1.Predictors of Participation in Supervised Therapy by Post-Stroke Patients in the Singapore Community: a One Year Cohort Study
Gerald Choon-Huat Koh ; Denise Yan-Yin Lim ; Steven Liben Zhang ; Cynthia Chen Huijun ; Sanjiv Kishore Saxena ; Fong Ngan Phoon ; David Yong ; Tze-Pin Ng
The Singapore Family Physician 2015;41(1):63-74
Introduction: To determine the relationship between participation in supervised and unsupervised therapy, and predictors of participation in supervised therapy during the first post-stroke year.
Materials & Methods:
Design: Prospective longitudinal study with interviews at admission, discharge, one month, six months and one year after discharge.
Setting: Two subacute inpatient rehabilitation units and the community after discharge in Singapore.
Participants: 215 subacute non-aphasic stroke patients.
Intervention: Participation rate in supervised therapy (at outpatient rehabilitation centres) and unsupervised therapy (at home) defined as proportion of time spent performing therapy as prescribed by the subacute hospital’s multidisciplinary rehabilitation team at discharge.
Main Outcome Measure: Predictors of participation in supervised and unsupervised therapy.
Results: Patients who participated in supervised therapy (i.e. at an outpatient rehabilitation centre) >25% of the time recommended were more likely to participate in unsupervised therapy (i.e. at home) >75% of the time recommended at one, six and 12 months (crude odds ratio, OR = 4.41 [95%CI:2.09–10.17], 4.45 [95%CI:2.17–9.12], 6.93 [95%CI:2.60–18.48] respectively). Greater participation in supervised therapy at one and six months independently predicted greater participation in supervised therapy at six (adjusted OR=11.64 [95%CI:4.52-29.97]) and twelve months (adjusted OR=76.46 [95%CI:12.52-466.98]) respectively. Caregiver availability at six months independently predicted poorer participation in supervised therapy at 12 months.
Conclusion: Interventions to increase participation in supervised therapy in the first post-stroke year should focus on transition of care in the first month after discharge. Further studies are needed to understand why caregiver availability was associated with low participation in supervised therapy.
2.Kajian Rintis Penilaian Literasi Digital: Kesediaan Guru Prasekolah Menggunakan Platform Pembelajaran dalam Talian untuk Pendidikan Pemakanan (A Pilot Study Assessing Digital Literacy: Preschool Teachers’ Readiness to Use Online Learning Platforms in Nutrition Education)
CHONG YI TING ; POH BEE KOON ; RUZITA ABD. TALIB ; KOH DENISE ; WOO PIK XUAN ; NELSON GEORGIA LIVAN ; CHEAH WHYE LIAN ; LEE JULIA AI CHENG ; YATIMAN NOOR HAFIZAH ; ESSAU CECILIA A ; REEVES SUE ; SUMMERBELL CAROLYN ; GIBSON EDWARD LEIGH
Malaysian Journal of Health Sciences 2024;22(No.1):71-82
eToyBox is a learning management system for preschool teachers to improve their health literacy, which ultimately aims
to improve children’s obesity-related behaviour. As part of the development process of eToyBox, assessment on digital
literacy, acceptance of digitization of education materials, and perceived barriers in adopting online learning is needed.
Fifty-four preschool teachers under the Community Development Department (KEMAS) in Kuala Lumpur, Selangor,
and Sarawak, who participated in ToyBox Study Malaysia intervention in 2018, took part in this cross-sectional study.
An online self-administered questionnaire was used to assess sociodemographic background, use of communication
tools and media, and teacher’s views on adapting the ToyBox modules to digital education materials. Respondents were
contacted, and questionnaire link was shared through WhatsApp messages. Most participants (74.0%) were Malay
females aged 31 to 40 years old. Most participants had internet access (94.4%) and owned at least a smart phone,
laptop or tablet (94.4%). Participants perceived their computer skills to be average (75.0%). Majority of respondents
(65.0%) reported advanced and higher abilities in word processing and email, but only 22.0% in spreadsheet skills. The
main barrier to accessing online material was unstable internet connection (74.1%). Most respondents (90.0%) agree
that adapting effective modules to online learning will be beneficial for professional development and teaching practices.
In conclusion, most participants supported digitizing Toybox Study Malaysia educational content and were comfortable
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with its implementation via an online learning platform. The findings from this study can advise future development of
online learning materials for preschool teachers in Malaysia.