COVID-19: experiences of lockdown and support needs in children and young adults with kidney conditions.

Tse, Yincent, Darlington, Anne-Sophie E, Tyerman, Kay, Wallace, Dean, Pankhurst, Tanya, Chantziara, Sofia, Culliford, David, Recio-Saucedo, Alejandra and Nagra, Arvind (2021) COVID-19: experiences of lockdown and support needs in children and young adults with kidney conditions. Pediatric nephrology (Berlin, Germany). ISSN 1432-198X. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

BACKGROUND

During the initial COVID-19 pandemic, young United Kingdom (UK) kidney patients underwent lockdown and those with increased vulnerabilities socially isolated or 'shielded' at home. The experiences, information needs, decision-making and support needs of children and young adult (CYA) patients or their parents during this period is not well known.

METHODS

A UK-wide online survey co-produced with patients was conducted in May 2020 amongst CYA aged 12-30, or parents of children aged < 18 years with any long-term kidney condition. Participants answered qualitative open text alongside quantitative closed questions. Thematic content analysis using a three-stage coding process was conducted.

RESULTS

One-hundred and eighteen CYA (median age 21) and 197 parents of children (median age 10) responded. Predominant concerns from CYA were heightened vigilance about viral (68%) and kidney symptoms (77%) and detrimental impact on education or work opportunities (70%). Parents feared the virus more than CYA (71% vs. 40%), and had concerns that their child would catch the virus from them (64%) and would have an adverse impact on other children at home (65%). CYA thematic analysis revealed strong belief of becoming seriously ill if they contracted COVID-19; lost educational opportunities, socialisation and career development; and frustration with the public for not following social distancing rules. Positive outcomes included improved family relationships and community cohesion. Only a minority (14-21% CYA and 20-31% parents, merged questions) desired more support. Subgroup analysis identified greater negative psychological impact in the shielded group.

CONCLUSIONS

This survey demonstrates substantial concern and need for accurate tailored advice for CYA based on individualised risks to improve shared decision making.

Item Type:	Article
Additional Information:	This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects:	W Public health. Health statistics. Occupational health. Health education WJ Urogenital system. Urology WS Paediatrics. Child health
Divisions:	Clinical Support > Infectious Diseases
Related URLs:	https://pubmed.ncbi.nlm.nih.gov/33742247...
Depositing User:	Jamie Edgar
Date Deposited:	30 Mar 2021 09:45
Last Modified:	30 Mar 2021 09:45
URI:	http://www.repository.uhblibrary.co.uk/id/eprint/4147

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