Displaying publications 1 - 20 of 56 in total

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  1. Sherif Y, Fattah Azman AZ, Said SM, Siddiqah Alimuddin A, Awang H, Mohammadzadeh M
    PLoS One, 2024;19(2):e0298627.
    PMID: 38394185 DOI: 10.1371/journal.pone.0298627
    BACKGROUND: Migrant children and adolescents face a significantly increased risk of mental health issues. Focusing on this population's mental health issues is fundamental and requires more attention to detect and reduce these burdens in adulthood. Nevertheless, life skills intervention can improve mental health. Its effects on Arab migrant adolescents have not been tested. Here, an evaluation protocol of the effect of an online life skills-based intervention for improving depression, anxiety, stress, self-efficacy, and coping skills among Arab adolescents in Malaysia will be examined.

    MATERIAL AND METHODS: This cluster randomised controlled trial (RCT) will involve 207 Arab students (14-18 years old) from 12 Arabic schools in the Klang Valley. The schools will be assigned randomly to an intervention (online life skills programme) or control group at a 1:1 ratio. The researcher will deliver eight one-hour sessions to the intervention group weekly. The control group will receive the intervention at the evaluation end. Both groups will complete assessments at baseline, and immediately and three months after the intervention. The primary outcome is anxiety, depression, and stress [Depression Anxiety and Stress Scale-21 (DASS-21)]. The secondary outcomes are self-efficacy (General Self-Efficacy Scale) and coping skills (Brief COPE Inventory). Data analysis will involve the Generalised Estimation Equation with a 95% confidence interval. P < .05 will indicate significant inter- and intra-group differences.

    DISCUSSION: This will be the first cluster RCT of an online life skills education programme involving Arab adolescent migrants in Malaysia. The results could support programme effectiveness for improving the participants' mental health problems (depression, anxiety, stress), increasing their self-efficacy, and enhancing their coping skills. The evidence could transform approaches for ameliorating migrant children and adolescents' mental well-being.

    TRIAL REGISTRATION: The study is registered with the Clinical Trial Registry (Identifier: NCT05370443).

  2. Mansor N, Awang H, Amuthavalli Thiyagarajan J, Mikton C, Diaz T
    Age Ageing, 2023 Oct 28;52(Suppl 4):iv118-iv132.
    PMID: 37902520 DOI: 10.1093/ageing/afad101
    OBJECTIVE: this study aims to conduct a systematic review on available instruments for measuring older persons' ability to learn, grow and make decisions and to critically review the measurement properties of the identified instruments.

    METHODS: we searched six electronic databases, which include PubMed, Embase, PsycINFO, SciELO, ERIC and AgeLine, between January 2000 and April 2022. Reference lists of the included papers were also manually searched. The COSMIN (CONsensus-based Standards for the selection of health Measurement Instruments) guidelines were used to evaluate the measurement properties and the quality of evidence for each instrument.

    RESULTS: 13 instruments from 29 studies were included for evaluation of their measurement properties. Of the 13 reviewed, 6 were on the ability to learn, 3 were on the ability to grow and 4 were on the ability to make decisions. The review found no single instrument that measured all three constructs in unidimensional or multidimensional scales. Many of the instruments were found to have sufficient overall rating on content validity, structural validity, internal consistency and cross-cultural validity. The quality of evidence was rated as low due to a limited number of related validation studies.

    CONCLUSION: a few existing instruments to assess the ability to learn, grow and make decisions of older people can be identified in the literature. Further research is needed in validating them against functional, real-world outcomes.

