The Impact of COVID-19 on Pediatric Adherence and Self-Management

Jill M. Plevinsky, PHD; Melissa A. Young, PSYD; Julia K. Carmody, PHD; Lindsay K. Durkin, MS; Kaitlyn L. Gamwell, PHD; Kimberly L. Klages, PHD; Shweta Ghosh, PHD; Kevin A. Hommel, PHD


J Pediatr Psychol. 2020;45(9):977-982. 

In This Article

Physical Activity, Nutrition, and Sleep

Self-management behaviors that promote health outcomes such as exercise, nutrition, sleep, social interaction, and reducing sedentary behavior (e.g., screen time) have likely also been altered by the pandemic. For example, many youth received the bulk of their physical activity, nutritious meals, and social interaction with peers at school (Wechsler et al., 2000), which was closed to reduce the spread of COVID-19. Stay-at-home orders are critical for reducing the spread of COVID-19 and, on one hand, may create or exacerbate poor adherence and self-management; but they may also create opportunities for improved adherence and self-management. Some families may be cooking at home more leading to positive changes in diet, and a more flexible schedule may allow for more time for daily physical activity, relaxation for stress management, and hours of sleep per night.