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1.
ACM International Conference Proceeding Series ; : 59-63, 2022.
Article in English | Scopus | ID: covidwho-20245025

ABSTRACT

After two years of online learning, minor changes happened in some tiny places which we may not always notice. These changes may impact the school management, education arrangement, and curriculum design: what do students expect from their teachers, and the school? Are they expecting forever online learning, and getting their degree completely online? In this study, we examined 93 final-year students from the school of computing science which mainly used work-based learning applied to learn pedagogy. We analyze their viewpoint on how COVID-19 changed their understanding of teaching and learning: what is the role of teachers and students? And how do they see the arrangement for the internship program? We found that over 92% of students agree that a creditable degree can better secure a job;over 68% of the students believed that face-to-face teaching is still a better choice, but at the same time, over 73% wish to have the materials recorded so that they can access them at their convenience time. We also examined some of the course design elements, especially those related to the internship program, to achieve a possible curriculum improvement for the students in the Asia Pacific region. © 2022 ACM.

2.
Biomedicine (India) ; 43(2):649-654, 2023.
Article in English | EMBASE | ID: covidwho-20238245

ABSTRACT

Introduction and Aim: India experienced the peak of the second wave of COVID-19 during April to June 2021. Massive surge of cases resulting in shortage of beds and oxygen, home care was recommended as a strategy for management of asymptomatic/mild COVID-19 cases. The present study was undertaken to perform home visits and monitor COVID 19 patients who are a part of home-based care programme (HBCP) in Puttur taluk of Dakshina Kannada district, identification and immediate referral of patients with red flag signs/ symptoms and to identify barriers/challenges faced by health care staff in implementing the programme. Methodology: The present study was a cross-sectional study with universal sampling. It was carried out as part of a district programme for management of home isolation COVID-19 patients. The team visited the houses of COVID-19 patients and evaluated them. Result(s): A total of 112 COVID-19 patients were in home isolation during the study period in Puttur Taluk. Hypertension (29.5%) was the most common co-morbidity and nearly two-fifths (41.1%) of the study participants had one or more comorbidities. Almost two-third (63%) of the patients with comorbidities were symptomatic compared to only 29.4% of patients without any comorbidities. Of the six patients who had saturation of less than 95% five were more than 60 years of age, only one had received vaccination against COVID-19 and all had comorbidities. The HBCP had to face several challenges as the team members could not be in full PPE because of long distances between the houses and hard to reach areas. Conclusion(s): Overall, it is a helpful initiative for patients as the health services were provided at the doorstep during the time of restriction of movement. This can be an important tool in managing not only COVID pandemic but also future outbreaks that may follow.Copyright © 2023, Indian Association of Biomedical Scientists. All rights reserved.

3.
Academic Journal of Naval Medical University ; 43(10):1113-1119, 2022.
Article in Chinese | EMBASE | ID: covidwho-20235885

ABSTRACT

In 2020, the European Association of Preventive Cardiology proposed the important role of exercise-based cardiac rehabilitation (CR) in the management of cardiovascular and metabolic diseases, and called on everyone to take action. This paper discusses the current status and future perspective of individualized active exercise-based CR for coronary artery disease (CAD) from 4 dimensions, including the basic and clinical research progress of exercise-based CR for CAD, evidence on the benefits of exercise-based CR on ameliorating CAD complications, the exercise-based CR guidelines in different countries, and the implementation of exercise-based CR under coronavirus disease 2019 pandemic, so as to provide reference for research and clinical work.Copyright © 2022, Second Military Medical University Press. All rights reserved.

