The increasing number of community-dwelling older adults has led to a growing demand for community support, services and facilities. New knowledge is needed to improve existing guidelines and provide new interventions for continuity of care.

In this theme, research drawing on trends and lived experiences of older adults will be conducted and evaluated to develop new insights towards maintaining optimal health and function of community-dwelling older adults to prevent or delay admissions to hospitals.

Core Member: Dr Vivien WU, Dr Betsy SEAH

Publications

  • Zhang M, Ji GD, Ngune I, Rusli KDB, Zgambo M, Saunders R, Ang SGM. (2025) Fall prevention strategies and fall-related outcome measures used for inpatients in mental health settings: a scoping review Inj Prev. (2025) Dec 17:ip-(2025)-045793. doi: 10.1136/ip-(2025)-045793. Online ahead of print.

  • He C, Chen K, Yu Y, Xiao Y, Zhang Y, Wu XV, Jiang N. (2025) Effectiveness of digital interventions in middle-aged and older adults with mild cognitive impairment: A systematic review and meta-analysis of randomized controlled trials Ageing Res Rev. (2025) Nov 19;114:102951. doi: 10.1016/j.arr.(2025).102951. Online ahead of print.

  • Ge Y, Li M, Luk TT, Cheung DYT, Guo N, Tong HSC, Lai VWY, Chan SSC, Wang MP, Zhao S. (2025) Higher nicotine dependence and greater smoking abstinence in parental than non-parental smokers: a secondary analysis of smoking cessation trials Front Public Health. (2025) Nov 3;13:1687893. doi: 10.3389/fpubh.(2025).1687893. eCollection (2025).

  • Li X, Zhou X, Li Y, Han Y, Ma H, Wang R, Teng XJ, Chong MS, Yoong SQ, Jiang Y. (2025) Development and internal validation of a nomogram predictive model of self-awareness of fall risk among older hospitalized patients in China: A cross-sectional study Geriatr Nurs. (2025) Nov-Dec;66(Pt C):103688. doi: 10.1016/j.gerinurse.(2025).103688. Epub (2025) Oct 17.

  • Ng YJX, Cheong SHR, Ang WW, Lau Y, Lau ST. (2025) Types, functions, and mechanisms of machine learning for personalizing smoking cessation interventions: A systematic scoping review Artif Intell Med. (2025) Dec;170:103274. doi: 10.1016/j.artmed.(2025).103274. Epub (2025) Sep 21.

  • Guo Z, Luk TT, Weng X, Wu Y, Zhao S, Lai YK, Cheung DYT, Tong HSC, Lai VWY, Lam TH, Wang MP. (2025) Behavioral Support by Ex-Smoking Peers Using Instant Messaging for Smoking Cessation: A Randomized Controlled Trial Chest. (2025) Sep 10:S0012-3692(25)05172-4. doi: 10.1016/j.chest.(2025).07.4110. Online ahead of print.

  • Zhang G, Zhou J, Xu Y, Ding H, Luk TT, He AW, Wang MP, Chan SSC, Cheung YTD. (2025) Effectiveness of nurse-led smoking cessation interventions in smoking patients: A systematic review and network meta-analysis of randomized controlled trials Int J Nurs Stud. (2025) Nov;171:105201. doi: 10.1016/j.ijnurstu.(2025).105201. Epub (2025) Aug 27.

  • Li MY, Luk TT, Cheung DYT, Guo ZQ, Siu KK, Guo J, Chan SSC, Lam TH, Ho SY, Zhao SZ, Wang MP. (2025) Effectiveness of family-based behavioral intervention for smoking cessation in low-income households: a systematic review and meta-analysis EClinicalMedicine. (2025) Aug 11;87:103420. doi: 10.1016/j.eclinm.(2025).103420. eCollection (2025) Sep.

  • Lee ZR, Cheng LJ, Yeo YY, Rolfson D, Wu XV. (2025) Measurement properties of the Edmonton Frail Scale in older adults: A systematic review and meta-analysis Int J Nurs Stud. (2025) Oct;170:105161. doi: 10.1016/j.ijnurstu.(2025).105161. Epub (2025) Jul 7.

