Friday, August 01, 2025

 

How the COVID-19 pandemic affected parents and youth: thorns and silver linings




University of Illinois College of Agricultural, Consumer and Environmental Sciences






URBANA, Ill. – The COVID-19 pandemic upended life for individuals and communities worldwide. Social isolation, health mandates, illness, and economic hardships took a toll on the well-being of families and children, but there were also silver linings to people’s experiences. A new study from the University of Illinois Urbana-Champaign looks at impacts of the pandemic among youth and parents across the U.S. Midwest. Their findings can help provide insights for future policy and public health measures.

“We were interested in understanding the lived experiences of different types of people during the COVID-19 pandemic, particularly families and children. We wanted to come in without preconceived notions and judgment, learning about people’s concerns and where they find value and joy,” said lead author Jacinda K. Dariotis, professor in the Department of Human Development and Family Studies and director of the Family Resiliency Center (FRC), both part of the College of Agricultural, Consumer and Environmental Sciences at Illinois. Dariotis is also a Health Innovation Professor in the Carle Illinois College of Medicine.

Co-author Rebecca Smith, associate professor of epidemiology in the College of Veterinary Medicine and HIP faculty at Illinois, seconded this perspective: “When big outbreaks and pandemics happen, we have mostly studied them from the point of view of disease transmission or financial impact, but people’s experiences are just as important. We are documenting lessons learned that will help in the future.”

Toward the end of the pandemic in 2022, the researchers surveyed parents with youth aged 12 to 17 as well as the young people themselves to better understand the lived experiences of each during the pandemic. Parents were asked to describe changes they observed in their two oldest children, while youth described changes in themselves. Both groups were asked about their overall experience during the pandemic. Based on responses from 479 participants, the research team identified nine overarching themes.  

Major themes

The pandemic’s effect on the structures and rhythms of daily life, including public health mandates, altered many aspects of development, interactions and connections with others, feelings of loss and grief, and financial security. Families also found creative adaptations to cope with their situation and shifted their priorities and contexts.

“One of the first themes that emerged was about maturity and personal development. Some parents reported their children were developing a little faster than anticipated, showing greater empathy, independence, and willingness to assume responsibilities,” said co-author Dana Eldreth, senior research scientist at FRC. “Youth also reported they developed greater confidence and self-esteem, although some felt pressure to grow up faster.”

Conversely, some parents found the pandemic contributed to developmental delays for their children, particularly speech and socialization delays for young children who weren’t able to attend daycare and interact with similar-aged peers.

COVID-19 led to widespread anxiety and sadness among adults and youth, driven by fears of illness and death, and further exacerbated by social isolation. This was especially pronounced for adolescents and mothers of small children. “We also heard from women who were pregnant during the pandemic that the isolation, remote health care visits, and lack of being able to rely on support from family members really impacted their experience and created a deep sense of sadness,” Eldreth said.

People experienced grief and loss in many ways. “There was grief over the death of loved ones, but also the grief of losing out on social relationships and missing important milestones such as graduations and birthday parties. People are social beings, and these experiences were hugely impactful, not just in the moment but also long term,” Dariotis noted. 

The pandemic shifted family dynamics and priorities. Some parents and youth appreciated the opportunity to spend more time together and cultivate new activities. However, family time could also lead to increased stress and conflict, particularly for people who had to manage work and childcare responsibilities.

Parents and youth described how differences in views on pandemic policies and vaccines caused strained relationships with family members, friends, and co-workers. These conflicts led to reduced interaction, damaged relationships, and lasting feelings of personal loss. 

Families and individuals developed different ways to cope and regulate emotions. “Some people took the time to engage in therapy or consider pharmacological treatment. They experienced positive benefits from taking a step back and focusing on the importance of their mental health,” Eldreth said. “Others found less healthy ways to cope, such as substance abuse or excessive use of video games.”

Online schooling placed significant strain on families. Parents had to take on additional responsibilities and change family routines to support their children, and they had to adapt to remote learning and new technology. Online schooling also underscored existing gaps in digital access and educational equity.

