Social Distancing Research Articles

Covid-19, working from home and work–life boundaries: the role of personality in work–life boundary management

Working from home (WFH) has accelerated in occurrence following social distancing measures directed at stemming the spread of Covid-19 globally. Using a sample of 41 in-depth qualitative interviews and measurement of the personality scores of the 41 interviewees, who are UK academics, using the IPIP test questionnaire, we explored how mandatory WFH impacts the boundary management of different academics based on their personality and the role of personality in their boundary-management approach to enhance work-life balance (WLB) during Covid-19. Our results suggest that mandatory WFH impacts academics differently depending on their personality, with academics high in conscientiousness and introversion (compared to their neurotic and extroverted colleagues) more suited to managing work and life domains to maintain a WLB while working from home. Building on boundary theory, we uncovered that while conscientious and introverted academics preferred and used integration as their boundary-management style, extroverted academics preferred segmentation in favor of family, but used volleying as a boundary-management style. Neurotic academics leaned toward our newly uncovered boundary-management style – quitter. Our findings suggest that the family circumstances of academics play an important role in their boundary-management styles. Overall, our study suggests relationships between personality and boundary-management styles and characteristics.

Transformation of informal elder care practices and mobilities during the pandemic

ABSTRACT The COVID-19 pandemic revealed that when formal care services closed down, informal care burden was unequally transferred to women. Women across the world became part of “caregiver pools”. Using textual archive material collected by the Finnish Literature Society, we analyse the transformation of informal elder care practices in Finland. We adopt a care mobility and care process perspective to analyse how informal elder care was transformed due to social distancing measures that restricted ageing individuals and their family members’ local and translocal mobilities. We find that over 70-year-olds had to adapt their daily mobilities according to risk assessment. Caregiving provided by mostly female family members was replaced by digital care at a distance, which reinforced existing inequalities in care. We argue that the pandemic simultaneously brought about both a time–space compression and what we call a time–space expansion that affected the everyday practices and mobilities of care.

Effect of the Covid-19 pandemic on hospitalizations for non-Covid-19-pneumonia and exacerbations of chronic obstructive pulmonary diseases in Switzerland: comparison of national data between 2020/2021 and 2015–2019

BackgroundProtective measures applied during the Covid-19 pandemic had a marked impact on the incidence of pneumonia. However, systematic data are lacking for hospitalizations for pneumonia and acute exacerbations of chronic obstructive lung diseases (AECOPD) not caused by SARS-CoV-2 in Switzerland. We aimed to compare the incidences of hospitalization for these entities between 2020/2021 and prepandemic years.MethodsThis retrospective study examined all nationwide hospitalizations for non-Covid-19-pneumonia and AECOPD listed as primary diagnoses based on ICD-10 codes between 2015 and 2021 in a publicly available hospitalization database of the Swiss Federal Statistical Office. Hospitalizations for acute coronary syndrome (ACS) and stroke were used as controls. Changes of monthly incidences of hospitalizations, length of stay (LOS) and mortality were compared between 2020/2021 and the average of 2015–2019.ResultsThe incidences of hospitalizations for AECOPD and for pneumonia showed seasonal variations from 2015 to 2019 followed by significant and almost identical decreases in 2020/2021 (incidence rate ratio [IRR] 0.59, 95% CI: 0.45–0.77, p < 0.001, and IRR: 0.62, 95% CI: 0.52–0.74, p < 0.001, respectively). Hospital-mortality was slightly higher in 2020/2021 for AECOPD (2015–2019: 3.8%; 2020/2021: 4.2%, odds ratio [OR] 1.24, 95% CI: 1.07–1.44, p = 0.004) and for pneumonia (2015–2019: 4.5%, 2020/2021: 4.6%, odds ratio [OR] 1.17, 95% CI: 1.07–1.28, p < 0.001). Median LOS slightly decreased for AECOPD (2015–2019: 8 [IQR: 5–14] days; 2020/2021: 7 [IQR: 4–13] days, Wilcoxon test: p < 0.001) but slightly increased for pneumonia (2015–2019: 7 [IQR: 4–11] days; 2020/2021: 7 [IQR: 4–13] days, Wilcoxon test: p < 0.001). Throughout 2020/2021, there were no significant fluctuations observed in the incidences of ACS and stroke. (IRR: 0.98, 95% CI: 0.83–1.16, p = 0.810, IRR: 0.96, 95% CI: 0.81–1.14, p = 0.636, respectively).ConclusionThe first two years of the Covid-19 pandemic showed a marked decrease in incidences in AECOPD and non-Covid-19 pneumonia hospitalizations in Switzerland. It is likely that this effect is associated with the society-based, at first vigorous, social distancing measures.

