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1.
NeuroQuantology ; 20(10):4754-4765, 2022.
Article in English | EMBASE | ID: covidwho-2033482

ABSTRACT

Pandemic has not only brought significant changes in the world’s economy. The educational sector has also made abrupt adjustments just to cater to the needs of learners. Among the solution that wasrealized in the Philippines was the implementation of the blended learning modality. Public schools prepared digital and printed copy of modules which will serve as the self-learning kit of the students when the face-to-face teaching was not possible due to the COVID 19 pandemic. Aligned to this context, the present study aimed to gauge the cognitive performance of the students and to know the extent of the usage of digital and printed modules. Utilizing a quantitative approach, the data revealed that the Senior High school students showed similar extent of using the digital and printed module during the implementation of the blended learning modalities. Both were extensively utilized by the respondents. This explains that student’s agreement on the usage of digital copy of the module may be because of their ability on the digital technologies, the availability of gadgets and the internet connectivity knowing for a fact that the research locale is a highly urbanized city. Therefore, the study recommends t hat teachers may consi der the preference of st udent s whether to use di gi tal, pri nted modul e or whatever modal i t i es that are appropri ate to the l earni ng scheme of the st udents.

2.
Journal of Physical Education and Sport ; 22(8):1839-1847, 2022.
Article in English | Scopus | ID: covidwho-2030295

ABSTRACT

Introduction. Given the steady decline in physical activity among all categories of Ukrainian citizens, due to quarantine restrictions caused by the Covid-19 pandemic, there is a threatening trend of declining levels of their physical health. In the last period of time, the world has undergone significant changes, namely the emergence of the Covid-19 virus, which has altered human life. During the pandemic Covid-19, fitness is essential in preventing physical and mental health problems among schoolchildren. This requires the development of preventive measures aimed at increasing the body's resistance to disease. Material and methods. The study was conducted on the basis of the Municipal Institution in the Lviv Regional Council “Lviv Regional Center for Local Lore, Excursions and Tourism of Student Youth”. 51 students participated in the experiment, including 32 boys and 19 girls aged 15. Drawing on their health condition, they were allocated to main medical group. The group of experts included 27 qualified specialists familiar with the issues of children's and youth tourism and physical education. The following methods were used during the research: study, systematization and generalization of literature and best pedagogical experience, expert assessment method, anthropometric, physiological research methods, pedagogical testing, Framingham method of motor activity assessment, methods of mathematical statistics. Results. Among the programmes aimed at high school students, their health and recreation in the framework of out-of-school educational institutions, comprehensive programmes that include lessons of theoretical and practical nature are the most effective. Thus, we offered the programme based on walking tourism. It was aimed at high school students and was introduced within the framework of the out-of-school educational institutions of tourism and local lore. The study proves the changes in the daily activities of adolescents regardless of gender. Comparing to the beginning of the experiment in the structure of their daily motor activity the time spent on a sedentary level has significantly (p<0.05) decreased at the end of the experiemnt. In addition, in all groups the volume of motor activity of medium and high levels statistically (p<0.05) increased. There were positive changes in the indicators of the cardiovascular and respiratory systems, indicators of physical health and fitness. Conclusions. The obtained results testify to the effectiveness of the proposed programme of lessons based on walking tourism with 15-year-old students within the framework of out-of-school educational institutions of tourism and local lore. Therefore, the proposed programme should be included in the organizational and methodological support of health and recreational activities in educational institutions as a part of extracurricular activities focused on tourism and local lore. © JPES.

