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Priorities for Safer In-Person School for Children With Medical Complexity During COVID-19.
Kelly, Michelle M; DeMuri, Gregory P; Barton, Hanna J; Nacht, Carrie L; Butteris, Sabrina M; Katz, Barbara; Burns, Rebecca; Koval, Shawn; Ehlenbach, Mary L; Stanley, Julia; Wald, Ellen R; Warner, Gemma; Wilson, Louise F; Myrah, Gary E; Parker, Daniel E; Coller, Ryan J.
  • Kelly MM; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • DeMuri GP; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Barton HJ; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin.
  • Nacht CL; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Butteris SM; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Katz B; Family Voices of Wisconsin, Madison, Wisconsin.
  • Burns R; Children and Youth with Special Health Care Needs, State of Wisconsin Department of Health Services, Madison, Wisconsin.
  • Koval S; Children and Youth with Special Health Care Needs, State of Wisconsin Department of Health Services, Madison, Wisconsin.
  • Ehlenbach ML; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Stanley J; Healthy Kids Collaborative, UW Health, Madison, Wisconsin.
  • Wald ER; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Warner G; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Wilson LF; Wisconsin Department of Public Instruction, Wisconsin.
  • Myrah GE; Wisconsin Council of Administrators and Special Services, Wisconsin.
  • Parker DE; Wisconsin Department of Public Instruction, Wisconsin.
  • Coller RJ; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Pediatrics ; 149(3)2022 03 01.
Article in English | MEDLINE | ID: covidwho-1705029
ABSTRACT

OBJECTIVES:

To establish statewide consensus priorities for safer in-person school for children with medical complexity (CMC) during the coronavirus disease 2019 (COVID-19) pandemic using a rapid, replicable, and transparent priority-setting method.

METHODS:

We adapted the Child Health and Nutrition Research Initiative Method, which allows for crowdsourcing ideas from diverse stakeholders and engages technical experts in prioritizing these ideas using predefined scoring criteria. Crowdsourcing surveys solicited ideas from CMC families, school staff, clinicians and administrators through statewide distribution groups/listservs using the prompt "It is safe for children with complex health issues and those around them (families, teachers, classmates, etc.) to go to school in-person during the COVID-19 pandemic if/when…" Ideas were aggregated and synthesized into a unique list of candidate priorities. Thirty-four experts then scored each candidate priority against 5 criteria (equity, impact on COVID-19, practicality, sustainability, and cost) using a 5-point Likert scale. Scores were weighted and predefined thresholds applied to identify consensus priorities.

RESULTS:

From May to June 2021, 460 stakeholders contributed 1166 ideas resulting in 87 candidate priorities. After applying weighted expert scores, 10 consensus CMC-specific priorities exceeded predetermined thresholds. These priorities centered on integrating COVID-19 safety and respiratory action planning into individualized education plans, educating school communities about CMC's unique COVID-19 risks, using medical equipment safely, maintaining curricular flexibility, ensuring masking and vaccination, assigning seats during transportation, and availability of testing and medical staff at school.

CONCLUSIONS:

Priorities for CMC, identified by statewide stakeholders, complement and extend existing recommendations. These priorities can guide implementation efforts to support safer in-person education for CMC.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Safety / Schools / Infection Control / Multiple Chronic Conditions / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Adult / Child / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Safety / Schools / Infection Control / Multiple Chronic Conditions / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Adult / Child / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Year: 2022 Document Type: Article