Displaying publications 261 - 280 of 499 in total

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  1. Ab Wahab SZ, Nik Hussain NH, Zakaria R, Abdul Kadir A, Mohamed N, Tohit NM, et al.
    Complement Ther Med, 2018 Dec;41:154-160.
    PMID: 30477832 DOI: 10.1016/j.ctim.2018.08.015
    OBJECTIVE: To investigate the long-term effects of Tualang Honey versus Honey Cocktail (mixture of honey, bee bread, and royal jelly) on cardiovascular markers and anthropometric measurements of postmenopausal women.

    METHODS: We conducted a randomised, double blinded, two-armed parallel study comparing 20 g/day of Tualang Honey versus 20 g/day Honey Cocktail among postmenopausal women aged 45-65 years. The cardiovascular parameters and anthropometrics measurements were assessed at baseline, 6 months, and 12 months of the intervention.

    RESULTS: 100 subjects were successfully randomised into the groups. There was a significant decrease in the diastolic blood pressure from 77.92 mmHg at baseline to 73.45 mmHg at 12 months (F-statistic = 2.55, p-value = 0.047) in the Tualang Honey group compared to Honey Cocktail. There was also a significant decrease in the fasting blood sugar from 6.11 mmol/L at baseline to 5.71 mmol/L at 12 months (F-statistic = 4.03, p-value = 0.021) in the Tualang Honey group compared to the Honey Cocktail group. The body mass index remained unchanged at 27 kg/m2 (F-statistic = 1.60, p-value = 0.010) throughout 12 months of the intervention in the Honey Cocktail group.

    CONCLUSION: Subjects who received Honey Cocktail showed remarkable effects on body mass index. However, Tualang Honey supplementation showed superior effect in lowering diastolic blood pressure and fasting blood sugar compared to Honey Cocktail. Further studies are required to ascertain the underlying mechanism(s) of Tualang Honey and Honey Cocktail on each observed parameter.

  2. Che Mood NA, Mat Yudin Z, Ahmad WMAW, Abdul Kadir A, Norhayati MN, Md Nawawi NH, et al.
    PeerJ, 2024;12:e17134.
    PMID: 38549778 DOI: 10.7717/peerj.17134
    BACKGROUND: Pregnancy is one of the risks for severe COVID-19 infection, and receiving a vaccination is one of the effective methods to reduce disease severity. However, COVID-19 vaccine hesitancy among pregnant women remains an issue. This study aims to develop and validate the pregnancy Vaccine Hesitancy Scale (pVHS) toward COVID-19 vaccine for Malaysian pregnant women.

    METHOD: An 8-item Malay language pregnancy Vaccine Hesitancy Scale (pVHS-M) for COVID-19 was adapted from the adult Vaccine Hesitancy Scale and validated using Exploratory Factor Analysis. Six expert panels were involved in content validity, and ten pregnant women were involved in face validity. A cross-sectional study on 200 pregnant women was conducted between October 2022 and March 2023 at the Obstetrics and Gynaecology Clinic, Universiti Sains Malaysia, Kelantan.

    RESULT: The item-level content validity index is 1.00, demonstrating good relevance of the eight items used to assess COVID-19 vaccine hesitancy. The item-level face validity index obtained is 0.99, indicating that the items were clear and comprehensible. The Cronbach alpha score was 0.944, with factor loadings ranging from 0.79 to 0.89.

    CONCLUSION: The pVHS-M demonstrated good internal consistency, indicating that it is a valid and reliable tool for assessing COVID-19 vaccine hesitancy among pregnant women.