3.
Spor Bilimleri Arastirmalari Dergisi ; 7(1):24-35, 2022.
Article in Turkish | CAB Abstracts | ID: covidwho-2026353

ABSTRACT

Described as a global epidemic by the World Health Organization and rapidly affecting the world since the beginning of 2020, the Covid-19 pandemic has created many negative effects on both individuals and societies in physical, emotional, social and economic dimensions. In this study, "The anxiety of catching the New Type Coronavirus (Covid-19) of Sports High School Students was examined by considering gender, age, class level and active sports status. The study that carried out with the general screening method which developed by Demir, Cicioglu and Ilhan (2020) the "Athletes' Anxiety Scale for catching New Type Coronavirus (Covid-19)" was used. A total of 683 participants, 444 males and 239 females, studying at sports high schools in the Eastern Anatolia Region, participated voluntarily. In the comparison of the descriptive statistics of the data with two and more groups, the T-Test and One Way ANOVA tests were performed using the SPSS 22.0 package program, respectively, and the level of significance was accepted as p<0.05. While there was no significant difference in the anxiety levels of the participants according to the gender variable, a significant difference was found according to the class(grade) level (p<0.05). The level of anxiety, which was evaluated over two sub-dimensions, showed a similar difference in the socialization anxiety dimension of those who did active sports and those who did not during the covid 19 process, and a significant difference in the individual anxiety dimension (p<0.05). It can be said that the changed environmental conditions that restrict the lifestyle have different effects on individuals according to their demographic characteristics. It is thought that taking into account variables such as age and gender, together with routines related to life, in studies aimed at reducing the negative effects of extraordinary processes on the emotional dimension of individuals and societies will strengthen the efforts in this process.

4.
International Journal of Information and Education Technology ; 12(9):947-955, 2022.
Article in English | Scopus | ID: covidwho-2025928

ABSTRACT

The Covid-19 pandemic has made face-to-face learning unable to take place in class. Therefore, ICT from various platforms is the main choice that must be used, especially in Indonesian language learning for junior high schools. However, the efforts to improve the professionalism of Indonesian language teachers in utilizing ICT for online learning have not been carried out. This study aims to describe 1) the learning tools that utilize ICT, 2) the use of ICT in learning, and 3) the obstacles to the using of ICT in Indonesian language learning at the junior high school level in Buleleng Regency, Bali. This research method is descriptive qualitative. Data collection techniques were carried out using observation, interview, and documentation study techniques. The data were analyzed with the principle of TPACK used in learning. The results show that 1) learning tools that utilize ICT contain components that are integrated with internet technology, 2) ICT in Indonesian language learning at the junior high school level is used to deliver assignments, explain concepts, discuss, and evaluate learning, 3) the obstacles in utilizing ICT by Indonesian language teachers, among others, students lack enthusiasm for learning, poor internet network, and some students are not skilled yet in using applications/technology. Theoretically, this study has an implication to second language learning, especially on Indonesian language using TPACK principle, both in school and higher study level. © 2022, International Journal of Information and Education Technology. All rights reserved.

5.
Religions ; 13(8):732, 2022.
Article in English | ProQuest Central | ID: covidwho-2024028

ABSTRACT

In many countries, those considering enrolling in a Catholic college or university may have a choice between a few universities or none at all. In the United States, they can choose between more than 240 Catholic colleges and universities. This provides a rich array of choices, but it may also make the decision of where to apply and ultimately enroll more complicated. This article provides a simple framework to discuss some of the factors that affect the decision to enroll in higher education and where to enroll. Four basic sequential questions that students may ask are considered: (1) Should I go to college? (2) How should I select a college? (3) How can I compare different colleges? (4) Should I go to a Catholic college? By providing elements of response to these questions, the article provides insights into the decision to enroll in Catholic education and its implications for universities.

6.
Frontiers in Psychology ; 13, 2022.
Article in English | Web of Science | ID: covidwho-2022894

ABSTRACT

This study investigated the parallel mediating effects of positive and negative mood states on the relationship between psychological resilience and emotional stability among first- through third-year senior high school students in China during the challenges of the COVID-19 pandemic. Of 408 questionnaires distributed from April 11 to April 22, 2022, to students at a high school located in Changzhou, Jiangsu, China, 360 were completed correctly and analyzed using a cross-sectional study design. The questionnaire included items from the modified Chinese version of the Psychological Resilience Scale, the Profile of Mood States scale, and the Eysenck Personality Questionnaire Short Scale in Chinese, the latter to assess emotional stability. The mediating effects of mood states on the relationship between psychological resilience and emotional stability were explored by using structural equation modeling and bootstrapping methods. The results indicated that psychological resilience directly affected emotional stability but also indirectly affected emotional stability through the mediating effects of positive and negative mood states. The mediating effect of negative mood states was greater than that of positive mood states. This result differs from that of research conducted prior to the pandemic, which found that compared with the damage caused by negative moods to emotional stability, positive moods more strongly promoted emotional stability. Our findings indicate that high school officials in China should consider strengthening mental health support for students who are taking courses online during home quarantine.