Government justification of police actions against protesters: biopolitics in Poland during the Covid-19 pandemic

ABSTRACT How did the government justify aggressive, and, at times, violent police actions against demonstrators during the pandemic? We use a biopolitical framework to empirically explore how leading members of Poland’s government justified protest policing. During the Covid-19 pandemic, Poland’s PiS-led government, like others across Europe, implemented social distancing measures that curtailed the right to peaceful assembly. The government justified aggressive crowd control tactics such as kettling to ‘protect’ society from what they perceived as illegal and unruly protestors who seek to cause indirect mass harm, e.g. spread the virus via street protesting, or cause direct harm to police officers through physical acts of protester aggression. The government argued that protesters, instead of being whom the state must keep safe from biological harm, actually threaten a vulnerable police force and other institutions. The government projected their own vulnerability to cast protesters as biological threats to the nation and, thus, as dangerously norm-breaking ‘others,’ in order to justify surveillance of demonstrators and aggressive police tactics.

The effects of mass media messages, perceived susceptibility and self-rated health on public attitude towards COVID-19 in South Africa

ObjectivesSouth Africa was the worst affected country in Africa by the COVID-19 pandemic and it is important to interrogate the attitude of the populace towards the pandemic for future interventions. Therefore, this study examined effects of mass media messages, susceptibility to COVID-19 and self-rated health on the attitudes of South Africans towards the COVID-19 pandemic.MethodsData was from the National Income Dynamics Study – Coronavirus Rapid Mobile Survey (NIDS-CRAM) of 2021 which is a nationally representative panel survey of about 7,000 South African individuals in all the nine provinces. Analyses of data were through descriptive statistics, chi square test and logistic regression models.ResultsThe results showed that 61.28% of the resondents did not take COVID-19 test while 91.09% of them engaged in behavioral changes such as social distancing and wearing of face masks. In addition, 74.27% of the respondents had access to mass media information, 70.44% believed they have good physical health while 32.43% felt they were not susceptible to COVID-19. The chi-square results of attitude towards COVID-19 showed significant differences in access to mass media messages on COVID-19, race, and province of residence. Furthermore, respondents who had access to mass media information on COVID-19 (OR = 1.469; p = 0.001) and respondents who believed that they were susceptible to COVID-19 infection (OR = 1.443; p = 0.001) were significantly associated with increased likelihood of engagement in behavioral changes to avoid the COVID-19.ConclusionThese findings therefore emphasize the need for increased awareness and sensitization of the people about the susceptibility and adverse effects of diseases to ensure that they adopt the appropriate attitudes that will safeguard them from such diseases outbreak.

Second Look Opportunity for Radiation Oncology Medical Residency During Virtual Interview Season

PurposeDespite easing of COVID-19 travel restrictions and social distancing, medical radiation oncology (RO) residency interviews for the 2023 Match remained exclusively virtual. Virtual interviews can be limited in providing program atmosphere, resident camaraderie, and city culture. Our institution offered a voluntary in-person second look (SL) to address these concerns and supplement the virtual interview. Methods and MaterialA voluntary in-person SL across 3 dates was offered to all applicants who successfully interviewed with the RO department for the 2023 Match (n=54). Attendees of the SLs (n=38) were invited to complete a voluntary 10-question anonymous survey after Match Day regarding their perspectives on this opportunity including motivations for attending, financial burden, and perceived benefits of SLs. Results38 individuals (70%) attended one of the departmental SLs with 19 participants (50%) completing the survey. 16 out of 19 (84%) participants traveled >200 miles to attend. All surveyed applicants were grateful for the in-person SL opportunity and agreed such opportunities should continually be offered with exclusively virtual residency interviews. All participants reported that their decision to attend the SL was affected by departmental financial support. Two applicants felt pressured to attend the SL to remain competitive to the program. Majority of applicants agreed that they achieved a better “feel” for the program culture and the larger institution, resident camaraderie, and the surrounding city from this in-person SL encounter, compared to virtual interview alone (18, 94%). ConclusionThese in-person second look opportunities were well-attended, well-received, and offered insights and experiences to RO resident applicants in the setting of exclusively virtual interviews. The cost of attendance may be a limiting factor when applicants are deciding to attend in-person SLs. Caution is needed to ensure applicants do not feel obligated to attend and SLs are not used as a platform for inappropriate post interview communication.

