Teleme’s #ThankYouMom Campaign

Teleme’s #ThankYouMom Campaign

 Terms and Conditions of Teleme’s #ThankYouMom Contest (“Contest”):-
  1. Contest is organized by Teleme Technologies Sdn Bhd (“Organizer”) in conjunction with Mother’s Day.
  2. This Contest is open to all users online residing in Malaysia only (“Participants”).
  3. By participating in this Contest, Participants will be deemed to have read, understood and expressly agreed to be bounded by the Terms & Conditions of this Contest as stated herein and any additional terms and conditions stipulated by the Organizer (as may be applicable) including the decisions of the Organizer in all matters related thereto.
  4. Puras Essential Oils, Pure Touch Clinic Bangsar South, Enigma Malaysia and Cratze Art are only the sponsors for the prizes and not part of the Organizer.
  5. This Contest starts on 16th April, 2018 and ends on 6th May, 2018 (“Contest Period”). The announcement of the winners (“Winner Announcement”) will be on the 7th May, 2018 on Teleme Malaysia’s Facebook page. The Organizer reserves the right to amend or extend the duration of the Contest Period and the Winner Announcement at any time as it deems fit.
  6. To qualify and participate in this Contest, Participants must do the following Contest Requirements as stipulated above.
  7. The Contest Grand Prize consists of the following:-
  • Puras Essential Oil Set worth RM707 (Frankincense, Clary Sage, Geranium, Peppermint & Lavender)
  • Beauty/Aesthetics Cash Voucher worth RM500 (For listed services provided by Pure Touch Clinic Bangsar South)

8. The Contest Consolation Prize consists of the following:-

  • Beauty/Aesthetics Cash Voucher worth RM300 (For listed services provided by Pure Touch Clinic Bangsar South)
  • Puras Essential Oil Set worth RM166 (Peppermint & Lavender)
  • ENIGMA Nail Art Cash Voucher worth RM100 (For manicure services provided by Enigma Malaysia)
  • ENIGMA Salon Cash Voucher worth RM100 (For hairdo services provided by Enigma Malaysia)
  • Art Jamming Cash Voucher worth RM100 (For art jamming session provided by Cratze Art)

9. The Organizer’s decisions in relation to all aspects of the Contest are final, binding and conclusive under any circumstances and no correspondence nor appeal will be entertained.

 

10. Only Participants who comply with these terms and conditions shall be eligible to join the Contest. Participants who failed to fulfill these terms and conditions will automatically be disqualified from the Contest without notice.

11. The Organizer reserves the right to substitute and/or replace the Contest from time to time without any prior notice to the Participants.

12. Participants may be contacted, at any time deemed appropriate by the Organizer, via email or any other mode of communication deemed appropriate.

13. The prize and vouchers are not exchangeable and/or transferable, and cannot be exchanged or redeemed for cash.
Five Positive Ways to Manage Stress

Five Positive Ways to Manage Stress

You can’t avoid stress in your daily life but you can manage it. Don’t ignore stress as stress can lead to major health problems and it affects your health mentally and physically. It can lead to mental health problems such as depression or anxiety and physical health problems such as acne, hair loss, fluctuations in weight and life-threatening heart attacks.

Create a list of positive ways to manage stress to keep your stress levels in check and low. Here we have listed 5 things that you can do.

1) Take Charge of Your Health

check-up

Image source: Stock Unlimited

Taking care of your health helps you both mentally and physically. Focus on healthy habits such as healthy diet, exercise 3-4 times a week and go for body check-up annually. The best way to reclaim control of your life is by taking charge of your health.

 

2) Make a Change

clean-desk

Image source: Iris

Start with a small positive change. It can be as simple as cleaning up your work desk or your bedroom, step away from your work desk for 5 minutes and take a walk or take 5 minutes to do simple exercises at your work desk or simply go for a short vacation. A small positive change can make a difference to the stressors in your life.

 

3) Laughter is the Best Medicine

laugh

Image source: Shutterstock

Watch funny videos, movies or talk to a funny friend who keeps you happy. Do whatever it takes to give yourself time for laughter each and every day.

 

4) Join Meditation or Yoga Classes

meditate

Image source: Pexels

Meditation or yoga may be used to reduce stress, anxiety, depression and tension as both practices promote relaxation and calmness. It requires you to focus to achieve a mentally clear and emotionally calm state.

 

 

5) Help Others

help-others

Image source: Goodnet

Volunteer to help others take your mind off the stress in your life and you’ll cultivate an attitude of gratitude as you help others who are not able to get help for themselves. You’ll also feel happy and relieved to be able to help people or animals in need and you’re actually making a positive difference to their lives.

