Sleep across childhood during the COVID-19 pandemic: A narrative review of the literature and clinical case examples

Without the structure and schedule of traditional activities such as in-person school and socialization, evidence is emerging of pediatric sleep changes during the COVID-19 pandemic. A narrative review was conducted of the sleep literature during the pandemic for preschoolers, school-aged children, and adolescents. Changes in sleep and risk and protective factors for sleep heath during the COVID-19 pandemic are reviewed along with real-life clinical case examples for each developmental period. Given the high rates of pediatric sleep disturbance, clinicians, researchers, and policymakers should refine screening strategies and facilitate referrals for behavioral interventions to support sleep health during pandemics and other natural disasters. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Changes in uk pre-schooler's mental health symptoms over the first year of the covid-19 pandemic: Data from co-spyce study

Background The COVID-19 pandemic caused significant disruption to the lives of children and their families. Pre-school children may have been particularly vulnerable to the effects of the pandemic, with the closure of childcare facilities, playgrounds, playcentres and parent and toddler groups limiting their opportunities for social interaction at a crucial stage of development. Additionally, for parents working from home, caring for pre-school aged children who require high levels of support and care, was likely challenging. We conducted an intensive longitudinal, but not nationally representative, study to examine trajectories of pre-schoolers' mental symptoms in the United Kingdom during the first year of the COVID-19 pandemic. Methods UK-based parents and carers (n = 1520) of pre-school-aged children (2-4 years) completed monthly online surveys about their pre-schoolers' mental health between April 2020 and March 2021. The survey examined changes in children's emotional symptoms, conduct problems and hyperactivity/inattention. Results In our final mixed-effects models, our predictors (fixed effects) accounted for 5% of the variance in each of conduct problems, emotional symptoms and hyperactivity/inattention symptoms scores, and the combined random and fixed effects accounted for between 64% and 73% of the variance. Pre-schoolers' emotional problems and hyperactivity/inattention symptoms declined from April through summer 2020 and then increased again during the autumn and winter 2020/2021 as lockdowns were re-introduced. Pre-schoolers who attended childcare showed greater decline in symptom severity than those who did not. Older children, compared to younger, showed greater lability of emotion symptom severity. Attending childcare predicted lower symptom severity across all three domains of conduct problems, emotional symptoms, and hyperactivity/inattention, while the opposite pattern was observed for children whose parent had a mental health problem. Conclusions Our findings reinforce the importance of examining pre-schoolers' mental health in the context of micro and macro-level factors. Interventions focussing on family factors such as parent mental health, as well as continued provision of childcare, may have most potential to mitigate the impact of COVID-19 on young children's mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

"O-M-G this has really affected us": The pandemic experiences of early childhood and primary grade interventionists

The COVID-19 pandemic has resulted in wide disruptions to in-person schooling which have exacerbated conditions in the public-school system. While creating chaos in general, these disruptions have also affected the assessment of children and the delivery of instructional interventions, processes which are crucial to the implementation of Response to Intervention, in which children receive increased academic support at progressive tiers of intervention.The current study used a qualitative design aligned to the classic cultural-historical methods used by Vygotsky. Specifically, this study examined the experiences of Birth to 3-years-old and Kindergarten to Grade Three interventionists, who provided intervention to children during the pandemic.Nine participants, four Birth to 3-years-old interventionists and five Kindergarten to Grade Three interventionists, participated in a series of focus groups in which research questions were presented as tools for analysis. All sessions were audio and video recorded. The data were transcribed and analyzed using in-vivo codes, subcategories, dominant categories and themes.Five themes emerged from the data analysis. The first two themes related to alterations of service but remained distinct on the basis of whether the alteration was in relationship to a social need or of material necessity. The next two themes were primarily characterized by verbal responses that indicated emotions or feelings. The final theme was a distinct set of verbal responses about future orientation and characterized by concerns about educational practice and children's experiences. The study's findings capture how interventionists altered services for children during the pandemic, the experience of providing intervention during the pandemic and expectations about intervention in subsequent school years.The methodology developed for this study suggests the potential to align modern methods to classical cultural-historical methods. The data also reveal specific alterations that interventionists implemented, perspectives on their experience and concerns. These verbal responses serve as rich vignettes of the COVID-19 pandemic and have implications for District-level, and other public policy decisions. These findings underscore the importance of conducting studies within a methodological framework that emerges on a clear theoretical basis and may inform future research of Response to Intervention. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

A study of dual-language preschoolers with moderate to severe autism: perspectives and practices of professionals in Boston-area Massachusetts public school districts

