Persistence of Lockdown Consequences on Children: A Cross-sectional Comparative Study

Impact of the COVID-19 pandemic on the quality of care for juvenile idiopathic arthritis patients: insights from Thailand

BACKGROUND

The COVID-19 pandemic has significantly impacted individuals with chronic conditions. This investigation assessed the quality of care provided to pediatric and adolescent patients with juvenile idiopathic arthritis (JIA) during the pandemic in Thailand.

METHODS

This cross-sectional analysis enrolled JIA patients aged ≤ 18 years at an academic tertiary care facility from April 2022 to March 2023. Retrospective reviews were performed, complemented by patient and caregiver questionnaires to assess the pandemic's impact on care quality.

RESULTS

Seventy JIA patients (37 males, 33 females) with a mean age of 13.5 ± 3.1 years were included. A total of 41.4% of the caregivers reported negative impacts on JIA care due to the pandemic and the lockdown, and 31.4% of the patients experienced pandemic-related anxiety. A comparison between the pandemic and prepandemic periods revealed a higher incidence of active disease, although the difference was statistically nonsignificant (37.1% vs 14.2%, p = 0.106). Nonadherence significantly predicted active disease status (adjusted OR 15.04, 95% CI 2.48-91.15, p = 0.03). COVID-19 vaccinations were administered to 85.7% of patients; 52.8% of whom contracted mild COVID-19. Most patients (71.4%) postponed clinic visits; 36% due to lockdowns and 28% due to concerns about COVID-19 exposure in healthcare settings. The majority of patients received telephone JIA management advice from rheumatologists during the lockdown (91.4%).

CONCLUSIONS

The COVID-19 pandemic and associated lockdown measures affected the care of JIA patients, impacting both physical and mental health. Nonadherence was a critical factor in disease flare-ups. Telemedicine is indispensable for patient care.

Testing the validity of the smartphone pervasiveness scale for adolescents with self-reported objective smartphone use data

An ongoing and heated scientific debate pertains to the conceptualization and quantification of adolescents' problematic smartphone use (PSU). To address the limitations of existing surveys, the smartphone pervasiveness scale for adolescents (SPS-A) has been designed to measure the subjective frequency of smartphone usage during significant moments within daily routines. Given the weak correlations in prior literature between self-reported PSU metrics and objective use data, this study investigates the relationships between diverse self-reported objective metrics of smartphone engagement-that is duration, frequency, and count of notifications-and the SPS-A scale, employing a cohort of Swiss adolescents (N = 1396; Mage = 15.8, SDage = 0.81; 59% female). The findings reveal a substantial correlation between the total objectively measured duration of smartphone engagement and the SPS-A scale (r = .41 for iOS users and r = .42 for Android users). Moreover, a similar trend emerges as users are categorized by their level of objective use, with each category displaying a linear augmentation in smartphone pervasiveness levels. Instead, modest correlations emerge when considering the quantity of device unlocks and notifications. Noteworthy, no gender disparities emerged. These results add to our knowledge about the usefulness of the concept and measurement of smartphone pervasiveness: not only the SPS-A is a valid alternative to scales on "smartphone addiction" to capture non-pathological PSU, but it is also a better predictor of smartphone objective duration of use than self-reported measures. The correlation found between self-reported pervasiveness and actual use is discussed in light of the debate about the relevance of screen time in the study of PSU.