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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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1 - 15 of 46
Experiences of children with disabilities during the COVID-19 pandemic in Sweden: a qualitative interview study

AUTHOR(S)
Anna Erica Fäldt; Filippa Klint; Georgina Warner (et al.)

Published: April 2022   Journal: BMJ Paediatrics Open

The impact of the COVID-19 pandemic on people with disabilities has been described as a ‘triple jeopardy’. Not only have they experienced the negative social impacts of disease control measures, but access to required health services has been affected, and, not least, they are at increased risk of severe outcomes from COVID-19. This study aimed to determine how children with disabilities have experienced the pandemic in Sweden and its impact on their lives.Six children (5–13 years) were interviewed via video conferencing. An interview guide was adapted based on the children’s communicative abilities and included augmentative and alternative communication support. Reflective field notes were included in the analysis. The data were analysed using qualitative content analysis.

Successful school interventions for students with disability during Covid-19: empirical evidence from Australia

AUTHOR(S)
Catherine Smith; Massimiliano Tani; Sophie Yates (et al.)

Published: April 2022   Journal: The Asia-Pacific Education Researcher
Children and young people with disability are a “vulnerable” population within a pandemic context as they face structural inequities and discrimination as a result of their impairments. This paper reported research that sought to examine the learning experiences of children and young people with disability during the COVID-19 pandemic. It wanted to understand how this group fared and whether different interventions impacted on these experiences. Data were collected from an online survey organized by Children and Young People with Disability Australia (CYDA) that garnered responses from more than 700 families. The study contributes empirical evidence to the growing literature about COVID-19-related impacts on learners already recognized as experiencing multiple disadvantages in schooling.
Families’ and professionals’ perspectives of building and maintaining engagement in telepractice early intervention for young children with communication disability

AUTHOR(S)
Felipe Retamal-Walter; Monique Waite; Nerina Scarinci

Published: March 2022   Journal: Disability and Rehabilitation

This paper aimed to explore and describe families’ and professionals’ perspectives about building and maintaining engagement in telepractice early intervention (EI). Individual semi-structured reflexive interviews were conducted with Australian families of young children with communication disability receiving telepractice EI and their treating professionals. These interviews were conducted within one day of a telepractice EI session and analysed using thematic analysis.

The impact of the COVID-19 outbreak on mental wellbeing in children with a chronic condition compared to healthy peers

AUTHOR(S)
Johanna W. Hoefnagels; Annelieke B. Schoen; Sabine E. I. van der Laan (et al.)

Published: March 2022   Journal: International Journal of Environmental Research and Public Health
The aim of this study was to assess the impact of the COVID-19 pandemic on the mental wellbeing of children 8–18 years old with chronic conditions, by comparing pandemic data with pre-pandemic data and with healthy peers. Data were obtained from two ongoing longitudinal cohorts: the PROactive cohort study following children with a chronic condition, and the WHISTLER population cohort. Mental wellbeing was assessed by three indicators: life satisfaction, internalising symptoms, and psychosomatic health. The stringency of the COVID-19-related lockdown was considered a moderating factor. Data on chronic patients were recorded before (n = 934, 65% girls) and during (n = 503, 61% girls) the pandemic, and compared to healthy peers during the pandemic (n = 166, 61% girls).
Impact of lack of face-to-face schooling during COVID-19 confinement on family quality of life of children with disabilities and typical development

AUTHOR(S)
Rocío Palomo-Carrión; Rita-Pilar Romero-Galisteo; Helena Romay-Barrero (et al.)

Published: February 2022   Journal: Therapeutic Advances in Chronic Disease

The aim of this study was to analyze the impact of the lack of face-to-face schooling during the COVID-19 confinement on the family quality of life of children aged 3–6 years with hemiplegia, obstetrical brachial palsy, and typical development. An observational and cross-sectional study, using an online survey hosted in Google Forms from October to December 2020, was performed in families with children with infantile hemiplegia, obstetrical brachial palsy, and typical development aged 3–6 years living in Spain. The quality of life and family impact (measured through Pediatric Quality of Life Questionnaires, PedsQL™) were evaluated, as well as the affected upper limb side, the presence of other associated problems, the parents’ job, lack of use of the affected upper limb, and the type of online intervention using different channels: phone calls, emails, and video calls. Family expectations on the treatment and on their acquired capacity to solve problems related to their children were also measured.

