Research Article - Clinical Schizophrenia & Related Psychoses ( 2022) Volume 0, Issue 0
Maternal Level of Knowledge and Practice Regarding Physical and Psychological Care of Children with Covid-19Samah Elawady Bassam*
Samah Elawady Bassam, Department of Maternal and Child Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia, Email: [email protected]
Received: 06-Apr-2022, Manuscript No. CSRP-22-63026; Editor assigned: 09-Apr-2022, Pre QC No. CSRP-22-63026 (PQ); Reviewed: 23-Apr-2022, QC No. CSRP-22-63026; Revised: 27-Apr-2022, Manuscript No. CSRP-22-63026 (R); Published: 13-May-2022, DOI: 10.3371/CSRP.BS.051322
Background: The Coronavirus Disease 2019 (COVID-19) has had a rapid global spread. All individuals of all age groups are at risk of COVID-19. During the COVID-19 outbreak, people have received a large volume of information that could lead to confusion, parents and children have experienced stress and fear, and the attitudes of parents toward COVID-19 need to be explored. Therefore, it’s vital to evaluate their knowledge, directions and practices in regard to children with COVID-19.
Aim: To evaluate maternal level of knowledge attitude, and practices regarding physical and psychological care of their children with COVID-19.
Methodology: Cross sectional research design conducted in Buraidah city. The subjects were 200 mothers, through convenience sample. An online survey was conducted using Google form, which contained four parts (characteristics, knowledge, direction and practice).
Results: The mean age of studied mothers was 31.98 (6.94) years, and 93% of studied mothers had a BSN. Educational level and age was positive indicator in mothers’ knowledge. The total knowledge, directions, residency, and educational level had a positive impact on mothers’ practices, the total knowledge, occupation and age were positive predictors for mother’ direction.
Conclusion: The current study concluded that half of studied mothers had good knowledge and more than one third had an average knowledge level. In related practice, less than two thirds of studied mothers had positive attitude. According to practice level in regard to physical and psychological care of their children around two thirds of studied mothers had satisfied practices.
Maternal • Knowledge • Practice • Physical • Psychological care • Children • COVID-19
In late 2019 a virus apparently closely related to the SARS coronavirus began in Wuhan, China . Later, the virus termed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), triggered an illness well-known as COVID-19, which was similar to SARS and primary characterised by respiratory symptoms and fever. The World Health Organization in March 2020 affirmed the outbreak a pandemic . Coronavirus is continuing its spread over the world with nearly 80 million confirmed cases in 190 countries and more than 1.7 million deaths. As of the evening of December 26, there were 362,000 affirmed cases of COVID-19, 353,000 recovered cases and 6,168 deaths in Saudi Arabia, with a recovery rate of 97.5% . The 2020 coronavirus spread in Saudi Arabia is a portion of a continuous spread over the world. The primary cause of COVID-19 in Saudi Arabia was affirmed on 2nd March 2020 . The COVID-19 pandemic is putting medical teams over the world in an unprecedented state. The severity of the disease leads to a great psychological and mental burden on the medical team . Parents of young children are particularly at risk for high levels of parental stress due to the current public health crisis, which can impact parenting behaviours and children's well-being. Although different initial scales have been developed to measure COVID-19-related anxiety, they have not yet been tested sufficiently in parent samples . Consequently, the COVID-19 virus outbreak has led to significant changes in daily life for children, youth, and their families, with specific recommendations and restrictions varying within and between countries [7,8]. The COVID-19 pandemic and its economic and social consequences will hurt some children more than others. In particular, COVID-19 exacerbates the risks of children experiencing maltreatment, violence at home, and poor nutrition. Family support and child protection services need to maintain a presence in the homes of vulnerable children. This involves ensuring workers are informed on safe practice during COVID 19 and rethinking case managements approaches and adjusting supports. For example, in the United Kingdom, children subject to child protection plans or at risk of coming into care, or with special education needs are included in childcare and schooling provisions made available to children of essential workers . Countries need to increase supports to children in out-of-home to address growing needs and avoid placement breakdowns. Measures include identifying foster families in need of respite breaks and contingency plans for older carers in case of falling ill. In New Zealand, Oranga Tamariki (the national child protection and youth justice agency) has developed online resources for carers to help them understand and respond to children’s stress responses. Procedures on the absconding of young people from care placements have been updated, to reflect current risks and safe care . During the COVID-19 outbreak, people have received a large volume of information that could lead to confusion, for example, contamination risks during dental appointments from announcements of administrative districts and dentist associations . It is important to know if there are any misconceptions. Thus, the present study aimed to evaluate mother knowledge, attitude and practice in regard to their children with COVID-19.