 

Reference: Beliefnet

 

If stress level is too overwhelming and you can’t cope with it, please reach out to one of our Psychologist below for advice.

 

 

 Dr. Khairi Rahman

Dr. Khairi Rahman

Psychologist

Ms. Usha Ponnudurai

Ms. Usha Ponnudurai

Psychologist

Ms. Sarah Zehan

Ms. Sarah Zehan

Psychologist

Study on User Experience with E-Counseling

Study on User Experience with E-Counseling

Below is a summary of how e-counseling is comparable to traditional face-to-face counseling sourced from an extensive study done by Berkeley Well-Being Institute and its references. Read more on the full study here.

Study 2 was conducted to examine user satisfaction with e-counseling. Read on the summary of Study 1 on changes in depression symptom severity amongst BetterHelp members from pre-treatment to 3-months post-treatment here.

Study 2

Given the potential accessibility, affordability, and effectiveness of e-counseling, Berkeley conducted a second study to gain insight on user experience with BetterHelp e-counseling. The present investigation reports findings from a survey that asked current members of BetterHelp to report their experiences with both e-counseling and face-to-face counseling. More specifically, it assessed whether BetterHelp e-counseling differs from face-to-face counselling with regard to:

1) Affordability

2) Convenience

3) Effectiveness

4) Fit

5) Accessibility

6) Progress

7) Satisfaction

8) Quality

9) Meeting needs

10) Therapeutic alliance

 

Method

Participants:

  • 48 participants (88% female)
  • Age: 22 – 65 years old
  • These participants responded to an account notification from BetterHelp inviting them to complete a survey post participation
  • Used BetterHelp for 3 months or more
  • To answer a series of questions with regard to their experiences on BetterHelp and also if they have been in face-to-face counseling
  • A subset of 38 participants (79%) had also been in face-to-face counseling and was asked the same series of questions regarding their experiences with face-to-face counselling

 

Measures:

1) Therapeutic Alliance

The quality of the therapeutic relationship was assessed using the Working Alliance Inventory (WAI) –short form (Munder, 2010). Questions were phrased to assess alliance with BetterHelp counsellors or alliance with face-to-face counselors. The WAI has been shown to have good reliability and validity (α BetterHelp = .94; α face-to-face = .97 in the present sample).

 

2) Satisfaction with Counselling

To measure satisfaction with counseling, items were developed assessing a range of factors that tend to affect satisfaction with counselling (see Table 2 for questions).

 

 

Table 2

Comparing BetterHelp to face-to-face counseling

To directly assess whether participants preferred BetterHelp when they compared BetterHelp to their experiences with face-to-face counseling.

 

Results

1) Therapeutic alliance

Using within group t-tests, ratings of therapeutic alliance were significantly greater for BetterHelp than face-to-face counseling.

 

2) Satisfaction

Descriptive statistics are used to clarify the percentage of people who were satisfied with each dimension of counseling for both BetterHelp and face-to-face counseling (see Figure 3). The results suggest greater satisfaction with BetterHelp e-counseling than face-to-face counseling. All analyses supported BetterHelp as being more satisfying than face-to-face therapy. In particular,

BetterHelp was found to be significantly more convenient, affordable, and accessible than face-to-face therapy.

Figure 3

Results for satisfaction with BetterHelp and satisfaction with face-to-face counseling shows that clients of BetterHelp are more satisfied with e-counseling than face-to-face counseling (see Figure 4).

 

Figure 4

Finally, when asked how likely one would be to recommend BetterHelp to a friend or colleague on a scale from 0 (Not at all likely) to 10 (Extremely likely), participants reported scores ranging from 5 to 10.

Comparing e-counseling to face-to-face counseling

Descriptive statistics were used to directly assess whether people found experiences with BetterHelp to be better or worse than experiences with face-to-face counseling.

First, Berkeley assessed whether people would choose BetterHelp (e-counseling) or face-to-face counseling in the future (see Figure 5). Next, Berkeley assessed how participants compared BetterHelp to face-to-face counseling on each of the dimensions of satisfaction. The strongest effects suggest that BetterHelp members find BetterHelp to be more convenient and accessible than face-to-face therapy, and all analyses supported BetterHelp as being more satisfying than face-to-face counseling (see Figure 6).

