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Real-Life Covid-19 Vaccine Effectiveness And Risk Factors Of Covid-19 Infection During Omicron Variant Epidemic In Thailand, Paskorn Sritipsukho, Thana Khawcharoenporn, Pichaya Tantiyavarong, Boonying Siribumrungwong, Pansachee Damronglerd, Nuntra Suwantarat, Araya Satdhabudha, Chanapai Chaiyakulsil, Phakatip Sinlapamongkolkul, Auchara Tangsathapornpong, Pornumpa Bunjoungmanee

Asian Medical Journal and Alternative Medicine

Introduction: Data of real-life vaccine effectiveness (VE) and risk factors of COVID-19 infection during Omicron variant epidemic in Thailand are limited.

Methods: A test-negative case-control design was conducted to assess the VE for each dose of vaccination during the omicron variant epidemic (1 Jan to 30 April 2022). Available vaccine regimensin Thailand mainly consisted of inactivated vaccine (CoronaVac, SV), viral vector vaccine (ChAdOx1,AZ), and mRNAvaccine (BNT162b2, PF and Spikevax, MDN). All patients under investigation (PUI), aged more than 5 years, presenting at Thammasat University (TU) hospital for nasopharyngeal real-time polymerase chain reaction (RT-PCR) testing were prospectively enrolled and followed-up for …

Are Kenyans Likely To Use Covid-19 Self-Testing Kits? Results From A Cross-Sectional Survey, Griffins Manguro, Sonjelle Shilton, Sharon Omenda, Patrica Owira, Deepshikha Batheja, Abhik Banerji, Sophie Chabeda, Marleen Temmerman, Walter Jako, Stanley Luchters

Obstetrics and Gynaecology, East Africa

Objectives: To understand the public’s perceptions around rapid SARS-CoV-2 antigen self-testing in Kenya, including the drivers of acceptability, willingness to pay, and adherence to hygiene and prevention recommendations following a positive self-test.

Methods: A household-based, cross-sectional survey, using a 35-item questionnaire, was conducted in Mombasa and Taita–Taveta counties, Kenya, during August 2021. Individuals aged ≥18 years were enrolled using a stratified sampling approach.

Results: There were 419 participants (mean age 35.7 years). A minority (10.5%) had ever tested for SARS-CoV-2. If SARS-CoV-2 self-testing were available, 39.9% and 41.5% would be likely and very likely, respectively, to use it. If unavailable …

Edible Mushrooms: An Emerging Therapeutic Of Diabetes, Nilanjan Chakraborty, Anuron Banerjee, Sudeshna Nandi, Swagata Sarkar, Krishnendu Acharya

The Thai Journal of Pharmaceutical Sciences

Diabetes is the third most customary non-infectious disease occurring worldwide and leads to untimely disability and mortality. This metabolic disorder is characterized by impaired insulin secretions and high blood glucose levels. Among others, type 2 diabetes is the most common. Various chemical and biochemical hypoglycemic drugs are utilized to control and treat hyperglycemia but required further interventions to reduce their toxicity and side effects on the users. Edible mushrooms have been employed from ancient times to heal many diseases as it composed of anti-oxidant, alkaloids, fibers, triterpenoids, and other phytochemicals. The bioactive secondary metabolites of mushrooms can improve insulin resistance …

Repercussions Of The Covid-19 Lockdown For Autistic People In Mexico: The Caregivers’ Perspective, Georgina Pérez Liz, Andy Torres, Ana C. Ramirez, Cecilia Montiel-Nava

Psychological Science Faculty Publications

Introduction. The COVID-19 lockdown has posed new challenges for individuals with autism spectrum disorder (ASD), including service suspension and reductions in support. Objective. To explore the perspectives of caregivers on the impact of the COVID-19 lockdown on people with ASD in Mexico. Method. 126 caregivers from Mexico completed a survey on the impact of lockdown on people with ASD. Results. Suspension of at least one service was reported for 38.9% of subjects, with no significant association being found between symptom worsening and service administration modality. Discussion and conclusion. Service suspension for people with ASD in Mexico has been a side …

Reflections On The Adaptation Of A Postgraduate Degree In Water Management From In-Person To Remote Delivery, Murray Clamen, Emma Anderson, Johanna Dipple, Jan Adamowski

