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Children and COVID-19 Research Library

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

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Preventative practices and effects of the COVID-19 pandemic on caregivers of children with pediatric pulmonary hypertension

AUTHOR(S)
Erik J. Nelson; Ella Cook; Megan Pierce (et al.)

Published: December 2022   Journal: BMC Public Health

Pulmonary hypertension (PH) is a serious and life-threatening disease characterized by elevated mean arterial pressure and pulmonary vascular resistance. COVID-19 may exacerbate PH, as evidenced by higher mortality rates among those with PH. The objective of this study was to understand the unique burdens that the COVID-19 pandemic has placed upon families of children living with PH. Participants were recruited online through the “Families of children with pulmonary hypertension” Facebook group and asked to complete a survey about their experiences during the COVID-19 pandemic.

We survived the pandemic together: the impact of the COVID-19 pandemic on Canadian families living with chronic pain

AUTHOR(S)
Tieghan Killackey; Sabine Soltani; Melanie Noel (et al.)

Published: December 2022   Journal: Canadian Journal of Pain

Pediatric chronic pain is a significant problem in Canada, affecting one in five youth. This study describes the impact of the pandemic on the experiences of Canadian families living with chronic pain through interviews with youth living with chronic pain, parents, and siblings. Employing a qualitative descriptive design, in-depth semistructured interviews were completed with Canadian youth living with pain, as well as parents and siblings. Participants were not required to be related. Interviews were analyzed using a reflexive thematic analysis approach.

Family functioning and quality of life among children with nephrotic syndrome during the first pandemic wave

AUTHOR(S)
Nowrin F. Aman; Jessica Fitzpatrick; Isabel de Verteuil (et al.)

Published: December 2022   Journal: Pediatric Nephrology

During the SARS-CoV-2 global pandemic, one of the longest lockdowns worldwide occurred in Ontario, Canada, during the first wave. For parents and children managing care at home and at risk for COVID-19, the impact on their psychosocial functioning is unknown. A total of 122 families of children aged 2–18 years were enrolled as part of the prospective cohort of childhood nephrotic syndrome and completed a survey during the first wave of the pandemic (August 21–December 10), 2020. In a subset, 107 families had data available pre-pandemic to assess change. Validated measures included the McMaster Family Assessment Device (FAD) for parents and children ≥ 12 years for family functioning, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) for both parent and child, and Pediatric Quality of Life Inventory (PEDSQL™-V4) for children only. Scores were compared using Student’s t-test or the Mann–Whitney U test, as appropriate.

Management of multisystem inflammatory syndrome in children (MIS-C) in resource limited settings: the Kenyan experience

AUTHOR(S)
Angela Migowa; Pauline Samia; Sean del Rossi (et al.)

Published: December 2022   Journal: Pediatric Rheumatology

Since the onset of the recent COVID-19 pandemic, there have been growing concerns regarding multisystem inflammatory syndrome in children (MIS-C). This study aims to describe the clinico-epidemiological profile and challenges in management of MIS-C in low-middle income countries by highlighting the Kenyan experience. A retrospective study at the Aga Khan University Hospital Nairobi, Avenue Hospital Kisumu and Kapsabet County Referral Hospital was undertaken to identify cases of MIS-C. A detailed chart review using the World Health Organization (WHO) data collection tool was adapted to incorporate information on socio-demographic details and treatment regimens.

Pediatric myopia progression during the COVID-19 pandemic home quarantine and the risk factors: a systematic review and meta-analysis

AUTHOR(S)
Ze Yang; Xiang Wang; Shiyi Zhang (et al.)

Published: July 2022   Journal: Frontiers in Public Health

The COVID-19 pandemic has made many countries adopt restrictive measures like home quarantine. Children were required to study at home, which made parents worried about the rapid myopic progression of their children. This study aims to compare myopia progression during the COVID-19 pandemic home quarantine with the time before it and risk factors of myopia progression. It searched PubMed, Embase, the Cochrane Library, and Web of Science to find literature from December 2019 to March 2022 related to COVID-19 pandemic home quarantine and children's myopia progression. Outcomes of myopia progression included axial length and spherical equivalent refraction. Factors of digital screen device time and outdoor activity time were analyzed.