  3. Ismail SB, Bakar MB, Nik Hussain NH, Norhayati MN, Sulaiman SA, Jaafar H, et al.
    PMID: 25505918 DOI: 10.1155/2014/126138
    Introduction. This study aims to evaluate the effectiveness of Tualang honey on sperm parameters, erectile function, and hormonal and safety profiles. Methodology. A randomized control trial was done using Tualang honey (20 grams) and Tribestan (750 mg) over a period of 12 weeks. Sperm parameters including sperm concentration, motility, and morphology were analyzed and erectile function was assessed using IIEF-5 questionnaire. Hormonal profiles of testosterone, FSH, and LH were studied. The volunteers were randomized into two groups and the outcomes were analyzed using SPSS version 18. Results. A total of 66 participants were involved. A significant increment of mean sperm concentration (P < 0.001), motility (P = 0.015) and morphology (P = 0.008) was seen in Tualang honey group. In Tribestan group, a significant increment of mean sperm concentration (P = 0.007), and morphology (P = 0.009) was seen. No significant differences of sperm concentration, motility, and morphology were seen between Tualang honey and Tribestan group and similar results were also seen in erectile function and hormonal profile. All safety profiles were normal and no adverse event was reported. Conclusion. Tualang honey effect among oligospermic males was comparable with Tribestan in improving sperm concentration, motility, and morphology. The usage of Tualang honey was also safe with no reported adverse event.
  4. Roszanadia Rusali, Zahara Abdul Manaf, Suzana Shahar, Fatin Hanani Mazri, Norhayati Ibrahim, Arimi Fitri Mat Ludin, et al.
    Sains Malaysiana, 2018;47:2437-2445.
    A structured weight management programme at a workplace may help in reducing the prevalence of overweight and obesity.
    Therefore, this intervention study was to determine the effectiveness of weight loss programmes including face-to-face,
    online and control group at workplace among employees who are overweight and obese. A total of 108 overweight and
    obese adults were recruited and randomly divided into three groups (face-to-face group (FT), n=38; online group (OG),
    n=31; control group (CG), n=39). In the FT group, the participants took part in health talks, interactive activities and
    counselling; the OG group was given access to an online weight management program and the CG group was provided
    with educational booklets on weight loss. All information given was related to nutrition, physical activity and motivation
    to reduce weight. Body weight, body mass index (BMI), waist circumference (WC), body fat percentage, dietary intake,
    fasting lipid profile and glucose levels were assessed at baseline and 4 months. The FT group showed greater reduction
    in body weight (-5.80 kg) compared to OG (-1.12 kg) and CG (-1.82 kg). Significant interaction effects were found for BMI,
    WC, fasting serum triglycerides, HDL-cholesterol and total cholesterol/HDL-cholesterol ratio (all p<0.05), with the FT
    group showing the biggest improvements, compared to the other groups. The face-to-face weight management program
    offered in the workplace showed to be the most effective at improving anthropometric profile, fasting serum triglycerides,
    HDL-C, total cholesterol/HDL-C ratio, and dietary intake among overweight and obese employees.
  5. Suraiami, M., Mohd Fairulnizal, M.N., Norhayati, M.K., Zaiton, A., Norliza, A.H., Wan Syuriahti, W.Z., et al.
    Malays J Nutr, 2014;20(3):417-427.
    MyJurnal
    Introduction: This study aimed to determine the nutrient content of cornflakes and muesli, ready-to-eat cereal products available in the Malaysian market. Cornflakes and muesli were chosen due to their popularity as a breakfast meal especially in urban areas. Methods: A total of six brands each for cornflakes and muesli were purchased from supermarkets in the Klang Valley using stratified random sampling. All samples were analysed using AOAC official methods of analysis. The validity of the test data was monitored with the application of internal quality controls in line with the requirements of ISO 17025. Results: Proximate analysis revealed significantly higher mean levels of carbohydrate (86.94 ± 0.59 mg/lOOg), minerals such as iron (8.48±1.72 mg/lOOg) and sodium (674.83±102.99 g/lOOg), B3 as niacinamide (25.87 ± 6.14 g/lOOg) and sucrose (5.10 ± 0.90 mg/lOOg) in cornflakes than in muesli. However, muesli contained significantly more mean moisture (10.23 ± 0.72 mg/lOOg), protein (10.07 ± 0.79 mg/lOOg), total dietary fibre (12.49 ± 1.44 mg/lOOg), magnesium (113.22 ± 7.93 mg/lOOg), zinc (1.65 ± 0.16 mg/lOOg), copper (0.25 ± 0.02 mg/lOOg), total sugar (18.75 ± 2.05 mg/lOOg), glucose (7.70±1.77 mg/lOOg) and fructose (8.68±1.76 mg/lOOg) than cornflakes. Most of the fatty acids analysed were not detected or of low value in both the cereal products. Conclusion: The nutrient analysis of cornflakes and muesli suggests that both ready-to-eat cereals are nutritionally good choice as breakfast for consumers as it provides carbohydrate, minerals, fibre and vitamins. The data provides additional information to the Malaysian Food Composition Database.
  6. Norhayati A. H., Nur Diyana K.A., M. S. Muhaimin, Ezmas Mahno, A W Ahmad, M N A Abdul Rahman, et al.
    MyJurnal
    Peripheral Occlusive Arterial Disease (POAD) is an important cardiovascular morbidity especially among diabetics. The goal of the treatment is to improve patients’ quality of life (QoL) starting by quantifying the disease burden in our population especially among high risk group such as diabetics.Materials and Methods:This cross-sectional study aims to provide a data on the prevalence of POAD among diabetic population in a primary health care in Kuantan and its’ effects on the patient’s QoL. Additionally, we examined for any other stipulated associated factors that may have contributed towards the development of POAD. We applied a universal sampling for the purpose of patient selection. POAD is universally defined as ankle-brachial index (ABI) of lower than 0.9. Individuals were assessed on validated Malay version of WHOQOL BREF to assess their QoL parameters. P value of
