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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 89
Applicability of the guide for monitoring child development as a telehealth delivered intervention during the pandemic

AUTHOR(S)
Ezgi Ozalp Akin; Aysen Akbas; Sidika Canan Atasoy (et al.)

Published: June 2022   Journal: Frontiers in Pediatrics

Early intervention delivered through telehealth is critically needed during crises, particularly for children in low and middle-income countries (LMICs). We aimed to determine the applicability of the international Guide for Monitoring Child Development (GMCD) intervention delivered through telehealth during the COVID-19 lockdown in Turkey. Using a mixed-methods longitudinal design, this research recruited children with developmental difficulties aged 0–42 months with an appointment during the first lockdown at Ankara University Developmental Pediatrics Division and seen face-to-face only once before. Developmental pediatricians applied the GMCD intervention during a single telephone call. As a novel intervention component, caregivers were asked to record and send back videos of the child's development when there were doubts about the child's functioning. Caregivers were called 1 year later by blinded independent researchers and a semi-structured interview on applicability was conducted. Applicability of the caregiver recorded video component of the intervention was assessed by a blinded observer using the GMCD Video Observation Tool.

Zoom-delivered physical activities can increase perceived physical activity level in children with autism spectrum disorder: a pilot study.

AUTHOR(S)
Erkan Yarımkaya; Oğuz Kaan Esentürk; Ekrem Levent İlhan (et al.)

Published: June 2022   Journal: Journal of Developmental and Physical Disabilities
Although the benefits of regular physical activity are clearly expressed, children with Autism Spectrum Disorder (ASD) are less physically active than their typically developing peers. Recent empirical studies have revealed that the level of physical activity of children with ASD has further decreased during the novel coronavirus (COVID-19) pandemic, which has adversely affected the whole world. The aim of this study was to evaluate the potential efficacy of a Zoom-delivered physical activities for children with Autism Spectrum Disorder (ASD). Twenty-two families (parent and child dyads) participated in the study. Families were assigned randomly to an experimental group (n = 11) and a control group (n = 11). Families in the experimental group were engaged in 10 weeks of the Zoom-delivered physical activities. Data were collected using multiple data collection strategies (Personal Information Form- Leisure Time Exercise Questionnaire–Semi-Structured Interview). After the Zoom-delivered physical activities, a significant increase was observed in the physical activity level of children with ASD in the experimental group (F = 95.396, p = 0.000, Ƞ2 = 0.834). Parents reported that Zoom-delivered physical activities are a viable and useful intervention to increase the level of physical activity of children with ASD.
Parents' satisfaction of tele-rehabilitation for children with neurodevelopmental disabilities during the COVID-19 pandemic.

AUTHOR(S)
Pamela Frigerio; Liliana Del Monte; Aurora Sotgiu

Published: June 2022   Journal: BMC Primary Care volume

The use of tele-rehabilitation in children was limited before the COVID-19 pandemic, due to culture, technology access, regulatory and reimbursement barriers. The study was conducted according to the CHERRIES (Checklist for reporting results of internet E-surveys) guidelines in order to provide quantitative and qualitative data about experience of patients with disabilities and their caregivers during Phase 1 of the COVID-19 pandemic, and their level of satisfaction. An online survey was developed using Google Forms and sent via email. The outcome measures were rated using a 5-point Likert Scale. Two additional open-ended questions were used to collect qualitative data.

Mind the distance: experiences of non-face-to-face child and youth mental health services during COVID-19 social distancing restrictions in Western Australia

AUTHOR(S)
Matthew McQueen; Penelope Strauss; Ashleigh Lin (et al.)

Published: June 2022   Journal: Australian Psychologist

Following the outbreak of COVID-19, social distancing restrictions limited access to face-to-face mental health services in Western Australia (WA), necessitating a rapid transition to non-face-to-face alternatives, including telehealth. The current study investigated barriers and facilitators to telehealth access and engagement, and preferences for child and youth mental health service delivery during and beyond COVID-19. Three participant groups were recruited via social media and partner organisations, and completed a tailored online survey: i) young people (14–25 years) who had ever accessed or attempted to access mental health support or services (n = 84), ii) parents of young people with a child aged 0–25 years who had ever accessed or attempted to access mental health support or services with or on behalf of their child (n = 68), and iii) professionals working in the child or youth mental health sector (n = 167).

Telehealth in outpatient care for children and adolescents with chronic conditions during the COVID-19 pandemic: a scoping review protocol

AUTHOR(S)
Larissa Karoline Dias da Silva Casemiro; Luís Carlos Lopes-Júnior; Fabrine Aguilar Jardim (et al.)