School wellbeing and psychological characteristics of online learning in families of children with and without hearing loss during the Covid‐19 pandemic

AUTHOR(S)
Bianca Maria Serena Inguscio; Maria Nicastri; Ilaria Giallini (et al.)

Published: July 2022   Journal: Psychology in the Schools
This study investigated the psychological characteristics of online learning on Italian students with and without hearing loss (HL) and on their parents, who were forced into isolation during the Covid-19 pandemic. An online survey collected information on socio-demographic data and opinions concerning online learning from 61 children (mean age 11; 25 males, 36 females), including 43 with HL and also from their parents; additionally, school wellbeing and anxiety were assessed.
Long-COVID in immunocompromised children

AUTHOR(S)
Karolina Kuczborska; Piotr Buda; Janusz Książyk

Published: July 2022   Journal: European Journal of Pediatrics
Coronavirus disease 2019 (COVID-19) can lead to an illness characterized by persistent symptoms which affect various organs and systems, known as long-COVID. This study aimed to assess the prevalence and clinical characteristics of long-COVID in children with immunodeficiency, in comparison to those without. A self-constructed questionnaire was created, which included questions regarding the child’s general health, the course of their COVID-19, their symptoms of long-COVID and its impact on their daily functioning, the diagnosis of multisystem inflammatory syndrome (MIS-C), and vaccination status. The questionnaire was completed by parents of 147 children — 70 children with a diagnosis of immunodeficiency (47.6%) and 77 who were immunocompetent (52.4%). Immunocompetent children were more significantly affected by long-COVID than those immunocompromised. Its prevalence in the first 12-week post-infection was 60.0% and 35.7% in these groups, respectively. Beyond this period, these percentages had dropped to 34.6% and 11.43%, respectively. Children who were immunocompetent reported more often symptoms of fatigue, reduced exercise tolerance, and difficulty concentrating. Meanwhile, there was a slight increase in complaints of gastrointestinal symptoms in immunocompromised patients. The risk of developing long-COVID increased with age and COVID-19 severity in both groups.
How The child with hearing loss and their parents affected during the Covid-19 pandemic?

AUTHOR(S)
Deniz Tuz; Filiz Aslan; Esra Yucel

Published: July 2022   Journal: Journal of the American Academy of Audiology
This study aimed to determine parents’ perception of the behavioral and auditory performance differences of children with hearing loss and anxiety levels of children and their parents during the pandemic. This is a cross-sectional study. The study included 75 parents who have preschool-aged children with hearing loss. The inclusion criteria were being a family member of a child with hearing loss between the ages of one and six years. The children’s mean age was 4.09 (± 1.42). The evaluation forms included the control list to determine how the children with hearing loss and their parents were affected during the pandemic, the Parents' Evaluation of Aural Performance of Children rating scale to measure children's auditory performance, the Preschool Behavior.
Healthy lifestyle gone bad: effect of the COVID-19 pandemic on the daily habits of children and adolescents with type 1 diabetes

AUTHOR(S)
Giovana B. de Oliveira; Janine Alessi; Isadora Nunes Erthal (et al.)

Published: June 2022   Journal: Archives of Endocrinology and Metabolism

This study aims to assess caregivers’ perception about the changes in the daily habits of children and adolescents with type 1 diabetes during the COVID-19 pandemic. Primary caregivers of youth aged ≤18 with or without type 1 diabetes were selected for the diabetes and the control groups. Caregivers estimated the youth’s time (hours) of physical activity and screen time before and during the pandemic, and rated the quality of eating habits and medication adherence from 0 to 10. The primary outcome was the change in physical activity time, screen time, and eating habits scores during isolation. Between-group analyses and within-group comparisons were conducted. A post hoc analysis was performed using logistic regression to correct for confounding factors.

Changes in physical activity and sedentary time among children with asthma during the COVID-19 pandemic and influencing factors.

AUTHOR(S)
Sandra Lee; Ai Zhang; Lei Liu (et al.)