Materials and Methods
The study aimed to examine mothers’ knowledge, attitude, and practices toward physical and psychological care of their children with COVID-19, through:
Assess mothers’ knowledge about COVID-19
Assess mothers’ directions toward COVID-19
Assess mothers’ practices toward COVID-19
1. What is the level of mothers’ knowledge, attitude, and practices
toward physical and psychological care of their children with COVID-19?
2. Is there a relation between mother’ characteristics and their knowledge, attitude, and practices toward physical and psychological care of their children with COVID-19?
A cross sectional research design was utilised from June -July 2020.
Research setting: The study was carried out in Buraidah City, the capital of Al-Qassim Region, kingdom of Saudi Arabia.
The convenience sample included the mothers who were available and accepted to share in online questionnaire regardless of their age, qualification, occupation and experience. The sample was 200 mothers. Related to the principles and rules of social distancing and limiting the spread of COVID-19, we used an online survey using email, Facebook, and WhatsApp services (Google form: (https://forms.gle/nxiTEM1mGW7QXafdA) to collect the data from the subjects. Google forms permit questionnaire design, collection of data, descriptive analysis of results, and download of data through excel spread sheet for extra analysis.
The study instruments were designed based on literature review and main information that is published by the World Health Organization related to COVID-19 [12-14]. And modified by researcher and contained four parts:
Part I: Characteristics of the subjects such as age, residency, educational level, occupation, source of knowledge.
Part II: Knowledge of studied subjects on COVID-19, questions in this part included eleven questions in a MCQ form and asked participants to choose the correct answer. These questions included concept, mode of transmission, symptoms, and complications, etc. A correct answer scored one point, while an incorrect answer scored zero points. These scores were arranged in three categories; Good knowledge if the score was >70%, Average if the score was between 50 and 70%, and low if the score was <50%.
Part III: Directions of studied subjects about COVID-19, questions in this part consisted of ten questions in the form of a Likert scale which ranged from agree, neutral and disagree. Every response scored 3,2,1 for positive item and vice versa for a negative item. The total score ranged from 10 to 30 questions and considered positive if the score ranged 18 to 30 while negative if the score was less than 18.
Part IV: Practice of studied subjects toward their children with COVID-19. Questions in this part consisted of ten questions in the form of a MCQ form and asked participants to choose the correct answer. These questions included hand hygiene, use of face mask, hand washing, etc. A correct answer scored one point while an incorrect answer scored zero points. These scores were arranged in three categories: Satisfied practice if the score was equal or higher than 70% and unsatisfied if the score was <70%.
The pilot study was conducted with 20 mothers who represented 10% of studied sample at the previously mentioned settings in order to test the applicability of the constructed tools and the clarity of the included tools. The pilot also served to estimate the time needed for each subject to fill in the questionnaire. A group of experts in the medical surgical and paediatrics departments ascertained the content’s validity; their opinions were elicited regarding the format, layout, consistency, accuracy, and relevancy of the tools.
