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Aim: To understand Parkinson's Disease (PD) care partners' a) specific challenges that led to worsening strain and b) their suggestions for supports to help them during the ongoing pandemic. Method: Using a qualitative descriptive design, semi-structured interviews with family care partners (n = 19) were completed. Participants were recruited from 10 sites across the United States that varied in size, demographics of patient population served, and geographic location (urban, suburban, rural). Interviews were audio-recorded, de-identified, transcribed verbatim, and coded in a phased manner. The research team analyzed the data and identified themes. Results: During the pandemic, the already difficult task of caregiving was made worse by having to choose between poor options. Five themes exemplified PD care partner experiences: (1) Managing risks and benefits of medical care in settings outside the home vs meeting these needs at home; (2) Struggling to maintain employment benefits with the costs of care and risks of bringing in outside caregivers; (3) Struggling to balance caregiving and self-care; (4) Struggling to be supportive and taking on new caregiving roles in the face of less support services; and (5) Wanting social connections and feeling pressured to maintain isolation. Care partners wanted timely access to, and guidance from healthcare teams to help them. Conclusions: Care partner burden was worsened by lack of guidance when confronted by choices that could lead to negative outcomes. Movement disorder and palliative care providers may be able to alleviate some care partner burden through building systems for timely access and guidance.
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Restrictions during the COVID-19 pandemic significantly affected people's opportunities to engage in activities that are meaningful to their lives. In response to these constraints, many people, including older adults, turned to digital technologies as alternative ways to pursue meaningful activities. These technology-mediated activities, however, presented new challenges for older adults' everyday use of technology. In this paper, we investigate how older adults used digital technologies for meaningful activities during COVID-19 restrictions. We conducted in-depth interviews with 40 older adults and analyzed the interview data through the lens of self-determination theory (SDT). Our analysis shows that using digital technologies for meaningful activities can both support and undermine older people's three basic psychological needs for autonomy, competence, and relatedness. We argue that future technologies should be designed to empower older adults' content creation, engagement in personal interests, exploration of technology, effortful communication, and participation in beneficent activities. © 2023 ACM.
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Satisfactory housing conditions define, in many aspects, people's comfort and a high standard of living. The psychological and social characteristics of residents strongly determine housing needs and preferences. They also depend on economic, spatial, technical, and cultural factors. The Covid-19 pandemic, which humankind had been experiencing for two years, influenced all spheres of human life, especially inhabitation. The functional program of homes has changed, as well as public spaces, transportation and social ties. While the future is uncertain, the many changes provoked by the pandemic might become irreversible. This paper aims to present how the phenomena mentioned above have influenced the housing environment and residential preferences and trends that may follow. A survey conducted among Cracow residents in Autumn 2021 revealed a significant shift in lifestyles that corresponded with the change in residential needs, preferences and attitudes towards the housing environment. Working from home has induced redefining the use of particular rooms/spaces. For safety, families attempted to reorganize the entrance zone. Outdoor public spaces have become more appreciated following the trend of healthier everyday life. Over the long term, the pandemic experience may significantly influence the residential market. [ FROM AUTHOR] Copyright of Real Estate Management & Valuation is the property of Sciendo 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.)
