Impact of the COVID-19 pandemic on therapy service delivery and functioning for school-aged children with disabilities in the United States.

Impact of the COVID-19 pandemic on therapy service delivery and functioning for school-aged children with disabilities in the United States.
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DOI:
10.1016/j.dhjo.2021.101266
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发表时间:
2022-04
影响因子:
4.5
通讯作者:
Levac DE
Levac DE
中科院分区:
医学2区
文献类型:
--
作者:
Allison KM;Levac DE

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新冠肺炎大流行导致美国残疾儿童治疗服务大范围中断。我们评估了在大流行的前四个月期间治疗服务提供的变化,检查了这些变化对儿童功能的影响,并分析了预测面对面服务和接受远程治疗服务的损失的因素。我们对5-17岁残疾儿童的父母/照顾者进行了一项匿名的横断面在线调查。描述性地总结了治疗、服务提供和儿童功能的变化。Logistic回归分析了失去治疗服务或接受远程治疗服务的个体和背景预测因素。402名患有一种或多种残疾的5-17岁儿童的父母参加了这项活动;42%的儿童失去了获得所有治疗服务的机会,34%的儿童通过远程保健获得了至少一项治疗服务。在COVID前接受更多服务并获得更多技术设备的儿童在COVID前接受远程治疗的可能性明显更大。超过40%的父母将孩子运动、行为、社交和沟通能力的下降归因于治疗服务的变化;这种影响对患有多种疾病的儿童更大。调查结果强调了治疗服务中断对残疾儿童的负面影响。
The COVID-19 pandemic caused wide-scale disruptions to therapy services for children with disabilities in the United States. We 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 the loss of in-person services and receipt of teletherapy services. We undertook an anonymous cross-sectional online survey of parents/caregivers of children with a disability aged 5–17 years. Changes in therapy service delivery and children's functioning were descriptively summarized. Logistic regressions examined individual and contextual predictors of loss of therapy services or receipt of teletherapy services. 402 parents of children aged 5–17 years old with one or more disabilities participated; 42% of children lost access to all therapy services, and 34% of children received at least one therapy service via telehealth. Children receiving a greater number of services pre-COVID and having access to more technological devices pre-COVID were significantly more likely to receive teletherapy. Over 40% of parents attributed declines in their child's motor, behavior, social, and communication skills to changes in therapy services; this impact was greater for children with multiple diagnoses. Findings underscore the negative impact of therapy service disruptions on children with disabilities.
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