Understanding the impact of quarantine on adolescence due to COVID-19. How to get the youth engaged whiles quarantine.

1. Impact of Quarantine on Adolescence Due to COVID-19
Advanced Pediatric
Presented by​
Group One

2. HOME: HOW
TO
APPROACH
TOPIC
Identify the purpose of
the innovation: To
promote social
distancing during the
coronavirus pandemic.
Identify your Target
Audience you want to
reach: Adolescent
Identify what the data
has to say about the
effects of social
distancing to prevent
transmission of virus.
Communicate clearly
and effectively with
Adolescent population
on the importance of
social distancing.
Educate them on steps
to reduce transmission
of virus.

4. Innovative program
access to Social Workers, Nurse
Practitioner
Flyers
Instagram- to promote
to interact with each other. i.e.
play games, watch movies

5. Innovative
program
Flyers are effective in getting social
distance message across to a large
audience.
Cost effective but high impact.
Evidence based benefits identified from
the use of digital print media and social
media includes, early learning, new
knowledge and opportunities for access
to health promotion messages.
(Chassiakos, et al, 2017).
Online support tools such as Zoom is an
effective use of technology to improve
adolescent engagement. (Shadat, et al,
2017)

6. Social Media Platform
• Instagram will be utilized as social
Media platform
• Remains one of the most popular
online platform used by adolescent.
• 95% of adolescent have access to
smart phone.
• 45% said they are online constantly.
• 40% of adolescent said social media
platform has a positive impact. Easier
to communicate with friends, greater
access for news and information.
(Anderson & Jiang, 2018).

7. Information Technology role to
improve social distancing and
health outcomes.
• Social Media platforms have played a vital
role to improve social distancing.
• It serves as platform to disseminate
information to the public.
• It takes on an active role in public health by
directly informing the public ways to reduce
transmission such as social distancing, hand
washing and wearing mask
• It has been a conduit to counter
misinformation.
• Enables Connectivity and serves as
Psychological first aide.
• Enables a culture of preparedness.
(Merchant& Lurie, 2020).

8. Developmental
needs of
adolescents by
Erickson
• Adolescence (12 – 18 years) , Basic
Conflict: Identity vs. Role Confusion
• Develop a sense of self- Who am I?” and
“What do I want to do with my life?”
• Think about the future- career,
relationships, family etc
• Important Events: Social Relationships,
friends
• may feel insecure about their body
• Role confusion: not sure about themselves
or their place in society.
• Virtue of fidelity- accomplishment, stay
true to themselves and what they believe.

9. Developmental
needs of
adolescents.
•inability to perform their
normal daily activities,
•support from families or
parents
•Movie Theater,
•sports, gym
• school graduation,
• proms,
•summer camps, hiking
•connect with their
friends,
•social media,
• refrain from very
restrictive rules
regarding social media
•Prefers to be alone,
•tend to listen to peers
more than parents and
families
The need
for privacy
The need
for social
interaction
The need
for
emotional
support
The need
for physical
activities

10. Epidemiology
The Origin: COVID- 19 was first reported in Wuhan, a city in the Hubei Province of
China.
Geographic distribution: over three million confirmed cases worldwide
Transmission: seafood, person to person, droplets/contact ( cough, sneezing)
stool, blood, and ocular specimen etc ,contaminated surfaces, airborne not
certain but recommended in aerosol-generating procedures
Viral shedding and period of infectivity: uncertain how long infected person is
contagious, can spread even without symptoms and during illness
The risk of transmission: type and duration of exposure, the preventive measures
used, also the amount of virus in a particular secretion, crowded areas
Immunity and risk of reinfection :antibodies of recovered patients, uncertain if
all person develop immunity and how long immunity last, plasma of infected
persons
( McIntosh, Hirsch, & Bloom, 2020)

11. As of May 5
AGE_GROUP Cases Hospitalizations Deaths
0-17 years 239.56 17.14 0
18-44 years 1874.03 181.14 16.29
45-64 years 3070.06 725.52 149.7
65-74 years 3058.57 1411.92 486.76
75 and older years 3582.98 2228.8 1222.54
Citywide total 2044.63 516.54 163.41

12. Epidemiology-Data include cases in NYC residents
and foreign residents treated in NYC facilities.
AGE Number
of
Deaths
Share of
deaths
With
underlying
conditions
Without
underlying
conditions
Unknown if
with
underlying
cond.
Share of deaths
of unknown + w/o
cond.
0 - 17 years old 3 0.04% 3 0 0 0%
18 - 44 years old 309 4.5% 244 25 40 1.0%
45 - 64 years old 1,581 23.1% 1,343 59 179 3.5%
65 - 74 years old 1,683 24.6% 1,272 26 385 6.0%
75+ years old 3,263 47.7% 2,289 27 947 14.2%
TOTAL 6,839 100% 5,151 137 1,551 24.68%