Data collection and statistical analysis
Data collected from the studied sample was revised, coded, and entered using a Personal Computer (PC). Computerised data entry and statistical analysis were fulfilled using the Statistical Package for Social Sciences (SPSS) version 24, data as presented using descriptive statistics in the form of mean and S.D. A linear regression model is a linear approach to modelling the relationship between a scalar response and one or more explanatory variables.
Related to the principles and rules of social distancing and limiting the spread of COVID-19, we used an online survey using email, Facebook, and Whatsapp. Verbal Consent was obtained from all mothers of children before participation. In addition, participants who agreed to participate in the study were assured that all information obtained would be kept confidential and that they had the right to withdraw from the study at any time.
Table 1 revealed that mean age of studied mothers was 31.98(6.94) years, 95% of them were from urban areas and 54% were from rural areas. In relation to educational level, 93% of the studied mothers had a BSN. Also, it was detected that 76.5% of studied mothers worked and 25.5% of them were housewife. Regarding residency, the study showed that 33.5% of the studied mothers were from rural areas and 66.5 % of them were from urban area. In relation to source of knowledge, 24.5% of them had knowledge from Saudi Ministry of Health, and 34.5% of them had knowledge from World Health Organization, and 42.5 % of them had knowledge from Social Media/Public news .
Less than 20 years
From 20 - 30 years
From 31 - 40 years
More than 40 years
|Mean SD||31.98 (6.94)|
Illiterate or read and write
Primary & Secondary
|Mean SD||8.61 (4.71)|
|Source of your knowledge about the COVID-19
Saudi Ministry of Health
World Health Organization
Social Media/Public news
Table 2 stated that 50% of studied mothers had good knowledge and 34% had an average knowledge level. In related their attitude, 61% of studied mothers had positive attitude. According to their practice, 66% of studied mothers had satisfied practices.
Table 3 stated that high significant model detected through F test value was 92.810 with a p value of .000. The model explains 71% of the change in mothers’ knowledge score detected through R2 value of 0.426. The educational level was identified as the main positive indicator of the change in mothers’ knowledge score; age was another positive predictor, Variables excluded by the model: level of education, occupation, and source of knowledge.
|Unstandardized coefficient||Standardised coefficient||T-test||P value|
|Note: Dependent variables: Total knowledge R square 0.712 Model ANOVA 92.810 p value .000**|
Table 4 stated that high significant model detected through F test value was 65.48 with p value 0.000. The model explains 78% of the change in mothers’ practice score detected through R2 value 0.787. The total knowledge was identified as the main positive indicator of the change in mothers’ practice score. Additionally, total direction and occupation was other positive indicator. Practice area also had positive indicator. Finally, educational level was identified as the least positive predictor of the change in mothers’ practice score, during entering data working was 1 and nonworking was 0. Variables excluded by the model: age, occupation, and source of knowledge.
|Unstandardized coefficient||Standardised coefficient||T-test||P value|
Table 5 stated that high significant model detected through F test value was 12.30 with p value .002. The model explains 52% of the change in mothers’ attitude score detected through R2 value 0.521. The total knowledge was identified as the main positive indicator of the change in mothers’ attitude score. Also, occupation was a positive indicator, additionally; age and residency was other positive indicator.
|Unstandardized coefficient||Standardised coefficient||T-test||P value|
|Note: Dependent variables: Total practice R square 0.787, Model ANOVA 65.48 p value .000**|
In summary, the functioning of artificial intelligence systems in Schizophrenia is limited; however its greater advancements and applications are expected in near future. Lastly! The author hoping with hope that the artificial intelligence systems framework can be set to aid in making the current medical treatment more efficient and accessible as far as Schizophrenia is concerned.