Estimating the impact of social distance policy in mitigating COVID-19 spread with factor-based imputation approach

AbstractWe identify the effectiveness of social distancing policies in reducing the transmission of the COVID-19 spread. We build a model that measures the relative frequency and geographic distribution of the virus growth rate and provides hypothetical infection distribution in the states that enacted the social distancing policies, where we control time-varying, observed and unobserved, state-level heterogeneities. Using panel data on infection and deaths in all US states from February 20 to April 20, 2020, we find that stay-at-home orders and other types of social distancing policies significantly reduced the growth rate of infection and deaths. We show that the effects are time varying and range from the weakest at the beginning of policy intervention to the strongest by the end of our sample period. We also found that social distancing policies were more effective in states with higher income, better education, more white people, more democratic voters, and higher CNN viewership.

Remote sensing and feminist critique: Reappropriations of sensing across distance

Remote sensing technologies and Geographic Information Systems (GIS) have sparked diverse conceptual and critical responses, with feminist approaches in particular undergoing notable transformations. This article traces and contextualizes these changes, emphasizing the re-evaluation of the concept of “distance” in feminist critiques of remote sensing (RS) and GIS from the 1990s onwards. It highlights a shift from outright rejection of GIS/RS technologies as tools of masculinist, positivistic science to a redefinition of remotely sensed information and imbricated understandings of distance and proximity. The article argues that researchers view issues of masculinism from markedly different perspectives and re-evaluate the role of technology-mediated seeing and imagining, resulting in a re-evaluation of physical distance in its relationship to infrastructure, access, and care. What has transformed is what it means to be “critical” toward as well as the possibility to be “critical” with remote sensing from a feminist point of view.

Modelling the impact of vaccination on COVID-19 in African countries.

The rapid development of vaccines to combat the spread of COVID-19, caused by the SARS-CoV-2 virus, is a great scientific achievement. Before the development of the COVID-19 vaccines, most studies capitalized on the available data that did not include pharmaceutical measures. Such studies focused on the impact of non-pharmaceutical measures such as social distancing, sanitation, use of face masks, and lockdowns to study the spread of COVID-19. In this study, we used the SIDARTHE-V model, an extension of the SIDARTHE model, which includes vaccination rollouts. We studied the impact of vaccination on the severity of the virus, specifically focusing on death rates, in African countries. The SIRDATHE-V model parameters were extracted by simultaneously fitting the COVID-19 cumulative data of deaths, recoveries, active cases, and full vaccinations reported by the governments of Ghana, Kenya, Mozambique, Nigeria, South Africa, Togo, and Zambia. Using South Africa as a case study, our analysis showed that the cumulative death rates declined drastically with the increased extent of vaccination drives. Whilst the infection rates sometimes increased with the arrival of new coronavirus variants, the death rates did not increase as they did before vaccination.

Somatic mutation rates scale with time not growth rate in long-lived tropical trees

The rates of appearance of new mutations play a central role in evolution. However, mutational processes in natural environments and their relationship with growth rates are largely unknown, particular in tropical ecosystems with high biodiversity. Here, we examined the somatic mutation landscapes of two tropical trees, Shorea laevis (slow-growing) and S. leprosula (fast-growing), in central Borneo, Indonesia. Using newly constructed genomes, we identified a greater number of somatic mutations in tropical trees than in temperate trees. In both species, we observed a linear increase in the number of somatic mutations with physical distance between branches. However, we found that the rate of somatic mutation accumulation per meter of growth was 3.7-fold higher in S. laevis than in S. leprosula. This difference in the somatic mutation rate was scaled with the slower growth rate of S. laevis compared to S. leprosula, resulting in a constant somatic mutation rate per year between the two species. We also found that somatic mutations are neutral within an individual, but those mutations transmitted to the next generation are subject to purifying selection. These findings suggest that somatic mutations accumulate with absolute time and older trees have a greater contribution towards generating genetic variation.

Somatic mutation rates scale with time not growth rate in long-lived tropical trees.