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Introduction: According to the National Academies of Science, Medicine, and Engineering, even before the pandemic, 24% of Americans 65+ were considered socially isolated, and 43% of adults 60+ were lonely. Both experiences are associated with serious physical and mental health problems, including increased risks of dementia, stroke, depression, and suicidal ideation. As older adults engage in stricter social distancing to protect themselves from COVID-19, their risk of social isolation and loneliness is heightened. According to research by the Kaiser Family Foundation, 46% of adults 65+ reported that the worry and stress caused by pandemic has had a negative impact on their mental health. In order to combat this unique challenge, we must employ innovative, flexible solutions that adapt to the shifting circumstances and an uncertain future. Method(s): WH SeniorLink has developed an innovative program for integrating friendly visiting, mutual aid, needs assessment and case management, all delivered remotely by trained volunteers. The program was conceived, developed and executed since the beginning of COVID-19 restrictions and has grown to become a fully fledged 501(c)(3) organization, and is a model of flexible service delivery during this unusual time. The program operates through a volunteerism-mutual aid model. Volunteers are trained using online modules and quizzes and supervised by a licensed social worker, including training on needs and risk assessment. Volunteers are then matched with an older adult with similar interests and language preferences to provide friendly weekly phone calls, care packages and letters. Older adults with higher needs are referred to WH SeniorLink's service navigation program which operates using the online platform, Apricot, and is staffed by masters level social work interns and supervised by licensed social workers. Service navigation involves conducting comprehensive assessments and identifying resources and referrals. Older adults who express interest are also paired with each other to provide social support. Barriers to program development have included identifying consistent funding sources and volunteer attrition. Result(s): Data shows 169% growth in contacts made with older adults between May and October, with 2.5 times more older adults served in November than in May. Initial responses to the Dejong Gierveld Loneliness Scale and qualitative data collection reflect that older adults continue to feel lonely and isolated in the midst of the pandemic, but that WH SeniorLink is helping. By placing emphasis on empowering older adults to form sustained relationships with volunteers and their peers, WH SeniorLink encourages reciprocal relationships through which older adult participants are valued for their experiences and contributions. Conclusion(s): The mission of WH SeniorLink is to strengthen community ties and improve health outcomes among older New Yorkers by providing social-emotional support and connection to essential services. WH SeniorLink was founded during the COVID-19 pandemic, in response to the myriad of new challenges faced by older adults including greater risk of social isolation and increased disconnection from essential services. However, we recognize that the pandemic has only exacerbated a problem that began long before, and older adults are at risk of being left behind in the coming months and beyond. Funding(s): WH SeniorLink is funded by a starter grant from Columbia School of Social Work and subsequent crowdfunded donations.Copyright © 2021
ABSTRACT
The United States faces an unprecedented mental health crisis, with youth and young adults at the center. Even before the COVID-19 pandemic, nearly 50 percent of college students reported at least one mental health concern. The COVID-19 pandemic notably exacerbated these issues and underscored the urgent need to identify and implement ways to ameliorate the youth mental health crisis. In 2021, the National Academies of Sciences, Engineering, and Medicine called on the field of higher education to address growing concerns about student mental health by identifying and elevating emerging and promising approaches that offer a more holistic way to support students' mental health. Serving as the main entry point for more than 40 percent of students seeking a postsecondary degree, community colleges represent a tremendous and untapped opportunity to better address mental health in the United States, particularly for students who have been traditionally underserved (e.g., students of color, first-generation students, and low-income students). However, community colleges have limited evidence and guidance to inform the implementation of multilevel, holistic approaches to support students with varying mental health needs. To address this knowledge gap, this report shares a descriptive study of eight community colleges at the forefront of implementing multilevel approaches (a combination of prevention, early intervention, and treatment services) to support student mental health, as well as key facilitators for and barriers to their success. [For "How Community Colleges Can Support Student Mental Health Needs. Research Brief. RB-A2552-1," see ED627489.]
ABSTRACT
The United States faces an unprecedented mental health crisis, with youth and young adults at the center. Even before the coronavirus disease 2019 (COVID-19) pandemic, nearly 50 percent of college students reported at least one mental health concern. Without adequate mental health support, college students, including those at community colleges, may be at risk for a variety of academic and nonacademic consequences that negatively affect their overall well-being, including lower college completion rates, higher rates of substance use, and lower lifetime earning potential. This research brief describes a study examining eight community colleges from across the United States which found that, although the institutions did offer mental health services, most lacked a clear organizing framework for those efforts, and that financial challenges limited the support offered to students. The research also highlighted the importance of community college leaders explicitly prioritizing student mental health, as well as broad staff buy-in to the effort. [For the full report, "Supporting the Mental Health Needs of Community College Students. Research Report. RR-A2552-1," see ED627480.]