4.
AIDS Behav ; 2023 Jun 07.
Article in English | MEDLINE | ID: covidwho-20244506

ABSTRACT

The COVID-19 pandemic created disruptions in HIV testing service utilization among men who have sex with men (MSM). The present study was to evaluate the effectiveness of an online health promotion program implemented by a community-based organization (CBO) in increasing the uptake of any type of HIV testing and home-based HIV self-testing (HIVST) over a six-month follow-up period. Participants of an observational prospective cohort study conducted during the same period served as the comparison group. This study was conducted between September 2020 and December 2021. Participants were Chinese-speaking adult MSM who were HIV-negative/unknown sero-status recruited through multiple sources in Hong Kong, China. Participants in the intervention group were exposed to the following health promotion components: (1) viewing an online video promoting HIVST, (2) visiting the project webpage, and (3) having access to a chargeable HIVST service implemented by the CBO. Among 400 and 412 participants in the intervention group and the comparison group, 349 (87.3%) and 298 (72.3%) completed follow-up evaluation at Month 6. Multiple imputation was used to replace missing values. At Month 6, participants in the intervention group reported significantly higher uptake of any type of HIV testing (57.0% versus 49.0%, adjusted odds ratios [AOR]: 1.43, p = .03) and HIVST (25.8% versus 14.8%, AOR: 2.04, p = .001), as compared to those in the comparison group. Process evaluation of the health promotion components for the intervention group was positive. Promoting HIVST is a potentially useful strategy to increase HIV testing service utilization among Chinese MSM during the pandemic.

5.
Biochem Mol Biol Educ ; 2023 Jun 14.
Article in English | MEDLINE | ID: covidwho-20235146

ABSTRACT

The COVID-19 pandemic caused several educational challenges. Conducting laboratory experiments was an uphill task during the pandemic. Here, we developed a low-cost and reliable home-based experimental setup to teach column and thin layer chromatography (TLC) using silica gel granules available at home. Powdered silica gel, prepared by grinding silica gel granules, was used as the stationary phase. Iso-propyl alcohol, purchased from a pharmacy, was diluted with water and used as the mobile phase. A food coloring was chromatographically separated using the designed column. Moreover, TLC plates were prepared using powdered silica gel and a drop of food coloring was separated on TLC plates using the same mobile phase. In the article, we show our experiences by providing methods used to implement this experimental setup. We assume that this experimental setup will be helpful for other universities, research institutes and schools to develop online laboratory curricula to demonstrate basic chromatography techniques required for subjects such as chemistry, biochemistry and biology.

6.
Vigilancia Sanitaria Em Debate-Sociedade Ciencia & Tecnologia ; 11, 2023.
Article in English | Web of Science | ID: covidwho-20230869

ABSTRACT

Introduction: The development of new diagnostic tests for SARS-CoV-2 is a strategic component for the prevention and control of COVID-19. To regulate the market for SARS-CoV-2 antigen detection self-tests, the regulatory agency issued a resolution that provided for the introduction of self-tests in Brazil. Objective: To perform a comparison between the new technical requirements of antigen self-tests for COVID-19 with data and information available in the literature. Method: This is a systematic literature review to carry out a comparative study between the scientific evidence and the new technical requirements for the commercialization of antigen self-tests for COVID-19 in Brazil. The search was performed in October 2021, and updated in January 2022. Results: Of the 517 studies identified, nine were included. The studies reported adequate sensitivity and specificity results for most self-tests performed in symptomatic people. The studies bring a variety of tests available and one of them was registered for commercialization in Brazil. Based on this outcome, national regulation follows standards that favor the promotion of self-monitoring by the population, which can contribute to a public health policy. Conclusions: The technical requirements contained in the new regulation and at the national level are consistent with the evidence found, which ensures reliability for decision-making by consumers, clinicians and service providers. It is necessary to continue with studies on self-test coverage for new variants, biological material disposal policies and how the use of self-tests can contribute to the role of consumers in health surveillance actions.

7.
World Leisure Journal ; : 1-20, 2023.
Article in English | Web of Science | ID: covidwho-20230637

ABSTRACT

Before COVID-19, perceived freedom in leisure (PFL) was rarely considered based on academic majors. This study examined student PFL during COVID-19 lockdowns. 340 Iranian students studying physical education, non-physical education, and medical sciences took an online Witt and Ellis (1985) scale survey in July and August 2021. The one-sample t-test showed that students' PFL (M = 3.78) exceeded the hypothesized value (test value = 3). ANOVA showed a significant difference in PFL means between the three groups (F = 7.530, P < 0.01). Medical sciences students had the lowest PFL (3.45), and physical education students had the highest (3.86). Iranian students' high PFL likely indicates they don't have lessons or schoolwork, giving them a sense of freedom even during pandemics.

