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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 80
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.

Coronavirus disease 2019 outbreak and associated public health measures increase the progression of myopia among children and adolescents: evidence synthesis

AUTHOR(S)
Akarapon Watcharapalakorn; Teera Poyomtip; Patarakorn Tawonkasiwattanakun

Published: March 2022

Although studies have suggested that the coronavirus disease 2019 (COVID-19) outbreak increased myopia progression, they had different settings and analysis methods. This study compared myopia progression before and during the COVID-19 outbreak using meta-analysis. Relevant literature was searched on EMBASE, PubMed, ClinEpiDB and Web of Science and reviewed until 8 October 2021. The Newcastle–Ottawa Scale was used to evaluate the quality of the original studies. The mean difference of change in spherical equivalent refraction (SER) was used for evaluation before and during the COVID-19 pandemic.

COVID-19 pandemic impacts on children with developmental disabilities: service disruption, transition to telehealth, and child wellbeing

AUTHOR(S)
Saijun Zhang; Ying Hao; Yali Feng (et al.)

Published: March 2022   Journal: International Journal of Environmental Research and Public Health
The COVID-19 pandemic has resulted in substantial service disruption and transition from in-person services to telehealth for children with developmental disabilities. However, there is limited knowledge about the specific dimensions and consequences of the disruption and transition. This study aims to examine the extent of service disruption and transition, the experiences of client children and their caregivers with telehealth vis-à-vis in-person services, and the impacts of the disruption and transition on child wellbeing. The cross-sectional study collected data from parents of children with developmental disabilities using an online survey. McNemar’s tests were used to compare service changes before and after the pandemic outbreak, and multivariate analyses were used to examine how service changes were associated with child wellbeing.
A study on online intervention for early childhood eating disorders during COVID-19

AUTHOR(S)
Silvia Cimino; Carlos A. Almenara; Luca Cerniglia

Published: March 2022   Journal: Internationaol Journal of Environmental Research and Public Health
Eating disorders are among the most common clinical manifestations in children, and they are frequently connected with maternal psychopathological risk, internalizing/externalizing problems in children, and poor quality of mother–child feeding exchanges. During the COVID-19 lockdown, in person assessment and intervention were impeded due to the indications of maintaining interpersonal distancing and by limits to travel. Therefore, web-based methods were adopted to meet patients’ needs. In this study N = 278 participants completed the SCL-90/R and the CBCL to examine the psychopathological symptoms of mothers and children (age of the children = 24 months); moreover, the dyads were video-recorded during feeding and followed an online video-feedback based intervention. Maternal emotional state, interactive conflict, food refusal in children, and dyadic affective state all improved considerably, as did offspring internalizing/externalizing problems and mothers’ depression, anxiety, and obsession–compulsion symptoms.
Relationship-based practice and digital technology in child and family social work: learning from practice during the COVID-19 pandemic

AUTHOR(S)
Ruth Copson; Anne M. Murphy; Laura Cook (et al.)

Published: February 2022   Journal: Developmental Child Welfare
Vital services provided by social workers to children in care or on the edge of care were largely delivered “online” during the COVID-19 pandemic. This paper explores the potential impact of these changes on vulnerable children and their families. Relationship-based practice is integral to social work and the shift to digital communication during the COVID-19 pandemic has led to accelerated practice changes and implications for relationship building both with and between service users. Going forward, social workers and other professionals are likely to move to an increasingly hybrid model of communication, combining both digital and face-to-face methods. This article identifies the impact of digital communication on relationships in professional practice, drawing on three studies of digital communication in the UK carried out at the University of East Anglia.
“We could see our real selves:” The COVID-19 syndemic and the transition to telehealth for a school-based prevention program for newcomer Latinx immigrant youth

AUTHOR(S)
William Martinez; Sita G. Patel; Stephanie Contreras (et al.)