Attitudes towards influenza and pneumococcal vaccines in parents of asthmatic children during the COVID-19 pandemic

AUTHOR(S)
Murat Özer; Nevzat Başkaya; İlknur Bostancı

Published: January 2022   Journal: Pediatric Pulmonology

This study aimed to determine the differences in attitudes and views towards influenza and pneumococcal vaccines in parents of children with asthma during the COVID-19 pandemic. Asthmatic children in the 6–18 age group who were admitted to the pediatric allergy clinic of our hospital between October 1, 2020 and February 31, 2021 were included in the study. The parents were given a questionnaire asking about their demographics and medical history. Their attitudes and thoughts towards these two vaccines, both before and during the pandemic, and their COVID-19 stories were questioned.

Impacts of long-term COVID-19 school closures on Japanese school children

AUTHOR(S)
Chiaki Hayano; Shuichi Shimakawa; Miho Fukui (et al.)

Published: January 2022   Journal: Pediatrics International

This study investigated the impact of COVID-19 pandemic school closures on the mental health of school students with chronic diseases. Questionnaires were distributed from 4th-9th grade students diagnosed with chronic diseases at Osaka Medical College Hospital and their parents or caregivers. Questionnaires from 286 families were returned by mail after schools reopened. The students were divided into the “psychosomatic disorder” group (P, n = 42), “developmental disorder” group (D, n = 89), and “other disease” group (O, n = 155). Using students’ self-report on the Questionnaire for Triage and Assessment with 30 items (QTA30), this study assessed the proportion of students having a high risk of psychosomatic disorder in three groups. It investigated how the students requiring the support of somatic symptom (SS) felt about school during school closure. Further, using parents’ and caregivers’ answers, SS scores were calculated before and during school closure and after school reopening.

Covid-19 pandemic in Egyptian children with liver diseases: incidence and impact on health care service delivery in a low/middle income country

AUTHOR(S)
Hala Abdullatif; Wafaa Elakel; Sherif Baroudy (et al.)

Published: January 2022   Journal: Arab Journal of Gastroenterology

The coronavirus disease 2019 (COVID-19) pandemic has had considerable effects on health care services given the need for re-allocation of resources and interruption of medical care. COVID-19 poses a challenge to patients with liver disease who are at risk of infection and more severe disease course. The current study aimed to assess the incidence of COVID-19 in children with liver diseases and evaluate the extent to which health care delivery was affected during lockdown. This cross-sectional analytical study conducted at the Pediatric Hepatology Unit, Cairo University Children’s Hospital utilized a questionnaire to determine the incidence of COVID-19 in patients with liver diseases and the impact of COVID-19 on the patients’ liver condition and health care service delivery. A presumed score was implemented to identify patients with probable COVID-19.

Experience of parents of children with genetically determined leukoencephalopathies regarding the adapted health care services during the COVID-19 pandemic

AUTHOR(S)
Pouneh Amir Yazdani; Marie-Lou St-Jean; Sara Matovic (et al.)

Published: January 2022   Journal: Journal of Child Neurology
Parents of children with genetically determined leukoencephalopathies play a major role in their children's health care. Because of the COVID-19 pandemic, many health care services were suspended, delayed or delivered remotely with telemedicine. This study sought to explore the experience of parents of children with genetically determined leukoencephalopathies during the pandemic given the adapted health care services. Ssemistructured interviews with 13 parents of 13 affected children were conducted. Three main themes were identified using thematic analysis: perceived impact of COVID-19 on health care services, benefits and challenges of telemedicine, and expectations of health care after the pandemic. Parents perceived a loss/delay in health care services while having a positive response to telemedicine. Parents wished telemedicine would remain in their care after the pandemic. This is the first study assessing the impact of COVID-19 on health care services in this population.
Impact of the COVID-19 pandemic on therapy service delivery and functioning for school-aged children with disabilities in the United States

AUTHOR(S)
Kristen M. Allison; Danielle E. Levac (et al.)

Published: January 2022   Journal: Disability and Health Journal

The COVID-19 pandemic caused wide-scale disruptions to therapy services for children with disabilities in the United States. This study evaluated changes in therapy service delivery during the first four months of the pandemic, examined the impact of these changes on children’s functioning, and analyzed factors predicting loss of in-person services and receipt of teletherapy services.

Mental health outcomes among parents of children with a chronic disease during the COVID-19 pandemic: the role of parental burn-out

AUTHOR(S)
Aline Wauters; Tine Vervoort; Karlien Dhondt (et al.)