Journal of Contemporary Water Research and Education

In early 2020, the COVID-19 pandemic spurred the rapid adaptation of university course delivery to an online format. Though in-person delivery partially resumed in the Fall of 2021, future conditions may favor a return to, or addition of, remote delivery. It is therefore important for instructors, program directors, and institutions to capitalize on this learning opportunity and reflect on adaptation measures’ successes (and failures) to inform future online course design. The reworking of McGill University's Master of Science Program in Integrated Water Resources Management (IWRM) provides a case study to evaluate the adaptation of remote teaching of water resource management. …

Parent Work-Family Balance And Adolescent Psychosocial Well-Being During The Covid-19 Shutdown, Shailey Woodward

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Parents who work have many responsibilities to fulfill. They may encounter frustration and exhaustion, which can impact how well they parent. Experiences such as financial strain and the COVID-19 shutdown may further impact parenting. At the same time, adolescents are establishing identities and need attentive parents to help them develop healthy psychosocial well-being. Using Erikson’s (1968) psychosocial theory of development as a backdrop, the purpose of this study was to observe the relationships between parent work-family balance, parenting satisfaction, and adolescent psychosocial well-being within the context of financial stress and the COVID-19 shutdown. I found that parent and adolescent perceptions …

International Prevalence And Mechanisms Of Sars-Cov-2 In Childhood Arterial Ischemic Stroke During The Covid-19 Pandemic, Lauren A Beslow, Shannon C Agner, Jonathan D Santoro, Dipak Ram, Jenny L Wilson, Dana Harrar, Brian Appavu, Stuart M Fraser, Thomas Rossor, Marcela D Torres, Manoëlle Kossorotoff, Yenny C Zuñiga Zambrano, Marta Hernández-Chávez, Sahar M A Hassanein, Dimitrios Zafeiriou, Michael M Dowling, Ilona Kopyta, Nicholas V Stence, Timothy J Bernard, Nomazulu Dlamini

Faculty, Staff and Student Publications

BACKGROUND: Data from the early pandemic revealed that 0.62% of children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had an acute arterial ischemic stroke (AIS). In a larger cohort from June 2020 to December 2020, we sought to determine whether our initial point estimate was stable as the pandemic continued and to understand radiographic and laboratory data that may clarify mechanisms of pediatric AIS in the setting of SARS-CoV-2.

METHODS: We surveyed international sites with pediatric stroke expertise to determine numbers of hospitalized SARS-CoV-2 patients <18 >years, numbers of incident AIS cases among children (29 days to <18 >years), frequency …

Covid-19: Perceived Infection Risk And Barriers To Uptake Of Pfizer-Biontech And Moderna Vaccines Among Community Healthcare Workers, Tolulope B Famuyiro, Abayomi Ogunwale, Jude Des Bordes, Mukaila Raji

Faculty, Staff and Student Publications

Background: The health and economic ramifications of the coronavirus pandemic have prompted the need for a timely and effective vaccine development. While the rollout of the COVID-19 vaccine in record time is being hailed as a scientific feat, skepticism about the safety, side effects, and even its long-term effects remain. Acceptance of the vaccine may therefore be a challenge among healthcare workers (HCWs), whose role is considered a proxy to determining the COVID-19 vaccine uptake response by the general population.

Methods: In December 2020, prior to the arrival and receipt of the Pfizer-BioNTech and Moderna COVID-19 vaccine, we conducted a …

Sars-Cov-2 Infection: Host Response, Immunity, And Therapeutic Targets, Pooja Shivshankar, Harry Karmouty-Quintana, Tingting Mills, Marie-Francoise Doursout, Yanyu Wang, Agnieszka K Czopik, Scott E Evans, Holger K Eltzschig, Xiaoyi Yuan

Faculty, Staff and Student Publications

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has resulted in a global pandemic with severe socioeconomic effects. Immunopathogenesis of COVID-19 leads to acute respiratory distress syndrome (ARDS) and organ failure. Binding of SARS-CoV-2 spike protein to human angiotensin-converting enzyme 2 (hACE2) on bronchiolar and alveolar epithelial cells triggers host inflammatory pathways that lead to pathophysiological changes. Proinflammatory cytokines and type I interferon (IFN) signaling in alveolar epithelial cells counter barrier disruption, modulate host innate immune response to induce chemotaxis, and initiate the resolution of inflammation. Here, we discuss experimental models to study SARS-CoV-2 …

