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Families With Children With Neurodevelopmental Disorders During COVID-19: A Scoping Review
Shefaly Shorey1, Lydia Siew Tiang Lau1, Jia Xuan Tan2
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore.
Insights
Caregivers of children with neurodevelopmental disorders faced challenges during the COVID-19 pandemic, including behavioral issues and disrupted routines. Telehealth services are crucial lifelines, requiring increased funding and support for families.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Public Health
Background:
- Prolonged home isolation during the COVID-19 pandemic negatively impacts the psychological well-being of children and caregivers.
- Families with children with neurodevelopmental disorders are particularly vulnerable to these adverse effects.
Purpose of the Study:
- To identify challenges faced by caregivers of children with neurodevelopmental disorders during the COVID-19 pandemic.
- To consolidate parenting interventions and guidelines for supporting these families.
Main Methods:
- A systematic literature search was conducted across major databases (Embase, PsycInfo, PubMed, Scopus, LitCovid).
- Articles published between December 2019 and November 2020 were included.
- Thematic analysis was used to synthesize qualitative and quantitative data.
Main Results:
- Twenty-nine articles were reviewed, revealing three key themes: behavioral issues/health concerns, disruptions to daily routines, and available support programs.
- Caregiver strategies included online consultations, maintaining therapy, educating children on COVID-19, structured schedules, and age-appropriate activities.
- A significant gap in research on neurodevelopmental disorders beyond autism and ADHD was identified.
Conclusions:
- Telehealth services emerged as vital support systems for parents during the pandemic.
- Healthcare organizations should increase funding for telehealth services to aid families with neurodevelopmental disorders.
- Further research is needed on a wider range of neurodevelopmental disorders and evidence-based interventions.
Objective:
Prolonged home isolation may lead to long-term negative consequences for both children and caregivers' psychological wellbeing, especially in families with children with neurodevelopmental disorders. Therefore, a scoping review was conducted to identify challenges faced by caregivers of children with neurodevelopmental disorders during the coronavirus disease 2019 (COVID-19) pandemic and to consolidate parenting interventions and guidelines.
Methods:
A systematic search was conducted on Embase, PsycInfo, PubMed, Scopus, and LitCovid. All article types published between December 2019 and November 2020 which reported on intervention guidelines and experiences of families with children with neurodevelopmental disorders during the COVID-19 pandemic were included. Qualitative themes, quantitative data, and article summaries were charted, and a thematic analysis was conducted.
Results:
Twenty-nine articles were included in the review. Three themes were generated: (a) behavioral issues and health concerns, (b) disruptions of lifelines and daily routines, and (c) existing programs, models, and guidelines to support families. Additionally, a list of caregiver strategies such as scheduling regular online consultations, maintaining online therapy, educating a child on COVID-19, and preventive behaviors, creating a structured daily schedule and reinforcement system, and selecting child-appropriate activities was consolidated.
Conclusion:
This review revealed a lack of evidence-based studies and articles on children with other neurodevelopmental disorders apart from autism and attention-deficit hyperactivity disorder. It also places emphasis on the importance of telehealth services as major lifelines to parents during this pandemic and urges healthcare organizations to provide funding to increase telehealth services to afflicted families.
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