ABSTRACT
Objectives: The COVID-19 pandemic has impacted the mental health of teens in many ways, and teens are experiencing higher rates of depression and anxiety. The extent of this impact is variable and dependent on many factors. Although the impact has been negative for many teens, some teens appear to be cope better than others and show more resilience. This talk will explore and discuss the protective factors for teens who are thriving. We will look at factors such as age, gender, specific characteristics, coping strategies, educational status, degree of social connectivity, and more. Method(s): A literature review of the current and emerging research related to the impact of quarantine and COVID-19 on the psychological and mental health of teens will be conducted. In addition, clinical cases and experiences will be reviewed. Two or 3 cases will be discussed to delineate the contextual factors around teens who are thriving. Result(s): Early in the pandemic, some teens appeared to be thriving. Teens who were socially anxious, bullied in school, and overwhelmed with academic and social demands did well in some instances. They saw school closures as a break that provided relief. In the fall, many of these teens, especially those not able to return to school in person, started to struggle. The teens who have continued to do well share some protective factors and characteristics. These include strong self-discipline traits, prosocial behaviors, the ability to maintain a consistent structure, routine and healthy habits of exercise, sleep and nutrition, positive parenting, good coping skills, ability to self-advocate and ask for help from teachers/family, strong social connectivity, involvement in organized activities/sports, and creative outlets. Access to mental health care and extra educational support were protective for many. This also brings up social equity issues that can increase the risk. Conclusion(s): The COVID-19 pandemic has taken a toll on the mental health of teens. Teens have had a significant disruption to their daily lives and their development. Some teens are coping better during these very stressful times. Understanding why and recognizing these protective factors can help inform care when working with teens and their families. PRE, ADOL, RF Copyright © 2022
ABSTRACT
SESSION TITLE: Unique Uses of Pulmonary Function Tests SESSION TYPE: Rapid Fire Original Inv PRESENTED ON: 10/19/2022 11:15 am - 12:15 pm PURPOSE: Prevention of asthma exacerbations can be done through adequate self management at home. This study aimed to evaluate the feasibility and safety of a portable spirometer for unsupervised home spirometry measurements among patients with asthma. METHODS: A single center, prospective, single-arm, open study recruited 25 patients with moderate or severe asthma. After a 45 min video training session by a respiratory therapist, patients performed daily spirometry at home with the Spirobank Smart MIR mobile spirometry system that was bluetooth connected to the KevaTalk app. Each spirometry examination was recorded and evaluated according to the ATS/ERS acceptability and repeatability criteria. Patients had to perform at least three technically acceptable maneuvers with the KevaTalk app guiding them if they had a good or bad blow. The best value of the three maneuvers were used for subsequent analyses. Patients also entered their daily check ins and symptoms via the KevaTalk Asthma app, tracked their controller and rescue medication use, filled up ATAQ questionnaires as well as were reminded of their action plans. Data obtained from spirometry was reviewed by nurses and pulmonologist and the Keva365 remote monitoring platform prompted alerts based on patient checkins, use of medication and PEF values in the red or yellow zone. Any escalations based on nurse review were reported to the office. RESULTS: Mean age of the patients was 57 years. 1155 spirometry sessions were completed over the duration of 9 months of the study. Data for FEV1, FEV6, PEF FEV1/FVC, as well as the Best Predicted and LLN values was reviewed daily for patients. Flow volume loops during the sessions were reviewed to identify if the home spirometry was done correctly and retraining was provided if needed. The reported values were tracked over the duration the patient was enrolled in the Keva program. 60.9% of patients were found to have peak flows in their respective red zones at least once and 87% were found to have peak flows in their yellow zone at least once, during the course of the study. If 3 consecutive values were in the yellow or red zone along with worsening of symptoms, the physician's office was informed for further course of action. CONCLUSIONS: The COVID-19 pandemic led to paucity of in office spirometry and face-to-face visits for asthmatic patients. Increasing the availability of spirometry with handheld devices along with a remote monitoring platform is useful for improving asthma control and reducing the risk of asthma-related hospital admissions and deaths. CLINICAL IMPLICATIONS: Remote objective spirometry yields clinically meaningful information that helps with asthma patient management and prevent an exacerbation from becoming worse. DISCLOSURES: No relevant relationships by Karim Anis No relevant relationships by Varada Divgi No relevant relationships by Jyotsna Mehta No relevant relationships by Shail Mehta No relevant relationships by Denzil Reid