Parents are a special group. Even though children are the main subjects of many medical or educational activities, the behaviour of the parents is almost equally important. Parents act as the primary implementers or supervisors of children's care . Our study conducted to assess the knowledge, attitude, and practices of mothers towards physical and psychological care of their children with COVID-19. In this study, most of the respondents were postgraduate and had a BSN; more than half were from urban areas and the average number of years of occupation was 8.61(4.71). After analysing and interpretation the collected data, the current study mentioned that half of the studied mothers had good knowledge and more than one third had an average knowledge level. In related directions, less than two thirds of studied mothers had positive direction. According to their practice, around two thirds of studied mothers had satisfied practices. These results may be due to the fact that most of them had a BSN and postgraduate, more than two thirds were worked, and about two thirds of them had reliable sources of information such as WHO Saudi Ministry of Health and social media . In concordance with the Report of the WHO-China Joint Mission on COVID-19, the results of this study revealed that more than two-thirds of the mothers have been able to identify that COVID-19 could be transmitted by sneezing, and a high proportion believed that shaking hands could be a cause. Around one-quarter indicated that touching surfaces could transmit infection, and so when dealing with animals. Furthermore, most mothers could identify some indications for being tested for COVID-19, including contact with infected individuals, travel to areas of infection, development of respiratory symptoms, and pyrexia. These findings are reassuring to an extent, albeit need further reinforcement . Due to unknown reasons, children with COVID-19 appear to have a milder clinical course compared to adults, and reports of death are scarce . However, the paediatric population may play a major role in the community spread of SARS-CoV-2. In addition to viral shedding in nasal secretions, there is evidence of fecal shedding for several weeks after diagnosis, which poses a challenge for infection control .These results cohort with the study by Ribeiro Luísa Mota , et al. who reported that more than half of the studied mothers had good knowledge related definition, sources, symptoms and transmission of COVID-19 . Also stated that less than two thirds of the studied subject used social media to obtain information, and had poor knowledge of COVID-19 transmission [18,19]. The reference revealed that the results of this study verified an intermediate level of knowledge of family in relation to COVID-19 . Also, this study was supported by the study performed by who reported that most studied subjects felt that they had satisfactory knowledge regarding COVID-19 [21,22]. Asemahagn reported that around 279 (70%) health care workers had good knowledge followed by 247 (62%) with good prevention practices. In agreement with who detected that the majority of studied subjects followed correct practices regarding COVID-19. This was consistent with the study by who stated that the majority presented a good preventive practice and attitude related to COVID-19. Kassie et al. stated that frequency of attitude towards COVID-19 established to be 65.7% (95%CI: 61.5, 70.1). Wahed et al. reported that a positive attitude for COVID-19 was noticed among care givers. The current results also showed that educational level and age were identified as the main positive indicator of the change in mothers’ knowledge score [23- 27]. The total knowledge, attitude, residency and educational level were identified as the main positive indicator of the change in mothers’ practice score. The total knowledge, occupation, and age were identified as the main positive indicator of the change in mothers’ attitude score. These results are irregular with the study performed by Almutairi Khalid, et al. who detected that experience of COVID-19 was found to explain 29.1% of mothers’ knowledge level and in cohort with who revealed that residence and lack of PPE were factors restricting prevention practices . The study by Centres for disease control and prevention, 2020 reported that work experience and job category influenced subjects’ practice and attitude concerning COVID-19 . This is similar to the study performed by who showed that more frequent prevention practice factors were associated with older age, higher education and positive attitudes in regard physical and psychological care, and who demonstrated that mothers’ attitudes were significantly linked with their occupation and knowledge level [19,28,29].
To conclude our study, half of the studied mothers had good knowledge and more than one third had an average knowledge level. In related attitude, less than two thirds of studied mothers had positive attitude. According to practice level, around two thirds of studied mothers had satisfied practice. Also, residency, educational level and age were positive indicator on mothers’ knowledge. The total knowledge, attitude, occupation, and educational level had a positive impact mothers’ practice. The total knowledge, age and occupation were positive indicator of physical and psychological care of their children.
Conflict of Interest
Not present any conflict.
Sources of Funding
This research did not obtain any specific grant from funding supports in the commercial, public, or not-for-profit sectors.
