Living with epilepsy during COVID-19 pandemic restrictions: A longitudinal perspective.

The purpose of our study was to explore how people with epilepsy fared during two of the most stringent 4-month society-wide COVID-19-related pandemic restrictions in Ireland, in 2020 and one year later in 2021. This was in the context of their seizure control, lifestyle factors, and access to epilepsy-related healthcare services. A 14-part questionnaire was administered to adults with epilepsy during virtual specialist epilepsy clinics in a University Hospital in Dublin, Ireland at the end of the two lockdowns. People with epilepsy were questioned on their epilepsy control, lifestyle factors, and quality of epilepsy-related medical care, compared to pre-COVID times. The study sample consisted of two separate cohorts of those diagnosed with epilepsy (100 (51.8%) in 2020, and 93 (48.2%) in 2021, with similar baseline characteristics. There was no significant change in seizure control or lifestyle factors from 2020 to 2021, except for deterioration in anti-seizure medication (ASM) adherence in 2021 compared to 2020 (p = 0.028). There was no correlation between ASM adherence and other lifestyle factors. Over the two years, poor seizure control was significantly associated with poor sleep (p < 0.001) and average seizure frequency in a month (p = 0.007). We concluded that there was no significant difference between seizure control or lifestyle factors between the two most stringent lockdowns in Ireland, in 2020 and 2021. Furthermore, people with epilepsy reported that throughout the lockdowns access to services was well maintained, and they felt well supported by their services. Contrary to the popular opinion that COVID lockdowns greatly affected patients with chronic diseases, we found that those with epilepsy attending our service remained largely stable, optimistic, and healthy during this time.

Living with Epilepsy during COVID-19 pandemic restrictions: A Longitudinal Perspective

The purpose of our study was to explore how people with epilepsy fared during two of the most stringent 4-month society-wide COVID-19 related pandemic restrictions in Ireland, in 2020 and one year later in 2021. This was in the context of their seizure control, lifestyle factors and access to epilepsy-related healthcare services. A 14-part questionnaire was administered to adults with epilepsy during virtual specialist epilepsy clinics in a University Hospital in Dublin, Ireland at the end of the two lockdowns. People with epilepsy were questioned on their epilepsy control, lifestyle factors and quality of epilepsy-related medical care, compared to pre-COVID times. The study sample consisted of two separate cohorts of those diagnosed with epilepsy (100 (51.8%) in 2020, 93 (48.2%) in 2021, with similar baseline characteristics. There was no significant change in seizure control or lifestyle factors from 2020 to 2021, except for deterioration in anti-seizure medication (ASM) adherence in 2021 compared to 2020 (p = 0.028). There was no correlation between ASM adherence and other lifestyle factors. Over the two years, poor seizure control was significantly associated with poor sleep (p <0.001) and average seizure frequency in a month (p = 0.007). We concluded that there was no significant difference between seizure control or lifestyle factors between the two most stringent lockdowns in Ireland, in 2020 and in 2021. Furthermore, people with epilepsy reported that throughout the lockdowns access to services was well maintained, and they felt well supported by their services. Contrary to popular opinion that COVID lockdowns greatly affected patients with chronic diseases, we found that those with epilepsy attending our service remained largely stable, optimistic, and healthy during this time.

How have Covid-19-related changes to tuition modes impacted face-to-face initial teacher education students?

In Semester 1 of the 2020 academic year, face-to-face higher education students in many institutions were instructed to not attend classes or lectures on campus soon after the semester commenced, due to precautions put in place to limit the spread of Covid-19 in institutions across Australia. To sustain education and course progression, students were rapidly transitioned to learning-platforms, and synchronous or asynchronous online instruction. Although this action was needed to help ensure undisrupted learning, little consideration was given to the impact this would have on the students who had chosen to study in the face-to-face mode. The instrumental case study reported in this paper sought to capture the lived experiences of students enrolled in initial teacher education (ITE) programs in mathematics, science, and technology (STEM) units in on-campus, face-to-face mode as they moved to emergency fully online instruction. An initial online survey, constructed in Qualtrics and using a 4-point Likert scale, was sent to these students in Semester 2, and this was followed by semi-structured interviews with those who indicated their willingness to participate. Thirty-two students participated in the survey and 11 in the interviews, and these data were examined through the lens of self-determination theory. The majority of participants preferred the face-to-face mode, yet some were surprised about the affordances of fully online. Although the respondent group was small, the insights gained are of interest to educators in higher education and have the potential to inform new ways of designing and delivering authentic and engaging online and blended learning in these programs.