The pandemic mandates elicited different reactions. “Some people took solace in the fact that there were vaccines and mask mandates. Others felt it was infringing on their personal liberties and implemented too quickly, leading to a distrust in government and public health officials,” Dariotis said.

Lessons learned

While the experience of the COVID-19 pandemic was a mixed bag for many families, the study emphasizes the need to honor those experiences and unpack the values and contexts that inform them, the researchers noted. 

“One of the big messages for public health is that one size does not fit all. We need tailored responses to meet the unique needs of everyone. The only way you can design effective communication and mitigation plans is by talking to people where they are without judgment,” Smith said. 

“For people who are very critical of masks and vaccines, the answer is not to provide more information; it’s to rebuild trust and relationships, which is much harder to do, but it is more effective. It starts with listening to people and respecting their lived experiences as their truth.”

Most respondents reported both thorns and silver linings, but some people disproportionately experienced negative consequences during COVID-19. Those who had structures and resources in place to help them cope were better able to thrive, whereas essential workers or those who faced job loss and financial strain struggled. The pandemic exacerbated pre-existing systemic inequities in access to healthcare, educational resources, stable employment, and other resources, the researchers said.

“Moving forward, were a new pandemic to occur, we should believe in the resilience of individuals while we also make sure that we have the resources and infrastructure in place to create the safety nets that are necessary for people to flourish,” Dariotis concluded.

The paper, “Covid Was a Worldwide Pandemic That Caused Trauma for Everyone... There Were Also ‘Silver-linings’” – Adult and Youth Qualitative Perspectives,” is published in the American Journal of Qualitative Research [DOI: 10.29333/ajqr/16281]. The research was supported by the Institute of Government and Public Affairs (IGPA; University of Illinois System, under Grant #22910).

 

Smartphone engagement during school hours among US youths



JAMA Network Open





About The Study: 

This cross-sectional study found that when adolescents had their phones at school, they spent nearly an hour per school day on smartphones, with most of this time on social media. The results extend prior work indicating that smartphone use during instructional hours, especially social-specific use, is not trivial. These results also highlight developmental differences, with younger adolescents using smartphones and social media less than older adolescents.



Corresponding author: To contact the corresponding author, Scott H. Kollins, Ph.D., email scott@aura.com.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/ 

(doi: 10.1001/jamanetworkopen.2025.23991)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Embed this link to provide your readers free access to the full-text article 

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

Online reviews of health care facilities





JAMA Network Open





About The Study: 

In this cross-sectional analysis, negative patient experiences frequently centered on quality of communication and administrative issues. Negative feedback centered on unmet expectations, whereas positive reviews emphasized supportive staff interactions.

Corresponding author: To contact the corresponding author, Neil K.R. Sehgal, M.E., email neilsehgal99@gmail.com.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi: 10.1001/jamanetworkopen.2025.24505)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

#  #  #

Embed this link to provide your readers free access to the full-text article

http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2025.24505?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=080125

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

MS may begin far earlier than previously thought



New UBC research shows that people with MS see higher healthcare use up to 15 years before symptoms appear, highlighting opportunities for earlier identification and intervention




University of British Columbia




The earliest warning signs of multiple sclerosis (MS) may emerge more than a decade before the first classical neurological symptoms occur, according to new research from the University of British Columbia.

Published today in JAMA Network Open, the study analyzed the health records of more than 12,000 people in British Columbia and found that those with MS began using healthcare services at elevated rates 15 years before their first MS symptoms appear.

The findings challenge long-held assumptions about when the disease truly begins, offering the most comprehensive picture to date of how patients engage with a range of healthcare providers in the years leading up to a diagnosis as they search for answers to ill-defined medical challenges.

“MS can be difficult to recognize as many of the earliest signs—like fatigue, headache, pain and mental health concerns—can be quite general and easily mistaken for other conditions,” said senior author Dr. Helen Tremlett, professor of neurology at UBC’s faculty of medicine and investigator at the Djavad Mowafaghian Centre for Brain Health. “Our findings dramatically shift the timeline for when these early warning signs are thought to begin, potentially opening the door to opportunities for earlier detection and intervention.”