- Velavan, Thirumalaisamy P and Christian G Meyer. “The COVID-19 Epidemic.” Trop Med Int Health 25 (2020): 278.
- Cao, Xuetao. “COVID-19: Immunopathology and its Implications for Therapy.” Nat Rev Immunol 20 (2020): 269-270.
- Maria Khan, Haris Khan, Shehriyar Khan and Maimoona Nawaz. “Epidemiological and Clinical Characteristics of Conara virus Diseses (Covid-19) Cases at a Screeing Clinic During the Early Outbreak Period a Single -Centre Study.” J Med Microbiol 69 (2020): 1114-1123.
- Alkhamees, Abdulmajeed A, Saleh A Alrashed, Ali A Alzunaydi and Ahmed S Almohimeed, et al. “The Psychological Impact of COVID-19 Pandemic on the General Population of Saudi Arabia.” Compr Psychiatry 102 (2020): 152192.
- Chirico, Francesco, Gabriella Nucera and Nicola Magnavita. “COVID-19: Protecting Healthcare Workers is a Priority.” Infect Control Hosp Epidemiol 41 (2020): 1117-1117.
- Kubb, Christian and Heather M Foran. “Measuring COVID-19 Related Anxiety in Parents: Psychometric Comparison of Four different Inventories.” JMIR Ment Health 7 (2020): e24507.
- Ferdous, Most Zannatul, Md Saiful Islam, Md Tajuddin Sikder and Abu Syed Md Mosaddek, et al. “Knowledge, Attitude, and Practice Regarding COVID-19 Outbreak in Bangladesh: An Online-Based Cross-Sectional Study.” PloS One 15 (2020): e0239254.
- Hasani, Hamidreza, Shayan Mardi, Sareh Shakerian and Nooshin Taherzadeh-Ghahfarokhi, et al. “The Novel Coronavirus Disease (COVID-19): A PRISMA Systematic Review and Meta-Analysis of Clinical and Paraclinical Characteristics.” BioMed Res Int 2020 (2020): 3149020.
- Zheng, Fang, Chun Liao, Qi-hong Fan and Hong-bo Chen, et al. “Clinical Characteristics of Children with Coronavirus Disease 2019 in Hubei, China.” Curr Med Sci 40 (2020): 275-280.
- Ribeiro, Luísa Mota, Rosário Serrão Cunha, Maria Conceição Andrade E. Silva and Marisa Carvalho, et al. “Parental Involvement During Pandemic Times: Challenges and Opportunities.” Edu Sci 11 (2021): 302.
- Lu, Xiaoxia, Liqiong Zhang, Hui Du and Jingjing Zhang, et al. “SARS-CoV-2 Infection in Children.” N Engl J Med 382 (2020): 1663-1665.
- Lai, Chih-Cheng, Yen Hung Liu, Cheng-Yi Wang and Ya-Hui Wang, et al. “A Symptomatic Carrier State, Acute Respiratory Disease, and Pneumonia Due to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): Facts and Myths.” J Microbiol Immunol Infect 53 (2020): 404-412.
- Yusef, Dawood, Wail Hayajneh, Samah Awad and Suleiman Momany, et al. “Large Outbreak of Coronavirus Disease Among Wedding Attendees, Jordan.” Emerg Infect Dis 26 (2020): 2165.
- Mossa-Basha, Mahmud, Jonathan Medverd, Ken F Linnau and John B Lynch, et al. “Policies and Guidelines for COVID-19 Preparedness: Experiences from the University of Washington.” Radiology 296 (2020): E26-E31.
- Abuhammad, Sawsan. “Parents’ Knowledge and Attitude Towards COVID-19 in Children: A Jordanian Study.” Int J Clin Pract 75 (2021): e13671.
- World Health Organisation. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Geneva: World Health Organisation, Switzerland, (2019).
