he Impact of Virtual Education on the Health of First-Grade Elementary School Students: A Qualitative Study

Document Type : Original Article

Authors

10.34172/JHAD.92398

Abstract

Background: Improving students’ health has always been a primary mission for schools. The COVID-19 pandemic led to a shift to virtual education in schools. The present study aimed to analyze the lived experiences of elementary school teachers to explore the effect of virtual education on students’ health during the COVID-19 pandemic.
Methods: This study utilized a qualitative approach and a descriptive phenomenological method to investigate the lived experiences of teachers. Semi-structured interviews were conducted with 12 elementary school teachers in West Azerbaijan province. To ensure the trustworthiness of the data, Lincoln and Guba’s reliability criteria were employed including credibility, transferability, dependability, and confirmability through participant validation as well as review by non-participating experts. Purposeful and snowball sampling methods were used to recruit participants. Data were analyzed using Colaizzi’s seven-step method.
Results: Data analysis revealed 47 codes, three subthemes, and one main theme. The main theme showed that, based on teachers’ lived experiences, the health characteristics of students who experienced only virtual education in the first grade of elementary school in the academic years 2020-2021 and 2021-2022, were significantly different from those of students before COVID-19. The subthemes identified included the consequences for physical health and well-being, mental health, and social health.
Conclusion: Addressing the consequences of virtual education on the health of students necessitates strategic planning and careful attention.