 

Figure 5

Figure 6

E-counseling appears to address a number of significant barriers (i.e. convenience, affordability, and accessibility) that sometimes prevent face-to-face counseling from being effective. Notably, the present data further suggest that therapeutic alliance for BetterHelp e-counseling may be even stronger than face-to-face counseling.

While there are many reasons as to why this may be the case, Berkeley postulate that these strong alliances are formed when using BetterHelp as a result of BetterHelp counselors’ flexible availability. Face-to-face counseling is often limited to a pre-determined number of sessions (as defined by insurance companies or by financial capabilities).

Research has shown that the national average number of counseling sessions available to an individual is less than 5, despite knowledge that between 8-13 sessions are needed to see improvement (Hansen et al., 2002). BetterHelp counselors are able to quickly respond to members’ needs, with an average response time of 10.6 hours, and have more frequent interaction with members as compared to a face-to-face therapist, with BetterHelp members receiving an average of 3.7 sessions over the course of a week.

This study, like most survey studies, may have been affected by sampling bias. Only participants who were already using BetterHelp for 3 months were included in analyses. Because individuals who terminated treatment before 3 months were not included in pre/post analyses, results exclude those who may not have found BetterHelp beneficial and sought other forms of therapy in that time. It was essential for Berkeley to focus on this group to ensure that all participants were familiar with, and had the time to benefit from, the service; however, this approach may have led to a bias towards including people in the study who favoured BetterHelp e-counseling.

That being said, we should not discount the positive impacts that BetterHelp had on the members who chose to opt in. No intervention approach will work for everyone. Given the affordability and accessibility of Betterhelp e-counseling, Berkeley’s findings suggest that Betterhelp e-counseling represents an opportunity to have a bigger impact, across a larger number of people, for a reduced cost.

Reference:

Berkeley Well-Being Institute

Don’t suffer in silence. Seek help from a mental health professional online.

Download Teleme’s mobile app to consult a mental health practitioner online

 

 

E-Counseling: Viable Alternative to Traditional Face-To-Face Counseling

E-Counseling: Viable Alternative to Traditional Face-To-Face Counseling

An extensive study was done on how e-counseling is a viable alternative to traditional face-to-face counseling based on BetterHelp’s e-counseling platform. BetterHelp is the largest e-counseling platform worldwide and offers convenient and affordable access to professional counsellors for anyone who struggles with life’s challenges to get help anytime and anywhere.

 

Below is a summary of how e-counseling is comparable to traditional face-to-face counseling sourced from an extensive study done by Berkeley Well-Being Institute and its references. Read more on the full study here.

 

Research studies show that counseling is even more effective at improving mental health than other treatments, such as medication. While research has demonstrated the many benefits of counseling, access to counseling is still one of the largest barriers to getting this type of help, and the majority of research has only assessed the benefits of counseling delivered face-to-face. Telemental health, or the use of technology to provide long-distance counseling, is a field that is rapidly growing in response to this demonstrated and very urgent need.

 

Why people don’t seek for help?

  • Stigma surrounding seeking mental well-being support and lack of affordable care
  • Limited geographical access to trained professionals
  • Shortage of mental health professionals especially in rural areas

 

Benefits of e-counseling based on studies

  • People feel more comfortable, calm and relaxed during sessions and experience enhanced user satisfaction
  • People in need of counseling are more likely to seek out for help when e-counseling is provided as an option
  • Increased patient empowerment (i.e. maximizes flexibility of location of therapy as well as flexibility in scheduling therapy)
  • Increased clinical efficacy (i.e. allows therapists to see clients in less time)

 

To examine the benefits of e-counseling, changes in depression symptom severity amongst BetterHelp members from pre-treatment to 3-months post-treatment were examined in Study 1 and user satisfaction was examined in Study 2.

 

Counselors at BetterHelp are licensed, trained, experienced, and accredited professionals. BetterHelp members are able to choose from text, video, live chat, and phone counseling.

 

Study 1

Method

Participants:

  • 318 BetterHelp members (78% female)
  • Age: 19 to 72 years old
  • Pre-treatment levels of depression fell in mild, moderate, moderately severe, or severe ranges based on the PHQ-9 Scoring and Interpretation Guide (UMHS Depression Guideline)
  • Minimal levels of depression were not included
  • Used BetterHelp for between 90 and 104 days (3 months, plus two weeks) to ensure adequate time for treatment to take effect

 

Before members being e-counseling with BetterHelp (Time 1, or baseline), members were asked to complete the PHQ-9, probing current levels of depression. Between 90 and 104 days later (Time 2, or 3-month follow-up), participants were asked to again complete the same questionnaire.