8.
Internet Research ; 33(3):1157-1178, 2023.
Article in English | Academic Search Complete | ID: covidwho-2324102

ABSTRACT

Purpose: Home-based workouts via fitness YouTube channels have become more popular during the pandemic era. However, few studies have examined the role of social media personae related to intention to exercise. The purpose of this study was to investigate the structural relationships between fitness YouTuber attributes: perceived physical attractiveness (PPA), perceived social attractiveness (PSA), perceived similarity (PS), parasocial relationships (PSRs), wishful identification (WI), physical outcome expectations (POEs), and continuous intention to work out with fitness YouTubers (CIWFY). Design/methodology/approach: This study considered fitness YouTube channel viewers as the unit of analysis. An online survey was conducted to empirically develop and test the research model using structural equation modeling (SEM). Findings: The SEM empirical findings revealed that the PSRs were significantly influenced by PSA, PPA, and PS. Also, WI was significantly affected by PPA and PS. Furthermore, POEs were significantly impacted by PPA and PSRs. POEs affected the CIWFY. Lastly, PSRs and POEs mediated the influence of PSA and PPA on the CIWFY. Originality/value: The psychological impacts of exercising to online fitness videos in the era of COVID-19, with its untact (no contact) social norms is timely. The study model demonstrated the fitness YouTube viewers' cognitive path from perceptions toward fitness YouTubers' attributes to behavioral intention. To be specific, the current study demonstrated how three attribution types (i.e. PPA, PSA, and PS) of fitness YouTubers affect viewers' PSRs and WI with fitness YouTubers, along with POEs and CIWFY. Along with health practitioners, fitness YouTubers who want to captivate viewers on their channels might need to consider self-attributes from their viewers' standpoint and should build psychological bonding with viewers. [ FROM AUTHOR] Copyright of Internet Research is the property of Emerald Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

9.
Academic Journal of Naval Medical University ; 43(10):1113-1119, 2022.
Article in Chinese | EMBASE | ID: covidwho-2323205

ABSTRACT

In 2020, the European Association of Preventive Cardiology proposed the important role of exercise-based cardiac rehabilitation (CR) in the management of cardiovascular and metabolic diseases, and called on everyone to take action. This paper discusses the current status and future perspective of individualized active exercise-based CR for coronary artery disease (CAD) from 4 dimensions, including the basic and clinical research progress of exercise-based CR for CAD, evidence on the benefits of exercise-based CR on ameliorating CAD complications, the exercise-based CR guidelines in different countries, and the implementation of exercise-based CR under coronavirus disease 2019 pandemic, so as to provide reference for research and clinical work.Copyright © 2022, Second Military Medical University Press. All rights reserved.

10.
Journal of Human Sport and Exercise ; 18(2):336-345, 2023.
Article in English | Scopus | ID: covidwho-2326573

ABSTRACT

The purpose of this study was to examine the effect of 8 week a selected home based exercise program by consuming coffee on blood lipid profile of inactive middle-aged men in pandemic COVID-19 condition. The present study is a semi-experimental methodology and 44 middle-aged men with fatty liver were randomly divided into four groups of 11 cases: home-based exercise, coffee, home-based exercise + coffee, control. Blood test was used to measure blood lipid profile. The combined home-based exercise intervention was performed for 8 weeks, three sessions and 60 minutes per session. Coffee intervention consumed 10 grams of coffee per every other day. The results showed that weight, body mass index, LDL cholesterol, total cholesterol and triglyceride decreased significantly after eight weeks of training in all three experimental groups and HDL cholesterol increased significantly (p <.05). It seems that performed combined home-based exercise and in combination with coffee consumption can be effective in improving the blood lipid profile of inactive middle-aged men in quarantine and paired COVID-19 conditions and prevent liver damage. © Faculty of Education. University of Alicante.

11.
Age and Ageing ; 51(12) (no pagination), 2022.
Article in English | EMBASE | ID: covidwho-2320086
12.
Transportation Research Record ; 2677:904-916, 2023.
Article in English | Scopus | ID: covidwho-2319100

