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Online rehabilitation of children with disabilities during the first coronavirus pandemic wave in Varna, Bulgaria

Krasimira Zaykova, Silviya Nikolova, Borislava Cherkezova, Magdalena Tsoneva, Veselina Tincheva, Nikoleta Yoncheva, Aastha Seth, Koray Mustafov, Rouzha Pancheva

Abstract

The coronavirus pandemic imposed restrictive public health measures to reduce the spread of the infection in all European countries, including Bulgaria. Among the most affected by the restrictions were children with disabilities as this led to a disruption of their regular service provision. The study aimed to understand if online rehabilitation services in Varna, Bulgaria met the needs of children with neurological disorders during the Covid-19 lockdown.

Between July and August of 2020, a cross-sectional survey was conducted among parents of children with disabilities who were handled at the Karin Dom Foundation. They were asked to complete a questionnaire regarding the impact of the coronavirus service disruption on the overall rehabilitation strategy and assistance, the influence of online services on the development of their child, and the family’s quality of life during the period of May-June, 2020. In a sample of 62 parents and caregivers of children with neurological impairments, the study finds that the cognitive abilities of children are positively impacted by online rehabilitation services as compared to motor-skill and self-care abilities. Due to secondary pressures on all family members, children with neurological impairments may be at “high-risk” for coronavirus impacts and consequences. Our study found that internet rehabilitation programmes may benefit neurologically impaired children. Public health initiatives may promote family- centered treatment for children with neurological diseases by boosting family well-being. This study calls for greater online crisis services for neurologically challenged children.

Keywords

children, COVID-19, rehabilitation, neurological diseases, public health

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References

Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract 2020;10:78– 9. https://doi.org/10.1016/j.cmrp.2020.03.011.

Armitage R, Nellums LB. The COVID-19 response must be disability inclusive. Lancet Public Health 2020;5:e257. https://doi.org/10.1016/S2468-2667(20)30076-1.

Jeste S, Hyde C, Distefano C, Halladay A, Ray S, Porath M, et al. Changes in access to educational and healthcare services for individuals with intellectual and developmental disabilities during COVID-19 restrictions. J Intellect Disabil Res 2020. https://doi.org/10.1111/jir.12776.

Murphy A, Pinkerton LM, Bruckner E, Risser HJ. The Impact of the Novel Coronavirus Disease 2019 on Therapy Service Delivery for Children with Disabilities. J Pediatr 2021;231:168-177.e1. https://doi.org/10.1016/j. jpeds.2020.12.060.

Conlon C, McDonnell T, Barrett M, Cummins F, Deasy C, Hensey C, et al. The impact of the COVID-19 pandemic on child health and the provision of Care in Paediatric Emergency Departments: a qualitative study of frontline emergency care staff. BMC Health Serv Res 2021;21:279. https://doi.org/10.1186/s12913-021-06284-9.

Mbazzi FB, Nalugya R, Kawesa E, Nimusiima C, King R, van Hove G, et al. The impact of COVID-19 measures on children with disabilities and their families in Uganda. Disabil Soc 2022;37:1173–96. https://doi.org/10.1080/0 9687599.2020.1867075.

Sengupta K, Javeri A, Mascarenhas C, Khaparde O, Mahadik S. Feasibility and Acceptability of a Synchronous Online Parent-Mediated Early Intervention for Children with Autism in a Low Resource Setting During COVID-19 Pandemic. IJDDE. 2021:1–17. https:// doi.org/10.1080/1034912X.2021.1937957.

Dhiman S, Sahu PK, Reed WR, Ganesh GS, Goyal RK, Jain S. Impact of COVID-19 outbreak on mental health and perceived strain among caregivers tending children with special needs. Res Dev Disabil 2020;107:103790. https://doi.org/10.1016/j.ridd.2020.103790.

Bhat A. Analysis of the SPARK study COVID-19 parent survey: Early impact of the pandemic on access to services, child/parent mental health, and benefits of online services. Autism Res 2021;14:2454–70. https:// doi.org/10.1002/aur.2618.

Longo E, de Campos AC, Schiariti V. COVID-19 Pandemic: Is This a Good Time for Implementation of Home Programs for Children’s Rehabilitation in Low-and Middle-Income Countries? Phys Occup Ther Pediatr

;40:361–4. https://doi.org/10.1080/01942638.2020.

Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health 2020;14:20. https://doi. org/10.1186/s13034-020-00329-3.

Miller JJ, Cooley ME, Mihalec-Adkins BP. Examining the Impact of COVID-19 on Parental Stress: A Study of Foster Parents. Child Adolesc Social Work J 2022;39:147–56. https://doi.org/10.1007/s10560-020-00725-w

Asbury K, Fox L, Deniz E, Code A, Toseeb U. How is COVID-19 Affecting the Mental Health of Children with Special Educational Needs and Disabilities and Their Families? J Autism Dev Disord 2021;51:1772–80. https:// doi.org/10.1007/s10803-020-04577-2.

Brennan CS. Disability Rights during the Pandemic: A Global Report on Findings of the COVID-19 Disability Rights Monitor 2020. (cited 2022 Mar 27). Available from: https://covid-drm.org/assets/documents/Disability- Rights-During-the-Pandemic-report-web.pdf.

McComas J, Pivik J, Laflamme M. Current uses of virtual reality for children with disabilities. Stud Health Technol Inform 1998;58:161–9.

Chen S-Q, Chen S-D, Li X-K, Ren J. Mental Health of Parents of Special Needs Children in China during the COVID-19 Pandemic. Int J Environ Res Public Health 2020;17:E9519. https://doi.org/10.3390/ijerph17249519.

Dunst C, Espe-Sherwi̇ ndt M, Hamby DW. Does Capacity-Building Professional Development Engender Practitioners’ Use of Capacity-Building Family-Centered Practices? Eur J Educ Res 2019;8:515–26. https://doi. org/10.12973/eu-jer.8.2.513.

Alexandrov C, Grozev G, Dimitrov G, Hristov A. On Education and Training In Maritime Communications and the Gmdss During the Covid-19. Ped 2021;93:112–20. https://doi.org/10.53656/ped21-6s.09on




DOI: http://dx.doi.org/10.14748/bmr.v33.9121

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About The Authors

Krasimira Zaykova
Medical University of Varna
Bulgaria

Faculty of Medicine

Silviya Nikolova
Medical University of Varna
Bulgaria

Department of Social Medicine and Health Care Organization, Faculty of Public Health

Borislava Cherkezova
Karin Dom Foundation, Varna
Bulgaria

Magdalena Tsoneva
Karin Dom Foundation, Varna
Bulgaria

Veselina Tincheva
Karin Dom Foundation, Varna
Bulgaria

Nikoleta Yoncheva
Karin Dom Foundation, Varna
Bulgaria

Aastha Seth
Medical University of Varna
Bulgaria

Faculty of Medicine

Koray Mustafov
Medical University of Varna
Bulgaria

Faculty of Medicine

Rouzha Pancheva
Medical University of Varna
Bulgaria

Department of Hygiene and Epidemiology, Faculty of Public Health

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