RT Journal Article
SR Electronic
T1 A qualitative study of adolescent perspectives on COVID-19 pandemic: Considerations in the provision of primary virtual care
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 2794
DO 10.1370/afm.20.s1.2794
VO 20
IS Supplement 1
A1 Grady, Colleen
A1 Cote, Caroline
A1 Gazendam, Naomi
A1 Gazendam, Mary Kate
A1 Phillips, Susan
A1 Townend, Anna
YR 2022
UL http://www.annfammed.org/content/20/Supplement_1/2794.abstract
AB Context: Amidst school shutdowns, sheltering in place, and social distancing, the COVID-19 pandemic uniquely affected adolescents. Understanding the experiences of adolescents with respect to social distancing, health changes, information sources and virtual care can inform effective health care for adolescents both during and after the pandemic.Objective: An exploration into their health care experiences during the beginning stage of the pandemic was undertaken to increase knowledge among family physicians to enable adjustments to the provision of care, primarily done virtually.Study Design: This was a qualitative study using semi-structured interviews. The interviews were used to understand the experiences of adolescents using virtual care during the pandemic, the impact of public health restrictions on their health, and their sources of information. Thematic analysis of interviews was conducted using a double-coding technique.Setting: This study took place in a family health team with eight primary care practices.Population studied: Adolescents, aged 14-17 years who had at least one virtual care appointment with their family physician in the first three months of the pandemic were included. Eleven participants were interviewed.Results: Most participants were compliant with social distancing guidelines, motivated by protecting family and community. Participants described both positive and negative impacts on their mental health. Some noted an increase in marijuana use. Sexual activity in pre-pandemic relationships did not change and one participant noted a decrease in casual sexual activity. Participants enjoyed the convenience offered by virtual care but acknowledged privacy and communication challenges. Parents were described as the most trusted source of information about the pandemic.Conclusions: Adolescents primarily look to parents for guidance and the increased family time promoted well-being. Physicians that are able to help adolescents negotiate privacy and mitigate communication challenges are able to provide effective virtual care.