7.
J Health Psychol ; : 13591053221116678, 2022.
Article in English | Web of Science | ID: covidwho-2020999

ABSTRACT

This study examined the influencing mechanism underlying the relationship between the fear of COVID-19 and Chinese international high school students' career maturity by investigating the mediating role of the intolerance of uncertainty. The results indicated that the fear of COVID-19 and the intolerance of uncertainty are negatively associated with international high school students' career maturity. Moreover, intolerance of uncertainty plays a mediating role in the relationship between the fear of COVID-19 and career maturity. The findings contribute to the literature on mental health and have important practical implications for international high school students' mental health and career development.

8.
13th International Conference on Computer Supported Education, CSEDU 2021 ; 1624 CCIS:536-559, 2022.
Article in English | Scopus | ID: covidwho-2013988

ABSTRACT

This paper discusses the design of online video co-creation workshop for ESD (education for sustainable development). Our research team designed and practiced a workshop program for 112 Japanese high school students from July to November 2020. This workshop program aims for high school students to acquire abilities, attitudes, and key competencies emphasized in ESD through co-creating short videos promoting SDGs activity. Focusing on the four teams that were particularly effective from the quantitative data of the workshop, we will analyze the work process of those teams and summarize the design recommendations for the video co-creation workshop. This research explores the possibility of online video co-creation as an ESD method and contributes to sustainable ESD research even in the era of COVID-19. © 2022, Springer Nature Switzerland AG.

9.
Revista Universidad Y Sociedad ; 14(4):562-567, 2022.
Article in Spanish | Web of Science | ID: covidwho-2012478

ABSTRACT

The aforementioned research gives us the opportunity to learn about motivational aspects of young people who attend preparatory education in virtual physical education classes. The young participants in this research are high school students and take physical education classes in each of their 6 semesters for the conclusion of upper secondary education, prior to their undergraduate studies, male and female participants aged between 15 and 19 years old at the time of the investigation, the classes in which the students participate are taught from Monday to Friday from 7H00 to 15H00. This schedule is the same in which they are carried out when the classes are in face-to-face format. The questionnaire applied was the Perceived Motivational Climate in Sport-2 (PMCSQ-2). The students who have been part of this research are regular students who participate in the classes of the 5 physical education teachers who work on campus and who teach their classes virtually or remotely.

10.
2021 AIChE Annual Meeting ; 2021-November, 2021.
Article in English | Scopus | ID: covidwho-2012217

ABSTRACT

In the face of the COVID-19 crisis, parents and educators were tasked with the enormous responsibility of creating a dedicated learning environment for their students at home. While shifting to an online medium was challenging, it provided a unique opportunity for AIChE at UCLA to support K-12 students through its new Remote Reach project. In Remote Reach, designing and delivering personalized interactive lessons to students has proved to be a rewarding and enjoyable experience for members involved. The prospect of online education has enabled our chapter to establish several connections with schools and community groups and develop a new approach to outreach. This year, our chapter's Remote Reach, was a year-long project that was dedicated to helping elementary and high school students learn and get excited about STEM topics while learning from home. We partnered with 3 main schools, 2 elementary schools and 1 high school. For each elementary school, we had a team of 5-10 AIChE members make and present a unique STEM module biweekly to 100+ students. Topics were chosen based on teacher, school, and member input and were designed to include demos, videos, and interactive content. The goal was to facilitate learning and discussion amongst the students using different mediums, rather than just our members lecturing them. These biweekly modules gave the elementary students the opportunity to learn new topics on a regular basis and become comfortable with our members. For the high school, we designed modules that would teach them about what ChemE's do and how wide-ranging our careers can be with videos and an interactive Process Flow Diagram activity. At this workshop, we will introduce innovative ways our chapter has served hundreds of students in the Greater Los Angeles community online, and how all student chapters can grow their own outreach programs in this ever-changing climate. Additionally, we will detail how Remote Reach's techniques can be utilized in both an in-person and online format to best serve your community as guidelines change. © 2021 American Institute of Chemical Engineers. All rights reserved.