Antibody Evasion By Sars-Cov-2 Omicron Subvariants Ba2121, Ba4 And Ba5, Qian Wang, Yicheng Guo, Sho Iketani, Manoj S Nair, Zhiteng Li, Hiroshi Mohri, Maple Wang, Jian Yu, Anthony D Bowen, Jennifer Y Chang, Jayesh G Shah, Nadia Nguyen, Zhiwei Chen, Kathrine Meyers, Michael T Yin, Magdalena E Sobieszczyk, Zizhang Sheng, Yaoxing Huang, Lihong Liu, David D Ho

Faculty, Staff and Student Publications

SARS-CoV-2 Omicron subvariants BA.2.12.1 and BA.4/5 have surged notably to become dominant in the United States and South Africa, respectively1,2. These new subvariants carrying further mutations in their spike proteins raise concerns that they may further evade neutralizing antibodies, thereby further compromising the efficacy of COVID-19 vaccines and therapeutic monoclonals. We now report findings from a systematic antigenic analysis of these surging Omicron subvariants. BA.2.12.1 is only modestly (1.8-fold) more resistant to sera from vaccinated and boosted individuals than BA.2. However, BA.4/5 is substantially (4.2-fold) more resistant and thus more likely to lead to vaccine breakthrough infections. Mutation at spike …

A Climate Resilience Research Renewal Agenda: Learning Lessons From The Covid-19 Pandemic For Urban Climate Resilience, Mark Pelling, Winston T. L. Chow, Eric Chu, Richard Dawson, David Dodman, Arabella Fraser, Bronwyn Hayward, Luna Khirfan, Timon Mcphearson, Anjal Prakash, Gina Ziervogel

Research Collection School of Social Sciences

Learning lessons from the COVID-19 pandemic opens an opportunity for enhanced research and action on inclusive urban resilience to climate change. Lessons and their implications are used to describe a climate resilience research renewal agenda. Three key lessons are identified. The first lesson is generic, that climate change risk coexists and interacts with other risks through overlapping social processes, conditions and decision-making contexts. Two further lessons are urban specific: that networks of connectivity bring risk as well as resilience and that overcrowding is a key indicator of the multiple determinants of vulnerability to both COVID-19 and climate change impacts. From …

Social Media Analytics With Applications In Disaster Management And Covid-19 Events, Md Yasin Kabir

Doctoral Dissertations

"Social media such as Twitter offers a tremendous amount of data throughout an event or a disastrous situation. Leveraging social media data during a disaster is beneficial for effective and efficient disaster management. Information extraction, trend identification, and determining public reactions might help in the future disaster or even avert such an event. However, during a disaster situation, a robust system is required that can be deployed faster and process relevant information with satisfactory performance in real-time. This work outlines the research contributions toward developing such an effective system for disaster management, where it is paramount to develop automated machine-enabled …

Transitioning From In-Person To Telehealth Cognitive-Behavioral Therapy For Social Anxiety Disorder During The Covid-19 Pandemic: A Case Study In Flexibility In An Adverse Context, Alma Teresa C. Molino, Kathryn D. Kriegshauser, Dakota Mcnamara Thornblade

Student Publications

Social anxiety disorder (SAD) is a condition in which people consistently and persistently experience significant fear and/or anxiety about one or more social situations in which they may be scrutinized and negatively evaluated. SAD has historically been found to respond well to cognitive-behavioral therapy (CBT) delivered both in-person and via telehealth; however, comparatively little information is available regarding response to treatment in the context of Coronavirus Disease 2019 (COVID-19) pandemic social and physical distancing guidelines, which have affected the way in which behavioral health services are delivered, as well as opportunities for interpersonal interactions which are either spontaneous or assigned …

Microplastics In Freshly Fallen Snow: How May It Adversely Impact Human Health And Exacerbate The Covid-19 Crisis?, Ayesha Liaquat, Aleena Kashif, Sushma Rathi, Alishba Raza

Medical College Documents

No abstract provided.

Covid-19 Pandemic’S Impact On International Students In Japan And The United States: Comparative Study From National And Institutional Context

Journal of Comparative & International Higher Education

No abstract provided.