  3. Tan CL, Hairi NN, Awang H
    Asia Pac J Public Health, 2023 Jul;35(5):366-372.
    PMID: 37231655 DOI: 10.1177/10105395231176613
    Active aging is important for promoting the health, wellbeing, and participation of older adults. This study investigated the association between active aging and mortality risk among 2 230 respondents aged 60 and older. Principal component analysis extracted a five-factor structure from 15 indicators of active aging. The mean active aging score was 55.57 and the median was 53.33. The Kaplan-Meier curve showed that individuals with active aging scores of 53.33 and above had significantly longer survival than those below the median. Cox regression analysis indicated the significance of active aging in reducing mortality risk by 2.5% after adjusting for sex, marital status, age, ethnicity, chronic diseases, and risk factors. The active aging approach comprising health, economic, and social factors is crucial in improving survival among older adults. Hence, policies and programs that promote active aging should be encouraged to enhance the health and wellbeing of older adults and their engagement in society.
  4. Sherif Y, Azman AZF, Awang H, Mokhtar SA, Mohammadzadeh M, Alimuddin AS
    Malays J Med Sci, 2023 Jun;30(3):42-59.
    PMID: 37425380 DOI: 10.21315/mjms2023.30.3.4
    Children and adolescents are at a significantly high risk of mental health problems during their lifetime, among which are depression and anxiety, which are the most common. Life skills education is one of the intervention programmes designed to improve mental well-being and strengthen their ability to cope with the daily stresses of life. This review aimed to identify and evaluate the effect of life skills intervention on the reduction of depression, anxiety and stress among children and adolescents. Following the Population, Intervention, Comparison and Outcome (PICO) model and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2009 checklist, eight databases (Academic Search Complete, CINAHL, Cochrane, MEDLINE, Psychology and Behavioural Sciences Collection, PubMed, Scopus and Web of Science) were systematically reviewed from 2012 to 2020. The search was limited to English papers only. It included published experimental and quasi-experimental studies addressing the effect of life skills interventions on the reduction of at least one of the following mental health disorders: depression, anxiety and stress among children and adolescents (from the age of 5 years old to 18 years old). We used the Joanna Briggs Institute checklist for experimental and quasi-experimental studies to evaluate the quality of the included studies. This study was registered in PROSPERO [CRD42021256603]. The search identified only 10 studies (three experimental and seven quasi-experimental) from 2,160 articles. The number of the participants was 6,714 aged between 10 years old and 19 years old. Three studies in this review focused on depression and anxiety, whereas one study investigated depression and the other anxiety. Three studies targeted only stress and two examined the three outcomes, namely, depression, anxiety and stress. Almost in all studies, the life skills intervention positively impacted mental disorders, considering the differences among males and females. The overall methodological quality of the findings was deemed to be moderate to high. Our results clearly indicated the advantages of life skills programmes among adolescents in different settings and contexts. Nonetheless, the results highlight some important policy implications by emphasising the crucial roles of developers and policymakers in the implementation of appropriate modules and activities. Further research examining life skills intervention with a cultural, gender perspective, age-appropriate and long-term effect is recommended.
  5. Daud Z, Detho A, Rosli MA, Awang H, Ridzuan MBB, Tajarudin HA
    J Air Waste Manag Assoc, 2022 01;72(1):24-33.
    PMID: 33320054 DOI: 10.1080/10962247.2020.1862362
    When the inevitable generation of waste is considered as hazardous to health, damaging ecosystem to our environment, it is important to develop an innovative technologies to remediate pollutant sources for the safety and environmental protection. The development of adsorption technique for the reduction of extremely effective pollutants in this regard. Green mussel and zeolite mixing media were investigated for the reduction of the concentration of organic constituents (COD) and ammoniacal nitrogen from leachate. The leachate treatability was analyzed under various stages of treatment parameter, namely mixing ratio, shaking speed, contact time, and pH. Both adsorbent were sieve values in between 2.00-3.35 mm particle size. The optimum pH, shaking speed, contact time, and mixing ratio were determined. Leachate samples were collected from influent untreated detention pond at Simpang Renggam landfill site in Johor, Malaysia. The result of leachate characterization properties revealed