14. Epidemiology
adolescents
The very
sick
Underlined
conditions
The Elderly

15. Theoretical
Framework
Pender Health Promotion Model

16. Media
Account of
the Youth
• Public-health experts have lately been urging
people—especially young people, many of
whom may not show symptoms, and spread
the virus unknowingly—to limit their physical
contacts with others – The Atlantic
• Young adults at beach while country avoids
large gatherings to slow the transmission of
the coronavirus – The Hill
• “The selfishness of people who are not taking
this seriously is — it’s just maddening,” - CNN,
Jack Trapper
• I’m furious at millennials ... for people who
have the hubris and arrogance to ignore what’s
going on," - The View’s, Meghan McCain
• I’m young, I’m not going to die from it
• https://thehill.com/homenews/media/488187-cnns-tapper-to-people-
defying-social-distancing-who-the-hell-are-you
• https://www.theatlantic.com/family/archive/2020/03/coronavirus-social-
distancing-socializing-bars-restaurants/608164/

18. Pender’s Model of Health Promotion
Clinical Management of Adolescents
External factors and
intervention methods
impact individual
behavior to improve
health maintenance or
prevent illness.
incorporate
the person,
environment,
nursing, and
health.
to change
unhealthy
behavior and
promote a
heathy lifestyle.

20. FIGURE 2. COVID-19 cases among children* aged <18 years, among those with known hospitalization
status (N = 745),† by age group and hospitalization status — United States, February 12–April 2, 2020

22. Diabetes and Obesity

23. Pender’s Model of Health
Promotion
Clinical Management of
Adolescents
• Studies have highlighted the efficiency of this model to
control unhealthy behaviors.
• The HPM is based on Social Cognitive Theory
• an individual thoughts, behaviors they partakes
in, and environment they lives in, all interact
with one another.
• Therefore, for behavioral changes to occur,
cognitive restructuring must take place.
• Cognitive factors:
• perceived benefits, barriers, and self-efficacy
• Modifying factors:
• demographic characteristics, interpersonal
influences, and behavioral factors
Estrada, M (2016)
Khodaveisi, M., Omidi, A., Farokhi, S., & Soltanian, A. (2017)

24. Pender’s Model of Health Promotion
Clinical Management of Adolescents
• The adolescent population begin the transition of parent-managed
healthcare to personal responsibility for health behavior.
• The development of independence contribute to the knowledge of
health promotion in teens
• Appropriate theoretical models are necessary for the continued
development of nursing knowledge related to adolescent health
promotion.
• One such model is the health promotion model
• Srof, B., & Velsor-Friedrich,
B. (2006).

25. Application of
Health
Promotion
Model
• Adolescent Characteristics and Experiences
• Consider their tendency of risky behavior
(“live in a bubble”), age, ethnicity, mental
health, socio-economic status and community
• Adolescent Behavior-specific Cognition
• Benefit of Action- consider how Quaranteen
Zoom will benefit adolescent : “Stop the
Spread” and “Flatten the Curve”
• Barrier to Action - financial cost of
Quaranteen Zoom; 40 minutes vs. unlimited
screen time
• Self-efficacy - confidence to withstand this
intervention, parent managed healthcare to
self-managed health care through Zoom

26. Application of Health Promotion Model
• Activity-related Effect – anxiety/mental health; cabin fever
• The COVID-19 pandemic may worsen existing mental health problems and lead to more cases among children
and adolescents because of the unique combination of the public health crisis, social isolation, and economic
recession.
• Tele health services are shown to be similarly effective as in-person services
• Innovative technologies could fill a substantial gap if demonstrated to be effective.
• Interpersonal Influences – impact on familial relations; and friends over social media; bullying
• Situational Influence – personal perceptions can impact of how they understand their new environment
• Ayres, C., & Pontes, N. (2018)
• Golberstein, E., Wen, H., & Miller, B. (2020)

27. Application of
Health
Promotion
Model
• Behavioral Outcomes
• Commitment to Social Distance
• Stay HOME
• Ayres, C., & Pontes, N. (2018)

28. EVALUATING THE EFFECTIVENESS
OF QUARANTEEN ZOOM

29. A SYSTEMATIC AND VISUAL WAY
TO PRESENT AND SHARE
UNDERSTANDING OF THE
RELATIONSHIPS AMONG GOALS,
OBJECTIVES AND ACTIVITIES
AND HOPE FOR CHANGE
PROVEN TO BE SUCCESSFUL
TOOL IN BEHAVIORAL HEALTH
FOR PLANNING, MANAGING,
COMMUNICATING AND
EVALUATING A PROGRAM OR
AN INTERVENTION
AN ESSENTIAL TOOL IN
EVALUATING ON HOW
ACTIVITIES AFFECT OUTCOMES
IN A LOGICAL SEQUENCE WHICH
CONSIST OF FOUR KEY
ELEMENT: SITUATION, INPUTS,
OUTPUTS AND OUTCOMES
HELPS FACILITATE
EVALUATION QUESTIONS AND
IDENTIFY REASONS FOR
UNSUCCESSFUL
INTERVENTIONS
(Coll, M. K., Sawyer, S., Scholl, S. & Hauser, N., 2019)
EVALUATION TOOL: THE LOGIC MODEL
(Wu, H., Shen, J., Jones, J., Gao, X.,
Zheng, Y., & Krenn, H. Y., 2019)