The Intergenerational Mortality Tradeoff Of Covid-19 Lockdown Policies, Lin Ma, Gil Shapira, Damien De Walque, Quy-Toan Do, Jed Friedman, Andrei A. Levchenko

Research Collection School Of Economics

In lower-income countries, the economic contractions that accompany lockdowns to contain COVID-19 transmission can increase child mortality, counteracting the mortality reductions achieved by the lockdown. To formalize and quantify this effect, we build a macro-susceptible-infected-recovered model that features heterogeneous agents and a country-group-specific relationship between economic downturns and child mortality and calibrate it to data for 85 countries across all income levels. We find that in some low-income countries, a lockdown can produce net increases in mortality. The optimal lockdown that maximizes the present value of aggregate social welfare is shorter and milder in poorer countries than in rich ones.

Mathematical Modeling Of Seir Model With Generalized Incidence Function And The Extension To Covid-19 Model, Shymaa Mohammad Dadoa

Theses

The COVID-19 pandemic had shown the importance of the SEIR model in predicting the outcome of the disease spread and to find the best strategies to contain the pandemic. As this type of model has a limited number of compartments, many other models were derived from the SEIR model to cover, to the maximum, the complex dynamics of the disease spread. These extensions of the SEIR model bring natural validity questions: How can we validate these models? and how far/close are these extended models from giving us real insights into the pandemic?

This thesis investigates the SEIR epidemic model and …

Racial Bias Beliefs Related To Covid-19 Among Asian Americans, Native Hawaiians, And Pacific Islanders: Findings From The Covid-19 Effects On The Mental And Physical Health Of Asian Americans And Pacific Islanders Survey Study (Compass), Van Ta Park, Janice Y. Tsoh, Marcelle Dougan, Bora Nam, Marian Tzuang, Quyen N. Vuong, Joon Bang, Oanh L. Meyer

Faculty Research, Scholarly, and Creative Activity

Background: During the COVID-19 pandemic, there have been increased reports of racial biases against Asian American and Native Hawaiian and Pacific Islander individuals. However, the extent to which different Asian American and Native Hawaiian and Pacific Islander groups perceive and experience (firsthand or as a witness to such experiences) how COVID-19 has negatively affected people of their race has not received much attention. Objective: This study used data from the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS), a nationwide, multilingual survey, to empirically examine COVID-19-related racial bias beliefs among Asian …

Informal And Incidental Learning In The Clinical Learning Environment: Learning Through Complexity And Uncertainty During Covid-19, Dimitrios Papanagnou, Karen E Watkins, Henriette Lundgren, Grace A Alcid, Deborah Ziring, Victoria J Marsick

Department of Emergency Medicine Faculty Papers

In the time of the COVID-19 pandemic, where clinical environments are plagued by both uncertainty and complexity, the importance of the informal and social aspects of learning among health care teams cannot be exaggerated. While there have been attempts to better understand the nuances of informal learning in the clinical environment through descriptions of the tacit or hidden curriculum, incidental learning in medical education has only been partially captured in the research. Understood through concepts borrowed from the Cynefin conceptual framework for sensemaking, the early stages of the pandemic immersed clinical teams in complex and chaotic situations where there was …

Cyberchondria And Covid-19 Health Threats Related To Attentional Bias And Safety Behaviors, Jacqueline J. Charles

Electronic Theses and Dissertations

Cyberchondria is described as excessively searching online for health information that ultimately increases worry and anxiety about one’s health (Starcevic et al., 2019). Research has demonstrated an increased attentional bias in anxious individuals for threat-related stimuli. Attentional bias for health information exacerbated by the frequent exposure to health threats during the COVID-19 pandemic may contribute to additional health-seeking behavior. The current study aimed to explore the potential relationship between COVID-19 health threats and cyberchondria level on attentional bias toward illness-related stimuli (symptom words) and the intent to perform safety behaviors while controlling for Trait Anxiety and Health Anxiety. Participants ( …

“Tele-Commuting” During The Covid-19 Pandemic And Beyond: Unveiling State-Wide Patterns And Trends Of Telecommuting In Relation To Transportation, Employment, Land Use, And Emissions In Calif, Tianjun Lu, Jian-Yu Ke, Fynnwin Prager, Jose N. Martinez