  7. Abdus Salam, Ahmad Faizal Mohd Perdaus, Siti Harnida Md Isa, Zulkifli Zainuddin, Azian Abdul Latiff, Ng, Soon Pheng, et al.
    Medicine & Health, 2008;3(1):54-58.
    MyJurnal
    The art of talking to patients and their relatives does not come naturally to most of us and the ability to put oneself in the patients’ predicament is difficult particularly for the young doctors. To identify the communication abilities of the young doctors, a cross sectional study was carried out on 32 house officers who graduated from UKM in 2004 during their house jobs at different hospitals in Malaysia. A standardized questionnaire was used to collect the data. Fifty nine percent respondents claimed that they had communicated very well with patients while 69% with support staff and 88% with peers. On the other hand 38% and 41% of the respondents claimed they communicated very well with their superiors and families of patients. Only 22% of the graduates’ skills of communication in breaking bad news were very well, while 50% and 81% were very well in counselling patients and taking consent for procedures. Curriculum planners need to emphasize the importance ofdeveloping good communication skills in all aspects for the future doctors.
  8. Norhayati M, Mohd Fairulnizal M, Aswir A, Ang J, Mohd Naeem M, Suraiami M, et al.
    Sains Malaysiana, 2015;44:581-591.
    The objective of this study was to determine the nutrient composition of selected commercial biscuits in Malaysia. A total
    of six brands from each type of biscuit (chocolate chip, corn, cracker with sugar, vegetable flavoured cracker, cream
    filled, oatmeal, shortbread and fully coated chocolate wafer) and five brands of wholemeal crackers were sampled
    from local supermarkets in the Klang Valley. The total energy content in commercial biscuits was ranging from 453.30
    to 499.25 kcal/100 g. Carbohydrate was the major macronutrient in commercial biscuits ranging from 56.86 to 66.07
    g/100 g. The highest protein content was found in the wholemeal crackers (9.92 g/100 g) and the lowest protein content
    was found in the cream filled biscuits (5.65 g/100 g). Fat content lay in the range of 16.89 to 25.75 g/100 g. The major
    minerals detected in biscuits were sodium, followed by calcium and magnesium. The vitamin content in A and E of the
    biscuits examined was almost comparable. Small quantities of trans fatty acids were detected in all biscuits in the range
    of 0.02 to 0.68 g/100 g. These findings indicate that Malaysian commercial biscuits are a good source of carbohydrate
    (34.12-39.64 g per serving), calcium (26.09-384.67 g per serving), magnesium (10.42-37.24 g per serving) and contain
    low proportion of trans fatty acids (0.01-0.41 g per serving).
  9. Sahilah Abu Mutalib, Wan Sakeenah Wan Nazari, Safiyyah Shahimi, Norhayati Yaakob, Norrakiah Abdullah Sani, Aminah Abdullah, et al.
    Sains Malaysiana, 2012;41:199-204.
    A method of PCR-restriction fragment length polymorphism (RFLP) has been utilized to differentiate the mitochondrial genes of pork and wild boar meat (Sus scrofa). The amplification PCR products of 359 bp and 531 bp were successfully amplified from the cyt b gene of these two meats. The amplification product of pork and wild boar using mt-12S rRNA gene successfully produced a single band with molecular size of 456 bp. Three restriction endonucleases (AluI, HindIII and BsaJI) were used to restrict the amplification products of the mitochondrial genes. The restriction enzymes of AluI and BsaJI were identified as potential restriction endonucleases to differentiate those meats. HindIII enzyme was unable to restrict the PCR product of both meats. The genetic differences within the cyt b gene among the two meats were successfully confirmed by PCR-RFLP analysis.
  10. Noordeyana T, Rozmi I, Muhammad Ajib Abdul R, Mohd Nasir S, Nurul Shafini S, Norhayati I, et al.
    Jurnal Psikologi Malaysia, 2018;32:94-103.
    Artikel ini bertujuan mengkaji keberkesanan program SHIELDS daripada perspektif pelajar dan urusetia yang telah turut terlibat. Program SHIELDS adalah satu bentuk program campbased yang diperkenalkan hasil kerjasama antara Kementerian Pendidikan dan Pihak Agensi Anti Dadah Kebangsaan (AADK). Nama SHEILDS ini adalah akronim yang bermaksud Sayangi Hidup, Elak Derita Selamanya. Sehubungan itu, program ini bertujuan meningkatkan kesedaran dan mengupayakan ketahanan diri murid (lingkungan umur 13 hingga 18 tahun) yang dikenalpasti berisiko dalam penyalahgunaan dadah. Kajian kuantitatif ini melibatkan dua fasa iaitu fasa pertama adalah mengedarkan soal selidik sebelum dan selepas program SHIELDS dijalankan. Manakala, fasa kedua pula adalah sesi follow up selepas 3 bulan terhadap 50 pelajar yang telah terlibat dengan program SHIELDS terlebih dahulu. Hasil kajian menunjukkan secara keseluruhan perspektif pelajar seramai 559 orang yang terlibat dengan program SHIELDS ini adalah baik dengan min=4.48. Kesimpulannya, dapatan ini menunjukkan bahawa program SHIELDS ini sewajarnya diteruskan dengan beberapa penambahbaikan untuk kelangsungan program dan kebaikan semua pihak yang terlibat.
  11. Norhayati I, Rozmi I, Noh A, Noordeyana T, Mohd Nasir S, Muhammad Ajib Abd R, et al.
    Jurnal Psikologi Malaysia, 2018;32:1149-126.
