Community Teens' COVID-19 Experience: Implications for Engagement Moving Forward.
Community Teens' COVID-19 Experience: Implications for Engagement Moving Forward.
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社区青少年的 COVID-19 经历：对今后参与的影响。
DOI：
10.1007/s10880-023-09975-z
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发表时间：
2024
影响因子：
2.2
通讯作者：
Shalowitz,MadeleineU
中科院分区：
文献类型：
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作者：
Stiles-Shields,Colleen;Reyes,KarenM;Lennan,Nia;Zhang,Jim;Archer,Joseph;Julion,WrenethaA;Shalowitz,MadeleineU
大流行期间从儿科初级保健机构收集的数据表明，内化症状和基于少数身份状态的护理差异有所增加。为了为未来的护理提供信息，当前的研究描述了来自困难指数高社区的青少年儿科患者的流行病和相关技术使用经历。作为一项更大规模的混合方法研究的一部分，17 名青少年（平均年龄 = 15.99 ± .99）和 10 名护理人员在远程焦点小组和访谈会议中独立表达了与大流行相关的经历。主题分析用于评估定性数据；描述性分析用于表征定性数据。尽管没有直接询问有关大流行的问题，但 41% 的青少年和 40% 的护理人员描述了他们在大流行期间的生活经历。 COVID-19 的主要主题中出现了两个子主题：(1) 健康/心理健康和 (2) 智能手机的使用和实用性。尽管表达了痛苦和负面影响，但问卷数据表明青少年自我报告和照顾者代理报告的心理社会功能正常。根据来自高困难指数社区的青少年及其护理人员的经历，提出了更好地评估和管理青少年患者内化症状的方法。利用技术来收集有关青少年经历的信息并提供护理的多模式和多信息方法可能有助于改善系统性地承受着不平等负担的社区中青少年的福祉。
Data collected from pediatric primary care settings during the pandemic suggest an increase in internalizing symptoms and disparities in care based upon minoritized identity status(es). To inform care moving forward, the current study characterized the pandemic and related technology usage experiences of teenaged pediatric patients from communities with high hardship indexes. As part of a larger mixed-methods study, 17 teens (Mean age = 15.99 ± .99) and 10 caregivers independently voiced experiences related to the pandemic during remote focus group and interview sessions. Thematic analyses were used to assess qualitative data; descriptive analyses were used to characterize qualitative data. Despite no direct queries about the pandemic, 41% of teens and 40% of caregivers described their lived experiences during the pandemic. Two subthemes emerged within the primary theme of COVID-19: (1) Wellness/Mental Health and (2) Smartphone Use and Utility. Although distress and negative effects were voiced, questionnaire data indicated normative psychosocial functioning for both teen self-report and caregiver proxy report. Informed by the voiced experiences of teens and their caregivers from communities with high hardship indexes, methods for better assessing and managing internalizing symptoms in teen patients are presented. A multi-modal and multi-informant approach that leverages technology to garner information about teens’ experiences and deliver care may help improve the well-being of teens in communities systemically burdened with disparities.