  • Zhang MJ, Wang Q, Wu YS, He AWJ, Luk TT, Wang MP, Lam TH, Lai V, Tong HSC, Cheung YTD. (2025) Workplace second-hand smoke exposure and its association with respiratory symptoms: Findings from cross-sectional surveys 2015-2020 Public Health. (2025) Aug;245:105812. doi: 10.1016/j.puhe.(2025).105812. Epub (2025) Jun 28.

  • Chen D, Tam WWS, Zhang J, Lu J, Wu VX. (2025) Association between the inflammageing biomarkers and clinical outcomes amongst the community-dwelling middle-aged and older adults: A systematic review and meta-analysis Ageing Res Rev. (2025) Aug;110:102811. doi: 10.1016/j.arr.(2025).102811. Epub (2025) Jun 23.

  • Shorey S, Seow JSL, Mahendran R, Wee GH, Goh LG, Kua EH. (2025) Peer Volunteers' Journeys Through Training and Engagement in Older Adult Communities: Descriptive Qualitative Study JMIR Aging. (2025) Jun 13;8:e71810. doi: 10.2196/71810.

  • Lin B, Xie X, Chen T, Lu W, Li M, Nan Y, Xie H, Cheung YTD, Wang MP, Luk TT, Xiao L, Xiong J. (2025) Awareness and attitudes towards children's cigarette card gaming behaviour among adults aged 15 and above in Shenzhen, China: a population representative cross-sectional study Tob Control. (2025) May 27:tc-2024-059216. doi: 10.1136/tc-2024-059216. Online ahead of print.

  • Tan YRL, Neo NWS, Chiew-Jiat Rosalind S. (2025) The Impact of Digital Tool Use on Older Caregivers' Burden, Depression and Quality of Life: A Systematic Review and Meta-Analysis Worldviews Evid Based Nurs. (2025) Apr;22(2):e70021. doi: 10.1111/wvn.70021.

  • Dino MJ, Thiamwong L, Xie R, Malacas MK, Hernandez R, Balbin PT, Vital JC, Rivero JA, Xi VW. (2025) Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review Front Digit Health. (2025) Mar 28;7:1559570. doi: 10.3389/fdgth.(2025).1559570. eCollection (2025).

  • Gunawan J, Nazliansyah, Aungsuroch Y, Montayre J. (2025) A Qualitative Study of Coping Strategies for Loneliness Among Indonesian Older Adults: Implications for Nursing Practice Int J Ment Health Nurs. (2025) Apr;34(2):e70033. doi: 10.1111/inm.70033.

  • Teo JZT, Yoong SQ, Chan YX, Jiang Y. (2025) The Effects of Commercial Conversational Agents on Older Adults' Mental Health: A Scoping Review J Am Med Dir Assoc. (2025) Jun;26(6):105523. doi: 10.1016/j.jamda.(2025).105523. Epub (2025) Apr 14.

  • Cheung YTD, Zhang MJ, Luk TT, Ho SY, Lam TH, Wang MP. (2025) Telephone Counseling and Messaging Guided by Mobile Profiling of Tobacco Users for Smoking Cessation: A Randomized Clinical Trial JAMA Netw Open. (2025) Mar 3;8(3):e250764. doi: 10.1001/jamanetworkopen.(2025).0764.

  • Lee CS, Tan JSY, Goh SY, Ho KHM, Chung RY, Chan EY, Liaw SY, Seah B. (2025) Experiences of live-in migrant caregivers providing long-term care for older adults at home: A qualitative systematic review and meta-ethnography Int J Nurs Stud. (2025) Apr;164:105019. doi: 10.1016/j.ijnurstu.(2025).105019. Epub (2025) Feb 1.

  • Zhao SZ, Chan SK, Luk TT, Tong HSC, Lai VWY, Lam TH, Cheung DYT, Wang MP. (2025) Older age at smoking initiation predicts successful cessation in adults who smoke: A prospective study Int J Drug Policy. (2025) Apr;138:104742. doi: 10.1016/j.drugpo.(2025).104742. Epub (2025) Feb 15.