30. Kellogg Foundation Logic Model Development Gu

31. Evaluation Questionnaires:
The logic model is meant to
facilitate evaluation questions so
we will be using short pre-
program and post- program survey
with set questions to determine
our program effectiveness.
When promoting our program on
Instagram, we will have a link to
sign up with an email and a pre-
survey via Google Forms to ask on
their knowledge and attitude
towards Covid-19 and social
distancing.
4 weeks into the program we will
ask the same questions from the
pre-survey with a few additional
questions. Having the same
questions you will be able to see
the difference in answers to
accurately measure effectiveness.

32. Survey Questions
What do you know
about Covid-19?
How often do you
update yourself on
Covid-19 news?
What practices do
you do when going
outside?
How do you feel
about social
distancing?
Post- Survey
Additional
Questions:
Do you like this
program?
Do you think this
program is
effective?
What could we do
to improve?
The surveys will ask:

33. References
Anderson, M., & Jiang, J. (2018). Social media and technology. Pews Research Centre. Retrieved from http://www.pewsresearch.org
Ayres, C., & Pontes, N. (2018). Use of theory to examine health responsibility in urban adolescents. Journal of Pediatric Nursing, 38,
40-45.
Chassiakos, Y.L., Radesky, J., Radesky, J., Christakis, D., Moreno, M.A & Cross, C. (2016). Children and adolescent and digital media.
American Academy of Pediatrics, 138(5), e1-e18. doi:10.1542/peds.2016-2593
Coll, M. K., Sawyer, S., Scholl, S., & Hauser, N. (2019). A logic model development for an adolescent based intervention to improve
benefit from therapeutic residential care (trc). www.Elsevier.com/locate/evalprogplan
Effectiveness of Zoom technology and instructional Video to improve engagement and success of distance students in engineering. CQ
University Australia the school of engineering and technology. Retrived from http://www.reserachgate.net
Estrada, Madison, "University Students' Involvement in a Health Promoting Lifestyle: Influencing Factors of the Health Promotion
Model" (2016). Electronic Thesis Collection. 232. https://digitalcommons.pittstate.edu/etd/232
Golberstein, E., Wen, H., & Miller, B. (2020). Coronavirus Disease 2019 (COVID-19) and Mental Health for Children and
Adolescents. JAMA Pediatrics, JAMA pediatrics, April 14, 2020.
Kellogg Foundation Logic Model Development Guide. Retrieved from W.K. Kellogg Foundation Evaluation Toolkit:
http://www.wkk.org/default.aspx?tabid=101&CID=281&CatID=281&ItemID=2813669&NID=20&LanguageID=0
Khodaveisi, M., Omidi, A., Farokhi, S., & Soltanian, A. (2017). The Effect of Pender’s Health Promotion Model in Improving the
Nutritional Behavior of Overweight and Obese Women. International Journal of Community Based Nursing and Midwifery, 5(2), 165-
174.
Lewnard, J.A., & Lo, N.C. (2020). Scientific and ethical basis for social distancing intervention against covid 19. Lancet Infectious
Diseases. Retrieved from http://www.ncbi.nlm.nih.gov

34. References
Mcleod, S. (2018). Erik Erikson's Stages of Psychosocial Development. Retrieved May 07, 2020, from
https://www.simplypsychology.org/Erik-Erikson.html
McIntosh, K., MD, Hirsch, M. S., MD, & Bloom, A., MD. (2020, May 05). Coronavirus disease 2019 (COVID-19): Epidemiology, virology,
clinical features, diagnosis, and prevention. Retrieved May 07, 2020, from https://www.uptodate.com/contents/coronavirus-disease-
2019-covid-19-epidemiology-
Merchant, R.A., & Lurie, N. (2020). Social Media and Emergency Preparedness in response to novel coronavirus. JAMA. Retrieved from
http://www.jamanetwork.com/jama
Mills, T., Lawton, R. & Sherd, L. (2019). Advancing complexity science in healthcare research: the logic of logic models. BMC Medical
Research Methodology. https://doi.org/10.1186/s12874-019-0701-4
Retrieved from http://www.cdc.gov/cvh/library/evaluation framework/index.htm.
Shadat, A., Muhammed, S., Benjamin, T., Mitchell, M., & Umme, M. (2017). The virology-clinical-features-diagnosis-and-
prevention?sectionName=Strategies+for+PPE+shortages
Srof, B., & Velsor-Friedrich, B. (2006). Health Promotion in Adolescents: A Review of Pender’s Health Promotion Model. Nursing Science
Quarterly, 19(4), 366-373
Wu, H., Shen, J., Jones, J., Gao, X., Zheng, Y., & Krenn, Y. H. (2019). Using logic model and visualization to conduct portfolio evaluation.
Evaluation and Program Planning, 74, 69-75.