ABSTRACT
With the COVID-19 pandemic, environmental changes, reduced access to social life and services, and disruption of routines have a negative impact on children with special needs and their families. The health care needs of children with special needs, which have not been adequately met in the past, have gradually increased during the pandemic period. During the pandemic, the existing discrimination and social exclusion of children with special needs continued, and this situation caused serious problems by causing disruptions in their development as well as in their use of treatment and health services. Children with special needs are individuals who need to be evaluated and strategic initiatives planned to reduce the limitations of the COVID-19 pandemic. In this direction, it is necessary to increase the measures for children with special needs and their families. © 2023, Dokuz Eylul University. All rights reserved.
ABSTRACT
Children and young people with disability are a "vulnerable" population within a pandemic context as they face structural inequities and discrimination as a result of their impairments. In this paper, we report research that sought to examine the learning experiences of children and young people with disability during the COVID-19 pandemic. We wanted to understand how this group fared and whether different interventions impacted on these experiences. Data were collected from an online survey organized by Children and Young People with Disability Australia (CYDA) that garnered responses from more than 700 families. The study contributes empirical evidence to the growing literature about COVID-19-related impacts on learners already recognized as experiencing multiple disadvantages in schooling. We find some significant gaps in supports offered to students with disability and their families. Notwithstanding that some students did not receive any support from their schools, where supports were offered, social supports had the greatest positive impact on feelings of learner engagement. Our findings support key propositions in the social and emotional learning literature, namely that particular resourcing should be dedicated to social interaction and feelings of belonging as these are crucial to learners engaging in learning processes. There are clear implications of these findings in terms of what educational institutions might do to help engage students with disability in remote learning.
ABSTRACT
A hybrid workstyle is becoming more common post-COVID-19, and longer occupancy hours at home are increasing household electricity consumption. Small homes are regarded as a potential for improving energy efficiency in the residential sector, and a home consists of mixed-function spaces with dynamic occupancy behaviors. These underpin the opportunity to optimize presence sensing lighting in small homes for energy efficiency and user-behavioral needs. A comprehensive overview of presence sensing approaches, comparing four types of non-wearable sensors connected to home lighting is made. A bibliometric mapping of the reviewed literature visually reinforces a significant research gap that presence sensing studies were not connected to home lighting but inclined toward the commercial and institutional context. Next, a non-exhaustive example of commercially available presence sensing products applicable to residential lighting for small homes is analyzed, and their general characteristics and technologies are synthesized. The literature and product overview identified five significant product knowledge gaps. Incorporating the gathered information leads to the proposal of a conceptual flexible radar-based sensor (prototype design), addressing a wish list with three important criteria to optimize future presence sensing lighting in a mixed-function small home. Future radar sensing studies are expected to develop an anticipatory lighting system that processes real-time multi-user vital signals for smarter localized and personalized lighting options for (small) living environments.
ABSTRACT
Purpose: The aim of this study was to investigate the relationship between the functionality of disabled children and its effects on parents during the Covid-19 pandemic. Method(s): A total of 168 people, including 84 disabled children and 84 mothers, were included in the study. The Pediatric Disability Assessment Inventory (PEDI) and Gross Motor Function Classification System (GMFCS) were used for children with disabilities. The Zarit Burden Scale (ZBS), Fatigue Severity Scale (FSS) and The Nordic Musculoskeletal Questionnaire (NMQ) were applied to the mothers to question musculoskeletal disorders. Result(s): There was no correlation between care burden score and PEDI, total score, self-care and mobility scores (p>0.05). A moderately negative (r=-0.306;p<0.01) significant linear relationship was found between care burden score and social function score. There was no significant linear relationship between the fatigue severity score and PEDI total score, self-care, mobility and social function scores (p>0.05). No correlation was found between care burden score and fatigue severity score (p>0.05). For the last 12 months, only the pain in the lumbar region of the parents prevented them from doing their usual work. It was determined that the most aching body parts of the parents who complained of musculoskeletal pain during the last 12 months were in the waist, neck, shoulder, back, and knee regions. Conclusion(s): As a result, no relationship was found between the functionality of disabled children and their parents' influences during the Covid-19 pandemic.Copyright © 2022 Turkish Physiotherapy Association. All rights reserved.
