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Experience of parents in delivering pediatric tuina to children with symptoms of attention deficit hyperactivity disorder during the COVID-19 pandemic: qualitative findings from focus group interviews.
Chen, Shu-Cheng; Cheng, Hui-Lin; Wang, Dong-Dong; Wang, Shanshan; Yin, Yue-Heng; Suen, Lorna Kwai-Ping; Yeung, Wing-Fai.
  • Chen SC; School of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
  • Cheng HL; School of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
  • Wang DD; Yantai Aviation Medical Room, Shandong Airlines, Yantai, China.
  • Wang S; School of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
  • Yin YH; School of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
  • Suen LK; School of Nursing, Tung Wah College, HKSAR, China.
  • Yeung WF; School of Nursing, the Hong Kong Polytechnic University, HKSAR, China. jerry-wf.yeung@polyu.edu.hk.
BMC Complement Med Ther ; 23(1): 53, 2023 Feb 18.
Article in English | MEDLINE | ID: covidwho-2254611
ABSTRACT

BACKGROUND:

Evidence suggests that pediatric tuina, a modality of traditional Chinese medicine (TCM), might have beneficial effects on the symptoms of attention deficit hyperactivity disorder (ADHD), such as overall improvements in concentration, flexibility, mood, sleep quality, and social functioning. This study was conducted to understand the facilitators and barriers in the delivery of pediatric tuina by parents to children with ADHD symptoms.

METHODS:

This is a focus group interview embedded in a pilot randomized controlled trial on parent-administered pediatric tuina for ADHD in preschool children. Purposive sampling was employed to invite 15 parents who attended our pediatric tuina training program to participate voluntarily in three focus group interviews. The interviews were audio-recorded and transcribed verbatim. The data were analyzed through template analysis.

RESULTS:

Two themes were identified (1) facilitators of intervention implementation and (2) barriers to intervention implementation. The theme of the facilitators of intervention implementation included the subthemes of (a) perceived benefits to children and parents, (b) acceptability to children and parents, (c) professional support, and (d) parental expectations of the long-term effects of the intervention. The theme of barriers to intervention implementation included the subthemes of (a) limited benefits for children's inattention symptoms, (b) manipulation management difficulties, and (c) limitations of TCM pattern identification.

CONCLUSION:

Perceived beneficial effects on the children's sleep quality and appetite and parent-child relationships, as well as timely and professional support, mainly facilitated the implementation of parent-administered pediatric tuina. Slow improvements in the children's inattention symptoms and the possible inaccuracies of online diagnosis were the dominant barriers of the intervention. Parents have high expectations for the provision of long-term professional support during their practice of pediatric tuina. The intervention presented here can be feasibly used by parents.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / COVID-19 Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Topics: Long Covid / Traditional medicine Limits: Child / Child, preschool / Humans Language: English Journal: BMC Complement Med Ther Year: 2023 Document Type: Article Affiliation country: S12906-023-03891-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / COVID-19 Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Topics: Long Covid / Traditional medicine Limits: Child / Child, preschool / Humans Language: English Journal: BMC Complement Med Ther Year: 2023 Document Type: Article Affiliation country: S12906-023-03891-3