnaire (AAQ) was developed to assess perceptions of the aging process among older adults. The 24 items were framed into three factors. This study aimed to translate the AAQ from English to the Malay language (AAQ-M) and determine its factorial structure and validity in a Malaysian population.

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  • Pelvic floor muscle training (PFMT) is essential for improving urinary incontinence (UI) in pregnant women, and the Kegel Exercise Pregnancy Training (KEPT) app was evaluated for its feasibility and usability.
  • A pilot study involved ten pregnant women, averaging 28.9 years old, who rated the app positively, showing above-average feasibility and usability in areas like system information arrangement, usefulness, and ease-of-use.
  • However, there was a negative correlation between education level and app usability, indicating that lower educational levels may hinder the app's effectiveness, suggesting that future versions need to include feedback mechanisms for better PFMT adherence.
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This pilot randomised control trial (RCT) aimed to evaluate the feasibility and preliminary effectiveness of conducting a full-powered trial for a newly developed pelvic floor muscle training (PFMT) app among pregnant women with urinary incontinence (UI) in Malaysia. This was a prospective, single-centre, single-blind, parallel, randomised controlled, pilot feasibility study-the Kegel Exercise Pregnancy Training app (KEPT app) trial. In total, 26 pregnant women with urinary incontinence from an urban healthcare clinic were recruited and randomly assigned to either intervention or waitlist control group.

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Background: The delivery of pelvic floor muscle training (PFMT) through mHealth apps has been shown to produce promising results in improving pelvic floor muscle strength and urinary incontinence (UI). However, there is limited evidence on mHealth apps designed for pregnant women who are at high risk of developing UI. This pilot study aims to evaluate the feasibility of conducting an effectiveness trial for a newly developed PFMT app among pregnant women in Malaysia.

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Article Synopsis
  • Pelvic floor muscle training (PFMT) is highly recommended for pregnant women experiencing incontinence, and this study will evaluate the effectiveness of a mobile app for guiding this exercise.
  • A total of 370 pregnant women will be randomly assigned to either receive PFMT through the app or standard care, and their urinary incontinence levels will be assessed at various points during and after the intervention.
  • The study has received ethical approval, includes informed consent from participants, and aims to provide valuable insights into both the effectiveness and cost-effectiveness of using mobile technology in PFMT for pregnant women.
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Objectives: This study aimed to determine the prevalence of anaemia among patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) at primary care settings and its associated factors.

Design, Setting And Participants: This cross-sectional study involved 808 adult patients with T2DM and CKD who were recruited via systematic sampling from 20 public primary care clinics in Peninsular Malaysia. Their sociodemographic, clinical and biomedical profiles were collected through interviews, examination of medical records and blood testing.

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Background: The quality of life (QoL) describes the multidimensional self-perceived well-being of a person, which is an important diabetes outcome. This study aimed to measure the QoL scores among patients with type 2 diabetes mellitus (T2DM), as well as their clinical and sociodemographic predictors.

Methods: This cross-sectional study involved 180 randomly sampled patients at a primary care clinic on the East Coast of Peninsular Malaysia.

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Background: Anemia is common among patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) and an independent risk factor for renal disease progression. Health economic evidence is important in Malaysia and yet cost and quality-of-life (QOL) data are scarce.

Objectives: To investigate prevalence, factors associated with anemia, and cost and QOL among T2DM patients with CKD.

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Background: From the Theory of Planned Behaviour perspective, sexual intention is determined by a permissive attitude, perception of social norms and perceived self-efficacy in performing sexual activity. The aim of this study was to develop and validate the Youth Sexual Intention Questionnaire (YSI-Q), which was designed to measure sexual intention among youths in Malaysia.

Methods: A total of 25 items were developed based on literature reviews encompassing four main constructs: sexual intention, attitude, social norms and self-efficacy.

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One of the popular approaches of preventing youth sexual activity in Malaysia is using religion to promote premarital sexual abstinence. Despite this intervention, youth continue to practise premarital sex. Thus, the purpose of this exploratory mixed methods study was to understand the role of religion on sexual activity among college students in Klang Valley, Malaysia.

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Article Synopsis
  • - The study aimed to translate the Parental Bonding Instrument into Malay (PBI-M) and assess its validity among Malaysian college students aged 18 to 22.
  • - During the validation, comprehension issues arose with negative phrasing, leading to adjustments where negative items were substituted with positive ones for clarity.
  • - The final PBI-M consisted of 20 items, categorized into three factors: care, autonomy, and overprotection, demonstrating strong validity and reliability for assessing Malaysian parenting styles.
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Introduction: University students face not only challenges related with independent living, but also academic challenges. This predisposes them to depression, anxiety and stress, which are fairly common.

Objective: The aim was to assess the prevalence of depression, anxiety and stress, and identify their correlates among university students.

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Attention-deficit hyperactive disorder (ADHD) is a psychiatric illness commonly diagnosed during the early years of childhood. In many adolescents with undiagnosed ADHD, presentation may not be entirely similar to that in younger children. These adolescents pose significant challenges to parents and teachers coping with their disability.

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