At Time 1, 37% of the final sample presented with mild symptoms, 29% presented with moderate symptoms, 24% presented with moderately severe symptoms, and 10% presented with severe symptoms. Figure 1 displays depression symptom category at baseline based on the PHQ-9 Scoring and Interpretation Guide.

PHQ-9 measure:

  • The Patient Health Questionnaire (PHQ-9) is a validated brief self-report measure frequently used in clinical practice to monitor depression symptoms and severity which was used to assess severity of depression symptoms among participants at baseline and follow-up
  • PHQ-9 is a 10-item measure which asks a series of questions regarding how often, in the past 2 weeks, patients have been bothered by specific problems.
  • PHQ-9 is scored on a 4-Point Likert scale ranging from “0 – Not At All” to “3 – Nearly Every Day”

 

Results

Approach

Within-group t-tests – also known as paired samples t-tests – control for correlations between data sets and as such are the best choice when seeking to detect change between pre- and post-tests. Participants were split into four groups before analysis, based on severity of symptoms before treatment (these groups being mild, moderate, moderately severe, or severe).

 

Depression symptoms

Depression symptom severity was found to be significantly lower at Time 2 than at Time 1 across all four groups. Results showed that the largest improvement post-treatment was seen in participants who had the highest scores pre-treatment. In other words, using BetterHelp for 3 months (or more) significantly lowered members’ depression symptoms, and members with the most severe levels of depression before using BetterHelp experienced the most improvement in their depression after use.  

 

36% of members classified as having “Mild Depression” before using BetterHelp changed to the “Minimal Depression” classification level after use. 65% of members classified as having “Moderate Depression” were classified as having only “Mild or Minimal Depression” after using BetterHelp, and 67% of members classified as having “Moderately Severe Depression” were classified as having moderate, mild, or minimal levels after use.

Most impressive, 78% of members classified as having “Severe Depression” before using BetterHelp were no longer classified as having “Severe Depression” after use, with 15% of these individuals now being classified as having only “Mild Depression”, all within three months of use.

Next up on Healthtips by Teleme, second study examined by Berkeley Well-Being Institute on user satisfaction on e-counseling.

Study and reference by Berkeley Well-Being Institute.

Don’t suffer in silence. Seek help from a mental health professional online.

Download Teleme’s mobile app to consult a mental health practitioner online

 

 

Colorectal Cancer

Colorectal Cancer

What is Colorectal Cancer?

Colorectal Cancer (also known as bowel cancer and colon cancer) is cancer found in the colon or rectum (part of large intestines).

Image source: OncoLink

Most colon cancer start as a growth on the inner lining of the colon called polyps. Over time, these polyps can change into cancer.

Image source: National Cancer Institute

Factors which can increase chance of cancer include:

i) If polyp is larger then 1cm

ii) If more than 2 polyps are found

iii) If the cells in the polyp show pre-cancerous changes called dysplasia

How does the colon look like?

Image source: Mayo Clinic

The colon is around 5 feet long for undigested food to pass through before coming out as waste. The first section is called ascending colon, second section is the transverse colon and the third section is the descending colon. The last 2 sections are the sigmoid and rectum where the waste products sits and wait before being excreted. If you are constipated, the waste sits here longer.

How does Colon Cancer spread?

Over time a polyp can grow into the wall o the colon deeper into the layers of the wall and finally into blood vessels or lymph nodes. The final 4th stage is when the cancer has spread to other parts of the body. The chance of surviving the cancer gets LESS with each increasing stage.

Image source: My Support 360

What are the risk factors?

1) Age (most colon cancers start after 50 years old)

2) Diet

  • Long term consumption of read meat or processed meat
  • High temperature cooking such as barbecuing and pan-frying
  • Low fibre intake (constipation increases time toxins in contact with the colon)

 

3) Smoking 

  • Smoking increases the risk of colon cancer and chance of dying from colon cancer

 

4) Family history

  • The increase in life time risk related to family history ranges from two to six fold
  • Risks are greatest in relatives of patients diagnosed young, tow or more affected relatives or relatives of patients with colon cancers

5) Obesity

  • Being overweight, having high fat diet and physical inactivity increases the risk of colon cancer

 

Why screen for colon cancer?

It is important to undergo screening for colon cancer because detecting colon cancer EARLY increases the chances of survival. Late stage cancers (such as stage 3 or 4) have worse prognosis. In fact at the polyp stage, the removal of polyp eliminates the chance of it progressing to later stage of cancer.