ABSTRACT

In this study, we used survey data (n = 6,000) to investigate the work trip patterns of Scottish residents at various points of the COVID-19 pandemic. We focused specifically on the reported patterns of weekly work trips made during the government-enforced lockdown and subsequent phases of restriction easing. This was of particular importance given the widespread changes in work trips prompted by COVID-19, including a significant rise in telecommuting and a reduction in public transport commuting trips. The survey data showed that the vast majority of respondents (;85%) made no work trips during lockdown, dropping to;77% following the easing of some work-related restrictions. Zero-inflated hierarchical ordered probit models were estimated to determine the sociodemographic and behavioral factors affecting the frequency of work trips made during three distinct periods. The model estimation results showed that the socioeconomic characteristics of respondents influenced work trips made throughout the pandemic. In particular, respondents in households whose main income earner was employed in a managerial/professional occupation were significantly more likely to make no work trips at all stages of the pandemic. Those with a health problem or disability were also significantly more likely to make no work trips throughout the pandemic. Other interesting findings concern respondents' gender, as males were more likely to complete frequent work trips than females throughout the pandemic, and differences between densely populated areas and the rest of Scotland, as respondents from a large city (Edinburgh or Glasgow) were significantly more likely to make frequent work trips as restrictions were eased. © National Academy of Sciences: Transportation Research Board 2021.

13.
Int J Educ Dev ; 100: 102812, 2023 Jul.
Article in English | MEDLINE | ID: covidwho-2318853

ABSTRACT

This study examines the effect of parental engagement on children's continued learning amid COVID-19-induced school closures in Uganda, where the government's distance learning program had limited coverage. The results show that children from households with more parental engagement are more likely to engage in learning activities at home when primary schools are closed. A significant effect of parental engagement is found in rural areas as well. Furthermore, we found that, in rural areas, the level of parental engagement is significantly more correlated with home-based learning among children from government schools than those from private schools.

14.
Clin Nurs Res ; 32(5): 895-901, 2023 06.
Article in English | MEDLINE | ID: covidwho-2317389

ABSTRACT

It is estimated that at least 10% of people who have had COVID-19 will experience ongoing symptoms such as shortness of breath, fatigue, and cognitive disturbances. Pulmonary exercise has demonstrated improved dyspnea outcomes in other respiratory conditions. Thus, the purpose of this study was to assess the efficacy of a home-based pulmonary rehabilitation program in post-COVID-19 survivors who continue to experience dyspnea. This was a longitudinal, single group pilot study in which 19 patients received a home-based expiratory muscle strength training program over 12 weeks. Outcomes measured at baseline, 6 weeks, and 12 weeks included pulmonary symptoms, functional performance, thoracic expansion, forced expiratory volume, and expiratory resistance measures. Significant improvements were found in pulmonary symptoms (p < .001), functional performance (p = .014), and progressive expiratory resistance capabilities (p < .001). A home-based pulmonary program may be an inexpensive strategy for post-COVID-19 survivors who continue to experience dyspnea.


Subject(s)
COVID-19 , Pulmonary Disease, Chronic Obstructive , Humans , Pilot Projects , Dyspnea/rehabilitation , Quality of Life
15.
J Int Soc Sports Nutr ; 20(1): 2206802, 2023 Dec.
Article in English | MEDLINE | ID: covidwho-2315697

ABSTRACT

OBJECTIVE: This study examined the effect of vitamin D supplementation, sunlight radiationradiation, and home isolation during the COVID-19 pandemic on the seasonal changes in 25(OH)D concentration and selected biomarkers in young soccer players along a one-year training cycle. METHOD: Forty elite young soccer players (age: 17.2 ± 1.16 years, body mass: 70.2 ± 5.84, and body height: 179.1 ± 4.26 cm) participated in the research. Only 24 players completed the measurements during all four time- points (T1-: September 2019, T2-: December 2019, T3-: May 2020, and T4-: August 2020) and were divided into two subgroups: supplemented group (GS) and placebo group (GP). Players from GS received 5,000 IU of vitamin D for 8 weeks (January-MarchJanuary-March 2020). Several biomarkers such as 25(OH)D, white blood cells (WBC), red blood cells (RBC), hemoglobin (HGB), muscle damage markersmarkers, and lipid profile were measured. RESULTS: AnalysisThe analysis of the total group demonstrated significant seasonal changes in 25(OH)D, HGB, asparagine aminotransferaseaminotransferase, and creatine kinase along the one1-year training cycle. The level of 25(OH)D concentrationinconcentration in T4 was significantly (p < 0.001, pη [ = 0.82) higher in both subgroups in comparison to T2 and T3. Moreover, the significant (p = 0.023) but poor (r = -0.23) correlation between 25(OH)D and WBC was calculated. CONCLUSION: Current research confirmed the significant seasonal changes in 25(OH)D concentration during four seasons. 8-weekEight-week vitamin D supplementation had no extended effect on the level of 25(OH)D concentration.


