Zhang Jinghua

Verified @nus.edu.sg

Tutor at Alice Lee Centre for Nursing Studies
National University of Singapore

Zhang Jinghua


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https://researchid.co/jinghuazhang

RESEARCH, TEACHING, or OTHER INTERESTS

Nursing, Public Health, Environmental and Occupational Health, Research and Theory
6

Scopus Publications

85

Scholar Citations

4

Scholar h-index

3

Scholar i10-index

Scopus Publications

  • Intergenerational approach of community dance program for older adults in singapore: a feasibility cluster-controlled trial
    Xi Vivien Wu, Wai San Wilson Tam, Xin Yi Yap, Jinghua Zhang, Wei Yi Jeremy Mok, Zi Xiang Lim, Jorming GOH
    BMC Geriatrics, 2026
    BACKGROUND: Dance interventions encompass an inexpensive and engaging alternative to promote healthy ageing among older adults compared to pharmacological interventions. This study aims to refine the Community Dance Program (CDP) protocol and assess the feasibility and acceptability of implementing and evaluating the program for promoting physical, cognitive, and psychosocial health of older adults. METHODS: A feasibility cluster-controlled trial was conducted, in which participants were recruited from six Active Ageing Centres located island wide in Singapore. The outcome measures were physical performance, DNA methylation, muscle oxygenation, cognition, subjective happiness, quality of life, social support and intergenerational communication. Linear Mixed Model was conducted to examine the differences between the intervention and control groups at post-intervention after adjusting the baseline values and incorporating random effects for clusters. RESULTS: A total of 54 participants completed the study. The paired t-test results showed a significantly higher quality of life (p = 0.045) and lower levels of non-accommodation for intergenerational communication (p = 0.031) among participants in the intervention group after the CDP. The control group demonstrated a lower level of respect and obligation (p = 0.023) for intergenerational communication and a higher level of Pro-inflammation (p = 0.013). Linear Mixed Model showed no significant differences between the groups. A high retention rate was achieved, with 90% (54/60) of participants completing the post-test assessment. The intervention group also showed 90% (27/30) retention specifically. CONCLUSION: These preliminary findings suggest potential benefits of the dance intervention for physical and psychosocial well-being among older adults, warranting further evaluation in larger, adequately powered randomized studies. Future research can investigate the pathways of how intergenerational dance intervention may enhance older adults' cognitive, physical, and psychosocial function over a longer term, as well as the relationships among these variables. Hence, more comprehensive and sustainable interventions can be developed for the older adults by leveraging the benefits of intergenerational engagement. This could lead to more effective strategies for promoting healthy ageing and improving the overall quality of life for older adults. TRIAL REGISTRATION: The study was registered at ClinicalTrials.gov (No: NCT05203848).
  • Association between the inflammageing biomarkers and clinical outcomes amongst the community-dwelling middle-aged and older adults: A systematic review and meta-analysis
    Delphine Chen, Wilson Wai San Tam, Jinghua Zhang, Jinhua Lu, Vivien Xi Wu
    Ageing Research Reviews, 2025
  • Response to Letter to the Editor from Bai and Zhang: "cognitive Risk Stratification Score in Middle-aged and Older Adults with Type 2 Diabetes: A Cross-sectional Study"