The study used linked clinical and administrative provincial health data to track physician visits in the 25 years leading up to the onset of a patient’s MS symptoms, as determined by a neurologist through detailed medical history and clinical assessments.

It is the first study to examine healthcare usage this far back in a patient’s clinical history. Most previous studies only examined trends in the five to 10 years leading up to a patient’s first demyelinating event (such as vision problems) using administrative data. This is a much later benchmark compared to the neurologist-determined date of symptom onset.

The findings revealed that, when compared to the general population, people with MS had a steady build-up of healthcare engagement over 15 years with different types of doctor visits increasing at distinct points in time:

• 15 years before symptom onset: Visits to general practice physicians increased, as did visits to any physician for symptoms like fatigue, pain, dizziness and mental health conditions including anxiety and depression.
• 12 years before: Visits to a psychiatrist increased.
• Eight to nine years before: Visits to neurologists and ophthalmologists increased, which could relate to issues like blurry vision or eye pain.
• Three to five years before: Emergency medicine and radiology visits increased.
• One year before: Physician visits across multiple specialties peaked, including neurology, emergency medicine and radiology.

“These patterns suggest that MS has a long and complex prodromal phase—where something is happening beneath the surface but hasn’t yet declared itself as MS,” said Dr. Marta Ruiz-Algueró, a postdoctoral fellow at UBC and the study’s first author. “We’re only now starting to understand what these early warning signs are, with mental health-related issues appearing to be among the earliest indicators.”

The study builds on previous work by Dr. Tremlett and her team to characterize the early stages of MS, or prodromal phase, when subtle symptoms appear before the hallmark signs become recognizable. Prodromal periods are well established in other neurological disorders, like Parkinson’s disease, where mood changes, sleep disturbances and constipation often arise years before the more familiar motor symptoms like tremors and stiffness.

While the researchers caution that the vast majority of people who experience general symptoms will not go on to develop MS, they say recognizing and characterizing the MS prodrome could one day help accelerate diagnosis and improve outcomes for patients.

“By identifying these earlier red flags, we may eventually be able to intervene sooner—whether that’s through monitoring, support or preventive strategies,” said Dr. Tremlett. “It opens new avenues for research into early biomarkers, lifestyle factors and other potential triggers that may be at play during this previously overlooked phase of the disease.”

Interview language(s): English

Disclaimer: A

RUMPLESTILTSKIN REDUX

Spinning up new flexible material for self-powered wearable sensors




Penn State
health sensors that can be part of clothing 

image: 

Via a technique known as electrospinning, researchers at Penn State weave new possibilities for health sensors that can be part of clothing made with nanofiber materials that generate electricity from the wearer’s motion to power them. 

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Credit: Jennifer M. McCann/Penn State





UNIVERSITY PARK, Pa. — Could clothing monitor a person’s health in real time, because the clothing itself is a self-powered sensor? A new material created through electrospinning, which is a process that draws out fibers using electricity, brings this possibility one step closer.  

A team led by researchers at Penn State developed a new fabrication approach that optimizes the internal structure of electrospun fibers to improve their performance in electronic applications. They published their findings in the Journal of Applied Physics

This novel electrospinning approach could open the door to more efficient, flexible and scalable electronics for wearable sensors, health monitoring and sustainable energy harvesting, according to Guanchun Rui, a visiting postdoctoral student in the Department of Electrical Engineering and the Materials Research Institute and co-lead author of the study. 

The material is based on poly(vinylidene fluoride-trifluoroethylene), or PVDF-TrFE, a lightweight, flexible polymer known for its ability to generate an electric charge when pressed or bent. That quality, called piezoelectricity, makes it a strong candidate for use in electronics that convert motion into energy or signals. 

“PVDF-TrFE has strong ferroelectric, piezoelectric and pyroelectric properties,” Rui said, explaining that like piezoelectricity, pyroelectricity can generate electric charges when temperature change and thus influence the material. “It’s thermally stable, lightweight and flexible, which makes it ideal for things like wearable electronics and energy harvesters.” 