    The phenomenon of adolescents involved with drug abuse is a worrying and very serious issue. The influence of drug-related partners would have a bad effect on other teens, especially teenagers who are at risk. Therefore, this study aims to identify the extent of the level of knowledge of the drug, especially in relation to the differences of attitudes in terms of physical effects, hindering behaviors, involvement in drug-related activities and information on how to distribute, attitude towards self and future, and risk factors amongst students who did take drugs as compared to who never took it. This is a cross-sectional study involving 559 teenagers at risk, aged between 13-18 years’ old who are involved in SHIELDS Programme, camp based programme that was introduced by Agensi Anti dadah Kebangsaan (AADK) in collabaration with the Ministy of Education. Findings showed that there is a significant difference between students who have taken drugs and those who have never used it for dimension of hindering behavior, involvement in drug-related activities and information on how to distribute, risk factors of the involvement of immediate family members with drugs and negative consequences of drug intake. Because the involvement with drugs negatively impacts adolescents, thus, the prevention of this deviance behavior must be implemented as best as possible to ensure that the future of these adolescents is upheld, to prevent them from falling into another crime.
  12. Firdaus Abdul Gani, Suria Hussin, Norizam Alias, Zuraida Ahmad, Norhayati Ali, Jamaiyah Haniff, et al.
    MyJurnal
    Introduction: This study is part the Investigator Initiated Research (IIR) project under the mental health suicide and para suicide cluster. Self-harm is an important predictor of suicide and leaves a significant long-lasting psychological effect. Despite the increasing prevalence of rate of self-harm, very little research had been done in Asian countries. The objective of this study is to determine the prevalence of self-harm in selected hospitals, demographic profiles and factors associated with development of self-harm. Methods: This is a multi-centred cross sectional study. Six months of data collection was performed between the 1st November 2013 and 30th April 2014. All cases that were identified to have carried out Self-Harm were interviewed using The World Health Organization (WHO) SUPRE-MISS Ques- tionnaire Annexe 1 which had been adapted to the Malaysian culture by the research committee members. Results: A total of 99 samples were obtained for this study. They mostly came from low socioeconomic background. Majority of the patients were females, and this was consistent with studies worldwide. Poisoning by pesticides was the most frequent method of choice and about 30% of the patients had previous attempts. Conclusion: Sociodemographic factors play a significant role in self-harm. It is important to know the sociodemographic profile to identify which group of people are at risk and intervention can be focused.
  13. Muhammad Afiq Khairil Anuar, Siti Zanariah Ab Aziz, Raizulnasuha Abdul Rashid, Safri Zainal Abidin, Norhayati Dollah, Wan Nordiana A. Abd Rahman
    MyJurnal
    Radiotherapy has become the most important modality in treating cancer with approximately 50% of
    cancer patient undergo the treatment. However, more improvement to the radiotherapy treatment
    efficacy is required to deprive cancer. Assessment of tumor progress during treatment is important, to
    accommodate the changes that occur during the fractionation course. The objective of this study is to
    assess tumor cell damage after external beam radiotherapy by using technetium-99m
    pertechnetate (99mTcOf) as a tracer. In this study, HeLa cells were irradiated with 6 MVphoton beam
    with different radiation dose ranging from 0.5 Gy to 10 Gy. The irradiated cells were recultured in 6-
    well plates and incubated for 10 days. After that, 2 mCi of 99mTcOf were prescribed to each cell
    colonies. The viable cells were separated from the rest, and measured for 99mTcOf uptake using singlehead
    gamma camera with LEHR collimation. As results, the cells survival, fractions clearly indicate
    diminishing effect, to the cells at, higher dose of irradiation. Good correlation were observed between
    mmTcGi uptake and survival, fraction for cells irradiated at, lower dose and less significant, correlation
    were indicated at higher dose. In conclusion, there is potential for the efficacy of external beam
    radiotherapy in treating cancer to be assessed by using radioisotope as a non-invasive tracer. In this
    case, technetium-99m, pertechnetate (99mTcOjt) could be attached to the specific antibody so that, better
    correlation, between, the cells uptake and possible cell damages could be observed.
  14. Rahimi R, Ali N, Md Noor S, Mahmood MS, Zainun KA
    Malays J Pathol, 2015 Dec;37(3):259-63.
    PMID: 26712672 MyJurnal
    Suicidal feelings and a sense of hopelessness have been regarded as part of the ageing process more so in the context of being elderly and having physical difficulties. As older adults are the fastest growing population in the world, suicides among this population is also expected to increase. The authors retrospectively reviewed all cases recorded by the National Suicide Registry Malaysia (NSRM) for the year 2009. Suicide in victims 65 years and older totaled 23 in number and accounted for 7.1% of all suicides. All the cases were autopsied. The case records were retrospectively analyzed with respect to age, gender, ethnicity and method of death. Comparisons were also made between males and females, levels of education, presence of stressor and life events antecedent to suicide. The ages of these suicide victims ranged from 65 to 94 years. Men comprised almost 70% of the cases. The average age of the victim was 73 years. Hanging was the most common method of suicide, accounting for 56.5% of the cases. Other methods included jumping from height (13.1%), exposure to unspecified chemicals (13.1% ), jumping/lying before moving object (4.3%), exposure to pesticides (4.3%) and injuring oneself using sharp object (4.3%). Death of a loved one, legal problems, financial problems and physical illness were the stressors identified contributing to the suicide act.
  15. Rosdinom R, Ng IT, Teh EE, Norhayati A, Ng CG, Yeoh SH, et al.
    Clin Ter, 2014;165(6):287-93.
    PMID: 25524183 DOI: 10.7417/CT.2014.1770
    OBJECTIVES: There is a lack of local instruments to assess behavioural and psychological symptoms of dementia (BPSD). This 2-stage cross-sectional study was aimed at validating a Malay translated version of the Neuropsychiaric Inventory (MvNPI).