  • Chen H, Luk TT, Guo Z, Yip AON, Cheung YTD, Chan SSC, Lam TH, Wang MP. (2025) Real-World Effectiveness of Nicotine Replacement Therapy Sampling in Chinese Women of a Sex-Specific Smoking Cessation Program in Hong Kong, China Nicotine Tob Res. (2025) Oct 22;27(11):2013-2021. doi: 10.1093/ntr/ntaf022.

  • Yao Y, Luk TT, Lau OS, Wu YS, Weng X, Ng CH, Cheung YTD, Lam TH, Wang MP. (2025) Personalized chat-based support for smoking cessation among smokers with mental health symptoms in the workplace: A randomized controlled trial Addiction. (2025) Jul;120(7):1390-1401. doi: 10.1111/add.70013. Epub (2025) Feb 9.

  • Yeoh Lui CX, Yang N, Tang A, Tam WWS. (2025) Effectiveness Evaluation of Smart Home Technology in Preventing and Detecting Falls in Community and Residential Care Settings for Older Adults: A Systematic Review and Meta-Analysis J Am Med Dir Assoc. (2025) Jan;26(1):105347. doi: 10.1016/j.jamda.2024.105347. Epub 2024 Nov 6.

  • Yeo YTT, Chow JYA, Goh YS. 2024 Exploring the Experiences of Community-Dwelling Older Adults Participating in Group Interaction Programs: A Qualitative Meta-Synthesis J Clin Nurs. 2024 Nov 22. doi: 10.1111/jocn.17563. Online ahead of print.

  • Chua M, Lau XK, Ignacio J. 2024 Facilitators and barriers to implementation of telemedicine in nursing homes: A qualitative systematic review and meta-aggregation Worldviews Evid Based Nurs. 2024 Jun;21(3):318-329. doi: 10.1111/wvn.12711. Epub 2024 Feb 10.

  • Jocelyn Chew HS, Chew NWS, Ern Loong SS, Lim SL, Wilson Tam WS, Chin YH, Chao AM, Dimitriadish GK, Gao Y, Yan So JB, Shabbir A, Ngiam KY. (2024) Effectiveness Of An Artificial Intelligence-Assisted App For Improving Eating Behaviors: Mixed Methods Evaluation. Journal of Medical Internet Research. 26, -. doi: 10.2196/46036

  • Chua M, Lau XK, Ignacio J. (2024) Facilitators And Barriers To Implementation Of Telemedicine In Nursing Homes: A Qualitative Systematic Review And Meta-Aggregation. Worldviews on Evidence-Based Nursing. 21, 318-329. doi: 10.1111/WVN.12711

  • Kwan YK, Lau Y, Ang WW, Lau ST. (2024) Immediate, Short-Term, Medium-Term, And Long-Term Effects Of Acceptance And Commitment Therapy For Smoking Cessation: A Systematic Review And Meta-Analysis. Nicotine and Tobacco Research. 26, 12-22. doi: 10.1093/NTR/NTAD145

  • Cheung YTD, Mak TST, Luk TT, Ching KWJ, Wong NTG, Chan CHH, Wang MP, Lam TH. (2024) A Brief Alcohol Intervention During Smoking Cessation Treatment In Daily Cigarette Smokers: A Pilot Randomized Controlled Trial. Scientific Reports. 14, -. doi: 10.1038/S41598-024-83405-4

  • Chau SL, Luk TT, Wong BYC, Wu YS, Cheung YTD, Ho SY, Kim JH, Lo HHM, Lam TH, Wang MP. (2024) A Brief Intervention With Instant Messaging Or Regular Text Messaging Support In Reducing Alcohol Use: A Randomized Clinical Trial. JAMA Internal Medicine. 184, 641-649. doi: 10.1001/JAMAINTERNMED.2024.0343

  • Zhang MJ, Luk TT, Ho SY, Wang MP, Lam TH, Cheung YTD. (2024) Ecological Momentary Assessment Of Alcohol Marketing Exposure, Alcohol Use, And Purchases Among University Students: Prospective Cohort Study. JMIR mHealth and uHealth. 12, -. doi: 10.2196/60052

