Evidence map›Paper›PMID 37394510›Full record

ArticlePediatrics2023

School Attendance Decisions for Children With Medical Complexity During COVID-19.

Ryan J Coller, Michelle M Kelly, Jens Eickhoff, Sara B Johnson, Qianqian Zhao, Gemma Warner, Barbara Katz, Sabrina M Butteris, Mary L Ehlenbach, Shawn Koval and 2 more

Abstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ryan J CollerDepartments of Pediatrics.
Michelle M KellyDepartments of Pediatrics.
Jens EickhoffDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.
Sara B JohnsonFamily Voices of Wisconsin, Madison, Wisconsin.
Qianqian ZhaoDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.
Gemma WarnerDepartments of Pediatrics.
Barbara KatzFamily Voices of Wisconsin, Madison, Wisconsin.
Sabrina M ButterisDepartments of Pediatrics.
Mary L EhlenbachDepartments of Pediatrics.
Shawn KovalHealthy Kids Collaborative, UW Health, Madison, Wisconsin.
Kristina Devi HowellDepartments of Pediatrics.
Gregory P DeMuriDepartments of Pediatrics.

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., HERNANDEZ, ADRIAN · 2016 to 2022
$177.0M
RADx-UP SAY YES COVID Test Study (S4)U24MD016258 · NIMHD · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL, DAVE, GAURAV J · 2020 to 2023
$116.7M
ReSET: Restarting Safe Education and Testing for Children with Medical ComplexityOT2HD107558 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI COLLER, RYAN J, DEMURI, GREGORY P · 2021 to 2022
$3.0M
Social, ethical, and behavioral factors in the return to school among underserved communities in MarylandOT2HD108110 · NICHD · JOHNS HOPKINS UNIVERSITY · PI EDWARDS, LORECE V, HAGER, ERIN R · 2021 to 2021
$1.5M
NCATS NIH HHS U24 TR001608NIAAA NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003INICHD NIH HHS OT2 HD107558NICHD NIH HHS OT2 HD108110NIMHD NIH HHS U24 MD016258
6 · The paper itself

Abstract

objectiveSchool attendance by children with medical complexity (CMC) may be influenced by parent perceptions of their child's risk for coronavirus disease 2019 (COVID-19). The authors of this study aimed to quantify in-person school attendance and identify attendance predictors.

methodsFrom June to August 2021, surveys were collected from English- and Spanish-speaking parents of children aged 5 to 17 years with ≥1 complex chronic condition who received care at an academic tertiary children's hospital in the Midwestern United States and who attended school prepandemic. The outcome, in-person attendance, was defined dichotomously as any in-person attendance versus none. We evaluated parent-perceived school attendance benefits, barriers, motivation, and cues, COVID-19 severity and susceptibility using survey items derived from the health belief model (HBM). Latent HBM constructs were estimated with exploratory factor analysis. Associations between the outcome and the HBM were evaluated with multivariable logistic regression and structural equation models.

resultsAmong 1330 families (response rate 45%), 19% of CMC were not attending in-person school. Few demographic and clinical variables predicted school attendance. In adjusted models, family-perceived barriers, motivation, and cues predicted in-person attendance, whereas benefits, susceptibility, and severity did not. The predicted probability (95% confidence interval) of attendance ranged from 80% (70% to 87%) for high perceived barriers to 99% (95% to 99%) for low perceived barriers. Younger age (P <.01) and previous COVID-19 infection (P = .02) also predicted school attendance.

conclusionsOverall, 1 in 5 CMC did not attend school at the end of the 2020 to 2021 academic year. Family perceptions of schools' mitigation policies and encouragement of attendance may be promising avenues to address this disparity.

Indexed as

COVID-19ChildHumansMidwestern United StatesParentsSchoolsSurveys and Questionnaires

Identifiers

PMID37394510
PMCPMC10312281

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.