11.
Dissertation Abstracts International Section A: Humanities and Social Sciences ; 83(11-A):No Pagination Specified, 2022.
Article in English | APA PsycInfo | ID: covidwho-2011993

ABSTRACT

After the COVID 19 pandemic came to the United States in March 2020, teachers and educational leaders looked to virtual learning as a way for students to overcome learning challenges and improve educational experiences for students. Stakeholders were met with conflicting claims about virtual learning. Proponents of virtual learning claimed virtual teaching and learning platforms strengthened education because they provided additional tools when traditional classroom settings were impossible. Opponents claimed virtual learning resulted in learning loss, therefore failing to improve student learning. In this qualitative interpretive study of a rural school system in Tennessee, using instrumental, semi-structured interviews, I uncovered the perceptions teachers had about student learning environments as a result of virtual learning. The purpose of this study was to determine teachers' perceptions of virtual learning and students' emotional health, students' motivation to learn, students' personalized instruction, students' classroom performance, and students' learning loss in a virtual learning environment. In 24 interviews, teachers in this rural district desired fewer technology gaps, assistance with managing student engagement and attendance, ways to improve missed instruction, and increased training, support, and professional developments in virtual learning. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

12.
Dissertation Abstracts International Section A: Humanities and Social Sciences ; 83(11-A):No Pagination Specified, 2022.
Article in English | APA PsycInfo | ID: covidwho-2011640

ABSTRACT

The 2020 COVID-19 pandemic had substantially altered others' daily social interactions and the delivery of education globally. From preschool to universities, educational institutions worldwide temporarily closed their brick-and-mortar facilities to prevent the spread of the COVID-19 virus. The transition from in-person to virtual learning was very abrupt, and the transition forced teachers of all experience levels to adapt to a new normal of virtual instruction due to the COVID-19 pandemic. The purpose of this phenomenological study was to explore the perceptions of high school special education teachers' confidence to deliver virtual instruction to students within a school district that was 100% virtual due to COVID-19. Five high school SPED teachers participated in virtual interviews using Zoom video conferencing. Results of the study revealed three salient themes: communication, online instruction, and teachers' ability to adapt. Two subthemes of online instruction were identified: perceptions of online instruction and barriers to online instruction. Results of the study indicated the need for teachers to have a streamlined online process for the documentation, delivery, and reporting of special education services. Findings suggested that teachers need professional development available to them that would be tailored to online teaching strategies, student engagement strategies, online platforms that could be utilized to enhance instruction, and virtual tools that could assist teachers in providing services for students with IEPs. Future research using a mixed-methods approach among high school SPED teachers would allow investigators to gather additional qualitative and quantitative data. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

13.
Procedia Comput Sci ; 197: 477-483, 2022.
Article in English | MEDLINE | ID: covidwho-1619710

ABSTRACT

As Covid19 Pandemic hit all over the world, Indonesian high schools are struggled to cope with the sudden and forced switch to fully online learning. This study employed an online survey of Indonesian high school students to understand their behaviour in using online learning. The survey gathers data from 462 respondents who resided in 24 provinces. Theory of Planned Behaviour extended with Perceived Risks and Perceived Costs is used as the theoretical framework. Perceived Risks are used to accommodate concerning security-related news that might affect online activities. Perceived Costs is used to address complaints regarding additional financial burden due to fully online learning, namely cost to access and cost to acquire equipment. SmartPLS version3 is used as the main data analysis tools. The result showed that the Theory of Planned Behaviour is indeed able to explain the use of online learning by Indonesian high school students. Perceived Risks are considered as an influence but only have minimal impact. Perceived Costs does not have any influence on online learning. This might be because Indonesian is quick to act and counter the negative impact of the Covid19 Pandemic. One of the Indonesian Government's efforts is to subsidise Internet costs for students and teachers.

14.
NeuroQuantology ; 20(8):7077-7083, 2022.
Article in English | EMBASE | ID: covidwho-2010525

ABSTRACT

This paper describes the perception of school teachers of Aurangabad city towards teaching using the Open-Source Learning Management System (LMS) MOODLE in teaching science subjects. The Free and Open-Source (LMS) MOODLE has brought a dynamic pedagogical shift in Online Learning due to its nature of robust features and free availability. The outbreak of COVID-19 has forced formal and non-formal educational systems to adopt an Online teaching-learning platform for the transaction of information. In this study, teachers’ perception of using LMS-MOODLE in teaching science to secondary school students of Aurangabad city is studied. The research methodology adopted is the descriptive survey method, and the sample consists of 40 female and 45 male teachers of secondary school students of Aurangabad. In this research, a self-made perception scale (refer to appendix) is prepared with a 5-point Likert-type scale, the reliability of the test found by Cronbach (0.71). The data analysis shows that the perception among female and male school teachers of Aurangabad city, [U = 766.5, p =.23] in teaching science using LMS-MOODLE is almost the same. Further, the perception between groups, i.e., primary and secondary school teachers of Aurangabad city, [U = 878.5, p =.898] towards using LMS-MOODLE in teaching science was also found to be identical. The study results suggest that female and male school teachers have similar perceptions towards teaching science subjects by using LMS-MOODLE.Similarly, primary and secondary school teachers have identical perceptions towards teaching science subjects by using LMS-MOODLE. The most plausible reason for the similar perceptions among male and female teachers at the primary and secondary levels is the application of the Internet and technology in learning and teachingduring the pre-COVID-19 and post-COVID-19 pandemics and the social distancing implemented by the authority.