that non-biodegradability leachate with higher concentrations of COD (1829 mg/L), ammoniacal nitrogen (406.68 mg/L) and biodegradability value (0.08) respectively. The optimal reduction condition of COD and ammoniacal nitrogen was obtained at 200 rpm shaken speed, 120 minute shaken time, optimum green mussel and zeolite mix ratio was 2.0:2.0, and pH 7. The isothermic study of adsorption shows that Langmuir is best suited for experimental results in terms of Freundlich model. The mixing media also provided promising results to treating leachate. This would be greatly applicable in conventionally minimizing zeolite use and thereby lowering the operating cost of leachate treatment.Implications: The concentration of organic constituents (COD) and ammoniacal nitrogen in stabilized landfill leachate have significant strong influences of human health and environmental. The combination of mixing media green mussel and zeolite adsorbent COD and ammoniacal nitrogen reduction efficiency from leachate. This would be greatly applicable in future research era as well as conventionally minimizing high cost materials like zeolite use and thereby lowering the operating cost of leachate treatment.
  6. Detho A, Daud Z, Rosli MA, Awang H
    J Air Waste Manag Assoc, 2022 01;72(1):69-75.
    PMID: 33689591 DOI: 10.1080/10962247.2021.1894267
    Landfill leachate is a liquid generated due to rainwater percolation through the waste in a landfill or dumping site that may contain high levels of organic matter, both biodegradable and non-biodegradable, which are the major sources of water pollution. Chemical oxygen demand (COD) and Ammoniacal Nitrogen (NH3-N) contents have been relevant indicators of severity and pollution potential of landfill leachate. The reductions of COD and NH3-N were investigated in this study using different combinations of media ratios of green mussel (GM) and zeolite (ZEO). Generally, ZEO is considered as a renowned adsorbent but with a relatively high in cost. In Malaysia, mussel shell is abundantly available as a by-product from the seafood industry, is regarded as waste, and is mostly left at the dumpsite to naturally deteriorate. Its quality and availability make GMs a cost-effective material. In this research study, leachate samples were characterized and found to contain high concentrations of COD and NH3-N. The adsorption process was conducted to find out the best combination media ratio between GM and ZEO. The removing efficiency was determined at different amounts of composite media ratios. The optimal adsorbent mixture ratios between (GM: ZEO) of 1.0:3.0 and 1.5:2.5 were considered as a more efficient technique in removing COD and NH3-N compared to exploiting these adsorbents individually. The optimal extenuation removal reduction was found at an approximately 65% of COD and 78% of NH3-N. The adsorption Isotherm Langmuir model exhibited a better fit with high regression coefficient for COD (R2 = 0.9998) and NH3-N (R2 = 0.9875), respectively. This means that the combination of GM: ZEO adsorption of landfill leachate in this analysis is homogeneous with the monolayer. The mixture of GMs and ZEO was observed to provide an alternative medium for the reduction of COD and NH3-N with comparatively lower cost.Implications: The concentration of organic constituents (COD) and ammoniacal nitrogen in stabilized landfill leachate have significantly strong influences of human health and the environment. The combination of mixing media green mussel and zeolite adsorbent enhancing organic constituents (COD) and ammoniacal nitrogen reduction efficiency from leachate. This would be greatly applicable in future research as well as conventionally minimizing high cost materials like zeolite, thereby lowering the operating cost of leachate treatment.
  7. Detho A, Daud Z, Rosli MA, Awang H, Ridzuan MBB
    J Air Waste Manag Assoc, 2022 01;72(1):10-23.
    PMID: 33689589 DOI: 10.1080/10962247.2021.1895366
    The rapid generation rate of solid waste is due to the increasing population and industrialization. Nowadays, solid waste has been a major concerning problem in handling and disposal thus adsorption treatment process has been introduced which is an effective and low-cost method in removing organic and inorganic compounds from leachates such as chemical oxygen demand (COD) and ammoniacal nitrogen (NH3-N). A most commonly adsorbent used for the removal of organic and inorganic compounds is activated carbon (AC), yet the main disadvantage is being too expensive in cost. Many researchers tried to use low-cost adsorbent waste materials, such as peat soil, limestone etc. This review article reveals a list of low-cost adsorbent and their capacity of adsorption for the removal of COD and NH3-N. Furthermore, the preparation of these low-cost adsorbents as well as their removal efficiencies, relative cost, and limitation are discussed. The most efficient, cost-effective, and environment-friendly adsorbent can be used for the removal of COD and NH3-N thus can be provided for commercial usage or water treatment plant.Implications: The concentration of organic constituents (COD) and ammonia nitrogen in stabilized landfill leachate has significant strong influences of human health and environmental. This review article shows the list of low-cost adsorbent (i.e., Activated carbon, Peat soil, Zeolite, Limestone, and cockle shell and their capacity of adsorption for the removal of COD and ammonia nitrogen. This would be greatly applicable in future research era as well as conventionally minimizing high-cost materials use and thereby lowering the operating cost of leachate wastewater treatment.