The rates of appearance of new mutations play a central role in evolution. However, mutational processes in natural environments and their relationship with growth rates are largely unknown, particular in tropical ecosystems with high biodiversity. Here, we examined the somatic mutation landscapes of two tropical trees, Shorea laevis (slow-growing) and S. leprosula (fast-growing), in central Borneo, Indonesia. Using newly constructed genomes, we identified a greater number of somatic mutations in tropical trees than in temperate trees. In both species, we observed a linear increase in the number of somatic mutations with physical distance between branches. However, we found that the rate of somatic mutation accumulation per meter of growth was 3.7-fold higher in S. laevis than in S. leprosula. This difference in the somatic mutation rate was scaled with the slower growth rate of S. laevis compared to S. leprosula, resulting in a constant somatic mutation rate per year between the two species. We also found that somatic mutations are neutral within an individual, but those mutations transmitted to the next generation are subject to purifying selection. These findings suggest that somatic mutations accumulate with absolute time and older trees have a greater contribution towards generating genetic variation.

PANDEMIA DA COVID-19: O AUMENTO DOS CASOS DE ANSIEDADE E DEPRESSÃO NA COMUNIDADE UNIVERSITÁRIA

The COVID-19 pandemic has established itself as a health challenge at a global level, with the WHO defining that response measures should be implemented as quickly as possible so that there is no incidence of new cases of the disease. The governing authorities established mandatory restrictions on the operation of most places where there could be crowds of people, such as, for example, shopping malls, schools and universities. With regard to the university community, these restrictions had a significant impact on their lives, impacting them in several ways […]. Therefore, the objective of this research is to highlight, through studies, the increase in cases of anxiety and depression in university students during and after the pandemic. The present study is an integrative review of the literature, whose function is to delimit results from previous studies on the proposed subject. The research was carried out in the following databases: Virtual Health Library (VHL), Scielo Portal, Google Scholar and the PAHO/WHO website. With the start of the COVID-19 pandemic, universities restricted their operations due to social distancing, completely changing the student scenario. Several studies carried out during the pandemic highlighted the repercussions on the mental health of the academic community, revealing prevalent feelings of impotence, anguish, fear of losing family and friends, irritability and sadness, increasing susceptibility to anxiety, depression and other disorders. Therefore, an emerging focus on mental health in the post-pandemic period is crucial as risk factors continue to significantly impact diverse areas of society.

Lived experiences of South African bariatric patients during the COVID-19 pandemic: a qualitative study

Patients having bariatric surgery require comprehensive support both socially and professionally for successful surgery outcomes. With the outbreak of Coronavirus disease 2019 (COVID-19), many bariatric patients were negatively impacted due to stay-at-home orders and social distancing practices. This study used a qualitative research design using a phenomenological approach to gain a better understanding of bariatric patients’ difficulties and lifestyle challenges between 3 months and 6 years after having bariatric surgery, and to determine the impact that COVID-19 had on patients’ daily lives. A sample of 17 adults were recruited from three hospitals in the Western Cape Province of South Africa. In-depth interviews were conducted with open-ended questions that allowed participants to express their feelings and describe their lived experiences during the pandemic. The interviews were audio recorded and transcribed verbatim. The research data were analysed using inductive content analysis. Most participants were women (88.2%) and married (64.7%). The study identified five main categories: (1) physical impact; (2) psychological impact; (3) social impact; (4) medical and follow-up care; and (5) financial impact. The study yielded results that were in support of existing COVID-19 bariatric surgery literature. Many participants in the study regained weight during the pandemic due to stress and the disruption of physical routines and healthy eating habits. Many experienced an increased anxiety of contracting the virus due to a compromised immune system. The need for professional support during this time was emphasised. All follow-up appointments were cancelled due to the pandemic. Virtual support groups were not favoured above in-person support groups. This research study concluded that bariatric patients regained weight due to the pandemic because of their healthy routines being disrupted. Bariatric patients are reliant on social and professional support for successful outcomes. In-person support group meetings are highly favoured amongst these patients.

A Qualitative Study to Explore Survivors' Experiences in the Implementation of Covid-19 Primary Prevention Efforts in Aceh Province

Background: Primary prevention plays an important role in preventing the occurrence of a disease or other health problems including Covid-19. The purpose of this study was to explore the experiences of Covid-19 survivors in implementing primary prevention efforts for Covid-19. Research Method: This Qualitative study used a phenomenological descriptive design. The Study participants comprised Covid-19 survivors in the capital of Aceh Province, Indonesia. Data were collected using demographic data sheets, Covid-19 primary precaution questionnaires, interview guidelines, field notes, and voice recording devices. Data analysis employed a qualitative data analysis technique. Results: The study shows two main themes regarding Covid-19 survivors’ experiences in implementing primary prevention efforts for Covid-19: knowledge about primary prevention efforts for Covid-19, and; obstacles in implementing Covid-19 primary prevention (e.g., use of masks, washing hands, physical distancing, etc) Conclusion: Covid-19 primary prevention implementation can have both positive and negative experiences for survivors (people). Health professionals should consider these in their intervention programs.