Mineta Transportation Institute

Telecommuting, the practice of working remotely at home, increased significantly (25% to 35%) early in the COVID-19 pandemic. This shift represented a major societal change that reshaped the family, work, and social lives of many Californians. These changes also raise important questions about what factors influenced telecommuting before, during, and after COVID-19, and to what extent changes in telecommuting have influenced transportation patterns across commute modes, employment, land use, and environment. The research team conducted state-level telecommuting surveys using a crowd-sourced platform (i.e., Amazon Mechanical Turk) to obtain valid samples across California (n=1,985) and conducted state-level interviews among stakeholders (n=28) …

Enrollment Management Strategies As A Result Of Covid-19 At Rural Community Colleges, Robin Christine Daniel

Educational Leadership & Workforce Development Theses & Dissertations

Higher education institutions world-wide were impacted by the unprecedented novel coronavirus (COVID-19) beginning in early 2020. COVID-19 caused a disruption in services to students and resulted in pivots of teaching, learning, and student support. Community colleges differ from four-year counterparts through varying student demographics, funding sources, mission and foci, and student intentions. Community college enrollment is affected by economic, employment, and social trends. Enrollment management practices changes as campus operations for student support changed to remote support. COVID-19 forced administrators at colleges to make quick decisions. This study examined the perceptions of academic administrators at rural community colleges regarding how …

The Impact Of Covid-19 On Autism Research: A Cross-Sectional Analysis Of Discontinued Or Suspended Clinical Trials, Monika Neale, Elizabeth Landers, Nicholas B. Sajjadi, Anya Mazur-Mosiewicz, Micah Hartwell

Student Publications

Due to uncertainties associated with the COVID-19 public health crisis, several clinical trials had to be withdrawn or postponed. Our investigation aimed to assess the rate of discontinuation of clinical trials focusing on Autism Spectrum Disorder. Of the 197 registered trials included in our systematic review, 15 (7.6%) were discontinued, with nearly half of these explicitly citing COVID-19 as their reason for discontinuation. Pharmacological trials were six times more likely to be discontinued during the pandemic than non-pharmacological studies. The difference between the likelihood of discontinuation was statistically significant (OR: 6.13; 95% CI: 1.22-30.71). There was no evidence of association …

Social Contributors For The Rise Of Covid-19 Infections In South Asia: A Large Cross-Sectional Survey, Zouina Sarfraz, Azza Sarfraz, Muzna Sarfraz, Nishwa Azeem, Namrata Hange, Miguel Felix, Ivan Cherrez-Ojeda

Department of Paediatrics and Child Health

Background: The ongoing global coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was first reported in South Asia on 30th January 2020 in India. Ever since, certain countries have witnessed multiple waves of COVID-19, requiring attention by public health experts and strategists in the region. The objectives of this study are to assess social contributors to the recurrent waves of COVID-19 in South Asia including first demographic traits, second household characteristics and social measures, third workplace trends and personal protective equipment use, and fourth satisfaction and attitudes concerning public health measures and vaccination status. …

Quantifying Inequities In Covid-19 Vaccine Distribution Over Time By Social Vulnerability, Race And Ethnicity, And Location: A Population-Level Analysis In St. Louis And Kansas City, Missouri, Aaloke Mody, Cory Bradley, Salil Redkar, Branson Fox, Ingrid Eshun-Wilson, Matifadza G. Hlatshwayo, Anne Trolard, Khai Hoan Tram, Lindsey M. Filiatreau, Franda Thomas, Matt Haslam, George Turabelidze, Vetta Sanders-Thompson, William G. Powderly, Elvin H. Geng

2020-Current year OA Pubs

BACKGROUND: Equity in vaccination coverage is a cornerstone for a successful public health response to COVID-19. To deepen understanding of the extent to which vaccination coverage compares with initial strategies for equitable vaccination, we explore primary vaccine series and booster rollout over time and by race/ethnicity, social vulnerability, and geography.

