The Impact of COVID-19 on Pediatric Adherence and Self-Management.

The Impact of COVID-19 on Pediatric Adherence and Self-Management.
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DOI:
10.1093/jpepsy/jsaa079
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发表时间:
2020-10-01
影响因子:
3.6
通讯作者:
Hommel KA
Hommel KA
中科院分区:
心理学3区
文献类型:
--
作者:
Plevinsky JM;Young MA;Carmody JK;Durkin LK;Gamwell KL;Klages KL;Ghosh S;Hommel KA

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2019冠状病毒病大流行带来了独特的环境,有可能对患有慢性疾病的青少年的儿科依从性和自我管理产生积极和消极的影响。以下文章讨论了这些情况(例如,居家令、学校关闭、儿科医疗服务的变化)如何影响个人、家庭、社区和医疗保健系统层面的疾病管理。我们还讨论了大流行加剧的儿童坚持和自我管理障碍如何不成比例地影响服务不足和弱势群体,可能导致更大的健康差距。鉴于大流行期间儿科疾病管理可能面临广泛挑战,持续监测和促进依从性和自我管理至关重要。技术通过远程医疗、电子监控和移动应用程序为这提供了一些机会。此外,随着当前公共卫生状况的不断发展,儿科心理学家在发展和实施依从性促进工作方面具有独特的能力,以支持青少年及其家庭实现和维持最佳的疾病管理。需要开展研究工作,解决大流行对儿科依从性和自我管理的短期和长期影响,以确定在这一前所未有的时期影响疾病管理和随后健康结果的风险和复原力因素。
The COVID-19 pandemic has presented unique circumstances that have the potential to both positively and negatively affect pediatric adherence and self-management in youth with chronic medical conditions. The following paper discusses how these circumstances (e.g., stay-at-home orders, school closures, changes in pediatric healthcare delivery) impact disease management at the individual, family, community, and healthcare system levels. We also discuss how barriers to pediatric adherence and self-management exacerbated by the pandemic may disproportionately affect underserved and vulnerable populations, potentially resulting in greater health disparities. Given the potential for widespread challenges to pediatric disease management during the pandemic, ongoing monitoring and promotion of adherence and self-management is critical. Technology offers several opportunities for this via telemedicine, electronic monitoring, and mobile apps. Moreover, pediatric psychologists are uniquely equipped to develop and implement adherence-promotion efforts to support youth and their families in achieving and sustaining optimal disease management as the current public health situation continues to evolve. Research efforts addressing the short- and long-term impact of the pandemic on pediatric adherence and self-management are needed to identify both risk and resilience factors affecting disease management and subsequent health outcomes during this unprecedented time.
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