Published: May 2022   Journal: Journal of Asthma

Regular physical activity is essential for asthma control in children, but it remains understudied within the context of COVID-19. Physical activity and sedentary time levels before and during the COVID-19 pandemic among children with asthma were documented and differences by characteristics were explored. This was a cross-sectional self-administered online survey study of 5- to 17-year-old children with asthma from the United States between December 2020 and April 2021.

Unmet needs of children with inherited metabolic disorders in the COVID-19 pandemic

AUTHOR(S)
Ezgi Özalp Akın; Fatma Tuba Eminoğlu; Neslihan Doğulu (et al.)

Published: April 2022   Journal: Turkish Archives of Pediatrics
Crucial information is lacking on unmet needs of children with rare inherited metabolic disorders during the coronavirus disease 2019 pandemic from low- and middle-income countries. This study aimed to identify the unmet needs of children with rare inherited metabolic disorders from Turkey. In a cross-sectional observational design, all children with rare inherited metabolic disorders aged 0-18 years followed at Ankara University School of Medicine Department of Pediatrics Pediatric Metabolism Division were recruited and interviewed via phone calls. The Expanded Guide for Monitoring Child Development enabled assessment of unmet needs and environmental context during coronavirus disease 2019 pandemic. Step-wise logistic regression analysis was used to determine independent factors associated with unmet needs.
'This battle, between your gut feeling and your mind. Try to find the right balance': Parental experiences of children with spinal muscular atrophy during COVID-19 pandemic.

AUTHOR(S)
Irene L. B. Oude Lansink; P. C. Carolien van Stam; Eline C. W. M. Schafrat (et al.)

Published: April 2022   Journal: Child: Care, Health and Development

Parents of children with spinal muscular atrophy (SMA) often struggle with the all-consuming nature of the demands of caring for a child with substantial physical needs. Our aim was to explore experiences, challenges and needs of parents of a child with SMA in a COVID-19 pandemic situation.Nineteen parents of 21 children (15 months to 13 years of age) with SMA types 1–3 participated in semi-structured interviews in June to July 2020. The interviews were analysed using inductive thematic analysis.

A ramp that leads to nothing: outdoor recreation experiences of children with physical disabilities during the COVID-19 pandemic

AUTHOR(S)
Annika L. Vogt; Chris A. B. Zajchowski; Eddie L. Hill

Published: March 2022   Journal: Leisure Studies
During the global COVID-19 pandemic, access to outdoor recreation is desperately needed for youth; however, children with physical disabilities who regularly experience barriers and constraints to engagement in outdoor physical activity may experience additional challenges. This study examined the outdoor recreation experiences of children with physical disabilities (ages 6–10) living in Coastal Virginia during the COVID-19 pandemic by interviewing their parents using a modified Interpretive Phenomenological Analysis. Responses were coded inductively and then deductively using a typology of factors related to physical activity participation among children and adults with physical disabilities.
Parents’ psychological stress and their views of school success for deaf or hard-of-hearing children during COVID-19

AUTHOR(S)
Sanyin Cheng; Shengli Cheng (et al.)

Published: February 2022   Journal: Communication Disorders Quarterly
This study mainly explored psychological stress due to coronavirus disease 2019 (COVID-19) among parents of deaf and hard-of-hearing children and how it related to parents’ views of school success in mainland China. The Psychological Stress Questionnaire and Views of Social and Academic Success were administered to 213 parents of deaf and hard-of-hearing children. Results showed that parents’ and children’s characteristics were related to psychological stress due to COVID-19, which significantly negatively predicted parents’ views of school success. The contributions, limitations, and implications of the present research are discussed.
The impact of the COVID-19 pandemic on the provision of assistive technology in the State of Palestine

AUTHOR(S)
Golnaz Whittaker; Gavin Wood

Institution: *UNICEF
Published: February 2022

Official statistics identify 2% to 7% of the population in the State of Palestine as having a disability. Evidence is limited regarding levels of access to assistive technologies (AT) by people with disabilities in the State of Palestine. However, estimates suggest that there are high levels of unmet need. Less than 10% of children with disabilities received assistive devices in the year of one recent survey. The COVID-19 pandemic has had an impact on a range of such services in many countries, but little information is yet available on the impact on AT provision in humanitarian settings.

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