Published: February 2022   Journal: Journal of Community Psychology
Newcomer Latinx immigrant youths in the United States are currently in a syndemic of increased risk of behavioral health concerns, disparities in access to related services, and are disproportionately impacted by the COVID-19 pandemic. This study used qualitative inquiry to examine the impact that the transition to telehealth had on a school-based group prevention program for immigrant youth, Fuerte, within the context of this syndemic. Data included semi-structured interviews with group leaders, and focus groups with youth program participants. Themes indicated both positive and negative impacts of the transition to telehealth on program component implementation, youth participant engagement, and youth participant social connectedness. Despite the telehealth model, youth participants reported that they felt socially connected to each other through the program
A response to COVID-19 school closures: the feasibility of a school-linked text message intervention as an adaptation to school-supervised asthma therapy

AUTHOR(S)
Juliana Arenas; Sarah Becker; Hannah Seay (et al.)

Published: February 2022   Journal: Pediatric Pulmonology

School-supervised asthma therapy improves asthma medication adherence and morbidity, particularly among low-income and underrepresented minority (URM) children. However, COVID-19-related school closures abruptly suspended this therapy. In response, we developed a school-linked text message intervention. The purpose of the study is to investigate the feasibility and acceptability of a school-linked text message intervention.

Transitioning to virtual interaction during the COVID-19 pandemic: impact on the family connects postpartum home visiting program activity

AUTHOR(S)
Anna Rybińska; Debra L. Best; W. Benjamin Goodman (et al.)

Published: January 2022   Journal: Infant Mental Health Journal
This paper analyzes program activity for Family Connects (FC), an evidence-based postpartum home-visiting intervention, during the COVID-19 pandemic. When the pandemic began, FC transitioned to a virtual protocol which maintains key psychosocial components of the in-person protocol and adjusts health assessments to address the lack of in-person contact. Program performance is contrasted for periods before the pandemic onset (April 2019–March 2020) and after the onset (April 2020–March 2021), involving 10,280 scheduled visits and 6696 visited families (46% non-Hispanic white; 20% non-Hispanic Black; 23% Hispanic; and 10% other race). Post-pandemic onset, FC program participation rates were at 89.8% of pre-pandemic levels. Home visitors observed post-onset increases in families’ concerns about home safety but declines in families’ needs related to infant care. Community connections were facilitated for 42.9% of visited families post-pandemic onset compared to 51.1% pre-pandemic onset.
Home direct-to-consumer telehealth solutions for children with mental health disorders and the impact of Covid-19

AUTHOR(S)
Sierra Norman; Shireen Atabaki; Kathleen Atmore (et al.)

Published: December 2021   Journal: Clinical child psychology and psychiatry
Delivery of mental health treatment in the home can close gaps in care. Telehealth also provides access to healthcare that has been disrupted due to the COVID-19 pandemic. In 2016, a home direct-to-consumer telehealth program was initiated. Mental health encounters made up a significant portion of all telehealth encounters and COVID-19 had a significant impact on accelerating the utilization of telehealth. Telemental health has been more successful at meeting targeted volumes than the overall health system. Of all the mental health diagnoses before and during COVID-19, attention deficit hyperactivity disorder, Autism Spectrum Disorder, and Anxiety Disorder were most common. The direct-to-consumer telehealth program saved patients a significant amount of travel miles and associated time, based on data from the period before COVID-19. Payment reimbursement for direct-to-consumer telehealth professional services was similar to reimbursement for in-person visits. This program demonstrates direct-to-consumer telehealth is a feasible and acceptable care modality for a variety of youth mental health disorders.
Harnessing the power of telemedicine to accomplish international pediatric outcome research during the COVID-19 pandemic

AUTHOR(S)
Sarah B. Mulkey; Margarita Arroyave-Wessel; Colleen Peyton (et al.)

Published: December 2021   Journal: Journal of telemedicine and telecare
The COVID-19 pandemic occurred during planned neurodevelopmental follow-up of Colombian children with antenatal Zika-virus exposure. The objective of the study was to leverage the institution's telemedicine infrastructure to support international clinical child outcome research. In a prospective cohort study of child neurodevelopment (NCT04398901), we used synchronous telemedicine to remotely train a research team and perform live observational assessments of children in Sabanalarga, Colombia. An observational motor and conceptional standardized tool kit was mailed to Colombia; other materials were translated and emailed; team training was done virtually. Children were recruited by team on the ground. Synchronous activities were video-recorded directly to two laptops, each with a telehealth Zoom link to allow simultaneous evaluation of "table" and "standing" activities, and backup recordings were captured directly on the device in Colombia.
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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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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.