  • Cheng CCW, He WJA, Gouda H, Zhang MJ, Luk TT, Wang MP, Lam TH, Chan SSC, Cheung YTD. (2024) Effectiveness Of Very Brief Advice On Tobacco Cessation: A Systematic Review And Meta-Analysis. Journal of General Internal Medicine. 39, 1721-1734. doi: 10.1007/S11606-024-08786-8

  • Li Y, Luk TT, Cheung YTD, Zhao S, Zeng Y, Tong HSC, Lai VWY, Wang MP. (2024) Engagement With A Mobile Chat-Based Intervention For Smoking Cessation: A Secondary Analysis Of A Randomized Clinical Trial. JAMA Network Open. 7, e2417796-. doi: 10.1001/JAMANETWORKOPEN.2024.17796

  • Zhao SZ, Wu Y, Cheung DYT, Luk TT, Weng X, Tong HSC, Lai V, Chan SSC, Lam TH, Wang MP. (2024) Increase Of Unmotivated And Hardened Smokers In Hong Kong: A Repeated Cross-Sectional Trend Analysis. Tobacco Control. 33, 481-488. doi: 10.1136/TC-2022-057724

  • Su X, Wong V, Cheung YTD, Chan HCH, Wong GNT, Lee JKH, Ho SY, Wang MP, Luk TT. (2024) Mobile Chat Messaging For Preventing Relapse Among People Who Recently Quit Smoking: Study Protocol For A Randomized Controlled Trial. Digital Health. 10, -. doi: 10.1177/20552076241291709

  • Zhao SZ, Weng X, Wu Y, Cheung YTD, Luk TT, Tong HSC, Lai VWY, Lam TH, Wang MP. (2024) Optimizing Mhealth Instant Messaging-Based Smoking Cessation Support: A Sequential, Multiple Assignment, Randomized Trial (Smart). INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION. , -. doi: 10.1007/S11469-024-01328-7

  • Chen H, Yip AON, Cheung YTD, Chan SSC, Lam TH, Wang MP, Luk TT. (2024) Reaching Youth Smokers Through A Multipronged Approach: Comparison Of Three Recruitment Methods Of A Youth Quitline In Hong Kong. Journal of Adolescent Health. 75, 883-889. doi: 10.1016/J.JADOHEALTH.2024.07.017

  • Vongsirimas N, Kesornsri S, Sitthimongkol Y, Thanoi W, Klainin-Yobas P. (2024) Evaluating Psychometric Properties Of The Thai-Version Alcohol Smoking And Substance Involvement Screening Test (Assist). Journal of Substance Use. 29, 258-263. doi: 10.1080/14659891.2022.2153756

  • Ong CH, Pham BL, Levasseur M, Tan GR, Seah B.. Sex and gender differences in social participation among community-dwelling older adults: a systematic review. Front Public Health. 2024 Apr 12;12:1335692. doi: 10.3389/fpubh.2024.1335692. eCollection 2024.. 10.3389/fpubh.2024.1335692

  • Ng YX, Cheng LJ, Quek YY, Yu R, Wu XV.. The measurement properties and feasibility of FRAIL scale in older adults: A systematic review and meta-analysis. Ageing Res Rev. 2024 Mar;95:102243. doi: 10.1016/j.arr.2024.102243. Epub 2024 Feb 21.. 10.1016/j.arr.2024.102243

  • Yoong SQ, Wu VX, Chen C, Lee PY, Wee KSL, Teo J, Chua MCH, Jiang Y.. Dance Exergames for Older Adults: A Systematic Review and Meta-Analysis With Narrative Synthesis. J Gerontol A Biol Sci Med Sci. 2024 Apr 1;79(4):glae035. doi: 10.1093/gerona/glae035.. 10.1093/gerona/glae035

  • Yoong SQ, Wu VX, Jiang Y.. Experiences of older adults participating in dance exergames: A systematic review and meta-synthesis. Int J Nurs Stud. 2024 Apr;152:104696. doi: 10.1016/j.ijnurstu.2024.104696. Epub 2024 Jan 15.. 10.1016/j.ijnurstu.2024.104696

  • Chua CMS, Chua JYX, Shorey S.. Effectiveness of home-based interventions in improving loneliness and social connectedness among older adults: a systematic review and meta-analysis. Aging Ment Health. 2024 Jan-Feb;28(1):1-10. doi: 10.1080/13607863.2023.2237919. Epub 2023 Jul 19.. 10.1080/13607863.2023.2237919

