Implementation of Test-to-Stay programming to minimize learning loss in a pre-K-8 school district.
1Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, IL, USA.
The school-based Test-to-Stay program effectively reduced COVID-19 incidence in primary schools. This strategy helped minimize learning loss while maintaining in-person instruction during the pandemic.
Area of Science:
- Epidemiology
- Public Health
- Pediatrics
Background:
- The COVID-19 pandemic necessitated strategies to balance public health measures with educational continuity.
- School-based programs like Test-to-Stay (TTS) were developed to mitigate SARS-CoV-2 transmission while minimizing disruption to in-person learning.
Purpose of the Study:
- To evaluate the effectiveness of a school-based Test-to-Stay (TTS) program in reducing COVID-19 incidence within a primary school district.
- To assess the impact of TTS on SARS-CoV-2 infection rates among students and staff.
Main Methods:
- An observational, retrospective analysis of nested medical and demographic data was conducted.
- Survival curves and Cox proportional hazards regression models were used to compare infection probabilities between TTS participants and non-participants.
- The study analyzed attendance and effectiveness data from a California school district's TTS program.
Main Results:
- Enrollment in the Test-to-Stay program was significantly associated with a reduced risk of SARS-CoV-2 infection.
- Univariate Cox regression analysis showed a negative correlation between TTS enrollment and infection risk (hazard ratio 0.096; P < 0.001).
Conclusions:
- The Test-to-Stay program proved effective in preventing COVID-19 transmission in primary school settings.
- TTS serves as a valuable component of layered protection strategies, enabling continued in-person instruction and minimizing learning loss.
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