  8. Eow SY, Gan WY, Lim PY, Awang H, Mohd Shariff Z
    J Autism Dev Disord, 2021 Aug 28.
    PMID: 34453670 DOI: 10.1007/s10803-021-05247-7
    Atypical eating behaviors displayed by children with autism spectrum disorder (ASD) predispose them to unhealthy weight gain. We determined the factors associated with body weight status among 261 children with ASD (3-18 years) at nine autism intervention centers. Their mothers completed a self-administered questionnaire on sociodemographic background, parenting style, parental feeding practices, parenting stress, sleep habits, eating behaviors, and autism severity. Children with older age, non-full term gestational age, high maternal perceived weight, high maternal concern about child weight, and low pressure to eat were more likely to be overweight and obese. Obesity is a major concern among children with ASD. Healthy weight management programs for parents should incorporate appropriate feeding practices and a healthy perception of body weight.
  9. Kwek SY, Awang H, Cheah CB
    Materials (Basel), 2021 Jul 30;14(15).
    PMID: 34361447 DOI: 10.3390/ma14154253
    Malaysia is one of the largest palm oil producers in the world and its palm oil industry is predicted to generate a large amount of waste, which increases the need to modify it for sustainable reuse. The green geopolymers produced from industrial waste can be a potential substitute for cementitious binders. This type of polymer helps reduce dependency on cement, a material that causes environmental problems due to its high carbon emissions. Palm oil fuel ash (POFA) geopolymer has been widely investigated for its use as a sustainable construction material. However, there is still uncertainty regarding the total replacement of cement with POFA geopolymer as a binder. In this study, we examined the effects of different material design parameters on the performance of a POFA-based geopolymer as a building material product through iterations of mixture optimisation. The material assessed was a single raw precursor material (POFA) activated by an alkaline activator (a combination of sodium hydroxide and sodium silicate with constant concentration) and homogenised. We conducted a physical property test, compressive strength test, and chemical composition and microstructural analyses to evaluate the performance of the alkali-activated POFA geopolymer at 7 and 28 days. According to the results, the optimum parameters for the production of alkali-activated POFA paste binder are 0.6 liquid-to-solid ratio and 2.5 alkaline activator ratio. Our results show that the use of alkali-activated POFA geopolymer is technically feasible, offering a sustainable and environmentally friendly alternative for POFA disposal.
  10. Apalasamy YD, Awang H, Mansor N, AbRashid N, Kamarulzaman ND, Lih Yoong T
    Asia Pac J Public Health, 2021 07;33(5):547-554.
    PMID: 34013778 DOI: 10.1177/10105395211014634
    Obesity is a rising concern globally. This study investigated the prevalence and factors associated with obesity and abdominal obesity (AO) among 5613 Malaysians aged 40 years and older via computer-assisted personal interviewing and anthropometric measurements. Obesity and AO prevalence were 37.8% and 63.1%, respectively. Significant associations were observed between: obesity with higher risk in patients aged between 40 and 49 years, Indians, females, income ≥RM 2000, and health status, and AO with higher risk in patients aged between 50 and 59 years, Indians, females, never married, income ≥RM 2000, and vigorous physical activity. Hence, age, sex, income, and ethnicity are associated with both obesity and AO. Promoting healthy body mass index and waist circumference is essential for healthy ageing.
  11. Harun AM, Awang H, Noor NFM, Makhatar NM, Yusoff ME, Affandi NDN, et al.
    Biomed Res Int, 2021;2021:6173143.
    PMID: 34859102 DOI: 10.1155/2021/6173143
    BACKGROUND: Potential antibacterial substances, such as titanium dioxide (TiO2), are being extensively studied throughout the research world. A modified hydrothermal nanotitania extraction was shown to inhibit Staphylococcus aureus growth in the laboratory. However, the toxicity effect of the extract on rats is unknown. In this study, we observed the effects of a modified hydrothermal nanotitania extraction on the skin and behavior of Sprague-Dawley rats.