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Objectives: The current study aims to identify the psychosocial needs of frontline Healthcare Workers (HCWs) during the COVID-19 pandemic and investigate the factors contributing to their psychosocial well-being. Methods: We conducted a cross-sectional study using an online survey designed specifically for the aim of this study. Data was collected from 315 frontline healthcare workers during the COVID-19 pandemic. Results: Up to 90 % of the responders reported a range of symptoms related to psychological distress such as worry, insomnia, lack of motivation, negative thoughts, inability to achieve goals, and burnout. Psychological support, religion-based support, communicating with family, and good sleep are among the stress-relieving factors most mentioned by HCWs. The change in work conditions and increased awareness of the need to use different strategies to overcome stress was associated with decreased levels of perceived stress among health care providers. Conclusion: The change in work conditions, the increased awareness of HCWs to their needs, and the use of different strategies to overcome were associated with decreased levels of perceived stress among HCWs. The increased number of working hours per day and younger age of the participants were the only significant independent variables detecting the need for psychological support. This research is a call for designing and implementing tailored needs-based interventions that address the different aspects of HCWs' well-being during public health emergencies. [ FROM AUTHOR] Copyright of Arab Journal of Psychiatry is the property of Arab Federation of Psychiatrists 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.)
ABSTRACT
Many students had to transition to online learning due to the COVID-19 pandemic while other students were already enrolled in online education. Online study may hold additional struggles for students with learning disabilities. The problem addressed in this qualitative, phenomenological study was the motivating factors of online higher education students who have a learning disability during the COVID-19 pandemic. The theoretical foundation was Maslow's hierarchy of needs. Data were gathered through 10 semistructured interviews and then analyzed through the thematic analysis yielding five themes: (a) lack of professional support, (b) resources, (c) support system, (d) consistent motivation, and (e) low motivation. These findings showed that students needed support within families and educational institutions to continue to be successful in their schooling and motivated. Additionally, it showed that students needed resources to better help them succeed in their assignments. Implications for positive social change include better understanding of how students are motivated when doing online school despite the different challenges they may be experiencing. Additionally, this study may also contribute to social change by informing other students that they are not alone during the process of their education and that there are ways to continue to be motivated. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic has led to immediate school closures resulting in online learning. Online learning under such circumstances has presented challenges for teachers of students with mild to extensive support needs. The current study interviewed twenty special education teachers about the strategies they used when teaching online and the challenges they faced. Teachers discussed several strategies including the use of direct instruction, providing active engagement, caregiver involvement, and their frequent use of informal assessments. Challenges included time constraints and student inattention. Findings of this study can be used to inform strategies to use when teaching students with special needs online and in future online emergency teaching environments.