Published: June 2022   Journal: Plos One
Outpatient care for children and adolescents with chronic conditions needs to be continuous and programmed, encompassing comprehensive care, with periodically scheduled consultations, exams, and procedures, to promote quality of life and reduce mortality. In the context of the new coronavirus pandemic, however, outpatient care for children and adolescents with chronic conditions, in person, was hampered in favor of social isolation, a necessary sanitary measure to reduce and prevent the spread of Coronavirus Disease 2019. In response to this need, studies suggest telehealth in pediatrics as a fertile and expanding field especially in times of pandemics. Here, we aimed to map the evidence related to telehealth in outpatient care for children and adolescents with chronic conditions during the COVID-19 pandemic, to identify which strategies were implemented and their impacts on the continuity of care.
Therapy service delivery for children with disabilities during COVID‐19: parent perceptions and implementation recommendations

AUTHOR(S)
Linzy M. Pinkerton; Ashley Murphy; Ellie Bruckner (et al.)

Published: June 2022   Journal: Journal of Community Psychology
This study identifies challenges and advantages parents faced in navigating therapy service delivery for their child with disabilities during the COVID-19 pandemic. As part of an online survey, 171 parents of children with disabilities answered four, free response questions regarding the therapy services their children received during the pandemic. A grounded theory approach was used to identify top challenges, barriers, advantages, and recommendations. Challenges included children's poor response to telehealth services, lack of parent training, and technological challenges. Advantages included fewer barriers to service access and increased family involvement. Parents largely recommended shorter, more frequent teletherapy sessions, and resuming in-person services. To improve parent engagement in, and the sustainability of, services, parent feedback should inform service delivery design and implementation. Incorporating parent feedback about service delivery can decrease disparities in access and increase parent engagement in child services both generally, and during periods of service disruption.
Work-to-family conflict and parenting practices: examining the role of working from home among lone and partnered working mothers

AUTHOR(S)
Janine Bernhardt; Claudia Recksiedler

Published: May 2022   Journal: Journal of Family Research

This study investigates associations between work-to-family conflict and parenting practices among lone and partnered working mothers and the role of working from home as a potential resource gain or drain for acting empathetically and supportively towards their children. Emerging evidence suggests that work-to-family conflict reduces responsive parenting practices, yet prior studies have rarely examined disparities by family structure. Although working from home has recently gained in importance in the workforce, there is still little research on its implications for the relationship between work-to-family conflict and the quality of parenting practices. If working from home is not used to do supplemental work during overtime hours, it may free up mothers’ time and emotional resources. In turn, this may either buffer the harmful impact of work-to-family conflict on parenting practices or indirectly enhance the quality of parenting practices by reducing work-to-family conflict. This could be particularly beneficial for lone mothers, who experience more role and time strain.

The feasibility of providing remote functional family therapy with adolescents during the COVID-19 pandemic: a mixed-method study

AUTHOR(S)
Aurelie M. C. Lange; Sajid Humayun; Tom Jefford

Published: May 2022   Journal: Child & Youth Care Forum

Due to the recent COVID-19 pandemic, mental health care has largely transferred its services to online platforms, using videoconferencing (VC) or teletherapy. Within the field of family therapy, however, there is little evidence on the feasibility of using VC, especially when working with whole families at the edge of care. This study investigated the feasibility of remote Functional Family Therapy (FFT), using a mixed-method approach.

Pandemic parenting: a pilot study of in-person versus internet-DOCS K-5 for caregivers of school-age children with disruptive behaviors

AUTHOR(S)
Heather Agazzi; Holland Hayford; Nicholas Thomas (et al.)

Published: May 2022   Journal: Clinical child psychology and psychiatry
Behavioral parent training (BPT) programs are needed to address disruptive behavior disorders among school-aged children. Given the prolonged COVID-19 pandemic and associated mental health consequences, adapting BPTs to telehealth modalities is necessary to ensure continued services to children and families. This pilot study evaluated the use of a telehealth vs in-person modality to deliver the Developing Our Children's Skills K-5 (DOCS K-5) BPT. Participants were caregivers of children enrolled in elementary school exhibiting disruptive behaviors who participated in either in-person DOCS K-5 (n = 21) or internet-DOCS K-5 (i-DOCS K-5; n = 34).
Alienated and unsafe: Experiences of the first national UK COVID-19 lockdown for vulnerable young people (aged 11–24 years) as revealed in Web-based therapeutic sessions with mental health professionals

AUTHOR(S)
Charlotte Mindel; Louisa Salhi; Crystal Oppong (et al.)

