ABSTRACT
Adherence to sustainable development in higher education rests on the assessment of students' academic attainment, especially during unexpected environmental changes, such as the sudden move from face-to-face to online courses during the recent pandemic. Most studies devoted to this issue have compared students' performance online with that of face-to-face courses before the pandemic, tallying together a variety of courses, often from specific disciplines. Besides their mixed results and generality, such studies do not address the issue of students' adjustment to the post-pandemic learning environment. The present retrospective case study offered a simple evidence-based model for educators to measure the relationship between environmental changes and students' behavior for self-reflection and adjustment. It examined students' academic attainment (as measured by grades) within a broader timeframe, including courses taught by the same instructors face-to-face before and after the pandemic and online during the pandemic. Specific courses of the general education curriculum were selected to include a broad spectrum of students. The study then assessed whether students' activities before, during, and after the pandemic predicted summative assessment performance (i.e., final exam grades) differently. In this study, performance differences were recorded, usually in favor of post-pandemic face-to-face classes. Midterm examinations were the best predictors of final exam grades irrespective of the modality of instruction and timeframe. Implications and applications of the methodology used and the results obtained were considered.
ABSTRACT
BACKGROUND: Cancer patients, being immunocompromised, are at higher risk of coronavirus disease (COVID-19). The current study determines cancer patients' knowledge, attitude, perception, and impact of the COVID-19 pandemic. METHOD: A cross-sectional online survey was conducted in Pakistan from 1 April 2020 to 1 May 2020. The study respondents were cancer patients with ages equal to or greater than 18 years. Following a request for participation, the URL for the survey was distributed on numerous channels. Other social media platforms, including WeChat, WhatsApp, Facebook, Twitter, Instagram, Messenger, and LinkedIn, were used to increase cancer patient interaction. The questionnaire comprised five different sections such as: (1) sociodemographic information, (2) knowledge, (3) attitude, (4) perception, and (5) impact of COVID-19 on cancer patients. Descriptive medical statistics such as frequency, percentage, mean, and standard deviation were used to illustrate the demographic characteristics of the study participants. To compare mean knowledge scores with selected demographic variables, independent sample t-tests and one-way analysis of variance (ANOVA) were used, which are also practical methods in epidemiological, public health and medical research. The cut-off point for statistical significance was set at a p-value of 0.05. RESULTS: More than 300 cancer patients were invited, of which 208 agreed to take part. The response rate was 69.33% (208/300). Gender, marital status, and employment status had a significant association with knowledge scores. Of the total recruited participants, 96% (n = 200) (p < 0.01) knew about COVID-19, and 90% were aware of general symptoms of COVID-19 disease, such as route of transmission and preventive measurements. In total, 94.5% (n = 197) (p < 0.01) were willing to accept isolation if they were infected with COVID-19, and 98% (n = 204) (p < 0.01) had reduced their use of public transportation. More than 90% (n = 188) (p < 0.01) of cancer patients were found to be practicing preventative measures such as using a face mask, keeping social distance, and avoiding handshaking and hugging. Around 94.4% (n = 196) (p < 0.01) of cancer patients had been impacted by, stopped or had changed cancer treatment during this pandemic, resulting in COVID-related anxiety and depression. CONCLUSION: The included cancer patients exhibited a good level of COVID-19 knowledge, awareness, positive attitude, and perception. Large-scale studies and efforts are needed to raise COVID-19 awareness among less educated and high-risk populations. The present survey indicates that mass-level effective health education initiatives are required for developing countries to improve and reduce the gap between KAP and COVID-19.