Keywords

Main Subjects


  1. School Closures Caused by Coronavirus (COVID-19) [Internet]. 2020. Available from: https://en.unesco.org/covid19/educationresponse.
  2. Garg R, Singh AP. Were the online training courses imparted to consultants in the COVID era really effective? Interdiscip J Virtual Learn Med Sci. 2022;13(1):66-7. doi: 30476/ijvlms.2022.94510.1136.
  3. Shah GH, Alamian A. COVID-19, health inequities, and behavioral health issues facing children. Int J Sch Health. 2023;10(1):1-2. doi: 30476/intjsh.2023.97844.1281.
  4. Christakis DA, Van Cleve W, Zimmerman FJ. Estimation of US children’s educational attainment and years of life lost associated with primary school closures during the coronavirus disease 2019 pandemic. JAMA Netw Open. 2020;3(11):e2028786. doi: 1001/jamanetworkopen.2020.28786.
  5. Armitage R, Nellums LB. Considering inequalities in the school closure response to COVID-19. Lancet Glob Health. 2020;8(5):e644. doi: 1016/s2214-109x(20)30116-9.
  6. Van Lancker W, Parolin Z. COVID-19, school closures, and child poverty: a social crisis in the making. Lancet Public Health. 2020;5(5):e243-4. doi: 1016/s2468-2667(20)30084-0.
  7. Viner RM, Bonell C, Drake L, Jourdan D, Davies N, Baltag V, et al. Reopening schools during the COVID-19 pandemic: governments must balance the uncertainty and risks of reopening schools against the clear harms associated with prolonged closure. Arch Dis Child. 2021;106(2):111-3. doi: 1136/archdischild-2020-319963.
  8. Beauregard PL, Connolly M, Haeck C, Molnár TL. Primary school reopenings and parental work. Can J Econ. 2022;55(Suppl 1):248-81. doi: 1111/caje.12566.
  9. Sarkar B, Islam N, Das P, Miraj A, Dakua M, Debnath M, et al. Digital learning and the lopsidedness of the education in government and private primary schools during the COVID-19 pandemic in West Bengal, India. E-Learning and Digital Media. 2022;20(5):473-97. doi: 1177/20427530221117327.
  10. Marchant E, Todd C, James M, Crick T, Dwyer R, Brophy S. Primary school staff perspectives of school closures due to COVID-19, experiences of schools reopening and recommendations for the future: a qualitative survey in Wales. PLoS One. 2021;16(12):e0260396. doi: 1371/journal.pone.0260396.
  11. Bonal X, González S. The impact of lockdown on the learning gap: family and school divisions in times of crisis. Int Rev Educ. 2020;66(5-6):635-55. doi: 1007/s11159-020-09860-z.
  12. Bol T. Inequality in Homeschooling During the Corona Crisis in the Netherlands. First Results from the LISS Panel. Open Science Framework (OSF); 2020. doi: 31235/osf.io/hf32q.
  13. Haelermans C, Korthals R, Jacobs M, de Leeuw S, Vermeulen S, van Vugt L, et al. Sharp increase in inequality in education in times of the COVID-19-pandemic. PLoS One. 2022;17(2):e0261114. doi: 1371/journal.pone.0261114.
  14. Zamani F, Talebi B. Explaining the effects of language learners’ use of virtual social networks on their academic engagement with PLS approach. Technol Educ J. 2021;16(1):49-58. [Persian].
  15. Zamani F, Talebi B. Comparing students’ academic engagement based on how much they use social networks in learning English. Interdiscip J Virtual Learn Med Sci. 2018;9(2):e65552. doi: 5812/ijvlms.65552.
  16. Yousefzadeh B, Darvishi Z, Ashrafi Salimkandi F, Abbasi I. Counting and explaining the challenges and problems of education - learning schools in the city of Urmia in the days of corona and providing solutions to solve them. Quarterly Journal of Education Studies. 2023;9(33):25-35. [Persian].
  17. Dehghani M, Zolfaghari M, Najimi A. Obstacles for establishing interaction between faculty members and students in virtual courses: a qualitative study. Iran J Med Educ. 2023;23(0):48-60. doi: 48305/23.0.48. [Persian].
  18. Mousavi M, Mohammadzadeh Nasrabadi M, Pezeshki-Rad GR. Identifying and analyzing barrier and inhibitor factors for implementation and development of e-learning in Payame Noor University. Quarterly Journal of Research and Planning in Higher Education. 2023;17(1):137-54. [Persian].
  19. Saeedi M, Khakshour A, Zarif B, Ajilian Abbasi M, Imannezhad S. Virtual education challenges during the COVID-19 pandemic in academic settings: a systematic review. Med Educ Bull. 2022;3(3):505-15. doi: 22034/meb.2022.342911.1058.
  20. Fitzpatrick BR, Berends M, Ferrare JJ, Waddington RJ. Virtual illusion: comparing student achievement and teacher and classroom characteristics in online and brick-and-mortar charter schools. Educ Res. 2020;49(3):161-75. doi: 3102/0013189x20909814.
  21. Freedberg L. Sal Khan Says Distance Learning Can’t Fully Replace in-Person Instruction. EdSource; 2020. Available from: https://edsource.org/2020/sal-khan-says-distance-learning-cant-fully-replace-in-person-instruction/637541. Accessed October 19, 2020.
  22. Sadeghi M, Niazazari K, Taghvaie Yazdi M. The impact of virtual approach substructures on competency-based education towards fourth generation universities. Educational Development of Judishapur. 2019;10(4):363-75. doi: 22118/edc.2019.99757. [Persian].
  23. Al Lily AE, Ismail AF, Abunasser FM, Alhajhoj Alqahtani RH. Distance education as a response to pandemics: coronavirus and Arab culture. Technol Soc. 2020;63:101317. doi: 1016/j.techsoc.2020.101317.
