Cheung W C, Ostrosky M M, O'Grady C, Chudzik M, Ackerman A, Perez N, Delinski N, Smith R L
College of Health and Human Sciences, Allied Health and Communicative Disorders Northern Illinois University DeKalb Illinois USA.
College of Education, Special Education University of Illinois Urbana-Champaign Urbana Illinois USA.
Public Health Chall. 2024 Jul 24;3(3):e225. doi: 10.1002/puh2.225. eCollection 2024 Sep.
BACKGROUND: To investigate the feasibility of conducting COVID-19 testing in kindergarten-grade 12 schools, saliva-based testing was implemented in five schools. The purpose of this study was to understand staff's perspectives of the barriers and facilitators to conducting saliva-based testing in their settings. METHODS: Thirty-three school staff who worked in five target schools were interviewed in the summer of 2021. Participants were recruited from June-August 2021 via a flyer that was distributed through email and school-affiliated social media and websites, and word-of-mouth. Semi-structured interviews were conducted over Zoom by a trained interviewer; interviews were audio recorded and auto transcribed using this Zoom feature. Constant comparative analysis and emergent coding were used to analyze the data. RESULTS: The majority of participants had positive experiences with conducting saliva-based testing during school hours. Participants reported that saliva-based testing did not interrupt their school routine because (1) the testing was simple and quick, (2) the testing schedule was consistent and organized, and (3) school staff maintained open lines of communication. Barriers to implementing the testing were as follows: (1) obtaining parental consent, (2) not being allowed to drink or eat an hour before testing, and (3) struggling to provide enough saliva for testing. Participants suggested the following strategies to facilitate testing in schools: being more proactive, giving families fewer things to sign (i.e., consent forms), improving communication, adding needed consents to the school registration process, using social media, and increasing community outreach. CONCLUSION: As schools weigh the benefits and the risks of closing for extended periods of time versus remaining open for in-person learning, saliva-based testing is a feasible and efficient way to support programs in this decision-making process. This approach can be used in future pandemics and in areas with outbreaks or poor vaccine coverage.
背景:为了调查在幼儿园至12年级学校开展新冠病毒检测的可行性,在五所学校实施了基于唾液的检测。本研究的目的是了解工作人员对在其所在环境中开展基于唾液检测的障碍和促进因素的看法。 方法:2021年夏天,对在五所目标学校工作的33名学校工作人员进行了访谈。2021年6月至8月,通过电子邮件、学校附属社交媒体和网站分发传单以及口碑传播招募了参与者。由一名经过培训的访谈员通过Zoom进行半结构化访谈;访谈进行了录音,并使用Zoom的此功能自动转录。采用持续比较分析和浮现编码对数据进行分析。 结果:大多数参与者在上课时间进行基于唾液检测时有积极的体验。参与者报告说,基于唾液的检测没有扰乱他们的学校日常,原因如下:(1)检测简单快捷,(2)检测时间表一致且有条理,(3)学校工作人员保持开放的沟通渠道。实施检测的障碍如下:(1)获得家长同意,(2)检测前一小时不允许饮食,(3)难以提供足够的唾液用于检测。参与者提出了以下促进学校检测的策略:更加积极主动,减少让家庭签署的文件(即同意书),改善沟通,在学校注册过程中增加所需的同意书,利用社交媒体,并加强社区宣传。 结论:由于学校在权衡长时间关闭与继续面对面教学的利弊,基于唾液的检测是在这一决策过程中支持相关项目的一种可行且有效的方式。这种方法可用于未来的大流行以及疫情爆发地区或疫苗接种率低的地区。
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