15.
Frontiers in Psychiatry ; 13, 2022.
Article in English | EMBASE | ID: covidwho-2009907

ABSTRACT

Objective: Adolescents are likely to suffer from negative emotions such as depression and anxiety due to the rapid development of biological, cognitive and social changes. Previous studies have indicated possible risk (rumination) and protective (good social support and high sleep quality) factors for depression and anxiety among this age group. The present study is the first to investigate the association between social support and negative emotions during the Outbreak of Omicron variant, on this basis, to further determine the mediating role of rumination and sleep quality on this link. Method: A total of 1,065 Chinese middle- and high-school students (51.5% female, Mage = 13.80, SD = 1.20) completed a psychosocial battery, including the Social Support Rating Scale (SSRS), the Pittsburgh Sleep Quality Index (PSQI), the Ruminative Responses Scale (RRS), the Depression Anxiety Stress Scale (DASS). Serial multiple mediation analysis was conducted using PROCESS macro based on SPSS. Results: Social support, rumination, and sleep quality were significantly negatively correlated with negative emotional states (Ps < 0.05). Further, rumination and sleep quality were found to partially mediate the relationship between social support and negative emotional states. Conclusions: For early detection and prevention of depression and anxiety, providing sufficient social support is necessary for adolescents, because rumination and sleep problems are reported during stressful periods, such as the COVID-19 pandemic.

16.
Journal of Behavioral Addictions ; 11:304, 2022.
Article in English | EMBASE | ID: covidwho-2009747

ABSTRACT

Risk factors for problematic smartphone use (PSU) have rapidly become an important area of research due to the prevalence of smartphones and functional impairment associated with PSU. Our aim was to examine anxiety sensitivity (AS) as a mediating variable between both depression and anxiety with PSU severity. Participants (N = 4,752) from junior and senior high schools in Tianjin, China completed a web-based survey with measures of depression, anxiety, AS, and PSU. Inferential analyses revealed significant differences between males and females on PSU severity (η=.02). Results of structural equation modeling indicated good model fit (CFI=.956;TLI=.954;RMSEA = .05), and that anxiety was positively associated with AS when adjusting for depression (β = .951, S.E. = .043);and AS was significantly associated with greater PSU severity, adjusting for age and sex (β = .474, S.E. = .013). Additionally, AS mediated relations between anxiety and PSU severity (β = .451, S.E. = .024). Current findings are consistent with theoretical models of problematic internet use (I-PACE) and previous research linking AS to other kinds of behavioral addictions (e.g., smoking, alcohol use).

17.
Journal of Clinical Oncology ; 40(16), 2022.
Article in English | EMBASE | ID: covidwho-2009589

ABSTRACT

Background: Complicating the pandemic are the healthcare disparities experienced by ethnic minorities, including Black and Hispanic Americans. This is further exacerbated in those ethnic subgroups, especially if they have comorbidities, including cancer. With the introduction of COVID-19 vaccines, the shift is now focused on promoting vaccination. However, vaccine hesitancy and motives of why ethnic minority cancer patients receive or do not receive vaccines have not been explored and are the focus of this study. Methods: A cross-sectional survey was administered among cancer patients to understand the knowledge and attitude towards COVID-19 vaccines at a single institution in a predominantly ethnic minority population between February 1-June 30, 2021. The participant's inclusion criteria were >18 years old and diagnosed with solid or hematologic malignancy. Descriptive statistics were used to summarize the patient characteristics, COVID-19 vaccine knowledge, and uptake motives. A composite score of COVID-19 and vaccine knowledge was derived and its role on vaccination status was assessed using a multivariable logistic regression model. Results: Of 52 patients surveyed, COVID-19 vaccination prevalence during the survey was 40.4% (95% CI: 27, 54.9). Participants' average (sd) age was 63.5 (13.6) years;42% were male, 36% were Black, and 30% Hispanic;65% were receiving active treatment for their cancer. Seventy-nine percent believed COVID-19 infection to be dangerous or harmful to them, 61% were concerned about the side effects of the COVID-19 vaccine, yet 65% considered vaccines safe. Those refusing the vaccine (n=7) cited side effects (71%) or believed that the vaccine was not needed (57%). Of those who were unvaccinated (n=31), 48.4% (n=15) got vaccinated post-survey. The odds of vaccination was 3.79 (1.63, 8.82) times higher with a 1 unit increase in COVID-19 knowledge score but was not significant in the multivariable model. The final model suggested that the odds of vaccination increased 2.9 times more for a 1 unit increase in vaccine knowledge score;Blacks were two times more likely to get vaccinated and those with more than high school education had a five-fold increase in vaccination. The model results are presented in Table. Conclusions: This exploratory study has demonstrated that there are multiple reasons why an ethnic minority cancer patient would be vaccinated and possible reasons why they would not. This information will become important in improving vaccine campaigns targeting these populations and ensuring their safety and protection against COVID-19.