Published: December 2021   Journal: Journal of Pediatric Psychology

The COVID-19 pandemic and associated quarantine measures highly impacted parental psychological well-being. Parents of children with chronic diseases might be specifically vulnerable as they already face multiple challenges to provide adequate care for their child. The research questions of the current study were twofold: (a) to examine whether parents of children with a chronic disease experienced more anxiety and depression compared to parents of healthy children and (b) to examine a series of risk factors for worsened well-being (i.e., depression, anxiety, and sleep problems), such as sociodemographic variables, COVID-19-specific variables (i.e., financial worries, living space, and perceived quality of health care), and parental psychological experiences (i.e., parental burn-out and less positive parenting experiences). Parents of children with a chronic disease (i.e., the clinical sample; N = 599 and 507 for Research Questions 1 and 2, respectively) and parents of healthy children (i.e., the reference sample: N = 417) filled out an online survey.

Caregiving in quarantine: humor styles, reframing, and psychological well-being among parents of children with disabilities

AUTHOR(S)
Heidi L. Fritz

Published: November 2021   Journal: Journal of Social and Personal Relationships
Prior research links adaptive humor styles (affiliative and self-enhancing) with enhanced psychological well-being and maladaptive humor styles (aggressive and self-defeating) with worse psychological well-being, primarily through humor styles’ influence on individuals’ social interactions and efforts to positively reframe stressors. The present study examined the unique relation of each humor style with psychological well-being with a focus on understanding mechanisms of adjustment under highly stressful conditions. Ninety-nine parents of children with disabilities were surveyed at the beginning of the COVID-19 pandemic in the United States in March 2020, and 79 parents completed follow-up surveys in July 2020. As predicted, at T1, self-enhancing humor was associated with less psychological distress and greater family satisfaction, self-defeating humor was associated with greater distress, and aggressive humor was associated with lower family satisfaction. Moreover, affiliative humor predicted decreased psychological distress over time, whereas self-defeating humor predicted increased psychological distress and decreased family satisfaction over time. Relations were largely mediated by caregiver positive reappraisal, family efforts to reframe daily disability-related challenges, and negative social interactions. Future research should further examine the influence of caregiver humor styles on family dynamics, family reframing norms, and caregiving efficacy.
Quality of life, needs and fears of mothers of children with disabilities in Saudi Arabia during the COVID-19 lockdown

AUTHOR(S)
Nisreen Al Awaji; Monira ldhahi; Shahnaz Akil (et al.)

Published: October 2021   Journal: International Journal of Environmental Research and Public Health
Substantial changes in life dynamics resulting from the outbreak of the coronavirus disease 2019 (COVID-19) could have an impact on the quality of life (QoL) of mothers of children with and without disabilities. This study compared the quality of life (QoL) of mothers of children with disabilities (MCD) to the QoL of mothers of children without disabilities (CON) in Saudi Arabia during COVID-19 lockdown. It explored mothers’ concerns and the type of support they need during the quarantine. A comparative cross-sectional study was conducted during the lockdown. An online questionnaire was distributed to mothers raising children with and without disabilities in Saudi Arabia. A total of 340 mothers participated in the study by completing the survey: 93 MCD and 247 CON. The QoL of MCD and CON was assessed using the WHOQOL-BREF questionnaire. Furthermore, detailed information was provided by the mothers regarding their needs and concerns during the lockdown.
True resilience: a look inside COVID’s effect on children with medical complexity and their families

AUTHOR(S)
Sarah M. Mitchell

Published: October 2021   Journal: Current Pediatrics Reports

Vulnerable children with medical complexity are silent victims of the COVID-19 pandemic, impacted by lack of resources and sick caregivers. This article examines ways in which the pandemic has increased the significant difficulties already experienced by these patients and their families. Increased awareness will lead to improvement in the disparities experienced by this population and improve the ability of healthcare providers to care for them. The number of children living with medical complexity is rapidly increasing. They face unique circumstances which can lead to compromise in care. This population is especially at risk for complications related to COVID, so may have a more prolonged admission with more morbidities. Children of ethnic minorities are also more impacted by severe illness and death. Finally, access to palliative care has been limited, which is a huge part in caring for these children who have life-long medical care needs.

Children and adolescents with disabilities and exposure to disasters, terrorism, and the COVID-19 pandemic: a scoping review

AUTHOR(S)
Mana Mann; Julia E. McMillan; Ellen J. Silver (et al.)

Published: October 2021   Journal: Current Psychiatry Reports
This paper reviews the empirical literature on exposures to disaster or terrorism and their impacts on the health and well-being of children with disabilities and their families since the last published update in 2017. It also reviews the literature on studies examining the mental health and functioning of children with disabilities during the COVID-19 pandemic.
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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.