Subject(s)
COVID-19 , Soccer , Adolescent , Humans , Biomarkers , Dietary Supplements , Hemoglobins , Pandemics , Seasons , Soccer/physiology , Sunlight , Vitamin D , Vitamins
16.
Journal of Southeast Asian Economies ; 39:S34-S61, 2023.
Article in English | Web of Science | ID: covidwho-2307345

ABSTRACT

Governments worldwide have introduced various programmes to facilitate distance learning in home settings during the COVID-19 school closure. However, given cross-country variations in state capacity, these schemes differ significantly in design, delivery and coverage. Within-country variation in poverty and home conditions also create added challenges for home-schooling programmes. Therefore, case studies examining country-specific initiatives are necessary. To this end, this paper examines the Pengajaran dan Pembelajaran di Rumah (PdPR) in Malaysia, an upper-middle-income country with high Internet coverage and a low level of extreme poverty. Data come from a purposefully designed nationwide social media survey on secondary school children conducted in January 2021. Under the PdPR scheme, the government created various technology-based platforms to ensure online learning. By way of studying children's participation in educational activities during school closure, this paper presents a descriptive assessment of PdPR. We first develop a conceptual framework to summarize the initiative. Then we examine the scheme in three aspects: the regularity of online lessons offered by school authorities;the extent of use of specific components and the medium of access of PdPR by learners;and their subjective evaluation of and difficulties faced with online schooling. Data confirm a significant socio-economic divide by income and location in access to EdTech as well as home support provisions. Most importantly, online lessons are irregular, and a significant proportion of students find online programmes challenging to follow. Given the dissatisfaction, most prefer to return to onsite education once schools reopen.

17.
Am J Prev Cardiol ; 13: 100454, 2023 Mar.
Article in English | MEDLINE | ID: covidwho-2311442

ABSTRACT

Objective: Sparse patterns in fixed-terrestrial broadband internet access are predominantly observed among older adults and low income areas, which are interrelated factors also associated with low center-based cardiac rehabilitation (CR) utilization in the United States (US). Telehealth CR is proposed to increase CR utilization under an assumption that fixed-terrestrial broadband internet access is readily available nationwide and parallels CR utilization demand. We aimed to characterize national, geographical, and urban-rural patterns in fixed-terrestrial broadband internet access, CR eligibility rates, and center-based utilization throughout the US. Methods: Centers for Disease Control data were used to estimate CR eligibility rates and center-based utilization for 2017-2018 among Medicare fee-for-service beneficiaries aged ≥65 years. Census Bureau data for 2018 were used to estimate fixed-terrestrial broadband internet access among households of adults aged ≥65 years. Results: Southern states exhibited the highest percentage of households without broadband internet [median (IQR): 32% (24-39)] coupled with the highest CR eligibility rates [per 1,000 beneficiaries, median (IQR): 18 (15-21)] and lowest participation rates [percentage completing ≥1 session, median (IQR): 25% (17-33)]. Compared with urban areas, rural areas demonstrated significantly higher eligibility rates [15.5 (13.2-18.4) vs. 17.4 (14.5-21.0)], participation rates [30.6% (22.0-39.4) vs. 34.6% (22.6-48.3)], and percentage of households without broadband internet [23.8% (18.1-29.2) vs. 31.6% (26.5-37.6)], respectively. Conclusion: Overlapping patterns in fixed-terrestrial broadband internet access and CR eligibility rates and center-based utilization suggest telehealth CR policies need to account for the possibility that lack of broadband-quality internet access could be a barrier to accessing telehealth CR delivery models.

