Publications by authors named "Hon K Yuen"

Background: Exercise is an important part of a healthy lifestyle for people with cystic fibrosis (CF). Exercise testing is also recommended as part of a routine assessment to provide physical activity counseling/exercise prescription. Body composition assessment is also an important assessment that can also guide dietary counseling.

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Background And Objectives: Residents of subsidized senior housing (SSH) need housing-based interventions to address high rates of physical inactivity and social isolation that can lead to increased risks of physical and mental health impairments. Theatre experience training (TET) programs have been shown to improve cognitive function, emotional well-being, social connection, and health-related quality of life (HR-QoL) in this population. This study evaluated the effect of an innovative TET program involving the method of physical acting on objective measures of physical functioning and emotional stress.

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Background: Spinal cord injury (SCI) results in significant physical, emotional, and social consequences, often leading to profound grief and unresolved emotional burdens. While expressive writing has shown potential in facilitating emotional processing and in aiding coping after trauma, loss, and health-related adversity, its impact on individuals who have suddenly lost physical abilities due to SCI remains underexplored.

Objective: The study aimed to examine the experiences of adults with SCI who participated in a 10-week web-based coach-guided expressive writing program to understand its impact using a qualitative research design with a phenomenological approach.

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This study aimed to investigate the impact of a 10-week park visit program on subjective well-being, emotional stress, health-related quality of life, depressive symptoms, and sleep quality of older adults living in subsidized senior housing (SSH) and to explore residents' perceptions of the program. Thirty-four residents from four SSH participated in the study. The program involved transporting residents from each SSH to the same urban neighborhood park once a week for 10 consecutive weeks.

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: Emotional changes significantly affect people with multiple sclerosis (PwMS), often leading to negative psychological symptoms including grief. Effective management of these symptoms can foster personal growth, increase confidence, and renew hope. While expressive writing has demonstrated psychological benefits in processing trauma and chronic conditions, its effects on PwMS remain underexplored.

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ObjectivesThis study aims to understand specific spiritual expressions by visitors of patients in intensive care units (ICUs) made through an inclusive art installation called a Prayer Tree.MethodsThe Prayer Tree was a two-dimensional plastic or painted tree affixed to a window in the ICU waiting area. Waiting areas of the neuroscience ICU and the trauma-burn ICU at a tertiary care hospital had a Prayer Tree.

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This study investigated the relationship between urban park size and community mental health, focusing on neighborhood crime risk as a mediator. Data were collected for 989 urban parks in Alabama, USA, from the Trust for Public Land's ParkServe database and relevant Alabama cities' Parks and Recreation Department websites. Park size was measured using Geographic Information Systems.

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Across the United States and worldwide, communities face significant health challenges, including rising rates of chronic conditions such as obesity, heart disease, and diabetes. Addressing these issues requires comprehensive public health strategies that prioritize the development of infrastructure to support healthier lifestyles. One promising strategy is to expand and enhance public green spaces like urban parks.

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This study examined relationships among caregiver burden, depressive symptoms, and key processes related to psychological flexibility (experiential avoidance, cognitive fusion, values-driven actions, and mindfulness) in 157 family caregivers of individuals with dementia in the United States. Path analyses were used. Participants' mean age was 59.

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  • * Data on park size was collected via Google Earth Pro, while crime statistics and demographic information were sourced from reputable organizations like the U.S. Census Bureau and the CDC.
  • * A statistical analysis found that larger parks are associated with lower crime rates, and factors like mental health, social vulnerability, and alcohol spending also influence crime rates, suggesting potential strategies for local policy improvements.
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  • Ecological momentary assessment (EMA) is a method that helps capture the real-time experiences of family caregivers, particularly for those caring for adults with chronic conditions.
  • A systematic review identified 12 studies focused mainly on caregivers of individuals with Alzheimer's or dementia, revealing a 75% average compliance rate, which is below the ideal standard.
  • The review highlighted that while EMA is a feasible approach for collecting caregiver data, many studies lack essential information on caregivers' daily activities and emotional experiences, indicating a need for further research in this area.
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  • Medical laboratory science (MLS) professionals are essential in healthcare, yet their engagement in research is limited, requiring an exploration of their attitudes towards research activities and how to enhance involvement.
  • A survey involving 116 MLS professionals revealed that while 53% were engaged in research, many had positive views of research but were not actively participating, with education and mentorship playing key roles in fostering a research-friendly environment.
  • The study indicates that while there is a positive perception of research in MLS, nearly half of the respondents felt a lack of incentives to engage, suggesting that initiatives to increase dedicated research time and mentorship could boost research activity in the field.
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  • The study aimed to assess how a guided expressive writing program via videoconferencing can help adults with spinal cord injuries (SCI) in coping with grief.
  • Twenty-four participants engaged in 10 weekly sessions where they wrote expressively, leading to notable improvements in grief severity, emotional distress, and social participation immediately after the program and at a one-month follow-up.
  • Results suggested that those with more recent injuries (within 5 years) saw greater benefits, indicating the program's effectiveness in promoting emotional well-being and a sense of purpose among individuals adjusting to life with SCI.
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  • - This study explores the effects of a 6-week storytelling and expressive writing program on nine ex-offenders involved in a peer support group, focusing on their psychological recovery and overall well-being.
  • - Quantitative data collected before and after the program indicated a significant improvement in psychological recovery, with an effect size of 0.56, alongside qualitative interviews revealing three main themes: feeling safe to express emotions, building connections with peers, and changing thought patterns.
  • - The findings suggest that such programs can not only enhance the psychological recovery of ex-offenders but also equip them with skills to move away from crime and effectively support others in similar situations.
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  • * A study assessed how different combinations of pulse duration and frequency influence force production and fatigue in both impaired and non-impaired muscle.
  • * Results showed that higher pulse charge (pulse frequency x pulse duration) increased torque in both groups, while individuals with spinal cord injury experienced more muscle fatigue, suggesting NMES should use longer pulse durations and lower frequencies to optimize results for them.
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  • Classroom lighting, especially bright fluorescent lights, can greatly affect students' emotions and overall learning experience.
  • The study used an ABAB research design to compare the impact of standard fluorescent lighting with softer, filtered lighting over a semester.
  • Results showed that students reported better emotional responses, fewer headaches, and improved visibility on the whiteboard when filtered lighting was used, suggesting that light filters can enhance classroom environments.
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Importance: Low social competence is one of the most complex and resistant challenges faced by adolescents with autism spectrum disorder (ASD). Occupational therapy practitioners have recognized the potential benefits of using the arts, including training in magic tricks, as a therapeutic medium to improve and enhance clients' psychosocial well-being.