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Background: The COVID-19 pandemic, together with the cost-of- living crisis, have shone a light on health inequalities running through our society - not least in UK lung cancer. Lung cancer has the widest deprivation gap of all cancers. Despite published data about socio-economic factors, the amount of evidence available about other health inequalities is poor. Method(s): The Bridging the Gap report is the output from a Health Inequalities focus-group meeting of the UKLCC's Clinical Advisory Group in June 2022. These opinions were supplemented by views and information gathered from 15 interviews with leading lung cancer and health inequalities experts, from across the four UK nations in August/September 2022. Further desk research and literature reviews were carried out over the same period. Result(s): The report calls for a 'comprehensive' approach to data collection on health inequalities - to bridge gaps in current knowledge, improve outcomes and ensure people with lung cancer have equitable access to diagnosis, treatment, and care - wherever they live and from whatever background. Key recommendations include: * Extending the remit of the National Lung Cancer Audit (NLCA) to collect more data on ethnicity, LGBTQ+ and other health inequality factors - such as gender, religion and disability. * Establishing a single, coordinated data strategy, compiling evidence on health inequalities at local, regional and national levels. * Introducing a Personal Care and Access Card scheme, carried by the patient, combining their Holistic Needs Assessment information with their personal treatment and care plan to facilitate transfer of information between hospitals and specialists. * Disease awareness campaigns targeted to address local needs and communities. Conclusion(s): The UKLCC believes that - with the implementation of these recommendations and support from policy makers, commissioners and clinicians - we can successfully mitigate health inequalities in lung cancer and have further impact on lung cancer outcomes. Report accessible here: www.uklcc.org.uk/our-reports Disclosure: No significant relationships.Copyright © 2023 Elsevier B.V.
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The COVID-19 pandemic impacted the educational experiences of diverse student populations throughout the country and among Virginia public schools. English Learners (ELs) had a unique set of needs and services prior to the pandemic, and potentially were more vulnerable to pandemic-related disruptions in typical school operations than other student groups. We analyze statewide, student-level administrative data on the composition of the EL population, the identification for and reclassification out of EL services, and the exit of ELs from public school enrollment in kindergarten through grade twelve between the 2010-11 and 2020-21 school years to examine changes between the pre-pandemic period and first post-pandemic onset year (2020-21). Our key findings include the following: (1) Following the onset of the pandemic, the number of students classified as EL decreased for the first time in a decade. Specifically, whereas the number of students classified as EL increased by 26.0% (25,171 more students) between 2010-11 and 2019-20, the number of students classified as EL decreased by 3.2% (3,852 fewer students) between 2019-20 and the first post-pandemic onset year (2020-21). (2) There was a 21.6% decline (6,223 fewer students) in the number of Virginia K-12 public school students newly identified for EL services in 2020-21 as compared to 2019-20. The drop in new EL identification occurred across student groups, but was largest among Hispanic students, economically disadvantaged students, and ninth graders. (3) The number of EL students reclassified as fully English proficient decreased by 57.3% (8,169 fewer students) in 2020-21 as compared to the pre-pandemic period. This decline is nearly three times the size of the previous largest year-to-year change. The drops in reclassification among ELs occurred across student groups and were somewhat larger among Hispanic and economically disadvantaged students. (4) EL students' exits from Virginia public schools in the post-pandemic onset were a continuation of pre-pandemic trends and did not meaningfully vary by race/ethnicity, economically disadvantaged status, or disability status.
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Background: The COVID-19 pandemic catalyzed major changes in how youth mental health (MH) services are delivered. Understanding youth's MH, awareness and use of services since the pandemic, and differences between youth with and without a MH diagnosis, can help us optimize MH services during the pandemic and beyond. Objective(s): We investigated youth's MH and service use one year into the pandemic and explored differences between those with and without a self-reported MH diagnosis. Method(s): In February 2021, we administered a web-based survey to youth, 12-25 years, in Ontario. Data from 1373 out of 1497 (91.72%) participants were analyzed. We assessed differences in MH and service use between those with (N=623, 45.38%) and without (N=750, 54.62%) a self-reported MH diagnosis. Logistic regressions were used to explore MH diagnosis as a predictor of service use while controlling for confounders. Result(s): 86.73% of participants reported worse MH since COVID-19, with no between-group differences. Participants with a MH diagnosis had higher rates of MH problems, service awareness and use, compared to those without a diagnosis. MH diagnosis was the strongest predictor of service use. Gender and affordability of basic needs also independently predicted use of distinct services. Conclusion(s): Various services are required to mitigate the negative effects of the pandemic on youth MH and meet their service needs. Whether youth have a MH diagnosis may be important to understanding what services they are aware of and use. Sustaining pandemic-related service changes require increasing youth's awareness of digital interventions and overcoming other barriers to care.Copyright © 2023, Canadian Academy of Child and Adolescent Psychiatry. All rights reserved.