    METHODS: Sprague-Dawley (Rattus norvegicus) rats were used as the experimental animals. The skin around the dorsum of the tested animals was shaved and pasted with 0.1 mg and 0.5 mg of the nanotitania extraction. The color and condition of the pasted area and the behavior of the animals were observed.

    RESULTS: 0.1 mg nanotitania extraction application on the dorsum of the rat produced no skin color changes at day 1, day 3, day 5, or day 7 postapplication. There were no changes in their behavior up to day 7 with no skin rashes or skin scratches seen or fur changes. However, 0.5 mg of nanotitania extraction resulted in redness and less fur regrowth at day 7.

    CONCLUSIONS: A 0.1 mg modified nanotitania extraction was observed to have no effect on the skin of Sprague-Dawley rats.

  12. Mohammadzadeh M, Awang H, Mirzaei F
    J Psychiatr Ment Health Nurs, 2020 Dec;27(6):829-837.
    PMID: 32170971 DOI: 10.1111/jpm.12627
    WHAT IS KNOWN ON THE SUBJECT?: Four out of every five people with mental health disorders face stigma. Mental health and, consequently, mental health stigma are very common among youth living in the Middle East countries. Several studies have investigated mental health among adolescents in the Middle East, but studies on stigma are very scattered. There is no systematic review on stigma among adolescents with mental disorders across all the Middle East countries despite the common historical roots, similar cultural backgrounds, and recent widespread problems in the area. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper will aim to review and analyse the studies on stigma among adolescents with mental disorders in the Middle East countries, from different aspects such as the age rang, kind of stigma and risk factors of stigma. The study will cover studies on all kinds of stigma among Middle Eastern adolescents up to 18 years old published between 2000 and 2019. The study terms are generally focused on four categories: (a) kinds of Stigma, (b) Mental health problems, (c) Age range and (d) Region of study population. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Increasing understanding and awareness of different angles of mental health stigma among adolescents may be helpful for better coping with this challenge. Understanding the nature of stigma may give adolescents the ability of ignoring it and avoid starting self-stigma and/or stopping to seek help. ABSTRACT: Introduction Although many epidemiological and interventional investigations regarding improving mental health among youth in the Middle East have been performed, there is no systematic review specifically analysing the studies on stigma among adolescents with mental disorders (A-MDs) across all Middle East countries despite their common historical roots, similar cultural backgrounds, and recent widespread problems in the area. Purpose We will aim to systematically review and analyse the English language studies on stigma among A-MDs in the Middle East published between 2000 and 2019. Method The Web of Knowledge, Science Direct, PsycINFO and MEDLINE are electronic databases that will be included in this study. Furthermore, the bibliography lists of eligible articles will be manually searched for additional included articles. Descriptive statistics will be represented by mean score and standard deviation for continuous data and number/percentage for categorical data. Discussion This study may act as a resource for future studies attempting to assess and/or reduce stigma among children and adolescents with mental health issues specifically in the Middle East. Implications It is important for healthcare providers, including nursing professional, to improve their knowledge and vision towards stigma in their community. The outcomes of this study can be a shortcut reaching this information.
  13. Awang H, Rahman AA, Sukeri S, Hashim N, Rashid NRNA
    Korean J Fam Med, 2020 Nov;41(6):412-415.
    PMID: 32093439 DOI: 10.4082/kjfm.19.0030
    BACKGROUND: The need for client feedback in assessing healthcare services is widely recognized. However, little is known about the satisfaction of adolescent clients utilizing healthcare services in Malaysia. To the best of our knowledge, there is no validated instrument to measure the satisfaction of adolescent clients attending health clinics in Malaysia. This cross-sectional study aimed to determine the reliability of the Malay version of the Malaysian Ministry of Health's Adolescent Client Satisfaction Questionnaire among adolescents attending health clinics in northeastern Malaysia.

    METHODS: A cross-sectional study was conducted in January 2019 among adolescents aged 10-19 years attending four designated health clinics in the northeastern state of Peninsular Malaysia. The test for Cronbach's α was performed to determine the internal consistency reliability.