    MATERIALS AND METHODS: It was conducted on a selected group of 138 elderly outpatients with dementia and their caregivers in Hospital Pulau Pinang. Severity of dementia was assessed using the Malay-translated version of Mini Mental State Examination (MMSE). The original NPI was translated and then back-translated before it was pilot-tested. The MvNPI was administered twice, a week apart on the same caregiver by the same investigator.

    RESULTS: The individual items and total scale score of MvNPI had high internal consistency, with Corrected Item-Total Correlation ranging from satisfactory to good (0.41 to 0.77). The Cronbach's alpha for all the NPI domains showed high internal consistency (0.83), and subtotal for severity and distress scores were perfect (0.998 to 1.00). There was no significant difference between test-retest mean scores (p>0.05) and their correlations were perfect (0.996 to 1.00). Content validity indicated mild and inverse relationship between MMSE scores and severity, and distress score (-0.281 and -0.268, respectively, with p<0.001). Discriminant validity calculated using Mann-Whitney U test was found to be significant (p<0.001) in differentiating severity of cognitive impairment. Factor analysis revealed four possible components existed in MvNPI.

    CONCLUSIONS: The MvNPI is a valid and reliable tool for assessing BPSD among Malay speaking populations of Malaysia and its neighbouring South East Asian countries.