  • Wu VX, Yap XY, Tam WSW, Goh J, Mok WYJ, Ramazanu S.. Qualitative inquiry of a community dance program for older adults in Singapore. Nurs Health Sci. 2023 Sep;25(3):341-353. doi: 10.1111/nhs.13032. Epub 2023 Jul 11.. 10.1111/nhs.13032

  • Sam RY, Lau YFP, Lau Y, Lau ST.. Types, functions and mechanisms of robot-assisted intervention for fall prevention: A systematic scoping review. Arch Gerontol Geriatr. 2023 Dec;115:105117. doi: 10.1016/j.archger.2023.105117. Epub 2023 Jul 4.. 10.1016/j.archger.2023.105117

  • Rashid NLA, Leow Y, Klainin-Yobas P, Itoh S, Wu VX.. The effectiveness of a therapeutic robot, 'Paro', on behavioural and psychological symptoms, medication use, total sleep time and sociability in older adults with dementia: A systematic review and meta-analysis. Int J Nurs Stud. 2023 Sep;145:104530. doi: 10.1016/j.ijnurstu.2023.104530. Epub 2023 May 19.. 10.1016/j.ijnurstu.2023.104530

  • Soh YY, Zhang H, Toh JJY, Li X, Wu XV.. The effectiveness of tele-transitions of care interventions in high-risk older adults: A systematic review and meta-analysis. Int J Nurs Stud. 2023 Mar;139:104428. doi: 10.1016/j.ijnurstu.2022.104428. Epub 2022 Dec 15.. 10.1016/j.ijnurstu.2022.104428

  • Teo RH, Cheng WH, Cheng LJ, Lau Y, Lau ST.. Global prevalence of social isolation among community-dwelling older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2023 Apr;107:104904. doi: 10.1016/j.archger.2022.104904. Epub 2022 Dec 16.. 10.1016/j.archger.2022.104904

  • Yu M, Wang W, Gu L, Ramachandran HJ.. Perspectives and experiences of living with self-neglect among older adults: A systematic review and meta-synthesis. J Nurs Scholarsh. 2023 Jul;55(4):771-781. doi: 10.1111/jnu.12854. Epub 2022 Dec 9.. 10.1111/jnu.12854

  • Toh JJY, Zhang H, Soh YY, Zhang Z, Wu XV.. Prevalence and health outcomes of polypharmacy and hyperpolypharmacy in older adults with frailty: A systematic review and meta-analysis. Ageing Res Rev. 2023 Jan;83:101811. doi: 10.1016/j.arr.2022.101811. Epub 2022 Nov 29.. 10.1016/j.arr.2022.101811

  • Li Y, Lyu L, Fan X, Xu L, Zhao R, Jiang Y, Seo J, Li C, Song R.. Translation and Linguistic Validation of the Assessment of Physical Activity in Frail Older People into Simplified Chinese Using Cognitive Interviewing Methodology. J Aging Phys Act. 2022 Oct 19;31(3):383-390. doi: 10.1123/japa.2022-0100. Print 2023 Jun 1.. 10.1123/japa.2022-0100

  • Chow EKM, Seah B, Chan JJY, Wang W.. Salutogenic-based interventions among community-dwelling older adults: a systematic review and meta-analysis. Health Promot Int. 2023 Jun 1;38(3):daac007. doi: 10.1093/heapro/daac007.. 10.1093/heapro/daac007

  • Chow, E., Seah, B., Chan, J., & Wang, W. (2022). Salutogenic-based interventions among community-dwelling older adults: a systematic review and meta-analysis. Health promotion international. Advance online publication. https://doi.org/10.1093/heapro/daac007

  • Wu, X.V., Dong, Y., Tan, P.C., Gan, P., Zhang, D., Chi, Y., Chao, F.F.T., Lu, J., Teo, B.H.D., Tan, Y.Q. (2022). Development of a Community-based e-Health Program for Older Adults With Chronic Diseases: Pilot Pre-Post Study Journal of Medical Internet Research Aging, 0(0):e0 doi: 10.2196/33118

  • Chan, J.K.Y., Klainin-Yobas, P., Chi, Y., Gan, J.K.E., Chow, G., Wu, X.V. (2021). The effectiveness of e-interventions on fall, neuromuscular functions and quality of life in community-dwelling older adults: A systematic review and meta-analysis. Int J Nurs Stud. 113:103784. doi: 10.1016/j.ijnurstu.2020.103784.