Challenging public stigma: the impact of a statewide social media campaign to reduce opioid use disorder stigma

Background Opioid-related stigma can affect the health and recovery of individuals with opioid use disorder (OUD). As such, campaigns to reduce stigma are needed. We evaluated Life Unites Us (LUU), a comprehensive social media campaign to reduce public stigma of opioids and those who use them, 12 months after campaign launch. Methods A cross-sectional web survey of 1,045 people was used to assess differences in public stigma by exposure to LUU. Survey items focused on public OUD stigma and were divided into three subscales: desire for social distance, treatment availability and effectiveness, and general attitudes. Results Controlling for relevant covariates (i.e. gender, political ideology, education level, race), individuals exposed to LUU endorsed less stigma in the desire for social distance and treatment subscales. There were no significant differences in stigma for the general attitudes subscale. Those who identified as more politically conservative held more stigma across all subscales than those who identified as less politically conservative. Females reported less treatment and general OUD stigma than males. Conclusions Findings suggest that comprehensive social media campaigns that foster connections, educate the public, and advocate for community-level change may positively influence public attitudes toward individuals with OUD and create a more supportive environment for recovery.

Sleeping for two: a randomized controlled trial of cognitive behavioral therapy for insomnia in pregnancy.

Insomnia and sleep problems are common in pregnancy and have potentially negative impacts on both parental and infant health. This study examined the sleeping for two adaptation of cognitive behavioral therapy for insomnia (CBT-I) in pregnancy. A parallel (1:1) randomized controlled trial evaluated CBT-I (n=32) compared to a treatment as usual (TAU) waitlist (n=32) among pregnant individuals from Alberta, Canada experiencing insomnia. Five weekly individual sessions of CBT-I pivoted from in-person delivery to telehealth due to COVID-19 pandemic physical distancing regulations. Insomnia symptom severity (primary outcome), insomnia diagnosis by structured interview, self-reported sleep problems, as well as sleep parameters measured by diary and actigraphy, were assessed pre-treatment at 12-28 weeks gestation (T1), one-week post-treatment (T2), and six months postpartum (T3). Birth information (secondary outcomes) were collected via delivery record and parent report of infant sleep (exploratory outcome) was taken at T3. Multilevel modeling using an intention-to-treat approach showed that CBT-I was associated with a decrease in insomnia symptoms and improved sleep quality across time compared to TAU. The CBT-I group had fewer diagnoses of insomnia post-treatment, but the difference did not reach statistical significance until 6-months postpartum. Participants with worse sleep quality at baseline benefitted substantially more from CBT-I vs. TAU waitlist. CBT-I delivered in pregnancy can reduce symptoms of insomnia and improve sleep quality, which could in turn minimize risk of negative consequences for birthing parent and infant health. Registry: ClinicalTrials.gov; Identifier: NCT03918057; Name: Sleeping for Two: RCT of CBT-Insomnia in Pregnancy; URL: https://www.clinicaltrials.gov/study/NCT03301727.

COVID-19 and protection measures adopted in rural amazon communities during the first months of the pandemic.