    Jinghua Zhang, Wilson Wai San Tam, Jinhua Lu, Junjie Chen, Joji Kusuyama, Yanhong Dong, Xin Yi Yap, Wentao Zhou, Na Wang, Hui Nan Yeo, Frena Jia Sy Lee, Vivien Xi WU
    Journal of Clinical Endocrinology and Metabolism, 2025
  • Effectiveness of technology-based psychosocial interventions for improving health-related outcomes of family caregivers of stroke survivors: A systematic review and meta-analysis
    Kanokwan Hounsri, Jinghua Zhang, Surintorn Kalampakorn, Plernpit Boonyamalik, Ann Jirapongsuwan, Vivien Xi Wu, Piyanee Klainin‐Yobas
    Journal of Clinical Nursing, 2024
    AimTo synthesize evidence regarding the effectiveness of technology‐based psychosocial interventions in improving health‐related outcomes among family caregivers of stroke survivors.DesignA systematic review and meta‐analysis was reported by the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines.MethodsRandomized controlled trials that investigated the effects of psychosocial interventions delivered through information and communication technologies on self‐efficacy, caregiving competence, caregiver burden, perceived social support, anxiety, depression, health‐related quality of life and cost‐effectiveness were included. Two researchers independently selected studies, extracted data, and appraised the quality of the included studies. Subgroup analysis, sensitivity analysis, and narrative synthesis were conducted.Data SourcesTen electronic databases (PubMed, CENTRAL, Web of Science, Scopus, CINHAL, Embase, Institution of Electrical Engineers Xplore, Ovid Medline, PsycINFO, ProQuest Dissertations and Thesis) were searched up to February 2023.ResultsNineteen studies involving 1717 participants fulfilled the eligibility criteria. Technology‐based psychosocial interventions significantly improved self‐efficacy (SMD = .62), caregiving competence (SMD = .55), depression (SMD = −.25) and anxiety (SMD = −.35). However, perceived social support, caregiver burden, and health‐related quality of life did not show significant improvements. Subgroup analyses revealed that the interventions, lasting from 4 to 6 weeks and encompassing comprehensive contents, exhibited larger effect sizes. None of the studies measured cost‐effectiveness.ConclusionThe technology‐based psychosocial interventions are effective in enhancing self‐efficacy and caregiving competence, as well as alleviating anxiety, and depression among family caregivers of stroke survivors. Future research should investigate interventions delivered through various digital platforms using well‐designed RCTs with in‐depth qualitative data collection and measurement of health and cost‐effectiveness outcomes.ImpactThrough psychosocial interventions, healthcare providers in clinical and community settings, particularly nurses, could incorporate technologies into current stroke care practices.Patient or Public ContributionIt is not applicable as this is a systematic review.RegistrationThe protocol was registered on PROSPERO (CRD42023402871).
  • Effectiveness of Combined Aerobic and Resistance Exercise on Cognition, Metabolic Health, Physical Function, and Health-related Quality of Life in Middle-aged and Older Adults With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
    Jinghua Zhang, Wilson Wai San Tam, Kanokwan Hounsri, Joji Kusuyama, Vivien Xi Wu
    Archives of Physical Medicine and Rehabilitation, 2024
  • Response to Letter to the Editor on “Effectiveness of Combined Aerobic and Resistance Exercise on Cognition, Metabolic Health, Physical Function, and Health-Related Quality of Life in Middle-Aged and Older Adults With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis”
    Jinghua Zhang, Wilson Wai San Tam, Kanokwan Hounsri, Joji Kusuyama, Vivien Xi Wu
    Archives of Physical Medicine and Rehabilitation, 2024