The rate of autism continues to increase globally across cultures and languages. Inequities exist in early access to an autism diagnosis and necessary evidence-based education and related services for dual-language children in the U.S. This qualitative dissertation study investigated the perspectives and practices of 10 educators and therapists working in the Boston area of Massachusetts with dual-language preschoolers with moderate to severe autism. Data was collected via semi-structured interviews on Zoom. Practitioners described their commitment to their students and families. Using a social constructivist phenomenological approach, the data analysis of the practitioners' responses resulted in seven main findings. Assessment procedures for special education eligibility determination, monitoring progress, or 3-year-reevaluations did not address the required practice of assessment in the home language. Instructional practices described included early childhood and monolingual special education with little mention of cultural and language factors. Barriers to dual-language instruction were highlighted, leading to the use of primarily monolingual practices in special education and related services. Challenges identified included accessing competent interpreters, the limited availability of early childhood bilingual special education professional development, and rare support from English as a second language (ESL) teachers. Parents' language barriers impacted their understanding of the special education process for their children and led to a delayed start of evidence-based autism services. Priorities for language instruction did not address the social communication needs of dual-language students with autism across settings. Additional barriers were identified regarding student access to appropriate online education and therapy for dual-language preschoolers during the COVID-19 pandemic. A limitation of this study is the research context of the pandemic lockdown, making it challenging to access practitioners and collect data. Recommendations include the development of state standards for teacher preparation and professional development, policy change from monolingual to bilingual early childhood special education, and further research that includes dual-language preschoolers with autism. Using a bilingual special education approach with continuation of the native language and a focus on social communication development across home, school, and communities can support the most significant progress in learning and best quality of life outcomes for dual-language preschoolers with autism and their families. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Preschooler stressor-related thoughts and worries during the COVID-19 pandemic: Development and validation of a caregiver-report instrument

There is little evidence on cognitions that are associated with emotional and behavioral problems in preschoolers during stressful events such as the COVID-19 pandemic. This article presents the initial development and validation of a caregiver-report instrument, the Preschooler Stressor-related Thoughts and Worries (PSTW) scale, developed during the COVID-19 pandemic. In 2020, caregivers from two countries reported on their child's cognitions at baseline (T0) and three months later (T1;age 3-5 years;Australia: N = 559;United States: N = 346). Exploratory factor analysis (EFA) was conducted with the Australian sample at T0 and confirmed with the U.S. sample at T0. Exploratory factor analysis suggested a one-factor model including 10 items. Results of the confirmatory factor analysis failed to clearly support this structure (comparative fit index = .91, root mean square error of approximation = .11). Construct validity was supported by positive associations between PSTW scores and emotional and behavioral problems. Although the PSTW is a promising instrument to assess preschooler cognitions related to COVID-19, further investigation of its performance in other contexts (e.g., other countries, other stressful or traumatic events) is needed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

"O-M-G this has really affected us": The pandemic experiences of early childhood and primary grade interventionists

The COVID-19 pandemic has resulted in wide disruptions to in-person schooling which have exacerbated conditions in the public-school system. While creating chaos in general, these disruptions have also affected the assessment of children and the delivery of instructional interventions, processes which are crucial to the implementation of Response to Intervention, in which children receive increased academic support at progressive tiers of intervention.The current study used a qualitative design aligned to the classic cultural-historical methods used by Vygotsky. Specifically, this study examined the experiences of Birth to 3-years-old and Kindergarten to Grade Three interventionists, who provided intervention to children during the pandemic.Nine participants, four Birth to 3-years-old interventionists and five Kindergarten to Grade Three interventionists, participated in a series of focus groups in which research questions were presented as tools for analysis. All sessions were audio and video recorded. The data were transcribed and analyzed using in-vivo codes, subcategories, dominant categories and themes.Five themes emerged from the data analysis. The first two themes related to alterations of service but remained distinct on the basis of whether the alteration was in relationship to a social need or of material necessity. The next two themes were primarily characterized by verbal responses that indicated emotions or feelings. The final theme was a distinct set of verbal responses about future orientation and characterized by concerns about educational practice and children's experiences. The study's findings capture how interventionists altered services for children during the pandemic, the experience of providing intervention during the pandemic and expectations about intervention in subsequent school years.The methodology developed for this study suggests the potential to align modern methods to classical cultural-historical methods. The data also reveal specific alterations that interventionists implemented, perspectives on their experience and concerns. These verbal responses serve as rich vignettes of the COVID-19 pandemic and have implications for District-level, and other public policy decisions. These findings underscore the importance of conducting studies within a methodological framework that emerges on a clear theoretical basis and may inform future research of Response to Intervention. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Exploring play-based writing in a hybrid bilingual preschool classroom

The purpose of this qualitative action research project was to explore using an emergent literacy perspective to provide play-based writing opportunities for preschool bilingual children. For this dissertation, I focused on the following research questions: (1) What does play-based writing look like in a hybrid bilingual preschool classroom? (2) How does the medium of instruction (virtual or in-person) mediate children's engagement with writing during the COVID-19 pandemic? Through the utilization of a funds of knowledge approach, I explored play-based writing within my hybrid bilingual preschool classroom, and examined how the medium of instruction guided students' engagement in play-based writing. I argue that: (1) The development and maintenance of confianza directly related to students' involvement in play-based writing;(2) The incorporation of students' funds of knowledge and interests into play-based writing opportunities facilitated motivation for students to engage in play-based writing;(3) Scaffolding play-based writing was possible via in-person and virtual instruction;(4) Technological barriers affected students' abilities to engage in play-based writing;(5) Caretakers' perceptions of emergent literacy shifted throughout the course of the study. My work can be used to inform future research about the effectiveness of virtual home engagements in building confianza with families. It can also be used as a reference to how children's play is interconnected between home and school. Future research that examines play-based writing may benefit from using my example on recipe-writing to help build an understanding of how students' lived experiences influence their motivation to engage in play-based writing. (PsycInfo Database Record (c) 2022 APA, all rights reserved)