18.
Int J Pharm Pract ; 31(3): 298-304, 2023 May 07.
Article in English | MEDLINE | ID: covidwho-2308832

ABSTRACT

BACKGROUND: Due to their low bioavailability, biopharmaceuticals are typically administered via injection or infusion in a hospital setting. Home-based therapy could be a valuable alternative for cancer patients. However, when exposed to stressors, such as high or low temperatures, particles can form in the biopharmaceutical solution, compromising the safety and efficacy of the biopharmaceutical. AIM: This research investigated current practises with ready-to-administer biopharmaceuticals to determine if it is possible to offer cancer patients home-based therapy with monoclonal antibodies. METHODS: First, a questionnaire was conducted with the survey tool Survalyzer among Amsterdam UMC patients receiving immunoglobulins at home. Secondly, a web-based questionnaire (Survalyzer) was sent to pharmacists throughout Europe with a home-based therapy programme in place. RESULTS: The patient questionnaire (n = 52) showed that the biopharmaceutical is stored outside the recommended temperature range by 38% of the patients. Additionally, 17% of the patients do not recall getting any information on how to store their biopharmaceuticals, and 23% would like more information on the subject. Furthermore, the questionnaire amongst pharmacists (n = 21) showed that there is a lack of resources and logistical challenges when home-based therapy is applied to biopharmaceuticals used in cancer therapy. CONCLUSION: Home-based therapy with monoclonal antibodies for cancer patients is challenging to implement.


Subject(s)
Biological Products , Neoplasms , Humans , Biological Products/adverse effects , Antibodies, Monoclonal/therapeutic use , Neoplasms/drug therapy , Europe
19.
Journal of Turkish Science Education ; 20(1):84-118, 2023.
Article in English | Scopus | ID: covidwho-2302612

ABSTRACT

Home-based biology experiments (HBEs) are practical learning activities that allow students to perform safe and relevant experiments at home. Motivated by the need to innovate teaching approaches in science education due to the COVID-19 pandemic, this study was conducted to determine the effects of home-based biology experiments (HBEs) on their knowledge gains, self-efficacy, and perceived level of engagement. In addition, students' teachers' and parents' feedback were also investigated. This study employed a quasi-experimental research design using a mixed-method approach involving a pre-test/post-test design in which ten teacher-collaborators and 836 pupils participated. Fifteen-item teacher-made parallel tests and the 38-item perceptions, self-efficacy and engagement questionnaire were distributed via Google Forms. Results revealed that most participants strongly agreed that HBEs were lesson congruent and risk-free, the materials were readily available, and it was fun and challenging (M=3.56, SD=0.77). Moreover, HBEs were found to be effective in improving pupils' knowledge gains (T=119, z=-4.56, p=0.04), self-efficacy (M=3.36, SD=0.71), and perceived level of engagement (M=3.45, SD=0.69). Responses were significantly different when grouped according to grade level, gender, and type of HBEs used. The results of thematic analysis were categorised as "Affordances" and "Constraints". Six subthemes emerged from the Affordances: "Safety", "Feasibility", "Independent Learning", "Learning Material", and "Affordability", while there were four subthemes for "Constraints": "Expenses", "Student Interaction", "Availability", and "Time Management". It can be concluded that home-based biology experiments are effective and relevant teaching strategies to deliver practical learning in the distance learning modality. © 2023,Journal of Turkish Science Education. All Rights Reserved.

20.
Journal of Rural Mental Health ; 47(2):114-122, 2023.
Article in English | APA PsycInfo | ID: covidwho-2300828

ABSTRACT

School-based telebehavioral health is one avenue to increase students' access to mental health services, especially for students who are less likely to access traditional community mental health settings due to a lack of transportation to distant sites, financial resources, and other barriers. With the shortage of child behavioral specialists in Kansas' rural and underserved communities, the Telehealth ROCKS (Regional Outreach to Communities, Kids, and Schools) program was created to address student behavioral health needs at school through telehealth. Since 2018, this program has provided approximately 1,600 mental health appointments. With public health mandates and a shift to online school, the COVID-19 pandemic led to a rapid telehealth transition from services in rural supervised school settings to direct-to-consumer services in homes. The authors describe the challenges and opportunities experienced during this transition across telebehavioral health specialties: (a) developmental/autism assessments, (b) developmental behavioral interventions to address problem behaviors, (c) child and adolescent psychological services, (d) medical complexity services, and (e) child and adolescent psychiatry. The authors then describe the overall transition from school-based to home-based services based on national Guidelines for Evidence-Based Child Telebehavioral Health domains: Patient Appropriateness, Crisis Management/Safety, and Logistics/Administrative Protocols. This experience and lessons learned can inform other school-based telemental health programs considering expansion to home-based services. The authors also discuss evolving telehealth policy and the reimbursement environment, with continued relevance due to continued COVID-19 outbreaks impacting school services and future public health emergencies affecting schools. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement This report shares lessons learned when rapidly transitioning the Telehealth ROCKS rural telebehavioral health services from the supervised school setting to the unsupervised home setting during the COVID-19 pandemic to meet escalating student behavioral health needs. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

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