Page 75 - JOURNAL OF HEALTH MANAGEMENT SUPPLEMENT: SEPTEMBER 2021

SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMEN
SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT T
e-­‐poster
BM108 e-­‐Poster
OT019
Abstract Category: Biomedical Science
Abstract Category: Others
Islamic Fasting Approach on Weight Loss Intervention – Experience Through the Lens of Participants
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Johari, M. Z. , Sulaiman, N. S. , Abdullah, S. R. , Khalil, M. K. N. , Wan Mohd Zin, R. M. , Mohd Yunus, S.
A Dataset Linkage Implication From Data Entry Process: Experience From MyHDW Development1
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N. N. , Kamaruddin, H. , Norshamsul, N. I. , Azizul, N. H.
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Ab Rahim, F. I. , Ramlan, N. , Charles, H. , Parman, A. F. , Jabar, M. K.
1 Centre for Health Communications and Informatics Research, Institute for Health Behaviour Research, National
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Institutes of Health
Health Informatics Centre, Planning Division
2 2 Nutrition, Metabolism & Cardiovascular Research Centre, Institute for Medical Research, National Institutes of
Institute for Health Systems Research, National Institutes of Health
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Health
MIMOS Berhad
Introduction
Introduction
Weight loss is a natural process of weight management in life but the process and effectiveness varies
Electronic data collection system has been utilised in Ministry of Health Malaysia hospitals since
from individual to individual. This study attempts to assess the effectiveness of an Islamic approach of
1999. As the system was not an exclusive electronic platform, manual data entry played a huge role
the sunnah fasting (Mondays and Thursday) combined with healthy plating as part of a weight loss
in its use. This abstract briefly describes an implication from the manual data entry process that was
intervention through the views of the participants.
discovered during the development of the Malaysian Health Data Warehouse (MyHDW) Extract-­‐

Transform-­‐Load (ETL) artificial intelligence module for the dataset linkage process.
Method
This qualitative study takes on exploratory approach in obtaining feedback from selected participants
Method
of the intervention. Four groups of participants (two successful and two unsuccessful) were invited in
100 hospital admissions from a specialist hospital in Selangor were randomly chosen on-­‐site and the
separate Focus Group Discussions (FGD) to give their experiential feedback after completing the
following information were collected from the medical records; patient name, identification number
intervention. FGDs were recorded verbatim and transcribed. Data was blind and axial coded before
(ID), hospital-­‐generated encounter running number (RN), gender, ethnicity, admission date,
thematically analyzed.
discharge date, and main diagnosis. Retrospective 2013 data was chosen as it had the least
likelihood of being newly updated. Double data entry was performed to ensure consistency of the
Result
collected data. The collected data was then linked with the administrative hospital admission
In total 21 participants were interviewed. Four themes emerged -­‐ efficacy towards intervention,
database, using the variable mapping and content matching approach.
barriers and facilitators to success, support and sustainability. Participants who were success attributed
having a strong support system at home or at work and the sense of competitiveness as the main key
Result
to who were successful. Similarly, the same attributes are also the reason to those who did not
Double-­‐variable linkage using the hospital facility code with the patient ID and the patient RN were
succeed in losing the prescribed weight. Most suffered difficulty of at least one month to adapt to the
successfully matched at 96% and 99% respectively. Triple-­‐variable linkage yielded 99% match. 100%
intervention. Sporadically in both groups stated the intervention is sustainable for a long period.
dataset linkage was only achieved after including patient name, admission date and discharge date
Individual motivation plays a strong role in the success or failure in weight loss.
as the validating variables for the dataset linkage process. Scrutinisation into the causative factors
Discussion
revealed issues on the same number entered into both variables for ID and RN, as well as
Islamic fasting is perceived to be a viable intervention to weight loss and its success is driven both by
typographical errors.
individual motivation and a strong support system to be sustainable.
Discussion
Keywords: weight loss, Islamic fasting, qualitative, effectiveness, sustainability
Similar pattern of findings were obtained upon subsequent replication of activity with samples from
other hospitals. Dataset linkage is one of the integral core functions in MyHDW, which requires
content interoperability between multiple electronic data collection systems for it to deliver its
intended function. Thus, these discoveries highlighted the importance of having patient
identification details to be entered correctly as a requirement.

Keywords: Electronic data processing, data linkage, Malaysia

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