    Study site: Hospital Pulau Pinang
  16. Salleh FM, Moktar N, Yasin AM, Al-Mekhlafi HM, Anuar TS
    J Microbiol Methods, 2014 Nov;106:143-145.
    PMID: 25193442 DOI: 10.1016/j.mimet.2014.08.019
    To improve the stool concentration procedure, we modified different steps of the standard formalin-ether concentration technique and evaluated these modifications by examining stool samples collected in the field. Seven samples were found positive by the modified formalin-ether concentration technique (M-FECT). Therefore, the M-FECT procedure provides enhanced detection of Cryptosporidium oocysts.
  17. Ahmed HM, Luddin N, Kannan TP, Mokhtar KI, Ahmad A
    J Endod, 2014 Oct;40(10):1517-23.
    PMID: 25127931 DOI: 10.1016/j.joen.2014.06.013
    The attachment and spreading of mammalian cells on endodontic biomaterials are an area of active research. The purpose of this review is to discuss the cell attachment properties of Portland cement (PC)-based materials by using scanning electron microscope (SEM). In addition, methodological aspects and technical challenges are discussed.
  18. Leong TK, Zakuan N, Mat Saman MZ, Ariff MS, Tan CS
    ScientificWorldJournal, 2014;2014:591361.
    PMID: 24701182 DOI: 10.1155/2014/591361
    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings.
  19. Rohin MA, Rozano N, Abd Hadi N, Mat Nor MN, Abdullah S, Dandinasivara Venkateshaiah M
    ScientificWorldJournal, 2013;2013:308041.
    PMID: 24311975 DOI: 10.1155/2013/308041
    This study was done to observe the anthropometry and body composition changes before, during, and after the holy month of Ramadan. This study was carried out on 46 staff from one of the local universities, which comprised of 14 males and 32 females ranging in age from 25 to 40 years old. There were four sessions done to complete this study, namely, a week before Ramadan (T1), 1st week of Ramadan (T2), 3rd week of Ramadan (T3), and a month after Ramadan (T4). All subjects were assessed according to weight, body circumference, and body composition status. It was found that subjects with different weight status showed a significant reduction in weight (P < 0.01) but no significant reduction in body fat percentage (P < 0.05). The findings suggest that weight reduction does not promise a reduction in body fat. Changes in neck circumference were only found in normal subjects. Hence, it can be said that overweight and obese subjects showed no changes in anthropometry status during Ramadan. No changes in body composition were reported in all three weight groups except for trunk body fat. In conclusion, normal subjects showed significant changes in various anthropometry parameters, but overweight and obese subjects showed no obvious difference.
  20. Abd Aziz A, Izyan Farhana Nordin N, Mohd Noor N, Bachok N, Nor Ismalina Isa S
    Fam Pract, 2014 Apr;31(2):236-44.
    PMID: 24317538 DOI: 10.1093/fampra/cmt062
    Background. Patient satisfaction influences the outcomes of the patient-physician encounter.
    Objective. The objective of this study was to validate the Malay version patient satisfaction
    (MISS-21) questionnaire using a confirmatory validity approach.
    Methods. A cross-sectional study was conducted involving 252 patients attending primary health
    clinic, Hospital Universiti Sains Malaysia. Construct validity (convergent and discriminant) using
    confirmatory factor analysis and internal consistency were performed after the translation, content
    validity and face validity processes. Criterion validity was assessed using Pearson correlations
    with the scale of shared decision making 9-item questionnaire (SDMQ-9). The data was
    analysed using Analysis of Moment Structure version 19.
    Results. A total of 252 (100%) outpatients responded to this study. The final model that consists
    of three domains with 11 items had a good fit; (χ2
    (df) = 65.805 (32), P 
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