Motivation for the study. To document the evolution of COVID-19 in rural Amazonian populations, which are still little known. Main findings. COVID-19 spread rapidly through rural communities, initially spreading to mestizo hamlets and later affecting indigenous communities. Rural mortality varied by region and ethnicity. Social distancing was difficult, and travel to receive government vouchers contributed to contagion. Implications. Identifying the factors that contributed to contagion and the barriers to the adoption of protective measures in rural Amazonian populations will help to face future pandemics. To analyze the evolution of COVID-19 in rural populations of Loreto and Ucayali in the early stage of the pandemic. A community-level longitudinal observational study was conducted and based on two rounds of telephone surveys with local authorities of more than 400 indigenous and non-indigenous rural communities in Loreto and Ucayali, in July and August 2020. We collected information on cases and deaths by COVID-19 in their communities, protective measures adopted and if state assistance was received in the early stage of the pandemic. Descriptive statistics allowed us to evaluate the evolution of the pandemic after the initial outbreak and compare the trends of the two regions, as well as between indigenous and non-indigenous populations. In July 2020, COVID-19 had reached 91.5% of the communities, although deaths from COVID-19 were reported in 13.0% of the communities, with rural mortality being higher in Ucayali (0.111%) than in Loreto (0.047%) and in non-indigenous communities. By August, prevalence decreased from 44.0% to 32.0% of communities, but became more frequent in indigenous communities, and those in Ucayali. Traveling to the city to receive state bonuses and difficulties maintaining social distancing contributed to the spread. Our findings show the evolution of COVID-19 in rural communities and point to important areas of attention in future public policies, for the adoption of protective measures and reconsidering strategies for the distribution of assistance in the face of future pandemics. Motivation for the study. To document the evolution of COVID-19 in rural Amazonian populations, which are still little known. Main findings. COVID-19 spread rapidly through rural communities, initially spreading to mestizo hamlets and later affecting indigenous communities. Rural mortality varied by region and ethnicity. Social distancing was difficult, and travel to receive government vouchers contributed to contagion. Implications. Identifying the factors that contributed to contagion and the barriers to the adoption of protective measures in rural Amazonian populations will help to face future pandemics.

Lifestyle changes and psychological anxiety during the Coronavirus Disease 2019 pandemic: Using the Korean Community Health Survey

This study investigated changes in lifestyles and psychological anxiety among Koreans during the Coronavirus Disease 2019 (COVID-19) pandemic using the 2020 data from the nationwide Korean Community Health Survey. The study outcomes were psychological anxiety about the infection and death, due to COVID-19. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the relationship between psychological anxiety and lifestyle changes. During the COVID-19 pandemic, people who practiced healthy behaviors and followed social distancing and quarantine regulations experienced increased psychological anxiety for infection and death. Daily life changes during the COVID-19 pandemic were not associated with psychological anxiety. The result of this study can provide baseline measures for further study on psychological anxiety during re-infection of COVID-19 and future pandemics in Korea.

Knowledge, Attitude and Practices Regarding Third Wave of Coronavirus Pandemic among the Community People in Kathmandu Valley, Nepal

Background: Coronavirus pandemic (COVID-19) is a massive global health crisis. This paper aims to describe knowledge, attitude and practices (KAP) regarding Coronavirus pandemic among the community people residing in Kathmandu Valley. Methods: We have applied cross-sectional study design in which required data were collected from 312 sample households using accidental sampling procedure. We applied self-administered hand given questionnaire (Cronbach's alpha 0.97) consisting 105 items variables (35 each for KAP) on a six-point Likert scale, from 0(not applicable) to 5(strongly agree). Results: The study found that summative values of attitude (x̄ 3.71-3.97) and practices (x̄ 3.70-4.12) found comparatively weaker than knowledge (x̄ 3.09-4.24). About 124(39.7%) respondents have associated comorbidities allied with social distancing, masking/globing behavior, hand washing and sanitizing, physical exercise, PCR test/vaccination, health seeking behavior. KAP index is largely defined by variable family monthly expenditure on food/vegetable and their KAP index was significantly higher than others. However, presence of family members suffered from COVID-19 has negatively contributed to the KAP index. Conclusion: The denser views on KAP are the consistently with closer to agree and strongly agree points. KAP index found significant but skewed to left for Kirtipur and skewed to right for Lalitpur and Suryabinayak. Novelty: The municipal governments have been offering efficient and dedicated health services to the community people. However, knowledge, attitude and practices among the community people of residing in Kathmandu, Bhaktapur and Lalitpur found different. Therefore, the results of the study are valuable to policy makers and planners especially in the areas of healthcare and public health during pandemics.

Drawn Together While Social Distancing: A Case Study of Digital Graphic Novel Use in Citizenship Pedagogy During the COVID-19 Pandemic

The COVID-19 pandemic created special challenges for faculty members whose classes were ones relying heavily on in-person interaction, including those whose courses involve active citizenship and community engagement. Here, I present my use of digital graphic novels in online pedagogy as a way I managed to accomplish this in a digital, socially distanced environment. The digital graphic novels provided a way for students to engage in digital citizenship and a hands-on activity in which they learned and created visual digital communication—one of the most dominant forms of modern-day civic communication. It also pulled in a wildly popular format with “Generation Z” students. Faculty members, though, should make sure that what they do is rooted in course outcomes and emphasize that though this activity may be fun, graphic novels are tools and not the subject matter itself.