Electrospinning is a technique that uses electric force to stretch a polymer solution into extremely thin fibers. As the fibers dry, the way the polymer chains pack together determines their performance. The researchers hypothesized that altering the concentration and molecular weight of the polymer solution could lead to more organized molecular structures. 

“Crystallinity means the molecules are more ordered,” Rui said, noting that the team also theorized the structure could have higher polar phase content. “And when we talk about polar phase content, we mean that the positive and negative charges in the molecules are aligned in specific directions. That alignment is what allows the material to generate electricity from motion.” 

The researchers explained that electrospinning plays a key role in enabling this alignment.  

“The process stretches the fibers in a highly mobile state, which predisposes the polymer chains to crystallize into the form we want,” said Patrick Mather, a co-author of the study and professor of chemical engineering and dean of the Schreyer Honors College. “You start with a liquid, and it dries over a split second as it travels to the collector. All the packing happens during that brief flight.” 

One surprising discovery, Mather said, came from experimenting with unusually high concentrations of polymer in the solution. 

“These were very high concentrations, roughly around 30%, and much higher than we typically use,” Mather said. “My initial thought was that this isn’t going to work. But we were using a low molecular weight polymer, and that turned out to be essential. The chains were still mobile enough to pack well during crystallization. That was the biggest surprise. Sometimes, as scientists, we have doubts even when the theory says it should work. But Rui boldly proceeded, and it worked.” 

The implications are significant, according to Mather. By improving the internal structure of the fibers without requiring high-voltage treatment or complex post-processing, the team created a material that could be both low-cost and scalable. 

Rui noted that the material’s first intended application was actually for face masks, with funding from the National Institutes of Health (NIH).  

“When electrospun into a mask, the material holds a charge that can attract and trap bacteria or viruses,” Rui said. “But it also has broader uses in sensors and energy harvesters. If you press it, it can generate electricity.” 

Qiming Zhang, professor of electric engineering and Harvey F. Brush Chair in the College of Engineering and co-lead author of the study, added that the material’s cloth-like texture could make it more comfortable than traditional plastic-based sensors — it could even be directly incorporated into clothing. 

“If you wear it like clothing, it's much better,” he said. “You could even incorporate sensors into bandages.” 

Mather pointed out that electrospinning is well suited to producing large sheets, which could be important for energy-harvesting systems. Currently, he notes, most sensors and actuators, material that will change or deform via external stimuli, are small films. 

“Most sensors or actuators are small films,” he said. “But this process could be scaled to wide-area sheets. The equipment exists, but we’d just need to pair it with an electrode manufacturing process.” 

Looking ahead, the researchers said they see opportunities to further improve the material through post-processing. Right now, the electrospun sheets are about 70% porous. Applying heat and pressure could densify them and increase sensitivity and output. 

“We already have ideas about the next steps,” Mather said. “One is densification. We could remove the air between fibers by compacting the sheets after electrospinning, which could boost their performance for certain applications.” 

For broader adoption, the team said industrial partners will be key. 

“We need to find an industrial partner,” Mather said. “Someone in the device space or energy harvesting who’s interested in taking this to the next level. In my experience, if something works early, it will work commercially. If it’s very delicate, it won’t hold up. This is a very robust system.” 

Along with Rui, Mather and Zhang, other authors of the study are Wenyi Zhu, graduate research assistant in electric engineering at Penn State; and Yongsheng Chen, Bo Li and Shihai Zhang, PolyK Technologies. 

The U.S. National Institutes of Health and U.S. National Science Foundation supported this research.  

At Penn State, researchers are solving real problems that impact the health, safety and quality of life of people across the commonwealth, the nation and around the world.

For decades, federal support for research has fueled innovation that makes our country safer, our industries more competitive and our economy stronger. Recent federal funding cuts threaten this progress.

Learn more about the implications of federal funding cuts to our future at Research or Regress.