The Changes of Cancer Patients’ Perception, Attitude and Clinical Practice in Complementary and Alternative Medicine during COVID-19: A multicenter before-after cross-sectional study

Background With the rapid spread of COVID-19 worldwide, the clinical practice in cancer treatment of complementary and alternative medicine (CAM) becomes significantly different. This study was designed to explore the changes of China’s cancer patients’ perception, attitude and clinical practice in CAM after the pandemic of COVID-19. Methods A multicenter before-after cross-sectional study was conducted, including 448 cancer patients by a survey. Results For perception, half of the cancer patients (51.2%) reported they had received adequate information in CAM cancer treatment and had a great expectation in medical appointment pattern (40.2%). For attitudes, most of the cancer patients (79.4%) had full of confidence in CAM cancer treatment and showed a strong desire to learn more about CAM (70.2%). Nearly half of the cancer patients (44.0%) presented their oncology clinics had been greatly affected by COVID-19, however, most (82.8%) refused to the online medical service pattern. For clinical practice, Chinese herbal medicine was widely used before (89.5%) / after (90.3%) the epidemic of COVID-19 and the main purpose of receiving CAM therapy was to improve immune system (71.8%). The frequency of patients’ visiting the clinic decreased significantly (P < 0.001), and most (90.0%) didn’t change their follow-up pattern. The majority of the cancer patients (83.3%) were identified as CAM users and the only predictive factor was national health insurance in the multivariable logistic regression model. Conclusion China’s cancer patients show more interest and confidence in treating cancer by CAM, and the new medical pattern such as medical appointment, has been gradually accepted during the COVID-19 pandemic. However, the cancer patients’ perception in CAM and online medical service pattern still need to be improved.

The Changes of Cancer Patients' Perception, Attitude and Clinical Practice in Complementary and Alternative Medicine during COVID-19: A Multicenter Before-After Cross-Sectional Study

Background: With the rapid spread of COVID-19 worldwide, the clinical practice in cancer treatment of complementary and alternative medicine (CAM) becomes significantly different. This study was designed to explore the changes of China’s cancer patients’ perception, attitude and clinical practice in CAM after the pandemic of COVID-19. Methods: A multicenter before-after cross-sectional study was conducted, including 448 cancer patients by a survey. Results: For perception, half of the cancer patients (51.2%) reported they had received adequate information in CAM cancer treatment and had a great expectation in medical appointment pattern (40.2%). For attitudes, most of the cancer patients (79.4%) had full of confidence in CAM cancer treatment and showed a strong desire to learn more about CAM (70.2%). Nearly half of the cancer patients (44.0%) presented their oncology clinics had been greatly affected by COVID-19, however, most (82.8%) refused to the online medical service pattern. For clinical practice, Chinese herbal medicine was widely used before (89.5%) / after (90.3%) the epidemic of COVID-19 and the main purpose of receiving CAM therapy was to improve immune system (71.8%). The frequency of patients’ visiting the clinic decreased significantly (P < 0.001), and most (90.0%) didn’t change their follow-up pattern. The majority of the cancer patients (83.3%) were identified as CAM users and the only predictive factor was national health insurance in the multivariable logistic regression model. Conclusion: China’s cancer patients show more interest and confidence in treating cancer by CAM, and the new medical pattern such as medical appointment, has been gradually accepted during the COVID-19 pandemic. However, the cancer patients’ perception in CAM and online medical service pattern still need to be improved.

THE HOLISTIC THERAPY FOR EFFECTIVE SERVICES FOR CHILDREN WITH ADHD IN KINDERGARTENS

Uncontrolled behavior in children with special needs with ADHD is still a phenomenon because they have not received proper services. Parents and teachers need to find the right way to serve children with ADHD to optimize their potential from an early age. This study aims to determine the pattern of teacher services provided to ADHD children in kindergartens. The service pattern provided to ADHD children can help teachers provide stimulation in accordance with the children’s needs.This study was conducted in six kindergartens located in Sleman Regency, Yogyakarta City, and Bantul Regency. The qualitative narrative method was employed in this study. The data of this study were collected through observation of ADHD children in six kindergartens and interviews with teachers. The research subjects were six children, and the data analysis technique used was the qualitative descriptive. The research results are divided into two parts. The first part is regarding the service pattern provided by teachers for children with ADHD with combined presentation (inattention and hyperactivity-impulsivity), predominantly inattentive presentation (inattention) and predominantly hyperactive-impulsive presentation. Meanwhile, the second part describes how the teachers treat children with ADHD while they are among their peers and the implication of holistic therapy given to ADHD children. The types of games given to ADHD children are mostly to practice logic, focus, and patience for example, games requiring gross motor and fine motor skills.