School Perceptions and Attendance for Children with Medical Complexity during COVID-19 over Time

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Title: School Perceptions and Attendance for Children with Medical Complexity during COVID-19 over Time
Language: English
Authors: Ryan J. Coller (ORCID 0000-0003-2657-294X), Gregory P. DeMuri, Jens C. Eickhoff, Kristina Singh-Verdeflor, Gemma Warner, Sabrina M. Butteris, Mary L. Ehlenbach, Danielle Gerber, Barbara Katz, Shawn Koval, Michelle M. Kelly
Source: Journal of School Health. 2024 94(11):1009-1018.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 10
Publication Date: 2024
Sponsoring Agency: Office of the Director (DHHS/NIH)
National Institutes of Health (NIH) (DHHS)
National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Contract Number: U24MD016258
OT2HD107558
OT2HD108110
U24TR001608
HHSN275201000003I
Document Type: Journal Articles
Reports - Research
Descriptors: COVID-19, Pandemics, Chronic Illness, Child Health, Attendance, Parents, Parent Attitudes, School Safety, In Person Learning, Distance Education, Student Motivation, School Health Services, Health Conditions, Sanitary Facilities, Communicable Diseases, Disease Control
DOI: 10.1111/josh.13503
ISSN: 0022-4391
1746-1561
Abstract: Background: Disparities in school attendance exist for children with medical complexity (CMC) due to COVID-19. Longitudinal changes in family-reported school safety perceptions and predictors of full-time, in-person school attendance are unknown. Methods: This was a prospective, longitudinal cohort study with 3 survey waves (June 2021-June 2022) among English- and Spanish-speaking families of CMC aged 5 to 17 years and pre-pandemic school attendance. Changes in Health Belief Model perceptions and full-time in-person school attendance were estimated using multivariate generalized linear modeling with repeated measures. Results: Among 1601 respondents (52.9% of 3073 invited), 86.8% participated in all 3 surveys. School safety perceptions improved with time; however, perceived susceptibility to COVID-19 increased. Full-time in-person school attendance rose from 48.4% to 90.0% from wave 1 to 3 (p < 0.0001), and was associated with motivation, benefits, and cues. For example, families with low compared to high motivation for in-person attendance had 76% versus 98% predicted probability for child's school attendance, respectively at wave 3 (p < 0.0001). Implications for School Health Policy, Practice, and Equity: Probability of full-time in-person school attendance was associated with several health belief model perceptions. School health policy and programs may benefit from promoting family motivation, benefits, and cues during future respiratory illness epidemics including COVID-19. Conclusions: In-person school attendance improved for CMC over time. Opportunities exist to continue optimizing in-person attendance and family-perceived safety for CMC at school.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1446252
Database: ERIC
FullText Text:
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PubType: Academic Journal
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  Data: School Perceptions and Attendance for Children with Medical Complexity during COVID-19 over Time
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ryan+J%2E+Coller%22&quot;&gt;Ryan J. Coller&lt;/searchLink&gt; (ORCID &lt;externalLink term=&quot;https://orcid.org/0000-0003-2657-294X&quot;&gt;0000-0003-2657-294X&lt;/externalLink&gt;)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gregory+P%2E+DeMuri%22&quot;&gt;Gregory P. DeMuri&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jens+C%2E+Eickhoff%22&quot;&gt;Jens C. Eickhoff&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kristina+Singh-Verdeflor%22&quot;&gt;Kristina Singh-Verdeflor&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gemma+Warner%22&quot;&gt;Gemma Warner&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sabrina+M%2E+Butteris%22&quot;&gt;Sabrina M. Butteris&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mary+L%2E+Ehlenbach%22&quot;&gt;Mary L. Ehlenbach&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Danielle+Gerber%22&quot;&gt;Danielle Gerber&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Barbara+Katz%22&quot;&gt;Barbara Katz&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shawn+Koval%22&quot;&gt;Shawn Koval&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Michelle+M%2E+Kelly%22&quot;&gt;Michelle M. Kelly&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;SO&quot; term=&quot;%22Journal+of+School+Health%22&quot;&gt;&lt;i&gt;Journal of School Health&lt;/i&gt;&lt;/searchLink&gt;. 2024 94(11):1009-1018.
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  Data: Wiley. Available from: John Wiley &amp; Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: 2024
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  Data: Office of the Director (DHHS/NIH)&lt;br /&gt;National Institutes of Health (NIH) (DHHS)&lt;br /&gt;National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)&lt;br /&gt;Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
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  Data: U24MD016258&lt;br /&gt;OT2HD107558&lt;br /&gt;OT2HD108110&lt;br /&gt;U24TR001608&lt;br /&gt;HHSN275201000003I
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  Data: 10.1111/josh.13503
– Name: ISSN
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  Data: 0022-4391&lt;br /&gt;1746-1561
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Disparities in school attendance exist for children with medical complexity (CMC) due to COVID-19. Longitudinal changes in family-reported school safety perceptions and predictors of full-time, in-person school attendance are unknown. Methods: This was a prospective, longitudinal cohort study with 3 survey waves (June 2021-June 2022) among English- and Spanish-speaking families of CMC aged 5 to 17 years and pre-pandemic school attendance. Changes in Health Belief Model perceptions and full-time in-person school attendance were estimated using multivariate generalized linear modeling with repeated measures. Results: Among 1601 respondents (52.9% of 3073 invited), 86.8% participated in all 3 surveys. School safety perceptions improved with time; however, perceived susceptibility to COVID-19 increased. Full-time in-person school attendance rose from 48.4% to 90.0% from wave 1 to 3 (p &lt; 0.0001), and was associated with motivation, benefits, and cues. For example, families with low compared to high motivation for in-person attendance had 76% versus 98% predicted probability for child&#39;s school attendance, respectively at wave 3 (p &lt; 0.0001). Implications for School Health Policy, Practice, and Equity: Probability of full-time in-person school attendance was associated with several health belief model perceptions. School health policy and programs may benefit from promoting family motivation, benefits, and cues during future respiratory illness epidemics including COVID-19. Conclusions: In-person school attendance improved for CMC over time. Opportunities exist to continue optimizing in-person attendance and family-perceived safety for CMC at school.
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PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1446252
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        PageCount: 10
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      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: Pandemics
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      – SubjectFull: Chronic Illness
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