Evidence map›Paper›PMID 36804041›Full record

Trial reportBMC complementary medicine and therapies2023

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.

Shu-Cheng Chen, Hui-Lin Cheng, Dong-Dong Wang, Shanshan Wang, Yue-Heng Yin, Lorna Kwai-Ping Suen, Wing-Fai Yeung

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Feature Selection and Prediction of PediatricBioengineering (Basel, Switzerland) · 2025
    Article
  4. Article
  5. Article
  6. Parental Experiences of Administering PediatricJMIR pediatrics and parenting · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Shu-Cheng ChenSchool of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
Hui-Lin ChengSchool of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
Dong-Dong WangYantai Aviation Medical Room, Shandong Airlines, Yantai, China.
Shanshan WangSchool of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
Yue-Heng YinSchool of Nursing, the Hong Kong Polytechnic University, HKSAR, China.
Lorna Kwai-Ping SuenSchool of Nursing, Tung Wah College, HKSAR, China.
Wing-Fai YeungSchool of Nursing, the Hong Kong Polytechnic University, HKSAR, China. jerry-wf.yeung@polyu.edu.hk.
Hong Kong Polytechnic University · HKTung Wah College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence 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.

methodsThis 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.

resultsTwo 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.

conclusionPerceived 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.

Indexed as

Attention Deficit Disorder with HyperactivityCOVID-19ChildChild, PreschoolFocus GroupsHumansPandemicsParentsAcupressureAttention deficit disorder with hyperactivityChinese traditionalMassageMedicineQualitative research

Identifiers

PMID36804041
PMCPMC9938352
OpenAlexW4321267246

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.