  • Han, C. Q. Y., Klainin-Yobas, P., Rodrigues, N. G., Haugan, G., Wu, X. V. (2021). Prevalence, risk factors and impact of delirium on hospitalised older adults with dementia: A systematic review and meta-analysis. Journal of the American Medical Directors Association, S1525-8610(21)00823-9. DOI: 10.1016/j.jamda.2021.09.008

  • Rodrigues, N. G., Han, C. Q. Y., Su, Y., Klainin-Yobas, P., Wu, X. V. (2021). Psychological Impacts and Online Interventions of Social Isolation amongst Older Adults during COVID-19 Pandemic: A Scoping Review. Journal of Advanced Nursing, DOI: https://doi.org/10.1111/jan.15063

  • Tan, J.Y., Tam, W.W.S., Goh, H.S., Ow, C.C., Wu, X.V. (2021). Impact of sense of coherence, resilience, and loneliness on quality of life among older adults in long-term care: A correlational study using the salutogenic model, Journal of Advanced Nursing. DOI: 10.1111/jan.14940

  • Wu, X.V., Dong, Y., Chi, Y., Yu, M., Wang, W. (2021). Traditional Chinese Medicine as a complementary therapy in combat with COVID-19 - a review of evidence-based research and clinical practice. Journal of Advanced Nursing. doi: 10.1111/jan.14673.

  • Yap, J.M., Tantono, N., Wu, X.V., & Klainin-Yobas, P. (2021). Effectiveness of Technology-based Psychosocial Interventions on Diabetes Distress and Health-relevant outcomes of Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis. Journal of Telemedicine and Telecare. DOI: 10.1177/1357633X211058329

  • Yoong, S.Q., Lu, J., Xing, H., Gyanwali, B., Tan, Y.Q., Wu, X. V.(2021). The Prognostic Utility of CSF Neurogranin in Predicting Future Cognitive Decline in the Alzheimer's Disease Continuum: A Systematic Review and Meta-Analysis with Narrative Synthesis. Ageing Research Review, 21:101491. doi: 10.1016/j.arr.2021.101491. PMID: 34688925.

  • Lee, J.K., Lin, C. S. L., Wu, X.V. (2020). Social capital and health communication in Singapore: An examination of the relationships between community participation, community cohesion and health communication behaviours. Journal of Health Communication. DOI: https://doi.org/10.1080/10810730.2020.1761485

  • Muhsin, G. M. B., Goh, Y. S., Hassan, N., Chi, Y.C., Wu, X. V. (2020). Nurses’ Experiences on the Road towards Transition to Community Nursing: An Exploratory Descriptive Qualitative Study. Health and Social Care in the Community. https://doi.org/10.1111/hsc.13038

  • Chua, H.M.C., Jiang, Y., Lim, D.S., Wu, X.V., & Wang, W. (2019). Effectiveness of cognitive behaviour therapy-based multicomponent interventions on fear of falling among community-dwelling older adults: A systematic review and meta-analysis. Journal of Advanced Nursing. DOI: 10.1111/jan.14150

  • Gouw, V. X. H., Jiang, Y., Seah, B., He, H., Hong, J., & Wang, W. (2019). Effectiveness of internal Qigong on quality of life, depressive symptoms and self-efficacy among community-dwelling older adults with chronic disease: A systematic review and meta-analysis. International Journal of Nursing Studies. doi:https://doi.org/10.1016/j.ijnurstu.2019.06.009

  • Soh, Z.P.X., Wang, W., Hassan, N., Png, G.K., & Wu, X. V. (2019). Risk of Skin Tears and its Predictors among Hospitalised Older Adults in Singapore. International Journal of Nursing Practice. DOI:10.1111/ijn.12790