18.
Annals of the Rheumatic Diseases ; 81:1091, 2022.
Article in English | EMBASE | ID: covidwho-2009181

ABSTRACT

Background: Many measurement tools are designed to assess disease activity for Rheumatoid Arthritis (RA) patients. One of the most used tools is the Disease Activity Score-DAS28 which assesses the number of painful joints, erythrocyte sedimentation, and a patient's global assessment. The assessment is performed by a clinician and requires laboratory exams. Unfortunately, from March to August 2019, Colombia had one of the strictest responses to the COVID-19 pandemic according to the COVID-19 stringency Index(1). One of the main restrictions was the preventive isolation of older populations, especially those with comorbidities. These restrictions challenged the rheumatology practice because face-to-face consultations were not possible. Due to the above, measurements like the PAS-II score should be used to assess disease activity during the pandemic. Objectives: To describe disease activity according to the Patient Activity Score-PAS-II score patients with RA and compare its results to the most recent DAS28 assessment before the COVID-19 pandemic. Methods: We conducted a descriptive study;patients were followed during the COVID-19-lockdown in a video consultation. The PAS-II score was applied to assess disease activity as an alternative to the DAS28 assessment. The patients were part of an educational program, clinical charts were reviewed to collect the study variables. We collected demographic data and DAS28 before the pandemic started. We present a descriptive analysis of DAS28 severity and the results obtained by the PASS-II score. Results: The educational program enrolled 250 participants;196 patients had complete data. 93% of participants were women, mean age was 64 years IQR (54-67). 43% of participants were married or had a civil union, 26% were single, 20% divorced, and 11% were widowed. Regarding educational level, 25% had fnished elementary school and 39% high school;the remaining 36% had higher education. When we compared the last DAS28 assessed by a rheumatologist between January, and March 2019, 67% of patients were in remission, while in July 2019, the PASS-II score reported that 7% of patients were in remission and 75% had low or minimal activity. Figure 1-Table 1. Conclusion: The PASS score is a helpful tool to assess disease activity in patients with RA, especially in situations where the patient cannot see a rheumatologist in a face-to-face consultation;however, patients in severe disease activity should not delay the consultation with a clinician. As other studies have demonstrated, patient-reported outcome measures should be adopted in clinical practice as an alternative for treat-to-targe strategies(2). Further studies should be conducted to assess the impact of the pandemic in countries with high levels of restrictions in the course of RA.