RECENT SCHOLAR PUBLICATIONS

  • Intergenerational approach of community dance program for older adults in singapore: a feasibility cluster-controlled trial
    XV Wu, WSW Tam, XY Yap, J Zhang, WYJ Mok, ZX Lim, J Goh
    BMC geriatrics 26 (1), 17 , 2026
    2026
    Citations: 1
  • Cognitive risk stratification score in middle-aged and older adults with type 2 diabetes: a cross-sectional study
    J Zhang, WWS Tam, J Lu, J Chen, J Kusuyama, Y Dong, XY Yap, W Zhou, ...
    The Journal of Clinical Endocrinology & Metabolism 110 (10), e3313-e3321 , 2025
    2025
    Citations: 5
  • Association between the inflammageing biomarkers and clinical outcomes amongst the community-dwelling middle-aged and older adults: a systematic review and meta-analysis
    D Chen, WW San Tam, J Zhang, J Lu, VX Wu
    Ageing Research Reviews 110, 102811 , 2025
    2025
    Citations: 10
  • Response to Letter to the Editor From Bai and Zhang:“Cognitive Risk Stratification Score in Middle-aged and Older Adults With Type 2 Diabetes: A Cross-sectional Study”
    J Zhang, WWS Tam, J Lu, J Chen, J Kusuyama, Y Dong, XY Yap, W Zhou, ...
    The Journal of Clinical Endocrinology & Metabolism 110 (7), e2423-e2424 , 2025
    2025
  • Effectiveness of technology‐based psychosocial interventions for improving health‐related outcomes of family caregivers of stroke survivors: A systematic review and meta‐analysis
    K Hounsri, J Zhang, S Kalampakorn, P Boonyamalik, A Jirapongsuwan, ...
    Journal of Clinical Nursing 33 (11), 4207-4226 , 2024
    2024
    Citations: 10
  • Effectiveness of combined aerobic and resistance exercise on cognition, metabolic health, physical function, and health-related quality of life in middle-aged and older adults …
    J Zhang, WW San Tam, K Hounsri, J Kusuyama, VX Wu
    Archives of physical medicine and rehabilitation 105 (8), 1585-1599 , 2024
    2024
    Citations: 58
  • Response to Letter to the Editor on" Effectiveness of Combined Aerobic and Resistance Exercise on Cognition, Metabolic Health, Physical Function, and Health-Related Quality of …
    J Zhang, WW San Tam, K Hounsri, J Kusuyama, VX Wu
    Archives of physical medicine and rehabilitation 105 (5), 1023-1024 , 2024
    2024
    Citations: 1

MOST CITED SCHOLAR PUBLICATIONS

  • Effectiveness of combined aerobic and resistance exercise on cognition, metabolic health, physical function, and health-related quality of life in middle-aged and older adults …
    J Zhang, WW San Tam, K Hounsri, J Kusuyama, VX Wu
    Archives of physical medicine and rehabilitation 105 (8), 1585-1599 , 2024
    2024
    Citations: 58
  • Association between the inflammageing biomarkers and clinical outcomes amongst the community-dwelling middle-aged and older adults: a systematic review and meta-analysis
    D Chen, WW San Tam, J Zhang, J Lu, VX Wu
    Ageing Research Reviews 110, 102811 , 2025
    2025
    Citations: 10
  • Effectiveness of technology‐based psychosocial interventions for improving health‐related outcomes of family caregivers of stroke survivors: A systematic review and meta‐analysis
    K Hounsri, J Zhang, S Kalampakorn, P Boonyamalik, A Jirapongsuwan, ...
    Journal of Clinical Nursing 33 (11), 4207-4226 , 2024
    2024
    Citations: 10
  • Cognitive risk stratification score in middle-aged and older adults with type 2 diabetes: a cross-sectional study
    J Zhang, WWS Tam, J Lu, J Chen, J Kusuyama, Y Dong, XY Yap, W Zhou, ...
    The Journal of Clinical Endocrinology & Metabolism 110 (10), e3313-e3321 , 2025
    2025
    Citations: 5
  • Intergenerational approach of community dance program for older adults in singapore: a feasibility cluster-controlled trial
    XV Wu, WSW Tam, XY Yap, J Zhang, WYJ Mok, ZX Lim, J Goh
    BMC geriatrics 26 (1), 17 , 2026
    2026
    Citations: 1
  • Response to Letter to the Editor on" Effectiveness of Combined Aerobic and Resistance Exercise on Cognition, Metabolic Health, Physical Function, and Health-Related Quality of …
    J Zhang, WW San Tam, K Hounsri, J Kusuyama, VX Wu
    Archives of physical medicine and rehabilitation 105 (5), 1023-1024 , 2024
    2024
    Citations: 1
  • Response to Letter to the Editor From Bai and Zhang:“Cognitive Risk Stratification Score in Middle-aged and Older Adults With Type 2 Diabetes: A Cross-sectional Study”
    J Zhang, WWS Tam, J Lu, J Chen, J Kusuyama, Y Dong, XY Yap, W Zhou, ...
    The Journal of Clinical Endocrinology & Metabolism 110 (7), e2423-e2424 , 2025
    2025