Published: April 2022   Journal: Counselling and Psychotherapy Research

The COVID-19 pandemic and subsequent lockdowns have disproportionately affected young people, and those who are vulnerable are disadvantaged further. Here, we seek to understand the experiences of vulnerable young people accessing Web-based therapeutic support during the pandemic and early lockdown, as revealed through the observations of mental health professionals. Four focus groups with 12 professionals from a digital mental health service were conducted to understand the experiences of vulnerable young people during the pandemic lockdown. Workshops with young people with diverse experiences resulted in the co-design of the focus group topic guide and the interpretation and validation of analysis. The experiential inductive–deductive framework of thematic analysis was used to analyse the workshop transcripts.

Use of telehealth in the management of adolescent eating disorders: patient perspectives and future directions suggested from the COVID-19 pandemic

AUTHOR(S)
Sasha Gorrell; Erin E. Reilly; Leigh Brosof (et al.)

Published: April 2022   Journal: Adolescent Health, Medicine and Therapeutics
Efforts to increase accessibility of eating disorder (ED) treatment via telemedicine have been ongoing for the past decades. However, there has been a recent surge in research focused on remote delivery of interventions since the onset of the novel coronavirus pandemic (COVID-19) in 2020, the related lockdowns, and an exponential increase in ED symptoms in youth secondary to the pandemic worldwide. The current review provides a focused summary of existing literature regarding telehealth for the treatment of EDs in adolescents using a frame of past, present, and future work. Specifically, it begins with a brief overview of research in remote delivery for EDs in youth prior to 2020. Then, it details more recent studies in this domain, with a focus on research conducted during the COVID-19 pandemic. It closes by outlining limitations of the existing data and future steps necessary to expand the rigor and impact of this work.
Voices of teens and young adults on the subject of teleconsultation in the COVID-19 context

AUTHOR(S)
Melissa Ziani; Emmanuelle Trépanier; Martin Goyette (et al.)

Published: April 2022   Journal: Journal of Patient Experience
This article describes the perceptions of adolescents and young adults aged 14 to 25 years who live in Québec (Canada) and obtained health services via teleconsultation for the first time, owing to the COVID-19 pandemic. Eleven young people who had received physical health services (medicine, physiotherapy, speech therapy, or nutritionist) participated in virtual semi-structured interviews. These interviews shed light on how these adolescents and young adults experienced the adaptation of the intervention and how effective they perceived the intervention to be. The article concludes with some thoughts for practitioners.
A home-based exercise program during COVID-19 pandemic: perceptions and acceptability of juvenile systemic lupus erythematosus and juvenile idiopathic arthritis adolescents

AUTHOR(S)
Sofia Mendes Sieczkowska; Camilla Astley; Isabela Gouveia Marques (et al.)

Published: April 2022   Journal: Lupus

To investigate the perceptions and acceptability of a home-based exercise intervention in systemic lupus erythematosus (JSLE) and juvenile idiopathic arthritis (JIA) adolescent patients during the COVID-19 pandemic, and to explore the effects of the intervention on health-related quality of life (HRQoL), sleep quality, and mental health conditions parameters.This was a randomized controlled trial of a 12-week, home-based exercise training program conducted between October and December 2020. During this period, social distancing measures were in place in Brazil to contain the spread of COVID-19. Adolescent patients diagnosed with JSLE and JIA participated in the study. Health-related qualitative and quantitative data were collected before and after the follow-up.

Online administration of a pilot mindfulness-based intervention for adolescents: feasibility, treatment perception and satisfaction

AUTHOR(S)
Morica Hutchison; Beth S. Russell; Kim M. Gans (et al.)

Published: April 2022   Journal: Current Psychology
Adolescents may be more vulnerable to COVID-19-related impacts and require long-term mental health care. Services that bolster emotion regulation, such as mindfulness-based interventions (MBIs) promote positive impacts on psychosocial outcomes and have high acceptability. No studies have assessed feasibility, treatment perceptions and satisfaction of online MBIs with adolescents. 56 moderate- and high-risk adolescent (m = 14.5 years, 66.1% female, 26.8% LatinX) participants tested the feasibility, treatment perceptions and satisfaction of an 8-session online MBI focused on observing non-judgmentally, attending to positivity, and self-soothing. The study achieved acceptable feasibility with high attendance (m = 5.75) and retention rates (87.5%).
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.

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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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The first digest covers children and youth mental health under COVID-19.

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COVID-19 & Children: Rapid Research Response

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.