Learning from the trajectories of mental health challenges for children, young people and parents over the course of the Covid-19 pandemic

从 Covid-19 大流行期间儿童、年轻人和父母面临的心理健康挑战的轨迹中学习

• 批准号: ES/W011972/1
• 负责人: Simona Skripkauskaite
• 金额: $ 43.9万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FW011972%2F1
• 关键词: Learning; trajectories; mental; health; challenges

COVID-19 and the related public health measures have led to major disruptions to families' lives, with different pressures arising for children, young people, and their families over time. The Co-SPACE project in the UK and CORONA-CODOMO (C-C) project in Japan are two nation-wide online survey-based studies tracking how children, young people, and parents have been affected since the start of the pandemic. Both studies, separately, have found that lockdowns and school closures were associated with deteriorating mental health and increased stress in young people and parents. Certain groups (e.g., families with financial difficulties, and with children with special education needs) appear to have been particularly vulnerable to elevated stress and mental health symptoms throughout the pandemic. However, at this point, we still know little about how to best support families coming out of the COVID-19 pandemic and, in particular, how needs may vary across countries and pandemic-contexts.The proposed project builds on a successful existing collaboration that will further utilize available expertise in international data analysis, text-mining approaches, patient and public involvement, and translating research into practice. In turn, it will promote knowledge exchange and involvement of early career researchers. The aim of this proposal is to: (i) capitalise on what can be learned from these parallel international surveys about the impact of COVID-19 and how it has been managed across countries; (ii) develop a further understanding of medium and long-term impacts of the pandemic on the mental health symptoms of young people and parents, as well as their pathways to recovery; and (iii) together with young people and families, co-design guidelines for policy makers and health authorities, which will help to mitigate identified medium to long-term mental health consequences of the pandemic and current policies and to tailor future pandemic management strategies to minimise mental health impacts on young people and families.The above aims will be achieved through three workstreams, while actively engaging young people and parents from both countries in decision making throughout the research lifecycle:(1) The already collected online survey (including cross-sectional) data will be merged and analysed using a multi-level modelling approach to examine how immediate mental health consequences for children, young people, and parents across Japan and the UK have varied over the COVID-19 pandemic according to policies and restrictions, as well as child, family, and other key characteristics; (2) Three 6-monthly follow-up surveys with comparable measures will be conducted and analysed using time series and text-mining approaches across both countries to examine who is and is not 'bouncing back' and what are the medium and long-term consequences of the pandemic; (3) Through a series of online events, we will co-design guidance for policy makers and practitioners with young people from both countries in collaboration with the Leaders Unlocked, an organisation which enables young people and underrepresented groups to have a voice on issues that matter.

COVID-19和相关的公共卫生措施对家庭生活造成了重大干扰，随着时间的推移，儿童、年轻人及其家庭面临着不同的压力。英国的Co-SPACE项目和日本的CORONA-CODOMO （C-C）项目是两个全国性的在线调查研究，追踪自疫情开始以来儿童、年轻人和父母受到的影响。这两项研究分别发现，封锁和学校关闭与年轻人和父母的心理健康恶化和压力增加有关。某些群体（例如有经济困难的家庭和有特殊教育需要的儿童的家庭）在整个大流行期间似乎特别容易受到压力增加和精神健康症状的影响。然而，在这一点上，我们仍然对如何最好地支持2019冠状病毒病大流行后的家庭知之甚少，特别是不同国家和大流行背景下的需求可能有何不同。拟议的项目建立在成功的现有合作基础上，将进一步利用国际数据分析、文本挖掘方法、患者和公众参与以及将研究转化为实践方面的现有专业知识。反过来，它将促进知识交流和早期职业研究人员的参与。本提案的目的是：(i)利用从这些平行国际调查中获得的关于COVID-19影响以及各国如何管理疫情的信息；㈡进一步了解这一大流行病对年轻人和父母的心理健康症状的中长期影响，以及他们的康复途径；（三）与年轻人和家庭一起，为决策者和卫生当局共同设计准则，这将有助于减轻大流行和现行政策所确定的中长期心理健康后果，并调整未来的大流行管理战略，以尽量减少对年轻人和家庭的心理健康影响。上述目标将通过三个工作流程实现，同时在整个研究生命周期中积极让两国的年轻人和父母参与决策：(1)将使用多层次建模方法合并和分析已收集的在线调查（包括横断面）数据，以审查对儿童、年轻人、日本和英国的父母根据政策和限制，以及孩子、家庭和其他关键特征，在COVID-19大流行期间有所不同；(2)将在两国开展3次为期6个月的具有可比措施的后续调查，并使用时间序列和文本挖掘方法进行分析，以检查谁在“反弹”，谁没有“反弹”，以及疫情的中长期后果是什么；(3)通过一系列在线活动，我们将与两国年轻人合作，与领导人解锁组织（Leaders Unlocked）共同为政策制定者和从业者设计指导意见。领导人解锁组织是一个让年轻人和未被充分代表的群体在重要问题上有发言权的组织。

项目成果

Report 13: Changes in children's mental health and parents' financial stress from March 2020 to October 2022. Co-SPACE study

报告13：2020年3月至2022年10月儿童心理健康与家长经济压力变化。Co-SPACE研究

• 发表时间: 2023
• 作者: Ding N

Report 12: Children's mental health symptoms two years after the start of the pandemic: March 2020 to March 2022. Co-Space Study

报告12：大流行开始两年后儿童的心理健康症状：2020年3月至2022年3月。Co-Space研究

• 发表时间: 2022
• 作者: Burgess L