  24. Valois RF. Sustainability in school health: leadership is the key. Int J Sch Health. 2023;10(3):171-7. doi: 30476/intjsh.2023.99159.1319.
  25. Moghaddam Hosseini S, Talebi B. A partial least squares path model of principals’ performance in school health services based on spiritual intelligence in Tabriz female high schools. Int J Sch Health. 2018;5(3):e77217. doi: 5812/intjsh.77217.
  26. Zhao Y, Li L, Wang X. Relationship between adolescent depression and insecure attachment: mediating effect of psychological capital. Psychiatr Danub. 2021;33(4):499-505. doi: 24869/psyd.2021.499.
  27. Neil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021;9(9):CD007651. doi: 1002/14651858.CD007651.pub3.
  28. Badri MA, Alkhaili M, Aldhaheri H, Alnahyan H, Yang G, Albahar M, et al. Understanding the interactions of happiness, self-rated health, mental feelings, habit of eating healthy and sport/activities: a path model for Abu Dhabi. Nutrients. 2021;14(1):55. doi: 3390/nu14010055.
  29. Barry MM, Clarke AM, Jenkins R, Patel V. A systematic review of the effectiveness of mental health promotion interventions for young people in low- and middle-income countries. BMC Public Health. 2013;13:835. doi: 1186/1471-2458-13-835.
  30. Crick T. COVID-19 and digital education: a catalyst for change? ITNOW. 2021;63(1):16-7. doi: 1093/itnow/bwab005.
  31. Siegel AA, Zarb M, Alshaigy B, Blanchard J, Crick T, Glassey R, et al. Educational landscapes during and after COVID-19. In: Proceedings of the 26th ACM Conference on Innovation and Technology in Computer Science Education V. 2. New York, NY: Association for Computing Machinery; 2021. p. 597-8. doi: 1145/3456565.3461439.
  32. Jafari A, Talebi B, Barghi I. Health curriculum’s neglect of puberty health, the lived experiences of twelfth grade female students. Iranian Journal of Psychiatric Nursing. 2023;11(2):87-98. doi: 22034/ijpn.11.2.87. [Persian].
  33. Talebi B, Karimi F. Explain student girls’ perception of how to wear veils in schools where the tents are mandatory. Quarterly Journal of Woman and Society. 2020;11(41):111-28. [Persian].
  34. Pashsyee J, Talebi B, Daneshvar Z. School human resource development’s policymaking model: a grounded theory study. School Administration. 2021;9(4):148-61. doi: 34785/j010.2021.002.
  35. Fisher HH, Hawkins GT, Hertz M, Sliwa S, Beresovsky V. Student and school characteristics associated with COVID-19-related learning decline among middle and high school students in K-12 schools. J Sch Health. 2022;92(11):1027-39. doi: 1111/josh.13243.
  36. Ashta JK, Weingart R, Gazmararian JA. The impact of COVID-19 on education experiences of high school students in semi-rural Georgia. J Sch Health. 2023;93(4):257-65. doi: 1111/josh.13269.
  37. Fattahiyan M, Okati-Aliabad H, Seraji M. Psychopathology in virtual education for primary school students in the COVID-19 pandemic: a qualitative analysis. J Educ Health Promot. 2022;11:289. doi: 4103/jehp.jehp_1537_21.
  38. Hoffman JA, Miller EA. Addressing the consequences of school closure due to COVID-19 on children’s physical and mental well-being. World Med Health Policy. 2020;12(3):300-10. doi: 1002/wmh3.365.
  39. Sadique MZ, Adams EJ, Edmunds WJ. Estimating the costs of school closure for mitigating an influenza pandemic. BMC Public Health. 2008;8:135. doi: 1186/1471-2458-8-135.
  40. Paik S, Samuel RM. Impact of pandemic on school education in India: generations at risk. In: COVID-19 Pandemic, Public Policy, and Institutions in India. Routledge; 2022. p. 165-83. doi: 4324/9781003226970-15.
  41. Conti G, Heckman JJ. The developmental approach to child and adult health. Pediatrics. 2013;131(Suppl 2):S133-41. doi: 1542/peds.2013-0252d.
  42. Dana A, Ranjbari S, Chaharbaghi Z, Ghorbani S. Association between physical activity and motor proficiency among primary school children. Int J Sch Health. 2023;10(3):128-35. doi: 30476/intjsh.2023.98237.1295.
  43. Schweingruber H, Dibner K, Bond EC. Reopening K-12 Schools During the COVID-19 Pandemic: Prioritizing Health, Equity, and Communities. Washington, DC: National Academies Press (US); 2020. doi: 17226/25858.
  44. MacKenzie RK, van Lettow M, Gondwe C, Nyirongo J, Singano V, Banda V, et al. Greater retention in care among adolescents on antiretroviral treatment accessing “Teen Club” an adolescent-centred differentiated care model compared with standard of care: a nested case-control study at a tertiary referral hospital in Malawi. J Int AIDS Soc. 2017;20(3):e25028. doi: 1002/jia2.25028.
  45. Willis N, Napei T, Armstrong A, Jackson H, Apollo T, Mushavi A, et al. Zvandiri-bringing a differentiated service delivery program to scale for children, adolescents, and young people in Zimbabwe. J Acquir Immune Defic Syndr. 2018;78 Suppl 2:S115-23. doi: 1097/qai.0000000000001737.
  46. Feroz A, Abrejo F, Ali SA, Nuruddin R, Saleem S. Using mobile phones to improve young people’s sexual and reproductive health in low- and middle-income countries: a systematic review protocol to identify barriers, facilitators and reported interventions. Syst Rev. 2019;8(1):117. doi: 1186/s13643-019-1033-5.