Publications by authors named "Sunita M Stewart"

Background: Resilience is defined as the ability to rely on internal characteristics and external strengths to adapt to adverse events. Although universal resilience-enhancing programs are effective for adolescents, there is a need for interventions that are more easily accessible and can be customized for individual teens. Phone apps are easy to use, can be tailored to individuals, and have demonstrated positive effects for mental health outcomes.

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Barriers to adaptation faced by mainland Chinese immigrants to Hong Kong can be reduced by improving two targets of adaptation: information about negotiating their new environment and psychological well-being. We developed and evaluated a Compound intervention to address these two domains simultaneously and compared its effects to two separate interventions exclusively targeting either information about Hong Kong or psychological well-being. This cluster randomized controlled trial assigned 251 immigrants to an information provision arm (IP, n = 84) targeting knowledge and adaptation difficulties, a psychological well-being enhancement arm (WBE, n = 80) targeting resilience and mental health, or a Compound arm (i.

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Article Synopsis
  • The Zero-time exercise (ZTEx) program aims to incorporate quick, effective strength and stamina exercises into daily routines, evaluated through a study involving 673 participants from various family service centers in Hong Kong.
  • Participants were divided into two groups: one receiving the ZTEx intervention and the other focusing on healthy eating, with both groups undergoing several face-to-face sessions and text message support over a year.
  • Results showed that the experimental group engaged in significantly more ZTEx activities and reported improved health perceptions and family engagement compared to the control group, with some effects persisting in follow-ups at 6 and 12 months.
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With a research focus on the possible impact of perceived discrimination on physical symptoms, this study examined a moderated mediation model that depressive symptoms would mediate the association between perceived discrimination and physical symptoms, and family satisfaction would show moderating effects on both depressive and physical symptoms among immigrants. Immigrant women from Mainland China into Hong Kong (N = 966) completed a cross-sectional survey. Depressive symptoms mediated the association between perceived discrimination and physical symptoms.

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The World Health Organization lists depression as the single largest contributor to global disability. More than 300 million people worldwide are estimated to suffer from this disorder. Success in managing depression once it begins is limited, with questions about the extent of the effectiveness of antidepressant medications and psychosocial treatments on depression in youths.

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Purpose: Family happiness is one major theme of family well-being in Chinese culture. We investigated the reliability and validity of the single-item Self-reported Family Happiness Scale (SFHS-1) with the score of 0-10, based on two studies in Hong Kong Chinese.

Methods: Study 1 was a territory-wide population-based telephone survey (n = 4038) conducted in 2016.

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Objectives: The objective of the study was to examine longitudinal associations of perceived diabetes-specific peer support with adherence and glycemic control among late adolescents with type 1 diabetes as they transition out of high school and into early emerging adulthood.

Method: As part of a larger study, 211 high school seniors with type 1 diabetes completed confidential online surveys and were reassessed 1 year later. Perceived diabetes-specific peer support and adherence were assessed in each survey.

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Article Synopsis
  • A community program in Hong Kong trained lay volunteers as health promoters to improve physical activity and well-being in socioeconomically disadvantaged groups.
  • A four-session train-the-trainer workshop introduced the Zero-time Exercise (ZTEx) intervention, which successfully equipped 28 trainees with skills to reduce sedentary behavior and enhance their health knowledge and interpersonal skills.
  • The study found positive outcomes for both trainees and community participants, with improvements in neighborhood cohesion and fitness, demonstrating the feasibility of the role modeling approach for health promotion initiatives.
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Background: Recruitment is central to any research project, and recruitment itself should be well documented and researched. We describe our recruitment efforts for a community-based research project-entitled the Learning Families Project-conducted in Hong Kong.

Methods: In collaboration with community stakeholders, residents from a public housing estate were recruited to participate in family programs aimed at enhancing family well-being.

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Background: Managing type 1 diabetes mellitus (T1DM) in preschool-aged children has unique challenges that can negatively impact glycemic control and parental coping.

Objective: To evaluate the impact of a camp-based multi-component intervention on glycated hemoglobin A1c (HbA1c) in young children with T1DM and psychosocial measures for their parents.

Subjects And Methods: Two separate cohorts of 18 children (ages 3-5 years) and their families participated in a camp-based intervention that included didactic and interactive parent education, child-centered education and family-based recreational activities.

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Background: Family communication is important to maintain family relationships and family well-being. To enhance family communication and family well-being, a community-based "Learning Families Project," based on the social ecological model was developed in Kwun Tong in Hong Kong, a district with high prevalence of family problems.

Methods: This quasi-experimental study included two nearby government subsidized low-rent housing estates separated by busy main roads, as the intervention [Tsui Ping (South) Estate] and control (Shun Tin Estate) estate.

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Objective: To examine hope and its components of agency and pathways as predictors of anxiety and depressive symptoms in children receiving cancer treatment.

Methods: Sixty patients (mean standard deviation age = 13.3 (2.

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Unlabelled: This paper presents the development and evaluation of the train-the-trainer (TTT) workshop for lay resident leaders to be lay health promoters. The TTT workshop aimed to prepare the trainees to implement and/or assist in conducting a series of community-based family well-being activities for the residents in a public low rent housing estate, entitled "Learning Families Project", under the FAMILY project. The four-hour TTT workshop was conducted for 32 trainees (72% women, 43% aged ≥ 60, 41% ≤ elementary school education).

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Background: Neighborhood cohesion, which refers to the extent of the connectedness and solidarity among residents in a community or neighborhood, is an important determinant of human health. To enhance neighborhood cohesion, the "Learning Families Project" was developed with a series of intervention programs in Kwun Tong in Hong Kong, a district with low neighborhood cohesion. This project, based on the social ecological model, provided a platform for neighbors to learn, communicate and interact with each other.

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Introduction: Evaluation studies on train-the-trainer workshops (TTTs) to develop family well-being interventions are limited in the literature. The Logic Model offers a framework to place some important concepts and tools of intervention science in the hands of frontline service providers. This paper reports on the evaluation of a TTT for a large community-based program to enhance family well-being in Hong Kong.

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