Objective: To describe the efficacy of a virtual magic trick training program (MTTP) to enhance social skills and self-esteem in adolescents with ASD.

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This pilot randomized controlled trial (RCT) examined preliminary effects of an 8-week videoconferencing acceptance and commitment therapy (ACT) program supplemented with psychoeducation materials on distressed family caregivers of persons living with dementia (PLWD) compared to the control group provided with psychoeducation materials only. Nineteen family caregivers of PLWD in the USA were randomly assigned to the ACT group or the control group. Data was collected at pretest, posttest, and 1-month follow-up (F/U).

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  • Cardiovascular disease (CVD) disproportionately impacts the homeless population in the U.S., highlighting a need for targeted health interventions.
  • A study conducted in Birmingham, AL, examined the relationship between the duration and frequency of homelessness and CVD risk factors among 61 homeless individuals.
  • Findings indicated that longer periods of homelessness were linked to increased risk factors for CVD, such as diabetes and high cholesterol, but the frequency of homelessness did not significantly relate to these risk factors.
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  • * Surveys were distributed to registered dental hygienists and certified diabetes educators in South Carolina, resulting in 1125 valid responses, of which 474 provided detailed feedback.
  • * Analysis of the written responses identified three key themes: the importance of education, the need for interprofessional collaboration among medical and dental professionals, and issues related to dental insurance, indicating a complex approach is necessary to improve oral health in this population.
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  • The study examined how psychological inflexibility relates to depressive symptoms, anxiety, and stress in individuals with spinal cord injuries (SCI).
  • Researchers used self-reported questionnaires from 92 adults with SCI, analyzing various factors, including demographic data and psychological measures, through multivariable linear regression.
  • Results indicated that psychological inflexibility was significantly linked to increased depressive symptoms and stress, while also being associated with anxiety alongside ethnicity/race, highlighting the need for interventions that enhance psychological flexibility to improve mental health outcomes for those with SCI.
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  • The study investigated the impact of coach-guided videoconferencing Acceptance and Commitment Therapy (ACT) on individuals with spinal cord injury (SCI), focusing on psychological distress and participant experiences.
  • Ten participants underwent eight videoconferencing sessions, with data collected through questionnaires and interviews, showing significant improvements in depression, anxiety, stress, grief, engagement in activities, and self-compassion.
  • While quality of life and resilience showed no significant change, participants reported enhanced coping skills and a new perspective on their thoughts and emotions, highlighting the potential of ACT in supporting psychological well-being for individuals with SCI.
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  • The study investigates the immediate physiological and psychological effects of short visits to urban parks on visitors.
  • Sixty participants assessed their subjective well-being (SWB) and provided saliva samples before and after their park visit, while also tracking their physical activity with pedometers.
  • Results showed that after the visit, participants had lower cortisol levels and higher SWB scores, with a park visit duration of about 21.8 minutes being significant for reducing stress hormone levels.
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  • Children with ADHD often struggle with low self-esteem, but therapeutic magic programs have the potential to help improve it.
  • This study evaluated a virtual magic camp for kids with ADHD, where participants attended sessions for four weeks, ultimately showing a significant increase in self-esteem from pre-camp to post-camp assessments.
  • The findings suggest that virtual magic camps can positively impact self-esteem in children with ADHD, and future research should explore the broader psychosocial effects of such interventions.
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  • This qualitative study investigated how ex-offenders reintegrate into their communities after serving prison time, gathering insights from fourteen individuals through in-depth interviews.
  • The research identified key themes that influence successful reintegration, categorized as facilitators (like committing to a future and maintaining a routine) and barriers (such as job access issues and social stigma).
  • Findings indicate that existing reintegration programs require enhancements to better support ex-offenders in overcoming challenges and achieving successful reintegration.
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