For those who have had polyps in the past should arrange for one or two yearly screening/surveillance. The screening of colon is by using a flexible endoscope called colonoscopy.

Screening is the testing of asymptomatic individuals to determine the risk of developing colon cancer and surveillance is the ongoing monitoring of individuals who have an increased risk for the development of the disease.

In conclusion, colon cancer is a major public health concern and is the 2nd most common cancer in Malaysia.

Cancer statistics in Malaysia:

 

Source: National Cancer Registry Report 2007-2011 (Oct 2016)

Screening lowers the incidence and mortality of colon cancer and colon cancer is preventable through removal of premalignant polyps and is curable if detected and treated early.

References: Johns LE et al. Am j Gastroenterol. 2001;96(10):2992, Morb mortal Rep 2011;60(26):884, Globocan 2012

Download Teleme’s mobile app and consult Dr Meheshinder, Colorectal Surgeon about Colorectal Cancer

 

 Dr. Meheshinder

Dr. Meheshinder

Colorectal Surgeon

Causes and Management of Hearing Loss

Causes and Management of Hearing Loss

When an individual has hearing loss, the person would most often be referred to an audiologist for a diagnosis of the type of hearing loss, severity of hearing loss, site of problem and non-medical management.

An audiologist is an allied health professional specializing in hearing and non-medical management of the auditory and balance systems. An audiologist is trained in the prevention, identification and assessment of hearing loss and other related disabilities (like balance disorders) as well treatment and (re)habilitative services.

Some types of hearing loss can be prevented. A good example would be noise induced hearing loss. This is a loss of hearing due to continuous exposure to loud levels of sounds. Traditionally, this type of hearing loss is often seen in factory workers, soldiers and musicians. Nowadays, more of this type of hearing loss is detected due changes in lifestyles such as overexposure to Walkman and MP3 players at very high volume levels. The increasing popularity of loud bands and nightclubs also might contribute to this trend.

listening-to-music

Image source: Pexels

The prevention of these types of hearing loss would include educating and increasing general awareness on hearing loss and their causes, the suggestion to factories on measures to control sound levels and the advocacy of usage of hearing protection devices when exposed to loud levels of sound and noise.

Identification of hearing loss is most often done by screening for hearing loss. This is usually done for population groups with high incidences of hearing loss such as newborns, school going children and the aged due to the simple reason that sometimes hearing loss cannot be detected and early identification would lead to better intervention and outcome. In fact, in many states in the USA and across Europe, Universal Newborn Hearing Screening is mandatory to identify hearing loss in newborns as soon as possible after birth.

Studies show that hearing loss in children if identified and diagnosed early so that intervention could begin before 6 months of age results in speech and language development that is on par with normal hearing children. Currently in Malaysia, newborn hearing screening is done only in a few hospitals.

ear-nose-throat-doctor

Image source: Alamy

The management of hearing loss is most often a team work that involves the individual or parents of a child with hearing loss, audiologist, paediatrician, Ear, Nose & Throat (ENT) Surgeon, Speech Language Pathologist and other specialist based on needs of the individual. For example, after diagnosing the hearing loss, the patient might be referred to an ENT surgeon for problems that can be treated with medications or surgery. In other cases, a referral to the Speech Language Pathologist would be made to address speech and language delay.

 

However, in a lot of cases, the hearing loss might be permanent and cannot be cured. In these cases, the audiologist would recommend and fit amplification devices such as hearing aids or suggest cochlear implants for more severe-profound cases.

What follows would be (re)habilitation process whereby the individual with hearing impairment is trained to listen with their amplification devices. This might be a long and trying process as the sounds from hearing aid might be different than what the individual is used to or the processing of sound by the cochlea is abnormal causing a lot of fine-tuning to be done before the hearing aids or cochlear implant is accepted.

sign-language

Image source: Shutterstock

The notion that a deaf individual cannot hear and a deaf child is also destined to be mute is outdated. Technological advancements and knowledge has given these individuals the key to overcome the handicapping effects of hearing loss. However, the only way that this can be achieved is if each and every one of us knows what hearing loss is and what we have to do in order to help someone with hearing loss to address their problem.

Download Teleme’s mobile app and consult an Ear, Nose and Throat Surgeon or an Audiologist

 

 

Dr. Shailendra Sivalingam

Dr. Shailendra Sivalingam

Ear, Nose & Throat Surgeon

Mr. Saravanan Selanduray

Mr. Saravanan Selanduray

Audiologist

Ms. Alleya Cheng

Ms. Alleya Cheng

Audiologist

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