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Comparison of the effectiveness of online and face-to-face weight-loss interventations in the workplace: evidence from Malaysia

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.

Matched MeSH terms: Pamphlets
Fulltext Prevalence of family planning practices among women influenced by husband’s socio demography and decision making

Mansor M, Oo SS, Abdullah KL

Jurnal Sains Kesihatan Malaysia, 2015;13(2):45-51.
MyJurnal

Family planning is an important practice for women as it can help to improve financial and social status. Unwanted pregnancy has negative effects for husband and financial. However, couples married at a late age may not practice family planning because they want to have kids. The aims of this study were to determine the prevalence, factors associated with
husband’s socio demography and decision making in family planning practices among women in reproductive age who attended a polyclinic in Serdang, Malaysia. A cross sectional study was conducted on 245 women with a systematic random sampling. Descriptive analysis, Fisher exact and Chi-square tests were conducted to identify the influence of husband’s socio demographic factors and decision making in family planning practices. The prevalence of family planning practices among married women was moderate (53.9%). Family planning practices among women showed significant relationship with the husband’s socio demography which were husband’s race (p = 0.018), religion (p = 0.008) and making decision in family planning (p = 0.002). The husband’s socio demography showed a significant relationship with the prevalence of the wife practicing family planning. This clearly indicates that the husband is the individual that influence the wife to use contraceptive method. Decision making in family planning by both the husband and wife is important in choosing to use contraceptive method. Health promotion in the concept of health education for male contraceptive method such as pamphlet and booklet is important to promote husband involvement in family planning.
Study site: Klinik Kesihatan Seri Kembangan, Serdang, Selangor, Malaysia

Matched MeSH terms: Pamphlets
Fulltext Impact of pharmacist-managed diabetes medication therapy adherence clinic (DMTAC) in government health clinics

Lee XY, Selvadurai S, Cheah KY, Noh NB, Gan CB, Teng J, et al.

Malaysian Journal of Pharmaceutical Science, 2015;13(1):43-51.
MyJurnal

Pharmacist-managed DMTAC has been set up in Malaysia government healthcare facilities to assist diabetic patients in improving their medication adherence level and glycaemic control. The aim of this study is to determine the effect of pharmacist involvement in a DMTAC programme on patient glycaemic control in 14 government health clinics in Kuala Lumpur and Putrajaya. This multi-centre retrospective study collected DMTAC patient demographics, medication regimens, glycated haemoglobin (HbA1c) levels, Modified Morisky Medication Adherence Scale (MMMAS) data, and percentages of understanding towards their medications (based on information retrieved and reviewed from their DMTAC booklets). The data were analysed using IBM SPSS Statistics Version 21.0. Fifty six patients were involved in this study. The mean HbA1c reduction (SD) of the pre- and post-intervention groups showed a statistically significant
improvement of 1.0% (1.70) (p<0.001); decreasing from 10.7% (1.51) pre-intervention to 9.7% (1.75) post-intervention. The mean medication understanding score for the postintervention group was 97.6% (7.32), which was significantly higher than the preintervention group score of 92.2% (13.61) (p = 0.005). The mean MMMAS of the postintervention group was 7.4 (1.19), which was significantly higher than the pre-intervention group mean MMMAS of 6.5 (2.33) (p = 0.001). This study demonstrated an improvement in glycaemic control, medication understanding, and adherence level among T2DM patients who were enrolled in a pharmacist-managed DMTAC programme.
Keywords: Diabetes, Diabetes Medication Adherence Therapy Clinic (DMTAC), Endocrine, Pharmacist, HbA1c, Medication adherence, Medication understanding

Matched MeSH terms: Pamphlets
Fulltext The prevalence of family planning practice and associated factors among women in Serdang, Selangor

Mardiana binti Mansor, Khatijah Lim Abdullah, San, San Oo, Kamal Akhtar, Ayu Sulaini Jusoh, Suriawati Ghazali, et al.

Malaysian Journal of Public Health Medicine, 2015;15(3):147-156.
MyJurnal

Family planning is a method of controlling fertility which helps to prevent unwanted pregnancies among couples. Unwanted pregnancy has negative effects for mothers and children. The aims of this study were to determine the prevalence of family planning practices among women in Serdang area and associated factors with their family planning practices. A cross sectional study was conducted with a systematic random sampling of 349 women of reproductive age, who attended Sri Kembangan Polyclinic. Descriptive analysis with chi-square and multiple regression analysis were conducted to identify factors associated with the family planning practice. The prevalence of family planning practice was 38.4%. Family planning was significantly associated with age (p=0.001), marital status (p=0.001), mode of delivery of the last pregnancy (p=0.001), number of children (p=0.001), source of information (p=0.004), level of knowledge (p=0.001), and the attitude (p=0.004). Using multiple logistic regression, four factors contributed to family planning practice, were identified as statistically significant: marital status (married OR=40, 95% CI: 9.45, 169.8), religion (Muslim OR=1.9, 95% CI: 1.14, 3.4), number of children (children>4 OR=2.98, 95% CI:1. 74, 5.09) and attitude (positive attitude OR=1.88, 95% CI:1.11, 3.18). The prevalence of family planning practice in Serdang was low even though knowledge was sufficient. The use of pamphlets and booklets are still needed to enhance efforts in health education. Currently, practice on family planning will determine the future structure of the community and the economic wellbeing of a country. Future study should focus on family planning practice among teenager and types of methods for women.

Matched MeSH terms: Pamphlets
Fulltext Healthcare providers’ knowledge towards medication use in breastfeeding: an interventional study

Hamat, N.N., Yusof, N.N., Ramli, N.I., Zubir, N.Z., Wahairi, N., Jusoh, N., et al.