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This paper examines whether destination cards can simultaneously serve tourists' needs and sustainability goals. It provides useful insights for tourism authorities and policymakers in designing a smart tourist card that meets the needs of tourists while preserving and supporting areas' wellbeing. Taking Thessaloniki city as a case study, a tourist survey, designed based on the key features of European destination cards, was implemented to identify needs and motivations. Interesting insight was revealed: tourists want to self-explore the city, are coming with their families, are history-lovers and gastronomy-keen, and are strongly willing to be provided with a destination card offering unlimited access to public transport. The latter reveals an opportunity for the city;the tourists are willing to use sustainable mobility options, which means that a base of sustainable travelling exists. The proposed Thessaloniki smart card can bring together tourists' needs with the city's sustainability goals;the development of tourist packages, including sustainable mobility provisions, walking-talking tours, and bike rentals, should be the backbone of the card. The next challenge for the city is to build a cooperation network to support this smart destination card implementation and promotion.
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Two hundred seventy-four million people-one in thirty people on the planet-are in humanitarian need as of September 2022.1 More than one hundred million of these individuals are displaced, usually as a result of crisis: conflict, political upheaval, economic meltdown, or climate shocks.2 In a humanitarian crisis, health is the most urgent and paramount need. But today the system for preventing and addressing humanitarian crisis is failing, and with it, the health needs of millions of vulnerable people are under threat. From treating childhood acute malnutrition to delivering COVID-19 vaccines to ensuring access to sexual, reproductive, maternal, and newborn health, health care in humanitarian contexts requires a dramatic rethink amid growing challenges to access and service delivery.
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Intervention following alternative events is essential for continued cognitive development. Prior research has cognitive growth models and the effect of alternative stimuli on youth when given similar foundations. Following the return to school after a national pandemic and extended school closure following the COVID-19 outbreak of 2020, it is vital to determine factors to increase positive post-secondary outcomes for students. This research study examined the potential impact of student mental health on academic achievement in response to school closure following a pandemic. The research study consisted of 92 individual students and was a quasi-experimental quantitative study. Data consisted of two nominal independent variables and one scale dependent variable. The independent variables were participation in school based mental health or non-participation and the dependent variables were STAR 360 benchmark assessments in reading and math. Scaled Score and Normal Curve Equivalent were analyzed utilizing SPSS to calculate statistical significance within the data set. The data from this study indicated statistically significant growth in reading and math post-school closure as well as statistical significance in between all benchmark assessments in relation to time but no statistical significance due to school based mental health. The findings represent students who were presented with alternative stimuli and required intervention to return to commensurate cognitive growth. Following the pandemic closure, schools needed to develop additional levels of support that reconnected students to school and furthered social and emotional learning practices. Analysis of pre- and post-extended school closure data as well as the main effect of time in posttest analysis suggests that universal support over time may correlate to increased academic achievement and growth. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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This chapter focuses on how faculty teaching online graduate courses needed to modify teaching practices and make adjustments and accommodations in response to student needs during the COVID-19 pandemic. Although the online platform did not need to change, student stressors significantly increased. This was particularly true in the Educational Leadership Department at New Jersey City University (NJCU), located in the most diverse city in the United States and in the epicenter of the pandemic. Most students were impacted directly by the pandemic with many becoming ill and losing loved ones. As a graduate program focusing on developing leadership skills, our student body is comprised of working professionals in the field of education. In addition to having to manage personal stressors, students who are educators and administrators in the K-12 and community college setting also had to shift teaching, learning, and supportive services from face-to-face to remote environments in a matter of days or weeks. Examples of how we gained an understanding of our student needs and responded to these needs are provided. © Springer Nature Switzerland AG 2021. All rights reserved.