19.
Annals of the Rheumatic Diseases ; 81:1704-1705, 2022.
Article in English | EMBASE | ID: covidwho-2009169

ABSTRACT

Background: During the COVID-19 pandemic, Canadians with RA faced considerable uncertainty due to greater risk of infection, hospitalization, changing access to RA medications, and very limited access to in-person RA care. Further, to reduce transmission of the virus and COVID-related hospitalizations, stringent mitigation measures were implemented across the country to greatly reduce social contacts including curfews, limits on private gatherings and business closures. Little is known about the impact of the COVID-19 pandemic and associated mitigation efforts in RA. We hypothesized that women and younger adults with RA would report greater impairments in HRQL. Objectives: To compare changes in HRQL prior-to and during the COVID-19 pandemic by sex and age groups in real-world RA patients seen in routine practice settings. Methods: Data were from patients in the Canadian Early Arthritis Cohort (CATCH) who completed a study visit in the year prior to the COVID-19 pandemic (Mar 2019 through Feb 2020) and a repeat assessment during the pandemic period (Mar 2020-Jan 2022). RA disease activity was assessed using the RA Flare Questionnaire, a validated patient-reported measure of current RA disease symptoms (pain, stiffness, fatigue) and function (physical, participation). An RA-FQ score ≥ 20 was used to classify RA symptoms consistent with an RA infammatory fare. HRQL was assessed using PROMIS-29 Adult Profiles. We compared changes in mean Physical (PHS) and Mental Health (MHS) scores, and the proportion of patients with impairments in each domain (i.e., scores ≥ 55 for pain interference, fatigue, anxiety, depression, and sleep and ≤45 for physical function and participation) before and during the COVID-19 pandemic across sex and age groups (<40, 40-64, ≥65 years). Results: The 938 CATCH participants in the analytic sample with data available at both time periods had a mean (SD) age of 60 (13) and RA symptom duration of 5.8 (3.7) years;72% were women, 88% were white, and 64% reported >high school education. Most (80%) were in CDAI REM/LDA at the most recent visit prior to start of pandemic. The proportion of patients with RA-FQ ≥20 were similar at both time periods. While physical and emotional RA symptom impacts remained stable in men prior to and during the COVID-19 pandemic, women reported signifcant increases in anxiety and depression during the pandemic period. Younger RA patients <40 reported increases in depression, and older RA patients (65+) reported increases in anxiety and greater impacts on participation. Conclusion: Our results illustrate that while the proportions of patients with high infammatory disease activity were similar prior to and during the COVID-19 pandemic, we observed disproportionate impacts on HRQL by sex and age with a higher proportion of women, adults <40, and those ≥65 years of age experiencing greater impairments in several HRQL domains.

20.
Pediatrics ; 149, 2022.
Article in English | EMBASE | ID: covidwho-2003469

ABSTRACT

Background: To strengthen the pathways for diverse applicants to health professional school, we need to rethink traditional strategies for providing outreach as current measures haven't met the growing needs. The Tour for Diversity in Medicine (T4D) was established as a grassroots effort to mediate pipeline leakiness through a mission to educate, inspire, and cultivate future health professionals of diverse racial and ethnic background. Coronavirus, though, changed the landscape of engaging with students. In April 2020, T4D conducted new virtual sessions beginning with Instagram live interview sessions. This progressed to a virtual mentorship conference, #VirtualT4D, which engaged with >1300 viewers over four days, including high school, undergraduate, and medical students from diverse backgrounds across the globe. To strengthen the pediatrician pipeline, T4D adapted its model to provide pediatric careerspecific mentorship virtually through the Pediatric Mentoring Circles (PMC) to trainees considered underrepresented in medicine and students from backgrounds considered disadvantaged. Methods: Student recruitment was conducted through T4D social media channels (Twitter, Instagram). This targeted premedical students from high school through postbaccalaureate level. Faculty included six pediatrician mentors from T4D, representing various training levels from residency to junior faculty with different specialty backgrounds. Monthly sessions were conducted from September-December 2020. Grant funding was obtained through the American Association of Pediatrics “Pediatric Pipeline Innovation Program” mechanism. Results: Fifty-five students were selected and divided into groups with the six T4D faculty mentors. Students represented 16 states with >90% representing underrepresented racial/ ethnic backgrounds. Importantly, 42% of students never previously attended a pipeline program, 65% are first generation college students, 75% will be the first healthcare worker in their family, and 100% would be the first physician in their family. Five topic areas were addressed (applying to medical school, goal setting and network development, pediatrics career opportunities, pediatrics leadership, and the impact of racism on child and adolescent health) through workshops utilizing different learning modalities. Students were provided pre and post workshop learning articles and tools for further developing their professional identity formation, through goal setting, network mapping, and personal reflections. Conclusion: T4D PMC increased exposure to pediatrics through a unique virtual model with scaffolded sessions based on the students' education level and a supportive environment to foster professional identity formation through pediatric-focused mentorship. Additionally, PMC provided introductory knowledge and skills for students regarding the medical school/ residency application process. Students appreciated the virtual model as it gave them a national tiered network of peers and mentors. Mentors empowered students to continue their journeys to pediatrics by embracing shared experiences through stories about successes and hardships. Next steps include long-term evaluation of student outcomes and partnering with organizations such as Association of Pediatric Program Directors as the next planned cohort targets medical students from diverse backgrounds.

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