METHODS AND FINDINGS: We analyzed data from the Missouri Department of Health and Senior Services on all COVID-19 vaccinations administered across 7 counties in the St. Louis region and 4 counties in the Kansas City region. We compared rates of receiving the primary COVID-19 vaccine series and boosters relative to …

Becoming A Doctor During A Pandemic: Impact On Medical Student Social Identity Formation, Sanghamitra M Misra, Nital P Appelbaum, Maria A Jaramillo, Ruifei Wang, Connor T Hoch, Nadia Ismail, Jennifer Christner

Faculty, Staff and Students Publications

The COVID-19 pandemic required modifications to undergraduate medical education that likely affected medical students' social identity formation (SIF). SIF is shaped by experiences throughout the medical education continuum. This commentary explores factors potentially affecting medical student SIF during the COVID-19 pandemic focusing on students' perceptions of being part of the healthcare team, their role in medicine, and their engagement during the pandemic. Based on such considerations, we propose that educators should aim to design effective learning environments to support a full educational experience that encompasses acquiring medical knowledge and building strong social identities even during a pandemic.

Aspirin Use Is Associated With Decreased Inpatient Mortality In Patients With Covid-19: A Meta-Analysis, Aswin Srinivasan, Jonathan Brown, Pavitra Parimala Krishnamani, Brendon Cornett, Ramesh Babu Kesavan, Siva T Sarva, Syed Arman Raza, Waleed Tallat Kayani

Faculty, Staff and Students Publications

Thromboembolism is a major cause of death in patients who suffer from COVID-19. Studies examining the effects of aspirin (ASA) on mortality relating to this phenomenon have showed conflicting results with varying degrees and certainties of evidence. We performed an aggregate data meta-analysis of fourteen studies encompassing 164,539 COVID-19 patients, which showed a reduced risk of in-hospital mortality associated with ASA use in eight studies that reported risk ratios (RR 0.90; 95 % CI 0.82–0.98; I2 = 27.33 %, P = 0.01), six studies that reported hazard ratios (HR 0.56; 95 % CI 0.41–0.76, P ≤ 0.01; I2 = 85.92 …

Factors Associated With Parental Acceptance Of Covid-19 Vaccination: A Multicenter Pediatric Emergency Department Cross-Sectional Analysis, Brigitte M Baumann, Robert M Rodriguez, Amy M Delaroche, David Rayburn, Stephanie A Eucker, Nicole L Nadeau, Lisa A Drago, Danielle Cullen, Sarah Dennis Meskill, Suzanne Bialeck, Michael Gillman

Faculty, Staff and Students Publications

STUDY OBJECTIVE: During the delta surge of the COVID-19 pandemic in 2021, we sought to identify characteristics and beliefs associated with COVID-19 vaccination acceptance in parents of pediatric emergency department (ED) patients.

METHODS: We conducted a cross-sectional survey-based study of the parents of children aged 3 to 16 years presenting to 1 of 9 pediatric EDs from June to August 2021 to assess the parental acceptance of COVID-19 vaccines. Using multiple variable regression, we ascertained which factors were associated with parental and pediatric COVID-19 vaccination acceptance.

RESULTS: Of 1,491 parents approached, 1,298 (87%) participated, of whom 50% of the parents …

Teaching During Covid-19: Relational-Cultural Theory In The Online Classroom, Lucy L. Purgason, Dominique Hammonds, Geri Miller, Jill W. Van Horne, Catherine Clark

Journal of Technology in Counselor Education and Supervision

The sudden conversion from face-to-face to online instruction in Spring semester 2020 due to the COVID-19 pandemic was unprecedented. During this time instructors in helping professional training programs were engaged in the duality of being impacted in various degrees while simultaneously training students to assist clients in dealing with the resulting stress and emotional impact. Relational-Cultural Theory (RCT) is a framework that can be used within online counselor education to consider the impact of the larger socio-cultural context on student learning, prioritizing fostering relational connections. In this article, online teaching approaches aligned with the video conferencing tool, Zoom, are described.

Students’ Experiences Conducting Telehealth Counseling During A Pandemic, Laura L. Gallo, Regina Moro, Molly Moran

Journal of Technology in Counselor Education and Supervision

In this article, the results of an Interpretative Phenomenological Analysis qualitative research study are presented. This study explored the experiences of counselors-in-training learning how to conduct telehealth counseling during their practicum experience. Telehealth counseling was implemented for training due to the global COVID-19 pandemic. Results highlighted the five superordinate themes of participants: (1) importance of relationships, (2) emotional awareness; (3) counselor development; (4) belief in counseling; and (5) skill acquisition. Participant quotes are included to convey the essence of their experiences. Following the presentation of results, a discussion with implications and the need for future research is presented.