- Jiehao, Cai, Xu Jin, Lin Daojiong and Yang Zhi, et al. “A Case Series of Children with 2019 Novel Coronavirus Infection: Clinical and Epidemiological Features.” Clin Infect Dis 71 (2020): 1547-1551.
- Almutairi, Khalid M, Eyad M Al Helih, Mahaman Moussa and Ahmad E Boshaiqah, et al. “Awareness, Attitudes, and Practices Related to Coronavirus Pandemic Among Public in Saudi Arabia.” Fam Community Health 38 (2015): 332-340.
- Al-Hanawi, Mohammed K, Khadijah Angawi, Noor Alshareef and Ameerah Qattan, et al. “Knowledge, Attitude and Practice toward COVID-19 among the Public in the Kingdom of Saudi Arabia: A Cross-Sectional Study.” Front Public Health 8 (2020): 217.
- Cluver, Lucie, Jamie M. Lachman, Lorraine Sherr and Inge Wessels, et al. “Parenting in a Time of COVID-19.” Lancet 395 (2020): 64.
- Halcomb Elizabeth, McInnes Susan, Williams Anna and Ashley Christine, et al. “The Experiences of Primary Healthcare Nurses During the COVID-19 Pandemic in Australia.” J Nurs Scholarsh 52 (2020): 553-563.
- Puspitasari, Irma Melyani, Lutfiah Yusuf, Rano K Sinuraya and Rizky Abdulah, et al. “Knowledge, Attitude, and Practice During the COVID-19 Pandemic: A Review.” J Multidiscip Health 13 (2020): 727.
- Asemahagn, Mulusew Andualem. “Factors Determining the Knowledge and Prevention Practice of Healthcare Workers Towards COVID-19 in Amhara Region, Ethiopia: A Cross-Sectional Survey.” Trop Med Health 48 (2020): 1-11.
- Zhang, M, M Zhou, F Tang and Y Wang, et al. “Knowledge, Attitude, and Practice Regarding COVID-19 Among Healthcare Workers in Henan, China.” J Hosp Infect 105 (2020): 183-187.
- Anikwe, Chidebe C, Christian O Ogah, Ifeyinwa H Anikwe and Bartholomew C, et al. “Coronavirus Disease 2019: Knowledge, Attitude, and Practice of Pregnant Women in a Tertiary Hospital in Abakaliki, Southeast Nigeria.” Int J Gynaecol Obste 151 (2020): 197-202.
- Kassie, Belayneh Ayanaw, Aynishet Adane, Yared Tadesse Tilahun and Eskeziaw Abebe Kassahun, et al. “Knowledge and Attitude Towards COVID-19 and Associated Factors Among Health care Providers in Northwest Ethiopia.” PloS One 15 (2020): e0238415.
- Abdel Wahed, Wafaa Yousif, Enas Mamdouh Hefzy and Mona Ibrahim Ahmed, et al. “Assessment of Knowledge, Attitudes, and Perception of Health Care Workers Regarding COVID-19, A Cross-Sectional Study from Egypt.” J Community Healt 45 (2020): 1242-1251.
- Jiao, Wen Yan, Lin Na Wang, Juan Liu and Shuan Feng Fang, et al. “Behavioral and Emotional Disorders in Children During the COVID-19 Epidemic.” J Pediatr 221 (2020): 264-266.
- Morelli, Mara, Elena Cattelino, Roberto Baiocco and Carmen Trumello, et al. “Parents and Children During the COVID-19 Lockdown: The Influence of Parenting Distress and Parenting Self-Efficacy on Children’s Emotional Well-Being.” Front Psychol 11 (2020): 2584.
Citation: Bassam, Samah Elawady. "Maternal Level of Knowledge and Practice Regarding Physical and Psychological Care of Children with Covid-19." Clin Schizophr Relat Psychoses 16S (2022). DOI: 10.3371/CSRP.BS.051322.
Copyright: © 2022 Bassam SE. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.