JUMMEC, 2019;22(2):39-42.
MyJurnal

Background: Most postpartum women are prescribed at least one medication; so the safety of the medication
is a major concern. In 2017, 11% of 815 questions received by the Pharmacy Drug Information Services at seven
clinics in Dungun is related to medication use in breastfeeding. Thus, this study was carried out to evaluate
the attitudes of healthcare providers (HCPs) and to investigate the effect of knowledge about medication use
in breastfeeding among HCPs; pre- and post-educational intervention.

Methods: An interventional study was carried out among medical officers, assistant medical officers,
pharmacists and pharmacist assistants from seven clinics in the district of Dungun, Malaysia. The questionnaires
were distributed during pre- and post-intervention period. The interventions in this study included continuous
medical education (CME) and the use of a booklet regarding medication use for breastfeeding women. The
data collected were analyzed using Statistical Package for Social Studies (SPSS) and presented as frequencies,
means, and standard deviations.

Results: Fifty HCPs were enrolled in this study and over 20% of them advised mothers to discontinue
breastfeeding whenever they are prescribed any medication. The knowledge of HCPs about medication use in
breastfeeding women was significantly improved (Z= -5.917, p

Matched MeSH terms: Pamphlets
The impact of religion and cultural values on AIDS education programs in Malaysia and the Philippines

Osteria T, Sullivan G

AIDS Educ Prev, 1991;3(2):133-46.
PMID: 1873137

This paper examines the impact of cultural values and government policies on the content of AIDS educational literature prepared by public health agencies in Malaysia and the Philippines. The literature from these countries, which has been distributed to the public and is intended to inform them of the danger of AIDS, how the HIV is and is not transmitted, and how to avoid infection, is analyzed and evaluated for effectiveness and congruence with the dominant religious tenets and cultural practices in each country, and attitudes to sexual behavior. The paper also describes the response of these countries to the AIDS pandemic, and concludes with suggestions about how this form of AIDS education can be improved.

Matched MeSH terms: Pamphlets
Fulltext Development and analysis of acceptance of a nutrition education package among a rural elderly population: an action research study

Shahar S, Adznam SN, Rahman SA, Yusoff NA, Yassin Z, Arshad F, et al.

BMC Geriatr, 2012 Jun 07;12:24.
PMID: 22676577 DOI: 10.1186/1471-2318-12-24

BACKGROUND: It is well known that older adults are often vulnerable to malnutrition. This action research was conducted to develop a nutrition education package for promoting healthy ageing and reducing risk of chronic diseases among older adults in a rural area of Malaysia.
METHODS: This study was designed and conducted in three stages, including needs assessment, development of the package and analysis of acceptance among 33 older adults aged 60 years and over in rural communities, and 14 health staff members at rural health clinics. Subjects completed a questionnaire including sociodemographic factors and acceptance evaluation of the nutrition education package with respect to content, graphics and design. Data were analysed descriptively using numbers and percentages.
RESULTS: A nutrition education package comprising a booklet, flipchart and placemats was developed. A total of 42.4% of the older adults expressed that the sentences in the flipchart needed to be simplified and medical terms explained. Terminology (60%), illustrations (20%) and nutrition recommendations (20%) were the aspects that prevented elderly subjects from fully understanding the booklet. Information on the placemats was easily understood by subjects.
CONCLUSIONS: A well accepted nutrition education package for promoting healthy ageing and reducing risk of chronic diseases was developed that incorporated modifications based on feedback from older adult subjects and health clinic staff in a rural area. It is a tool that can effectively be used for health education in this population.

Matched MeSH terms: Pamphlets
Effectiveness of publications in family planning program

Noor Laily Abu Bakar, Tan BA, Tey NP, Yusuf Y

Malays J Reprod Health, 1983 Dec;1(2):109-19.
PMID: 12313333
Matched MeSH terms: Pamphlets
Fulltext Beliefs and behavior of deceivers in a randomized, controlled trial of anti-smoking advice at a primary care clinic in Kelantan, Malaysia

Jackson AA, Manan WA, Gani AS, Eldridge S, Carter YH

Southeast Asian J. Trop. Med. Public Health, 2004 Sep;35(3):748-55.
PMID: 15689099

Smoking deception is often ignored, but is important in health care. In this trial it was assessed at both study entry and outcome. At study entry, 1,044 males at a primary care clinic were asked smoking status and tested for breath carbon monoxide (CO). Of self-reported non-smokers, 57/402 (14%) were actually smokers, as were 59/251 (24%) of self-reported ex-smokers. The self-reported smokers (n=387) entered a randomized, controlled trial where the intervention comprised four questions on knowledge and beliefs about smoking, standardized verbal advice against smoking, and a leaflet. At follow-up, subjects were also questioned about beliefs. Follow-up was difficult, but 191/387 (49%) attended at three or six months. Of 27 who claimed to have quit, 6 (22%) were deceivers and 21 were confirmed quitters. Cessation did not differ between intervention and control groups. Overall confirmed cessation at six months was 16/387 (4.1 %). Confirmed quitters were significantly lighter smokers than deceivers and still smokers. There were non-significant trends between the outcome groups whereby deceivers had least knowledge and most lay beliefs, and quitters had most knowledge and fewest lay beliefs. The lay beliefs may prevent some smokers from quitting.

Study site: open-access outpatients
clinic (KPM) attached to the teaching hospital
(HUSM) of Universiti Sains Malaysia

Matched MeSH terms: Pamphlets