Nurturing care during COVID-19: a rapid review of early evidence
Objectives The COVID-19 pandemic has brought significant changes to family life, society and essential health and other services. A rapid review of evidence was conducted to examine emerging evidence on the effects of the pandemic on three components of nurturing care, including responsive caregivin...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e050417.full |
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| author | Bernadette Daelmans Tarun Dua Vanessa Cavallera Kristy Hackett Kerrie Proulx Rachel Lenzi-Weisbecker Rachel Hatch Carina Omoeva |
| author_facet | Bernadette Daelmans Tarun Dua Vanessa Cavallera Kristy Hackett Kerrie Proulx Rachel Lenzi-Weisbecker Rachel Hatch Carina Omoeva |
| author_sort | Bernadette Daelmans |
| collection | DOAJ |
| description | Objectives The COVID-19 pandemic has brought significant changes to family life, society and essential health and other services. A rapid review of evidence was conducted to examine emerging evidence on the effects of the pandemic on three components of nurturing care, including responsive caregiving, early learning, and safety and security.Design Two academic databases, organisational websites and reference lists were searched for original studies published between 1 January and 25 October 2020. A single reviewer completed the study selection and data extraction with verification by a second reviewer.Interventions We included studies with a complete methodology and reporting on quantitative or qualitative evidence related to nurturing care during the pandemic.Primary and secondary outcome measures Studies reporting on outcomes related to responsive caregiving, early learning, and safety and security were included.Results The search yielded 4410 citations in total, and 112 studies from over 30 countries met our eligibility criteria. The early evidence base is weighted towards studies in high-income countries, studies related to caregiver mental health and those using quantitative survey designs. Studies reveal issues of concern related to increases in parent and caregiver stress and mental health difficulties during the pandemic, which was linked to harsher and less warm or responsive parenting in some studies. A relatively large number of studies examined child safety and security and indicate a reduction in maltreatment referrals. Lastly, studies suggest that fathers’ engagement in caregiving increased during the early phase of the pandemic, children’s outdoor play and physical activity decreased (while screen time increased), and emergency room visits for child injuries decreased.Conclusion The results highlight key evidence gaps (ie, breastfeeding support and opportunities for early learning) and suggest the need for increased support and evidence-based interventions to ensure young children and other caregivers are supported and protected during the pandemic. |
| format | Article |
| id | doaj-art-8556ca4e3c43419a956a52f4bf5fcc9c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-8556ca4e3c43419a956a52f4bf5fcc9c2025-01-28T09:50:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-050417Nurturing care during COVID-19: a rapid review of early evidenceBernadette Daelmans0Tarun Dua1Vanessa Cavallera2Kristy Hackett3Kerrie Proulx4Rachel Lenzi-Weisbecker5Rachel Hatch6Carina Omoeva71 Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health and Substance Abuse Use, WHO, Geneva, SwitzerlandInstitute on Ethics & Policy for Innovation, McMaster University, Hamilton, Ontario, CanadaResearch and Evaluation, FHI 360, Durham, North Carolina, USAResearch and Evaluation, FHI 360, Durham, North Carolina, USAResearch and Evaluation, FHI 360, Durham, North Carolina, USAResearch and Evaluation, FHI 360, Durham, North Carolina, USAObjectives The COVID-19 pandemic has brought significant changes to family life, society and essential health and other services. A rapid review of evidence was conducted to examine emerging evidence on the effects of the pandemic on three components of nurturing care, including responsive caregiving, early learning, and safety and security.Design Two academic databases, organisational websites and reference lists were searched for original studies published between 1 January and 25 October 2020. A single reviewer completed the study selection and data extraction with verification by a second reviewer.Interventions We included studies with a complete methodology and reporting on quantitative or qualitative evidence related to nurturing care during the pandemic.Primary and secondary outcome measures Studies reporting on outcomes related to responsive caregiving, early learning, and safety and security were included.Results The search yielded 4410 citations in total, and 112 studies from over 30 countries met our eligibility criteria. The early evidence base is weighted towards studies in high-income countries, studies related to caregiver mental health and those using quantitative survey designs. Studies reveal issues of concern related to increases in parent and caregiver stress and mental health difficulties during the pandemic, which was linked to harsher and less warm or responsive parenting in some studies. A relatively large number of studies examined child safety and security and indicate a reduction in maltreatment referrals. Lastly, studies suggest that fathers’ engagement in caregiving increased during the early phase of the pandemic, children’s outdoor play and physical activity decreased (while screen time increased), and emergency room visits for child injuries decreased.Conclusion The results highlight key evidence gaps (ie, breastfeeding support and opportunities for early learning) and suggest the need for increased support and evidence-based interventions to ensure young children and other caregivers are supported and protected during the pandemic.https://bmjopen.bmj.com/content/12/6/e050417.full |
| spellingShingle | Bernadette Daelmans Tarun Dua Vanessa Cavallera Kristy Hackett Kerrie Proulx Rachel Lenzi-Weisbecker Rachel Hatch Carina Omoeva Nurturing care during COVID-19: a rapid review of early evidence BMJ Open |
| title | Nurturing care during COVID-19: a rapid review of early evidence |
| title_full | Nurturing care during COVID-19: a rapid review of early evidence |
| title_fullStr | Nurturing care during COVID-19: a rapid review of early evidence |
| title_full_unstemmed | Nurturing care during COVID-19: a rapid review of early evidence |
| title_short | Nurturing care during COVID-19: a rapid review of early evidence |
| title_sort | nurturing care during covid 19 a rapid review of early evidence |
| url | https://bmjopen.bmj.com/content/12/6/e050417.full |
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