Examining the Relationship Between Pediatric Behavioral Health and Parent Productivity Through a Parent-Reported Survey in the Time of COVID-19: Exploratory Study

David Grodberg; Jesse Bridgewater; Theoren Loo; Dena Bravata

doi:10.2196/37285

Examining the Relationship Between Pediatric Behavioral Health and Parent Productivity Through a Parent-Reported Survey in the Time of COVID-19: Exploratory Study

JMIR Form Res. 2022 Aug 18;6(8):e37285. doi: 10.2196/37285.

Authors

David Grodberg^#^{1

2}, Jesse Bridgewater^#², Theoren Loo^#², Dena Bravata³

Affiliations

¹ Child Study Center, Yale University School of Medicine, New Haven, CT, United States.
² Brightline, Palo Alto, CA, United States.
³ Center for Primary Care and Outcomes Research, Stanford University, Palo Alto, CA, United States.

^# Contributed equally.

PMID: 35616439
PMCID: PMC9390832
DOI: 10.2196/37285

Abstract

Background: Pediatric behavioral health needs skyrocketed during the COVID-19 pandemic. Parents and caregivers lacked access to well-established tools to identify risk and protective factors while also experiencing decreased access to treatment options to meet their families' behavioral health needs.

Objective: The aim of this study is to investigate the associations of known pediatric behavioral health risk factors and parents' reports of workplace productivity.

Methods: A clinical research team at Brightline-a virtual, pediatric behavioral health solution-drew on standardized instruments to create a survey designed to understand pediatric behavioral health conditions, child stress, and family resilience and connection during the COVID-19 pandemic. Multivariable linear regression was used to characterize the relationship between these variables and parents' reports of workplace productivity.

Results: Participants (N=361) completed the survey between October 2020 and November 2021. In the multivariable model, higher pediatric stress and time spent managing children's behavioral health needs were associated with greater productivity loss among working parents, whereas higher family connection was associated with lower productivity loss. COVID-19 diagnoses among parents and dependents, financial impact of COVID-19 on households, and family resilience were not associated with parents' workplace productivity.

Conclusions: This survey captured child stress, family connection, and productivity as reported by parents and caregivers during the COVID-19 pandemic. Exploratory studies are the first step in understanding the relationship between these variables. The results from this study can empower parents by providing insights to help manage their child's behavioral health concerns and identify pediatric behavioral health services to aid working parents who are caregivers.

Keywords: COVID-19; adolescent; behavioral health; child, family health; mental health; productivity; protective factors; stress.

©David Grodberg, Jesse Bridgewater, Theoren Loo, Dena Bravata. Originally published in JMIR Formative Research (https://formative.jmir.org), 18.08.2022.