COVID-19 Pandemic Impacts on Children with Developmental Disabilities: Service Disruption, Transition to Telehealth, and Child Wellbeing.
COVID-19 Pandemic Impacts on Children with Developmental Disabilities: Service Disruption, Transition to Telehealth, and Child Wellbeing.
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DOI：
10.3390/ijerph19063259
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发表时间：
2022-03-10
影响因子：
--
通讯作者：
Lee NY
中科院分区：
文献类型：
--
作者：
Zhang S;Hao Y;Feng Y;Lee NY
COVID-19疫情导致服务严重中断，并导致发展障碍儿童的服务从面对面服务过渡到远程医疗。然而，对中断和过渡的具体层面和后果的了解有限。本研究旨在探讨服务中断和过渡的程度，客户儿童及其照顾者与远程保健与面对面服务的经验，以及中断和过渡对儿童福祉的影响。这项横断面研究使用在线调查从发育障碍儿童的父母那里收集了数据。McNemar检验用于比较大流行爆发前后的服务变化，多变量分析用于研究服务变化如何与儿童福祉相关。结果显示，超过三分之二的儿童经历了服务量的减少，三分之一的儿童在大流行的五个月内失去了两个月以上的服务。虽然远程保健具有与面对面服务相当的特点，但在诊断准确性、治疗有效性和建立融洽关系方面的评分较低。服务中断/过渡和社会孤立与儿童的行为和情绪恶化。然而，儿童和家庭压力可能混淆了这些不利影响。我们的结论是，疫情爆发后的上半年，服务中断和过渡的程度很大，不同客户的服务损失金额和持续时间差异很大。诊断准确性，治疗效果和融洽关系的建设是父母对远程医疗相对于面对面服务的主要关注领域。然而，这些缺点可能部分是由于大流行病期间远程保健实施的后勤有限。服务中断和过渡似乎加剧了家庭压力，这在损害儿童福祉方面发挥了直接作用。这些研究结果对未来的研究和实践的影响进行了讨论。
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. Results show that more than two-thirds of the children experienced reduction in service amount, and one-third lost services for more than two months in about five months into the pandemic. While telehealth had comparable features relative to in-person services, it had lower ratings with respect to diagnostic accuracy, treatment effectiveness, and rapport building. Service disruption/transition and social isolation were associated with behavioral and emotional deterioration in children. However, child and family stress may have confounded these adverse effects. We concluded that the magnitude of service disruption and transition was large in the first half year after the pandemic outbreak, and the amount and duration of service loss varied substantially across clients. Diagnostic accuracy, treatment efficacy, and rapport building were areas in which parents had major concerns toward telehealth relative to in-person services. However, such drawbacks may partially be due to the limited logistics in telehealth implementation during the pandemic. Service disruption and transition seemed to contribute to family stress, which played a direct role in eroding child wellbeing. Implications of these findings for future research and practices are discussed.
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影响因子：
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DOI：
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发表时间：
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影响因子：
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