    RESULTS: There were a total of 85 adolescent clients involved in this study. The mean age of respondents was 15.6 years. The majority of respondents were female, Malay, students, and had attained a secondary level of education. The mean total satisfaction score was 78.35. The internal consistency reliability according to the Cronbach's α of the domain was 0.854, which is considered highly reliable. The corrected item-total correlation for the domain was acceptable as it was ≥0.4.

    CONCLUSION: The Malay version of the Malaysian Ministry of Health's Adolescent Client Satisfaction Questionnaire has excellent internal consistency reliability. Therefore, it may be recommended as a tool to measure the satisfaction level among adolescents attending health clinics in Malaysia.

  14. Awang H, Nik Osman NA, Mansor N, Ab Rashid NF, Lih Yoong T
    Int Q Community Health Educ, 2020 Jul;40(4):345-352.
    PMID: 31876255 DOI: 10.1177/0272684X19896733
    This article examined the factors of how long people would like to live involving 462 respondents aged 40 years and older in Malaysia. Data collected through an online self-administered survey indicated that 75% of the respondents would like to live at least 80 years and on average most people would like to live 81 years. Rural respondents, those who agreed that they have a loving family, those who agreed that they want to continue working for as long as they can, respondents who believed that they will not need long-term care at 65 years and older, and those who may consider living in an assisted living facility were more likely to want to live at least 80 years compared with respondents who did not agree. Efforts should be targeted at promoting healthy lifestyle and providing more employment opportunities for older persons.
  15. Masiran R, Ibrahim N, Awang H, Lim PY
    Asian J Psychiatr, 2020 Jun;51:101851.
    PMID: 31711780 DOI: 10.1016/j.ajp.2019.101851
    Children with emotional and behavioral problems are often managed using medications or behavioral therapy, but in some countries, there is no structured parenting intervention to equip parents from different cultural backgrounds with adequate parenting skills to help these children. This paper aims to synthesize key findings from previous research on multicultural parenting programs and produce a comprehensive integrated view by looking into three separate themes: effective multicultural parenting programs, ethnocultural groups and cultural adaptation process. Literature search through Scopus and Google Scholar from 1999 to 2019 was conducted using the terms "effective parenting program", "effective parenting intervention", "effective multicultural parenting program", "effective multicultural parenting intervention", "multicultural parenting program", "multicultural parenting intervention", "parenting program and ethnic groups", "parenting intervention and ethnic groups", "adapted parenting program", "adapted parenting intervention", "cultural adaptation of parenting program'' and "cultural adaptation of parenting intervention". By applying the "Literature Review Synthesis Process", authors conducted cross-analysis, integrated possibilities, and prioritized the synthesized information gearing towards highly probable solutions for improving multicultural parenting programs to manage emotional and behavioral problems in children better. Development of a culturally fit parenting intervention and its implications on existing parenting programs are also discussed. The findings highlight the need 1) to engage with ethnocultural groups of parents during development of a new multicultural parenting program, and 2) to incorporate specific measures for engaging with parents during multicultural parenting program implementation. This paper contributes in acknowledging cultural components in future parenting intervention programs. Finally, recommendations are made for future directions of research.
  16. Eow SY, Gan WY, Lim PY, Awang H, Mohd Shariff Z
    Res Dev Disabil, 2020 May;100:103632.
    PMID: 32179381 DOI: 10.1016/j.ridd.2020.103632
    BACKGROUND: Children with Autism Spectrum Disorder (ASD) of different levels of symptom severity may exhibit a wide range of behaviours and characteristics. There is a limited nutrition-related study on children with ASD of different severity in Malaysia.

    AIMS: This cross-sectional study aims to determine the association between sociodemographic factors, parental factors, and lifestyle factors with autism severity in children with ASD.

    METHODS AND PROCEDURES: A total of 224 children with ASD were included in this study. Their mothers completed a self-administered questionnaire on sociodemographic characteristics, autism severity, parenting style, parental feeding practices, parenting stress, child's sleep habits and eating behaviours.

    OUTCOMES AND RESULTS: As high as 78.1 % of the children with ASD demonstrated a high level of autism severity. Multiple linear regression showed that father's employment status (B = 6.970, 95 % CI = 3.172, 10.768, p 

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